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Year2 Repro exam I > Vaginal Path II > Flashcards

Vaginal Path II Flashcards

1
Q

What can cause yeast infections

A

DM
antibiotics
pregnancy
immunosuppression

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2
Q

Sx yeast infection

A

leukorrhea
pruritis
erythema

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3
Q

Sx trichomonas vaginalis

A

yellow frothy discharge pruritis, dysuria, dysparenuia

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4
Q

strawberry cervix

A

trichomonas vaginalis

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5
Q

patient has gray green malodorous discharge that smells fishy
what is this and what will histo show?

A

gardnerella vaginalis with “clue cells” on pap smear

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6
Q

what culture (agar) do you use to Dx garderella

A

chocolate

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7
Q

pseudohyphae

A

candida

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8
Q

when do you see mycoplasma hominis vaginitis or cervicitis

A

spontaneous abortion and chorioamnionitis

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9
Q

gram - bacillus that causes vaginitis with fishy odor

A

gardnerella

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10
Q

see a bunch of gram - sticking to squamous epthelial cells

A

gardnerella

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11
Q

thayer martin media

A

gonorrhea

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12
Q

pH of candidiasis secretions

A

<4.5

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13
Q

pH of trich or gardnerella

A

> 4.5

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14
Q

what type of pox virus is most commonly sexually transmited

A

type 2 molluscum contagiosum

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15
Q

raised lesions with central pitting all over buttocks

A

molluscum contagiosum

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16
Q

definition of PID

A

infection of pelvic organs beyond the uterine corpus

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17
Q

Sx PID

A

lower abdominal pain, tender to cervical manipulation

+/- fever

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18
Q

complications of PID

A

rupture of tuboovarian abscess
infertility from scarring of tubes
ectopic pregnancy
intestinal obstruction from fibrous bands and adhesions

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19
Q

where do most ectopic pregnancies take place

A

in fallopian tubes

20
Q

where does fertilizaiton take place

A

in ampulla of fallopian tube

21
Q

what are the primary infections of endometrium in PID can occur how

A

postpartum endometritis
IUD
curettage (abortion)

22
Q

what pathogens are introduced via sexual intercourse that can contribute to PID

A

gonococcus
chlamydia
mycoplasma
ureaplasma

23
Q

all patients Dx with acute PID should be tested for what infection

A

HIV

24
Q

what cells present in acute inflammation

what cells present in chronic inflammation

A

acute- neutros

chronic- plasma

25
Q

role of bartholin gland cyst/abscess

A

secrete mucous to lubricate the vagina (mostly outside

26
Q

where are bartholin glands located

A

4 and 8 o clock

27
Q

what cause bartholin abscesses

A

infections that may be polymicrobial (microbiome) or gonorrhea/chlamydia

28
Q

Tx methods for bartholin abscess

A

word catheter

marsupialization( cyst wall everted and sewed to vesticular mucosa)

29
Q

what is lichen planus

A

autoimmune disorder, T cell regulated

30
Q

signs lichen planus

A

planar, pruritic, purple, papular

wickham’s striae in mucosa

31
Q

tx lichen planus

A

topical corticosteroids

32
Q

prognosis lichen planus

A

usually goes away in year or 2

33
Q

what is LS&A

A

lichen sclerosis and atrophy

34
Q

lichen sclerosis occurs in what age gorup and what does it look like

A

elderly and post menopausal females usually affected
atrophic changes
white “parchment-like” areas

35
Q

what will you see on histo of lichen sclerosis

A

hyalinization
atrophy of squamous epithelium
chronic inflammation below

36
Q

Sx of lichen simplex chronicus

A

rubbing scratching and clinically leukoplakia

37
Q

what occurs in lichen simplex chronicus

A

squamous hyperplasia
hyperkeratosis
no cytologic atypia!!

38
Q

what HPV strands are associated with condyloma acuminatum

A

6 and 11

39
Q

what venereal warts should you monitor

A

ones caused by HPV high risk 16 18 33 because can go on to VIN 2-3 and carcinoma

40
Q

micro of condyloma acuminatum

A

koilocytosis, mitoses

frequently regress

41
Q

Tx for condyloma acuminatum

A

cryo, chemical, laser or excisional

42
Q

condylomata types

A

warty- looks like cauliflower multifocal papules

coalescing papules- “bowenoid papulosis”

43
Q

what is koilocytosis

A

little nuclei with lots of cleared area

44
Q

what causes vulvar intraepithelial Neoplasm

A

multistep progression from dysplasia to invasive SCC

45
Q

What is bowden disease

A

VIN3/CIS

need surgery

46
Q

how can you tell stages of VIN

A

Bx

VIN3 full thickeness enlarged nuclei

47
Q

what stages of VIN do you treat as high grade

A

VIN 2, 3

Year2 Repro exam I (19 decks)

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