Vuvlar Dz

Question 1

Dx:
Acute: red, swelling, white plaques, itchy
Chronic: thin, wrinkle white skin, labia fused

Answer 1

Lichen Sclerosus

Tx: antihistamines, steroids

Question 2

Dx: Benign epithelial thickening f/ chronic irritation. DERMAL layer spared

Answer 2

Vulvar Lichen Simplex Chronicus

Question 3

Thinning epidermis, reveals capillaries, vasodilator due to inflammation, secondary to psoriasis, candidiasis, SLE

Answer 3

Red lesions

Question 4

increased # of melanin/pigment

Answer 4

Dark lesions

Question 5

Dx: Prodrome of tingling, burring, itching, flu sx, painful ulcer, red halo “serpentine-like”

Answer 5

Genital Herps

Question 6

Gold standard to dx Herps

Answer 6

Viral Cx

Question 7

Dx: painless, white papula growths “cauliflower” painful

Answer 7

sm tumor: condyloma acuminatum (warts)

Question 8

What is the HM of HPV infection

Answer 8

Koilocytosis

Question 9

Dx: Pain, “fluctuant mass” pain w/ walking, dyspareuna, tender, edema

Answer 9

lg tumor: bartholin’s duct cyst and abscess

Question 10

Dx: puritis, mass, bleeding, pain, post wall upper 1/3 vagina

Answer 10

Vulva CA

Question 11

90% of vulva CA is _____ cell

Answer 11

squamous

Question 12

Dx: itchy, white, “cottage cheese” red, burring satellite lesions

Answer 12

Candidiasis

Question 13

Dx: fishy d/c white, grey, frothy and thin, itchy

Answer 13

BV

Question 14

Diagnostic criteria for BV

Answer 14

3/4 need to be met:

1. homo white/grey adherent d/c
2. pH >4.5
3. +whiff test
4. CLUE CELLS on Wet Mount

Question 15

Dx: purulent, thin, green, frothy, foul smelling, spotting after sex …..”strawberry spots”

Answer 15

Trichomonas +WHIFF