Pics

Question 1

Answer 1

Condyloma accuminata (HPV 6/11)

• small macpap growthss that cluster
• clusters of soft, pink, skin colored lesions

Question 2

Location of

(a) vestible
(b) Bartholin glands

Answer 2

(a) Vestible = area btwn the labia minora
(b) Bartholin glands- open at 4 and 8 oclock of the vaginal orifice

Question 3

Differentiate simple vs. complex endometrial hyperplasia

Answer 3

In simple hyperplasia both the glands and the stroma are proliferating

-Comlpex: the glands proliferate much more => increased gland:stroma ratio

Question 4

34 yo w/ vulvar lesions x6 weeks

Multiple small, papular growths at the vestible of the vulva and over the labia major

-few lesiosn are fragile and bleed on manipulation

Dx

Answer 4

Condylomata acuminata (genital warts from HPV 6 and 11)

Question 5

Location where an ectopic pregnancy would last the longest

Answer 5

Cornual/interestitial = part of the fallopian tube that is directly attached to the cervix and is even surrounded by myometrium

=> has the support/strength of the myometrium to allow for expansion

Question 6

Answer 6

Molluscum contagiosum

• caused by poxvirus
• pearly (smooth, firm) painless nodules w/ central dimple or pit

Question 7

What is a hysterosalpingogram

Answer 7

Inject die into uterine cavity to assess shape of the cavity and patency of the fallopian tubes

• involved in the workup for infertility (not pelvic pain- use US for pelvic pain)
• if don’t get spillage then tube is blocked

Question 8

Answer 8

‘Pearl necklace’ ultrasound appearance of PCO (polycystic ovary)

-follicle develops but never ovulates

Question 9

Maneuvers to delivery baby w/ shoulder dystocia

Answer 9

Shoulder dystocia = anterior shoulder stuck under mother’s pubic symphysis

1. apply suprapubic pressure
2. McRobert’s maneuver- hyperflex mother’s hips to open up the maternal pelvis

Question 10

Answer 10

Lichen sclerosis- pruritic, white, thin, wrinkled skin over the labia

-perianal thickening w/ fissures

Unknown etiology: genetic, autoimmune, hormonal

Question 11

Differentiate the shape btwn early, late, and variable decels

Answer 11

Early and late are rather uniform

Early: gradual onset and offset

Late: nadir right after peak of contraction, recovers after contraction is over

Variable: very acute onset (onset to nadir under 30 sec), not timed w/ contractions, rapid onset and offset

Question 12

Answer 12

Lichen planus- pruritic, glassy, bright red erosions and ulcerations

• cause unknown, thought to be immune (bummer)
• not contagious

Question 13

Differentiate condyloma accuminata vs. condyloma lata

Answer 13

Condyloma accuminata = genital warts from HSV 6/11

-macpap warts in clusters of soft, pink, skin colored lesions

Condyloma lata = secondary syphilis

-flat, velvety lesions w/ a broader/flatter surface

Question 14

Most common location of ectopic pregnancies

Answer 14

95+% in the fallopian tubes

-majority of which are in the ampulla

Question 15

Causes of the 3 types of decels

Answer 15

Early- head compression

Late- uteroplacental insufficiency

Variables- cord compression

Question 16

What kind of twins?

Answer 16

Dichoronic diamniotic- give away is the lambda sign