Internal Vaginal Pathology

Question 1

○ Classically unilateral
○ Vaginal pain especially with sitting or intercourse

Answer 1

Bartholin gland cyst / abscess

Question 2

Pubertal age patient with cyclic monthly abdominal pain (primary amenorrhea)

Answer 2

Imperforate hymen

Question 3

Failure of hymen to canalize during development

Answer 3

imperforate hymen

Question 4

Vaginal pain especially with sitting or intercourse

Answer 4

Bartholin Gland Cyst / Abscess

Question 5

Blue/purple hymenal bulge

Answer 5

imperforate hymen

Question 5

Involuntary vaginal contraction during intercouse or pelvic exams → Vaginal pain

Answer 5

vaginismus

Question 6

Pain during intercourse or pelvic exams, despite willingness

Answer 6

vaginismus

Question 7

Altered vaginal pH by which organism in vaginitis ?

Answer 7

candida

Question 7

Thin and dry vaginal skin +/- Itching/Pain

Answer 7

atrophic vaginitis

Question 8

aromatase inhibitors - anastrozole which risk factor ?

Answer 8

atrophic vaginitis

Question 9

candida - features in atrophic vaginitis ?

Answer 9

cottage cheese like discharge

Question 10

Sexual trauma, anxiety disorders, depressive disorders ??

Answer 10

vaginismus

Question 11

vaginitis Tx ?

Answer 11

Topical estrogen cream + Water based lubricant

Question 12

presentation of atrophic vaginitis ?

Answer 12

Women in low estrogen state (menopause, pituitary dysfunction, aromatase inhibitors)

Question 13

etiology of bartholin duct cyst ? m

Answer 13

Bartholin gland blockage → Fluid accumulation (cyst) → Infection (abscess)

26.4.2025
6.49AM