Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NYCC Visceral Pathology > Vulvar, Cervical, & Uterine Pathologies > Flashcards

Vulvar, Cervical, & Uterine Pathologies Flashcards

1
Q

What is condyloma accuminatum?

A

Genital warts caused by HPV 6, 8, or 11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Most vulvar carcinomas are ____________________ in nature with a peak incidence at __________________ years of age?

A

Squamous cell; 60-70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A vulvar carcinoma in a young female is a ____________________________ also known as a ___________________________?

A

Rhabdomyosarcoma; sarcoma botryoides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is acute cervicitis?

A

Inflammation of the cervix related to constant exposure to bacterial flora in the vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

29 year old female patient presents to your office complaining of a discharge from her cervix. The cervix is grossly red and swollen. There is pus dripping from the external os. The fluid is aspirated and shows high amounts of neutrophils. What is the likely diagnosis?

A

Acute cervicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What form of cervicitis is the most common?

A

Chronic cervicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

32 year old female patient presents to your office complaining of a discharge from her cervix. The cervical mucosa is hyperemia and shows erosions. A biopsy of the tissue shows high amounts of lymphocytes and plasma cells as well as a squamous metaplasia at the endocervical transformation zone. The patient is negative for an HPV infection. What is the likely diagnosis?

A

Chronic cervicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the most common cervical growths?

A

Endocervical polyps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

31 year old female patient presents to your office complaining of vaginal bleeding and discharge. In the cervix there is a single, smooth mass that is lobular and 2.5 cm in diameter. What is the likely diagnosis?

A

Endocervical polyp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Most malignancies of the cervix are _____________________ carcinomas?

A

Squamous cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What strands of HPV can cause cervical cancer?

A

HPV 16 and 18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

22 year old female patient presents to your office complaining of lower right quadrant abdominal pain. She reports being sexually active. A CBC shows leukocytosis of 15,000 WBC and presence of human choriotropic gonadatropin (HCG) . She is positive for a pregnancy test. An ultrasound confirms the presence of a gestational sac in the region of pain. What is the likely diagnosis?

A

Ectopic pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the histological sign of a squamous cell carcinoma anywhere in the body?

A

Keratin pearl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the most common complaint in the early stages of a cervical carcinoma?

A

Vaginal bleeding after intercourse and/or painful intercourse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is dyspareunia?

A

Painful intercourse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

39 year old female patient presents to your office with the chief complaint of pain during intercourse associated with vaginal bleeding. Notable in the patient’s history is a 20 pack year smoking hx, an early pregnancy at age 15, and failure to use protection during intercourse. A biopsy of the cervix shows a keratin pearl appearance. What is the likely diagnosis?

A

Cervical carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is metrorrhagia?

A

Increased bleeding between menstrual periods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is menorrhagia?

A

Increased bleeding during menstruation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is endometritis?

A

Inflammation of the endometrium due to ascending infection or IUD/PID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What can cause endometritis?

A

Ascending UTI
Intrauterine device
Pelvic inflammatory disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is pyometria?

A

Pus in the endometrial cavity

22
Q

What gastrointestinal pathology is commonly associated with pyometria due to the reserve of bowel and uterine fistulas?

A

Crohn’s disease

23
Q

What is the pouch of Douglas?

A

Rectouterine pouch

24
Q

27 year old female patients presents to your office complaining of a vaginal discharge. In the endometrial cavity a needle aspiration shows a purulent fluid that is high in neutrophils and proteins. Notable in the patients history is a past of intermittent irritable bowel symptoms usually presenting as right lower quadrant pain. What is the likely diagnosis based on this presentation?

A

Pyometria

25
Q

What is adenomyosis?

A

Presence of endometrial glands and stroma within the myometrium

26
Q

32 year old female patient presents to your office complaining of painful intercourse. When inquiring about her menstrual cycle she notes that she has been having very irregular periods that come every few months and are heavier than normal. Biopsy of the uterine tissue in the myometrium shows the presence of endometrial glands and stroma within the muscular layer of the uterus. What is the likely diagnosis?

A

Adenomyosis

27
Q

What is the most common benign tumor of the uterus during reproductive age?

A

Leiomyoma

28
Q

What is the common term for a leiomyoma of the uterus?

A

Uterine fibroid

29
Q

What are the three types of leiomyomas of the uterus?

A

Submucous
Intramural
Subserous

30
Q

What is/are the main symptom(s) present in a submucous leiomyoma of the uterus?

