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Zamanology-Female GU
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02/25/2007

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Term
What organism is responsible for causing condyloma latum?
Definition
syphilis
Term
What organism is responsible for causing condyloma acuminatum?
Definition
HPV
Term
What part of the female genitalia is HSV-2 most likely to infect?
Definition
vulva (external genitalia)
Term
What percentage of genital herpes does HSV-2 account for?
Definition
70%
Term
What histologic finding is suggestive of of HSV-2?
Definition
multinucleated giant cells
Term
What organism is generally given credit for causing purulent vaginal discharge with cervical mucosa described as "strawberry cervix"?
Definition
trichomonas vaginalis
Term
What organism is the second most common cause of vaginitis?
Definition
Trichomonas vaginalis
Term
What is the most common cause of bacterial vaginosis?
Definition
Gardnerella <-- commonly causes thin, homogenous and malodorous vaginal discharge
Term
What histolotic finding is suggestive of Gardnerella vaginosis?
Definition
"clue" cells
Term
What is the caustive agent of syphilis?
Definition
Treponema pallidum
Term
Syphilis infections are positive for what serology test?
Definition
Wassermann's reaction
Term
Within how many weeks does the primary sphylitic lesion resolve?
Definition
3-6
Term
How many patients develop secondary lesions of syphilis if they don't seek treatment?
Definition
75%
Term
What organism is the causative agent for a chancroid?
Definition
H. ducreyi
Term
What toxin secreted by H. ducreyi is responsible for necrosis?
Definition
HdCDT
Term
What receptors are up-regulated with H. ducreyi infection?
Definition
CCR5 and CXCR4, increases risk for contracting HIV
Term
What organism causes granuloma inguinale?
Definition
Calymmatobacterium granulomatis (gram-negative rod)
Term
What "bodies" are characteristic for granuloa inguinale?
Definition
Donovan bodies
Term
Lymphogranuloma venereum (LGV) and chlamydial cervicitis are both caused by what organism?
Definition
Chlamydiae trachomatis
Term
What is the most common STD?
Definition
Chlamydia trachomatis <-- disease is most often asymptomatic
Term
What is the infectious form of Chlamydia trachomats?
Definition
elementary body
Term
Condyloma acuminatum is caused by what strains of human herpes virus?
Definition
6 and 11
Term
What histologic finding is characteristic of HPV?
Definition
koilocytes (perinuclear vacuolization)
Term
What age group is most likely to have Bartholin gland cyst/abscess?
Definition
pre-menopausal women
Term
What age group is most likely to develop urethral caruncles?
Definition
post-menopausal women
Term
What positive tests should be evident with melanoma?
Definition
HMB-45 - found only in neural cells and melanoma
Vimentin - found only in mesothelial and primitive cells
S-100 - found only in neural and melanoma cells
Term
What cancerous cells have the CK7/CK20 marker?
Definition
adenocarcinoma
Term
What is the female equivalent of Balanitis xerotica obliterans which presents with vulvar skin that is pale gray and parchment like?
Definition
Lichen sclerosus
Term
What is characteristic of leukoplakia?
Definition
it cannot be wiped off
Term
Fibroadenoma is the most common breast tumor in what age group of women?
Definition
younger than 25
Term
What is true of the malignancy of a fibroadenoma?
Definition
it is benign
Term
What is the most common benign tumor of the vulva?
Definition
papillary hidradenoma
Term
Vaginal dysplasia with excess inflammation is called what?
Definition
Bowen disease
Term
What is the most common malignancy of the vulva?
Definition
epidermoid carcinoma (squamous cell carcinoma)
Term
What type of involvement is found in patients with epidermoid carcinoma?
Definition
60% of patients present with lymph node involvement
Term
When extra-mammary Paget's disease is evident with perianal involvement what is the underlying cause in 25-35% cases?
Definition
colorectal carcinoma
Term
What is the second most common vulvar malignancy?
Definition
malignant melanoma
Term
An embryonic remnant of the Wolffian ducts is called what?
Definition
Gartner's duct cyst (presents between the lateral wall of the vagina and broad ligament of the uterus)
Term
Failure of a fetus to develop a uterus, Mullerian agenesis, is also called?
Definition
Rokitanksy-Kuster-Hauser syndrome
Term
What embryoligic anomaly is the second most common cause of amenorrhea?
Definition
RKH syndrome (Mullerian agenesis)
Term
What's the most commonly found cyst within the vagina?
Definition
vaginal inclusion cyst
Term
T or F: Gartner's duct cysts usually persist throughout adulthood.
Definition
false
Term
Uterine prolapse, cystocele, urethrocele, enterocele, and rectocele are all umbrelled under what disorder category?
Definition
pelvic relaxation disorders
Term
What tumor has the following characteristics: it is a rare tumor of the vagina, may be confused with sarcoma, and occurs in young women under 30
Definition
benign mixed tumor
Term
Most malignant tumors of the vagina have what origin?
Definition
metastatic disease
Term
Cervical squamous cell carcinomas are most commonly associated with what infections agent?
Definition
HPV-16
Term
What is another name for sarcoma botryoides?
Definition
embryonal rhabdomyosarcoma (ERMS)
Term
What age group is most commonly affected by rhabdomyosarcomas?
Definition
3-12 (grape-like clusters)
Term
What is the primary treatment for ERMS?
Definition
surgery plus chemotherapy
Term
What tumor is commonly found in women exposed to DES?
Definition
adenosis
Term
What type of cancer of the vagina is found in the daughters of women who were exposed to DES during their pregnancy?
Definition
adenocarcinoma (aka vaginal clear cell carcinoma), which is rare
Term
VIN accounts for what percentage of malignant neoplasms occuring w/in the female genital tract?
Definition
1%
Term
What is a nabothian cyst?
Definition
a retention cyst of the uterus
Term
What cancer accounts for 11% of all carcinomas of women?
Definition
Cervical intraepithelial neoplasia (CIN)
Term
What percentage of the female population becomes chronically infected with HPV?
Definition
10% (90% of the women clear the infection)
Term
The recently released HPV vaccine is effective at preventing disease against which strains of HPV?
Definition
6, 11, 16, 18
Term
What behavior doubles the risk of CIN?
Definition
smoking
Term
Most cervical carcinomas arise from what?
Definition
vagainl metastasis
Term
What is the most common cancer of the female genitalia worldwide?
Definition
cervical carcinoma
Term
Describe the stages of FIGO for CIN:
Stage 0
Stage 1
Stage 2
Stage 3
Stage 4
Definition
0 - carcinoma in situ
I - confined to cervix
II - spread to uterus but not to pelvic sidewall or lower 1/3 of vagina
III - spread to pelvic sidewall, kidney (or causing hydronephrosis), and/or to lower 1/3 of vagina
IV - spread beyond true pelvis (or into bladder/rectum)
Term
What is the maturation index?
Definition
the number of parabasal cells to intermediate cells to superficial cells of the endometrium
Term
What is the maturation index a reflection of?
Definition
estrogen effect
Term
What is the maturation index for the following periods: brith, childhood, reproductive years, post-menipausal, pregnancy
Definition
birth - o/95/5
childhood - 0/100/0
reproductive years 0/40-70/60-30
postmenopausal - 0/100/0 to 100/0/0
pregnancy - 0/95/5
Term
Paraphrase, give me the skinny without all the specifics on the maturation index.
Definition
parabasal cells (the first number) is abnormal above zero, Superficial cells above 60 is abnormal.
Term
What part of the vagina is most responsive to hormonal changes? What is the significance?
Definition
lateral wall <-- samples are taken from this portion to determine estrogen effect
Term
what stage of the ovarian cycle is characterized by straight and narrow glands?
Definition
early proliferative
Term
What stage of the ovarian cycle is characterized by long, curving glands with columnar epithelium?
Definition
middle
Term
What stage of the ovarian cycle is characterized by twisted, tortous glands?
Definition
late proliferative
Term
Which stage of the ovarian cycle is characterized by sub-nuclear vacuoles with uniformly aligned nuclei?
Definition
early secretory
Term
How is the middle secretory phase characterized?
Definition
prominent secretions
Term
What stage of the ovarian cycle is characterized by the follow: tissue regeneration, exhausted glands, decidualized stroma w/ fragmentation, thrombi in vessels and stroma?
Definition
menstrual phase
Term
This blood-containing cyst results from ovarian endometriosis with hemorrhage.
Definition
chocolate cyst
Term
50% of ovarian carcinomas are what?
Definition
serous cystadenocarcinoma
Term
Most ovarian tumors occur in women younger than 20 are due to what?
Definition
tumors of germ cell origin
Term
Which tumor demonstrates an increased alpha-fetoprotein?
Definition
endodermal sinus tumor (yolk sac)
Term
What is another name for a teratoma?
Definition
dermoid cyst
Term
What tumor is the most frequent benign ovarian tumor?
Definition
teratoma (dermoid cyst)
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