Unit 3 Flashcards
Female Genital Tract
what develops in the yolk sac wall (4th wk gestation), then migratesinto the urogenital ridge to become the ovary?
Germ cells
What grows caudally, swings medially and fuses with the urogenital sinus?
lateral mullerian ducts
The unfused upper portion of the lateral müllerian ducts forms the
fallopian tubes
This part of the lower lateral mullerian ducts fused to develop into what?
Uterus, Cervix and Upper vagina
The urogential sinus develops when this subdivides by the urorectal septum?
cloaca
The urogential sinus forms the lower part of what and this part of the external genitalia.
vagina and vestibule
what is considered normal behavior of the female mesonephric ducts ?
it regress
The female mesonepric ducts can show up as what in an adult?
Epithelial inclusions
A cystic cervix and vagina can be termed as
Gartner duct cysts.
What common infections cause discomfort without serious sequelae?
•Candida•Trichomonas•Gardnerella
What infections can cause female infertility?
N. gonorrhoeae and Chlamydia
What other infections contribute to Preterm deliveries?
U. urealyticum and M. hominis
HSVs viral infection can cause
painful genital ulcerations
The HPV viral infection is involved in cancers of the
Cervix, Vagina and Vulva
Many infections are sexually transmitted. True or False
True
What are the two dividsions of infections?
Lower Genital Tract and Lower/Upper Genital Tract
ID the order of Herpes Simplex Virus and Genital herpes frequency
cervix, vagina and vaulva
What serotype results in oropharyngeal infection but may not be detected in the genital region?
HSV1
What virus involves genital mucosa and skin, and may cause oral infections.
HSV2
Lesions that appear 3-7 days after transmission assocated with systemic symptoms?
fever, malaise and tender inguinal lymph nodes
HSV early lesions consists of
Red papules -> Vesicles -> Coalescent painful ulcers
Lesions around the urethra may cause ____ and urinary retention. Skin and mucosal lesions heal spontaneuously in 1-3 wks.
dysuria
Recurrence can be triggered by
Decrease in immune function stress trauma UV radiation Hormonal changes
Previous infection with HSV 1 reduce susceptibility to HSV 2. and transmission can occur during late phase but mainly during active phase True or False
True
What birthing method is recommended as a consequence of herpes simplex virus?
Cesarean section
antibodies in the serum indicates
recurrent or latent infection
Treatment of latent infection is effective. Ture or False
False
What is the most prevalent type of molluscum contagiosum?
MCV-1
Molluscum contagiosum is common in children between what ages?
2-12 years old
Molluscum contagiosum is most commonly located where?
Trunk
Arms
Legs
In adults, Molluscum contagiosum affect what parts of the body?
Genitals
Lower abdomen
Buttocks
Inner thighs
The average incubation period of Molluscum contagiosum is
6 weeks
Pathogenesis DX of Molluscum contagiosum is based on what appearance?
Pearly, dome-shaped papules with dimpled center
papules 1-5 mm in diameter, central waxy core and cells with cytoplasmic viral inclusions
Candida albicans is part of the normal flora of the vagina. True or False
True
Candidiasis is due to disturbance in microbial flora environment. True or False
True
What are some predisposing factors to Candidasis infection?
Diabetes mellitus
Antibiotics
Pregnancy
Compromised neutrophil and T-cell function
Signs and symptoms of candidiasis fungal infection
Vulvovaginal pruritus Erythema Swelling Curd-like vaginal discharge Mucosal ulcerations in severe infections
Candida albicans fungal infection is ___ considered a sexually transmitted disease.
Not
Trichomonas vaginalis is stransmitted how?
sexual contact
Trichomonas vaginalis symptoms include
- Yellow frothy vaginal discharge
- Vulvovaginal discomfort
- Dysuria
- Dyspareunia
what has a fiery-red and strawberry cervix appearance?
Trichomoniasis or Trichomonas Vaginalis
Bacterial vaginosis is called
Vaginitis
What present with, thin green-gray, malodorous (fishy) vaginal discharge. It also has squamous cells covered with coccobacilli on a pap smear.
Gardnerella Vaginalis
what type of vaginalis implicates a premature labor?
Gardenerella
What accounts for some cases of vaginitis and cervicitis and implicates Premature delivery or Chorioamnionitis?
Ureaplasma urealyticum and Mycoplasma hominis
Name the infection that begins in the vulva or vagina and spreads upwardsin the gential tract?
Pelvic Inflammatory Disease (DIP)
What pelvic inflammatory disease symptoms are involved in the female genital tract?
- Pelvic pain
- Adnexal tenderness
- Fever
- Vaginal discharge
What is the most common cause of pelvic inflammatory disease?
N. gonorrhoeae
What cause of pelvic inflammation induces an abortions?
Puerperal infections
What infection is spontaneous and usually mutimicrobial?
Puerperal
N. gonorrhoease and Chlamydia are causes of
Pelvic Inflammatory Disease (PID)
What pathology of Pelvic Inflammatory Disease (PID) spreads upwards to involves the
Fallopian tubes and ovaries
What starts in the uterus and spread upwards through the lymphatics or venous channels?
Non-gonococcal infections
HSV-1 typically results in oropharyngeal infections and may cause genital infections. True or False
False
HSV-2usually involves genital mucosa and skin and may cause oral infections.
Examination of the vaginal and cervical mucosa of a patient with trichomoniasis results in a characteristic appearance of
strawberry cervix