A

Increased bleeding including menorrhagia or metrorrhagia

31
Q

23 year old female patient presents to your office complaining of vaginal bleeding. The patient says that the bleeding is the worst during menstruation but continues in between her periods. Ultrasound shows a hyperechoic mass protruding into the uterine cavity. A biopsy of the tissue shows a well-defined mass of smooth muscle. What is the likely diagnosis?

A

Submucous leiomyoma

32
Q

What is/are the main symptom(s) present in an intramural leiomyoma of the uterus?

A

Often asymptomatic unless very large and can cause a myriad of symptoms including bowel, pain, and bleeding

33
Q

23 year old female patient presents to your office complaining of bleeding and pain in the abdominopelvic region around her vagina. The patient reports the worst bleeding during menstruation but that it persists in the interim. An ultrasound shows a hyperechoic mass inside the wall of the uterus that is very large. What is the likely diagnosis?

A

Intramural leiomyoma

34
Q

23 year old female patient presents to your office. For the past few weeks she has been progressively getting better for her chief complaint of low back pain. She is concerned however because her gynecologist discovered a hyperechoic mass in the wall of her uterus. She reports no change in symptoms. What is the likely diagnosis?

A

Intramural leiomyoma

35
Q

What is/are the main symptom(s) present in a subserous leiomyoma of the uterus?

A

Pain and pencil thin stools

36
Q

23 year old female patient presents to your office complaining of vaginal and pelvic pain. When inquiring about any changes in bowel or bladder habits. The patient reports less volume in her stool. An ultrasound shows a hyperechoic mass pushing on the peritoneum of the patient. What is the likely diagnosis?

A

Subserous leiomyoma

37
Q

What causes endometrial hyperplasia?

A

Estrogenic stimulation

38
Q

Endometrial hyperplasia can increase your risk for developing adenocarcinoma (TRUE/FALSE)?

A

t

39
Q

26 year old female patient presents to your office complaining of a heavy period that has persisted for a few months now. She presents to your office just after her last period. Her endometrial stripe is markedly thickened and should be thinnest following menstruation. The patient reports no other symptoms. A blood test shows a high level of estrogen. What is the likely diagnosis based on this information alone?

A

Endometrial hyperplasia

40
Q

What is the most common gynecological cancer?

A

Endometrial adenocarcinoma

41
Q

54 year old female patient presents to your office complaining of vaginal bleeding and pain. The patient is post-menopausal and overweight. She has no children. Her blood pressure is 141/94. A biopsy of her endometrial lining shows cells that are poorly differentiated and pleomorphic. What is the likely diagnosis?

A

Endometrial adenocarcinoma

42
Q

What is endometriosis?

A

Growth of edometrial tissue (Ectopic) outside of the normal location

43
Q

Where can ectopic endometrium present in the body?

A

Salpinx, ovary, bladder, rectum, shoulder, peritoneum

44
Q

28 year old female patient presents to your office complaining of right shoulder pain. The pain has an odd pattern to it. The patient reports that the pain is the worst every 3 or 4 weeks during her period. The pain then subsides following her period. What pathology is this likely describing based on this information alone?

A

Endometriosis

45
Q

What is salpingitis?

A

Inflammation of the uterine tubes

46
Q

What is the main etiology of salpingitis?

A

Neisseria Gonorrheae, Escheria Coli, Chlamydia, and mycoplasma

47
Q

What is hydrosalpinx?

A

Serious accumulation distal to stenosis from late-stage salpingitis

48
Q

What is pyosalpinx?

A

Purulent exudate distal to stenosis from late-stage salpingitis

49
Q

What is a tubo-ovarian abcess?

A

Abcess distal to the stenosis and ovary from late-stage salpingitis

50
Q

Salpingitis may predispose an individual to ___________________?

A

Ectopic pregnancy

51
Q

27 year old female patient presents to your office complaining of abdominopelvic pain. The patient performs a urine test which is positive for escheria coli. The cervix is unremarkable. A needle aspiration of the right uterine tube where the patient reports the most pain shows purulent exudate. What is the likely diagnosis?

A

Pyosalpinx

52
Q

27 year old female patient presents to your office complaining of abdominopelvic pain on the left. The patient performs a urine test which is positive for neisseria gonorrhea. The cervix is unremarkable. A needle aspiration of the left Fallopian tube shows a straw-like fluid that has a few cells and high protein content. What is the likely diagnosis?

A

Hydrosalpinx

NYCC Visceral Pathology (36 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions