Pathologies of Vulva and Cervix

Question 1

vulvar pathology

What is condyloma accuminatum?

Answer 1

Genital warts

Question 2

vulvar pathology

What is the common cause of condyloma accuminatum?

Answer 2

HPV 6 or 11

Question 3

Vulvar carcinomas are 90% which type?

Answer 3

Squamous cell carcinomas

Question 4

When is the peak incidence age range of squamous cell vulvar carcinoma?

Answer 4

60-70 year age range

Question 5

What is the name for a vulvar carcinoma in a young female?

Answer 5

Rhabdomyosarcoma aka sarcoma botryoides

Question 6

Acute cervicitis is related to constant exposure to ___

Answer 6

bacterial flora in the vagina

Question 7

What is the clinical presentation of acute cervicitis?

Answer 7

Cervix is grossly red, swollen, and edematous, with copious pus dripping from external

Question 8

If a patient presents with a cervix that is grossly red, swollen, and edematous, with copious pus dripping externally, what is the suspected diagnosis?

Answer 8

Acute cervicitis

Question 9

Is acute or chronic cervicitis more common?

Answer 9

Chronic

Question 10

How does cervical mucosa appear if chronic cervicitis is present?

Answer 10

Cervical mucosa is hyperemic and may show true epithelial erosions

Question 11

In chronic cervicitis, stroma is infiltrated principally by…

Answer 11

lymphocytes and plasma cells

Question 12

If metaplastic squamous epithelium of the transformation zone has extended into endocervical glands, forming clusters of squamous epithelia, and is differentiated from carcinoma, what is the diagnosis?

Answer 12

Chronic cervicitis

Question 13

benign growths of the cervix

What are the most common cervical growths?

Answer 13

Endocervical polyps

Question 14

What is the diagnosis if a patient presents with the following?

• Single smooth or lobulated masses, usually under 3 cm on cervix
• Vaginal bleeding or discharge

Answer 14

Benign growth of the cervix: endocervical polyps

Question 15

malignancies of the cervix

Squamous intraepithelial lesions of the cervix are the effects of what pathology?

Answer 15

Human papilloma virus

Question 16

malignancies of the cervix

Squamous intraepithelial lesions of the cervix are designated as ___ or ___ based on the corresponding infecting viral subtype and risk of progression to invasive squamous cell carcinoma

Answer 16

low grade or high grade

Question 17

malignancies of the cervix

Squamous intraepithelial lesions of the cervix are designated as low grade or high grade based on what factors?

Answer 17

• corresponding infecting viral subtype
• risk of progression to invasive squamous cell carcinoma

Question 18

80% of malignancies of the cervix are ___

Answer 18

squamous cell carcinomas

Question 19

20% of malignancies of the cervix are ___

Answer 19

adenocarcinomas

Question 20

The following are all risk factors for what pathology?

• Early onset of sexual activity
• Multiple full-term pregnancies
• Very early pregnancy
• Immunosuppression
• Multiple sexual partners
• Smoking
• HPV 16, 18
• Chlamydia infection

Answer 20

Cervical carcinomas

Question 21

What is the most often complaint in early stages of cervical cancer?

Answer 21

Vaginal bleeding after intercourse

Question 22

In later stages of cervical cancer, symptoms are referred to…

Answer 22

the route and degree of spread