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Year2 Repro exam I > Vaginal Path I > Flashcards

Vaginal Path I Flashcards

1
Q

find white plaques on vulva what is ddx

A

LSC
Ls&A
VIN VaIN
SCC

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2
Q

find red plaques on vulva

ddx?

A

deramtitides

extramammary paget

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3
Q

find brown lesions on vulva

ddx?

A

melanoma

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4
Q

masses in vagina

ddx?

A

bartholin cycst, hidradenoma, condyloma,

SCC, clear cell CA, embryonal rhabdomyosarcoma

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5
Q

find discahrge and complaints of pruritis of vagina

ddx?

A

thrichomonas
gonorrhea
chlamydia
candida

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6
Q

what type of germ cell forms ovary

A

endodermal cells that migrate to urogenital ride(mesodermal)

lined with coelemic epithelium

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7
Q

what forms tubes, uterus and upper vagina

A

paired mullerian ducts

paramesonpehric ducts

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8
Q

what impairs growth of female genitalia

A

mullerian inhibitory factor

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9
Q

what ducts regress but may still be present as rests

A

the wolffian

“mesonephric”

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10
Q

what are gartner duct cysts

A

remnants of the mesonephric ducts

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11
Q

what is a bicornuate vagina

A

2 uterus, 1 vaginas

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12
Q

what can occur with imperforate hymen

A

build up after first menses, bad

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13
Q

what is unicornate

A

one uterus but only connects to one fallopian tube

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14
Q

what is didelphys

A

2 vaginas

2 uterus

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15
Q

what are complications with abnormal uterus

A

mid late term spontaneous abortions more likely

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16
Q

where does fertilization usually occur

A

ampulla

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17
Q

where is the infundibulum

A

the most distal part of fallopian tube after fimbrae

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18
Q

where is the isthmus

A

the proximal part of the fallopian tube

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19
Q

what type of epithelium covers external os

A

squamous

20
Q

what type of epithelium is in internal os

A

glandular

21
Q

STD with donovan bodies

A

klebsiella granulomatous

22
Q

STD with clue cells

A

gardnerella vaginalis

23
Q

spirochete STD

A

syphilis

24
Q

STD with koilocytosis

A

HPV

25
Q

what are the main high risk strains HPV

A

16 18

26
Q

what are the main low risk strains HPV

A

6 11

27
Q

where will you see ulcers from genital herpes

A

vulva, vagina, cervix

28
Q

where will you see HPV manifestations

A

vulva, vagina and cervix

29
Q

where and how does chlamydia tachomatis present

A

follicular cervicitis
endometriosis
salpingo-oophoritis
cervix, corpus and adnexa

30
Q

how does gonorrhea present in uterus

A

acute endometritis and salpingitis

31
Q

how does candida trichomonas present

A

vulvovaginitis and cervicovaginitis

32
Q

can HSV be Dx on pap smear

A

yes but if negative does not rule it out

33
Q

lesion on ectocervix and in vagina, could be what infeciton?

A

trich
candida
HPV

34
Q

cervical sample with direct testing of liquid for DNA can be used to Dx what infections

A

HPB, Gonorrhea, chlamydia, trich, candida, garnerella

35
Q

pap smear is used to Dx what infections

A 
HPV
trich
candida
gardnerella
HSV
36
Q

type of virus is HSV

A

DNA virus

37
Q

how do you differentiate HSV1 and HSV2

A

IgG

38
Q

what are the clinical Sx of HSV-2

A

pain, dysuria, vesicular– ulcer eruptions last 1-3 weeks
systemic Sx
2/3 or more have recurrences

39
Q

sequelae of HSV-2 infections

A

neonatal infections

spontaneous abortions

40
Q

most significant complication for genital herpes

A

transmission to neonate at birth

41
Q

Tzanck test

A

herpes

42
Q

what will herpes look like histo

A

multinucleated cells with intra-nuclear, “ground glass” viral inclusions

43
Q

mother delivering baby has HSV-2 but no current ulcers, can she transmit it

A

yes

50%

44
Q

When do you see Sx from herpes in neonate

A

2-12 days post delivery

45
Q

disseminated herpes in neonate has what prognosis

A

85% mortality

46
Q

what is recommended for pregnant HSV + mother with active infection

A

C section delivery

Year2 Repro exam I (19 decks)

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