OB/GYN nbme Flashcards
nabothian cyst
benign lesion on cervix at transformation zone
can be seen during cervisitis inflammation, or during metaplasia occuring at SCJ
![](https://s3.amazonaws.com/brainscape-prod/system/cm/217/134/033/a_image_thumb.png?1499887698)
pagets
- fiery red, white areas
- sore and tender, but not painful
- Carcinoma in situ (adeno)
how to differentiate pagets from melanoma?
PAS+, keratin +, S100-
molluscum contagiosum
![](https://s3.amazonaws.com/brainscape-prod/system/cm/217/134/156/a_image_thumb.png?1499888011)
condyloma lata vs acuminata
LATA= flat topped vessicles that grow in skin folds assoc with secondary syphyllis
ACUMiNATA= HPV6/11, warty
how does cervical carcinoma spread through nodes?
parametrium and paracervical lymphatics
how do you treat bartholin gland cysts/abcess?
Asymptomatic= NOTHING
symptomatic/ abbcess= I/D, marsupilization
**usually polymicrobial or aerobic (e coli)
can stress cause HSV breakout? Is it painful?
YES, exquisitley painful, acute.
differentiate lichen sclerosus from lichen simplex chronicus
SCLEROSIS= thin, parchement skin
SIMPLEX CHRONICUS= leathery skin, will have thick epithelium on histlogy
lichen planus
- wickhams striae –> can see in mouth
- chronic vulvar burning/ puritis
- insertional dyspaereunia
- profuse discharge
- biopsy shows NO atypia
- d/c shows inflamm cells with no bacteria
![](https://s3.amazonaws.com/brainscape-prod/system/cm/217/134/381/a_image_thumb.png?1499888653)
“itch that scrathces, scratch that itches”
lichen simplex chronicus –> acanthotic, hyperkeratosis
there is weight gain… is it menopause or thyroid?
if it is rapid weight gain you can think thyroid
how should you treat anovulatory cycles?
cyclic progesterone
premenopausal woman on steroids should be on what to protect bones?
calcitonin probably
**doesn’t need est/prog is she has periods, bisphosphonates are for postmenopausal
decidual endometrium/ proliferative endometrium are code for? secretory endometrium code for?
decidual/ prolif= ESTROGEN
secretory= PROG