vulval conditions

Question 1

topical mild steroid

Answer 1

hydrocortisone 1%

Question 2

moderate steroid

Answer 2

clobetasone butyrate 0.05%

Question 3

potent steroid

Answer 3

betamethasone 0.1% triamcinolone acetonide 0.1%

Question 4

ultrapotent steroid

Answer 4

clobetasol propionate 0.05% difluorocortolone valorate 0.3%

Question 5

progression of lichen sclerosis to SCC

Answer 5

5%

Question 6

vulval bx: thinned epidermis, subnormal hyalinisation, deep inflammatory infiltrate

Answer 6

lichen sclerosus

Question 7

vulval bx: irregular saw tooth acanthosis, increased granular layer, basal cell liquefaction, dermal lymphocytic infiltrate

Answer 7

lichen planus

Question 8

polygonal papule, purpura, ecchymosis pale, white, atrophic

Answer 8

lichen sclerosus

Question 9

thin, crinkly, bilateral, figure of 8, symmetrical, loss of architecture

Answer 9

lichen sclerosus

Question 10

red papule with lacy white pattern

Answer 10

lichen planus

Question 11

white pearly papule, hyperpigmentation, erosions

Answer 11

lichen planus

Question 12

Violaceous, well demarcated plaques with overlying lacy white lines; usually affects labia major

Answer 12

lichen planus

Question 13

Glazed erythema or erosions symmetrically distributed at vaginal introitus White, slightly raised edge to lesions.

Answer 13

erosive lichen planus

Question 14

progression of lichen planes to SCC

Answer 14

<3%

Question 15

lichenification of skin with erosions and fissuring, loss of pubic hair, thick “leathery skin”

Answer 15

lichen simplex

Question 16

Porcelain white macules, papules and plaques Skin may show slight wrinkling. Ecchymoses Erosions Fissures Lichenification as disease progresses

Answer 16

lichen sclerosus

Question 17

well demarcated plaques, brightly erythematous, often symmetrical

Answer 17

psoriasis

Question 18

Red, poorly marginated Symmetrically inflamed Excoriated or lichenified plaques Weeping and crusting may be seen Scale usually absent

Answer 18

atopic dermatitis (eczema)