OB/GYN 15: Benign & Malignant Vulva & Vagina

Question 1

Bacterial Vaginosis: CX?

Answer 1

• Gardnerella vaginalis

- pH >5

Question 2

Bacterial Vaginosis: odor?

Answer 2

fish

Question 3

Bacterial Vaginosis: discharge?

Answer 3

thin, white

Question 4

Bacterial Vaginosis: DX?

Answer 4

-Whif test
-Clue cells
(cells with bacteria on the outside, makes it look granulated)

Question 5

Bacterial Vaginosis: TX?

Answer 5

Metronidazole

Question 6

Candidiasis: CX?

Answer 6

Broad spectrum antibiotics

causes overgrowth of Candida

Question 7

Candidiasis: odor?

Answer 7

none

Question 8

Candidiasis: discharge

Answer 8

thick white, cottage cheese

Question 9

Candidiasis: DX

Answer 9

KOH wet prep showing hyphae

Question 10

Candidiasis:SX

Answer 10

• red
• itching
• burning

Question 11

Candidiasis: TX

Answer 11

“…conazole” drugs

Fluconazole only treats 1 form of the 3

Question 12

Candidiasis: problems with diabetics?

Answer 12

diabetic vulvitis symptoms will often NOT clear with anti-fungals alone, need to get blood sugar under control.

Question 13

Trichomas vaginalis: discharge

Answer 13

yellow frothy

Question 14

Trichomas vaginalis: odor

Answer 14

stinky

Question 15

Trichomas vaginalis: SX (buzzword)

Answer 15

strawberry cervix

Question 16

Trichomas vaginalis: DX

Answer 16

wet mount: Flagellated protozoa

Question 17

Chlamydia trachomatis: DX

Answer 17

culture specific test

Question 18

Chlamydia trachomatis: SX

Answer 18

1 cause of pelvic inflammatory disease

-causes liver capsule adhesions

Question 19

Chlamydia trachomatis: TX

Answer 19

Azithromycin (one large single dose)

Question 20

Chlamydia trachomatis: infant consideration?

Answer 20

Erythromycin ointment in the eyes of newborns.

Question 21

Prepubertal vaginitis: CX

Answer 21

#1 bubble bath
#2 foreign object
(suspect sexual abuse if positive for STD)

Question 22

Post menopausal vaginitis: CX

Answer 22

low estrogen causing atrophic vaginitis

Question 23

Genital Herpes: CX

Answer 23

HSV-2

Question 24

Genital Herpes: pregnant mother delivery issue?

Answer 24

C-section if visible lesions on the vagina at time of labor.

Question 25

Genital Herpes: TX

Answer 25

Acyclovir

Question 26

HPV (human papilloma virus): SX

Answer 26

Condyloma acuminata (genital warts)

Question 27

VIN (vulvar intra-epithelial neoplasm) turns into what?

Answer 27

squamous cell carcinoma: basal & warty

Question 28

Carcinoma of the vulva?

Answer 28

Extra-mammary Padget’s disease

Question 29

Extra-mammary Padget’s disease: DX?

Answer 29

large tumor cells in the epidermis

-halos around the tumor cells