Vagina Disease

Question 1

Lichen sclerosis

Answer 1

Symmetric
White
Shrink and stick together

Question 2

Lichen Planus

Answer 2

Purple
Lacy
Erode –> Adhesions –> stenosis

Question 3

Lichen Simplex Chronicus

Answer 3

Thick White, unilateral

Pruitis

Question 4

Vulvar Psoriasis

Answer 4

Red moist

scaly

Question 5

Which lichen is assoc with CA risk?

Answer 5

Lichen sclerosis

Question 6

Tx for lichen sclerosis?

Answer 6

High dose steroids

Question 7

Paraurethral glands obstructed?

Answer 7

Skene’s glands cyst

Question 8

Bartholin gland management:
1-2 cm?
> 2 cm?
> 40 yrs old?
abscess?

Answer 8

• Watch
• Drain with word catheter
• bx to r/o CA
• Gon culture

Question 9

Mesonephritic duct remnant in vagina?

Answer 9

Gartner’s duct cyst

Question 10

Cervical cyst?

Answer 10

Nabothian

Question 11

Septate uterus vs. bicornate outcomes in preg?

Answer 11

Septate: 1st tri loss
Bicornate: IUGR, 2nd tri loss

Question 12

Endometrial Hyperplasia without atypia tx?

Answer 12

No atypia: Progestin 6 mo –> repeat Bx

Question 13

Endometrial Hyperplasia w/ atypia?

Answer 13

1) D/C for CA risk
2) Hysterectomy if no preg
3) Progestin –> 3 mo bx
- If persistent for >9 mo = failure

Question 14

Medical abortion up to?

Answer 14

49 days

Question 15

D/C abortion up to?

Answer 15

16 wks

Question 16

D/E abortion time?

Answer 16

> 16 wks

Question 17

IOL for therapeutic abortion?

Answer 17

2nd tri

Question 18

Clomid MOA?

Answer 18

SERM –> no inhibition of FSH

Question 19

Letrozole MOA?

Answer 19

Aromatase inhibitor –> Lower E

Question 20

PCOS infertility tx?

Answer 20

Letrozole

Question 21

Bad SE of clomid?

Answer 21

OHSS

- Cyst –> Torsion –> Rupture –> Ascites

Question 22

Length definition for cervical insufficency?