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49 Cards in this Set

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_____ causes painful red papules which develop into crops of vesicles which then ulcerate.

a. gonorrhea
b. chlamydia
c. HPV
d. herpes
D

herpes
A patient presents with painful vesicles and reports frequent dysuria and malaise. You note the patient has a fever. You suspect

a. chlamydia
b. herpes
c. gonorrhea
d. bacterial vaginosis
B

herpes
Cytologic scrapings from lesions of a _____ patient include large multinucleated giant cells and intranuclear eosinophilic inclusions.

a. gonorrhea
b. chlamydia
c. herpes
d. candida
C

herpes
Condyloma acuminata is more commonly known as

a. human papilloma virus (HPV)
b. gonorrhea
c. hepatitis B
d. chlamydia
A

human papilloma virus
Flat or verrucous alterations of squamous epithelium (venereal warts) are characteristic of

a. human papilloma virus
b. gonorrhea
c. chlaymydia
d. all of the above
A

human papilloma virus
_____ infects and destroys T-helper cells, interfering with both humoral and cell mediated immunity.

a. hepatitis B
b. human immunodeficiency virus
c. bacterial vaginosis
d. trichomonas
d.
B

human immunodeficiency virus
____ is a significant cause of chronic hepatitis and may lead to hepatic cirrhosis, liver failure, and hepatocellular carcinoma.

a. candida
b. trichomonas
c. hepatitis B
d. leukoplakia
C

hepatitis B
What are 4 examples of viral STDs?
herpes
human papilloma virus
AIDS (human immunodeficiency virus)
hepatitis B virus
What are 2 examples of bacterial STDs?
gonorrhea
bacterial vaginosis
The organism which causes ____ tends to spread superficially along mucosal surfaces and incites a heavy purulent exudative response.

a. syphilis
b. gonorrhea
c. candida
d. trichomonas
B

gonorrhea
Which of the following site is not a frequent initial site of infection for women with gonorrhea?

a. Bartholin glands
b. Skene glands
c. endocervix
d. all of the above are frequent
D

all of the above are frequent primary sites for gonorrhea
Acute inflammation of Bartholin gland may lead to _____ if the duct is occluded.

a. a Bartholin gland abscess
b. hemophilus gardnerella
c. condyloma lata
d. trichomonas
A

Bartholin gland abcess
____ is one of the leading causes of purulent salpingitis.

a. bacterial vaginosis
b. syphillis
c. gonorrhea
d. candida
C

gonorrhea
If gonorrhea is left untreated, it is possible for the fimbria of the fallopian tube to agglutinate and pus accumulation to occur, forming

a. a pyosalpinx
b. clue cells
c. a chancre
d. Bartholin duct cyst
A

a pyosalpinx
In males, gonorrhea infects the ____ first.

a. prostate gland
b. seminal vesicles
c. epididymis
d. periurethral glands
D

periurethral glands

*can spread then from the urethra to the prostate and seminal vesicles, etc.
A male presents with dysuria and a milky urethral discharge. This patient most likely has

a. gonorrhea
b. syphilis
c. balanitis
d. Bowen disease
A

gonorrhea
Gardnerella vaginalis (hemophilus gardnerella), when present with mixed aerobic and anaerobic bacteria, is the principal cause for

a. chlamydia
b. bacterial vaginosis
c. syphilis
d. a urethral caruncle
B

bacterial vaginosis
A female patient presents and reports production of thin, scanty, grey-white, malodorous discharge. This patient likely has

a. chlamydia
b. syphilis
c. gonorrhea
d. bacterial vaginosis
D

bacterial vaginosis
Most cases of non-specific vaginitis are caused by

a. bacterial vaginosis
b. herpes
c. hepatitis B
d. condyloma acuminata
A

bacteroal vaginosis
A wet mount showing clue cells (epithelial cells having a stippled-appearing cytoplasm due to bacterial coating of the cell) with a meager inflammatory background is characteristic of

a. candida
b. trichomonas
c. herpes
d. bacterial vaginosis
D

bacterial vaginosis
A majority of the cases of salpingitis resulting in infertility are caused by

a. herpes
b. human immunodeficiency virus
c. chlamydia
d. leukoplakia
C

chlamydia
In males, ____ may produce a non-specific urethritis with mild dysuria and a mucoid discharge.

a. chlamydia
b. syphilis
c. candida
d. herpes
A

chlamydia
____ is caused by bacterial penetrations of small abrasions in the skin or mucous membranes which causes a painless papule that soon ulcerates.

