Vulva, Vagina, Cervix, Uterus, Fallopian Tubes

Front 1

Strawberry mucosa

Back 1

Trichomonas

Front 2

Green vaginal discharge

Back 2

Trichomonas

Front 3

KOH prep

Back 3

Candida

Front 4

Spontaneous abortion

Back 4

Mycoplasma

Front 5

Fishy smelling d/c

Back 5

Gardnerella

Front 6

Clue cells

Back 6

Gardnerella

Front 7

Painful red vulvar papules

Back 7

HSV

Front 8

Causes of PID

Back 8

Chlamydia & Gonorrhea

Front 9

85% of females asx

Back 9

Chlamydia

Front 10

Chlamydia sx

Back 10

Clear vaginal d/c, dysuria, lower abd pn, low back pn, N, fever, dyspareunia, bleeding bw menstrual periods

Front 11

Gram neg IC diplococci

Back 11

Gonorrhea

Front 12

Sterility

Back 12

Gonorrhea

Front 13

Most common cause of female infertility & ectopic pregnancy

Back 13

PID: Chlamydia & Gonorrhea

Front 14

Vulvar abscess

Back 14

Bartholin gland cyst, caused by Gonorrhea

Front 15

4 cardinal histologic features of lichen sclerosis

Back 15

1. atrophy
2. basal cell degeneration
3. replacement of dermis with dense fibrous tissue
4. monoclonal band-like lymphocytic infiltrate

Front 16

benign tumor of modified apocrine sweat glands

Back 16

Papillary hidradenoma

Front 17

Benign raised or wart-like squamous proliferation

Back 17

Condyloma acuminatum

Front 18

Vulvar HPV

Back 18

Condyloma acuminatum

Front 19

Pruritic, red, crusted, sharply demarcated vulvar lesion

Back 19

Paget disease

Front 20

persistent Wolffian ducts

Back 20

Vaginal gartner duct cysts

Front 21

Transformation zone

Back 21

Squamous metaplasia due to vaginal acid pH

Front 22

Acute Cervicitis

Back 22

PMN infiltrate, disruption of epithelium with necrosis, congestion

Front 23

Chronic Cervicitis

Back 23

Mononuclear cell infiltrate, congestion

Front 24

Cervical inflammation on Pap

Back 24

Can produce reparative & reactive changes resulting in a nonspecific, abnormal Pap test result

Front 25

Irregular vaginal bleeding

Back 25

Endocervical polyps, VAIN

Front 26

Dilated, mucus-secreting endocervical glands

Back 26

Endocervical polyps

Front 27

HPV infect?

Back 27

immature basal cells of the squamous epithelium- require damage to access

Front 28

Vulvar Intraepithelial Neoplasia caused by

Back 28

HPV; high risk of SCC

Front 29

Vaginal Intraepithelial Neoplasia caused by

Back 29

HPV or extension of cervical SCC into the vagina

Front 30

VAIN Sx

Back 30

irregular spotting, vaginal d/c

Front 31

Proliferative phase

Back 31

tubular glands with mitoses

Front 32

Tubular glands with mitoses

Back 32

Proliferative phase

Front 33

Early Secretory phase

Back 33

Basal (subnuclear) vacuoles

Front 34

Basal (subnuclear) vacuoles

Back 34

Early secretory phase

Front 35

Mid Secretory phase

Back 35

Stromal edema, gland secretion

Front 36

Stromal edema, gland secretion

Back 36

Mid Secretory phase

Front 37

Late Secretory phase

Back 37

Predecidua

Front 38

Predecidua

Back 38

Late Secretory phase

Front 39

Very Late Secretory phase

Back 39

PMNs

Front 40

PMNs

Back 40

Very Late Secretory phase

Front 41

Early Menstrual phase

Back 41

stromal breakdown

Front 42

Stromal breakdown

Back 42

Early Menstrual phase

Front 43

hCG

Back 43

Increases progesterone, stimulating hypersecretory endometrium of pregnancy

Front 44

Hypersecretory endometrium of pregnancy

Back 44

from hCG stimulation of progesterone

Front 45

Arias-Stella phenomenon

Back 45

highly excretive gland epitheliua due to increased gonadotropin stimulation: i.e. intrauterine or ectopic pregnancy

Front 46

Causes of DUB

Back 46

Anovulatory cycle, Inadequate luteal phase, OCPs, Menopause

Front 47

Anovulatory cycle

Back 47

excess estrogen causing endometrial hyperplasia & excessive bleeding
stromal breakdown associated with proliferative glands

Front 48

Inadequate luteal phase

Back 48

Corpus luteum isn't producing adequate progesterone

Front 49

Chronic endometritis causes

Back 49

PID, IUD, retained POC, TB

Front 50

PID Histology

Back 50

Plasma cells in the endometrium

Front 51

Adenomyosis

Back 51

endometrial glands & stroma within the myometrium, usually non-functional

Front 52

Endometriosis

Back 52

displaced functional endometrial glands & stroma outside the uterine corpus

Front 53

Gunpowder burns

Back 53

Endometriosis

Front 54

Thick-walled vessels surrounded by dysfunctional endometrium

Back 54

Endometrial polyps

Front 55

Increased gland:stroma ratio

Back 55

Endometrial Hyperplasia

Front 56

Prolonged, unopposed estrogen stimulation

Back 56

Endometrial Hyperplasia

Front 57

PTEN deletion

Back 57

Endometrial Hyperplasia: Complex with Atypia

Front 58

Complex with atypia endometrial hyperplasia sequelae

Back 58

>25% progress to ADCA

Front 59

ADCA precursor

Back 59

Complex with atypia endometrial hyperplasia

Front 60

Prolonged unopposed estrogen stimulation

Back 60

Endometrial ADCA

Front 61

Main symptom of Endometrial ADCA

Back 61

PMB

Front 62

PMB

Back 62

Endometrial ADCA

Front 63

PTEN

Back 63

Endometrial ADCA: Type I Endometrioid

Front 64

History of endometrial atrophy

Back 64

Endometrial ADCA: Type II

Front 65

Endometrial ADCA Type II history

Back 65

endometrial atrophy

Front 66

p53 accumulations in the numcelus

Back 66

Endometrial ADCA Type II

Front 67

Most common benign tumor of the female genital tract

Back 67

Leiomyoma

Front 68

Fibroids

Back 68

Leiomyoma

Front 69

Gross: well-circum, white-tan nodules, variable sizes, usually multiples

Back 69

Leiomyoma

Front 70

Histo: mature smooth muscle, whorled pattern

Back 70

Leiomyoma

Front 71

Large, soft, hemorrhagic tumors with areas of necrosis

Back 71

Leiomyosarcoma

Front 72

Histo: infiltrating borders, increased mitotic activity & cellular atypia

Back 72

Leiomyosarcoma

Front 73

Most common, clinically significant disease of the fallopian tube

Back 73

PID

Front 74

Fallopian tube PID sequelae

Back 74

Ectopic pregnancy, infertility

Front 75

Most common malignancy of fallopian tubes

Back 75

Metastasis

Front 76

Triad of vaginal bleeding or clear d/c, abdominal pain, & pelvic-abdominal mass

Back 76

Fallopian tube tumor

Front 77

Purulent, froth, malodorous vaginal d/c

Back 77

Trichomonas

Front 78

Trichomonas sx

Back 78

Purulent, frothy, malodorous vaginal d/c

Front 79

Postcoital bleeding

Back 79

Endocervical polyps

Front 80

tadpole cells

Back 80

SCC of the cervix