a. chlamydia
b. syphilis
c. herpes
d. human papilloma virus
B

syphilis
A patient presents with a headache, low-grade fever, and lymphadenopathy. Rashes and warts are also present. This patient has

a. herpes
b. human papilloma virus
c. secondary syphilis
d. candida
C

secondary syphilis
Condyloma lata are

a. asymptomatic
b. the result of poor hygiene
c. syphilitic warts
d. all of the above
C

syphilitic warts
____ is a common fungal disorder in females, especially in diabetics or in conditions of high progesterone states

a. syphilis
b. trichomonas
c. leukoplakia
d. candida
D

candida
A female patient reports itching/burning and a white, curdy discharge. You suspect

a. vaginal candida infection
b. balanitis
c. leukoplakia
c. herpes
A

vaginal candida infection
Repeated candida infections causes ____ which causes ____

a. balanitis; itching
b. vulvar dystrophy; inflammation
c. hypoestrinism; vaginitis
d. diabetic vulvitis; pruritis with thickened vulvar skin
D

diabetic vulvitis which causes pruritis with thickened vulvar skin
A female patient has itching, dysuria, and dyspareunia. On examination, the vaginal mucosa has a bright red "strawberry" appearance with thick, frothy, yellow-green to grayish discharge adherent to it. This woman has

a. candida
b. trichomonas
c. human papilloma virus
d. vulvar dystrophy
B

trichomonas
A wet mount with flagellated, pear shaped protozoan probably came from a patient with

a. syphilis
b. herpes
c. trichomonas
d. bacterial vaginosis
C

trichomonas
The vulva and vagina are prone to infection in the ____ and ____ periods.

Why? (2 reasons)
pre-pubertal and post-menopausal periods

because
-warm, most environment
-low levels of circulating estrogens
_____ tends to decrease skin vascularity and results in atrophy and decreased cornification of the epithelium. This renders the tissue more prone to trauma and infection.

a. Bowen disease
b. squamous cell carcinoma
c. erythroplasia of Queyrat
d. hypoestrinism
D

hypoestrinism
In elderly patients, hypoestrinism and its effects are known as

a. senile atrophic vulvitis or vaginitis
b. Bowen disease
c. Erythroplasia of Queyrat
d. Graves' disease
A


senile atrophic vulvitis or vaginitis
A _____ is a painful polypoid nodule of granulation tissue which occurs at the urethral meatus secondary to epithelial atrophy.

a. squamous cell carcinoma
b. adenoma
c. urethral caruncle
d. Erythroplasia of Queyrat
C

urethral caruncle
True or False: A urethral caruncle regresses rapidly with topical estrogen treatment.
True.
_____ is an inflammatory disease of the penis involving the glands and foreskin.

a. leukoplakia
b. balanitis
c. candida
d. trichomonas
B

balanitis
Balanitis most frequently results from

a. herpes
b. human immunodeficiency virus
c. a urethral caruncle
d. poor hygiene
D

poor hygiene
______ generally occurs in middle aged to elderly post-menopausal women as white plaque-like lesions of the skin.

a. herpes
b. vulvar dystrophy
c. candida
d. trichomonas
B

vulvar dystrophy
White plaque-like lesions of the skin are referred to as

a. leukoplakia
b. Erythroplasia of Queyray
c. venereal warts
d. none of the above
A

leukoplakia
The primary symptom of vulvar dystrophy is

a. dysuria
b. red lesions
c. itching
d. white lesions
C

itching
True or False: It is common for vulvar dystrophy to progress into invasive cancer and benign, premalignant, and malignant lesions can be distinguished by clinical appearance alone.
False

It is very unusual for dystrophy to progress into invasive cancer and benign, premalignant, and malignant lesions cannot be distinguished by clinical appearance alone.
_____ represents a squamous cell carcinoma in-situ of the vulva which may present as raised, red, velvety lesions involving the labia.

a. urethral caruncle
b. human papilloma virus
c. Simmond's disease
d. Bowen disease
D

Bowen disease
True or False: Bowen disease has a tendency to be multicentric.
True

(especially with involvement of the periclitoral and perianal skin)
Malignant tumors of the penis usually arise from the squamous epithelium around the coronal sulcus as a ______ which eventually ulcerates.

a. urethral caruncle
b. white plaque-like lesion
c. raised, red, velvety lesion
d. polypoid nodule of granulation tissue
C

white plaque-like lesion
Malignant tumors of the penis may be preceded by a painless red or white thickening of the skin known as

a. a urethral caruncle
b. Erythroplasia of Queyrat
c. balanitis
d. herpes
B

Erythroplasia of Queyrat
______ of the vulva/vagina clinically is characterized by itching and local discomfort.

a. senile atrophy
b. balanitis
c. herpes
d. squamous cell carcinoma
D

squamous cell carcinoma
True or False: At the time of diagnosis, squamous cell carcinoma of the vulva/vagina is not likely to have already metastasized to regional lymph nodes.
False.

At the time of diagnosis, 65% have metastasized to regional lymph nodes and will later metastasize to viscera.
In the vagina, squamous cell carcinomas most often represent

a. direct extension of cervical squamous cell carcinoma into the vagina
b. primary tumors
c. senile hyperplasia of the endocervical tissue
d. none of the above
A

most often represent direct extension of cervical squamous cell carcinoma into the vagina
Squamous cell carcinomas of the vagina come to clinical attention because of

a. bleeding
b. vaginal discharge
c. itching
d. A or B
e. A or C
D - A or B

bleeding or vaginal discharge