Histologic Examination of Vaginal Diseases
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Questions and Answers

What type of discharge is typically produced in Trichomonas vaginalis infection?

  • Yellow discharge
  • Bloody discharge
  • Thick white discharge
  • Watery, copious gray-green discharge (correct)

Which age group is commonly affected by squamous cell carcinoma of the vagina?

  • Women older than 60 years (correct)
  • Women younger than 40 years
  • Women between 40-50 years
  • Women between 50-60 years

What is the precursor lesion nearly always associated with HPV infection?

  • Sarcoma botryoides
  • Vaginal adenosis
  • Clear cell adenocarcinoma
  • Vaginal intraepithelial neoplasia (VAIN) (correct)

In which group of women was clear cell adenocarcinoma identified due to maternal exposure to diethylstilbestrol DES during pregnancy?

<p>A cluster of young women whose mothers took DES during pregnancy (D)</p> Signup and view all the answers

Which type of primary vaginal cancer is usually encountered in infants and children younger than 5 years of age?

<p>Sarcoma botryoides (A)</p> Signup and view all the answers

What benign lesions are seen in the vaginal mucosa of about one third of women exposed to diethylstilbestrol DES during pregnancy?

<p>Red, granular-appearing foci lined by mucus-secreting or ciliated columnar cells (A)</p> Signup and view all the answers

What is the most common cause of vulvitis?

<p>Human papillomavirus (HPV) (A)</p> Signup and view all the answers

Which condition is characterized by thinning of the epidermis and appearance of smooth, white plaques?

<p>Lichen Sclerosus (C)</p> Signup and view all the answers

What sexually transmitted infection can cause a suppurative infection of the vulvovaginal glands?

<p>N.gonorrhoeae (C)</p> Signup and view all the answers

Which pathogen is associated with the primary chancre at a vulvar site of inoculation?

<p>Treponema pallidum (D)</p> Signup and view all the answers

What is the characteristic feature of herpes simplex virus (HSV-1 or -2) infection in the vulva?

<p>Vesicular eruption (B)</p> Signup and view all the answers

Which infection is NOT sexually transmitted but can cause vulvitis?

<p>Candida (B)</p> Signup and view all the answers

What is the most common condition associated with the production of a vaginal discharge?

<p>Vaginitis (A)</p> Signup and view all the answers

What organisms are frequently associated with vaginitis?

<p>Candida albicans and Trichomonas vaginalis (A)</p> Signup and view all the answers

Which condition is characterized by a curdy white discharge?

<p>Candidal vaginitis (D)</p> Signup and view all the answers

What are some predisposing influences that can lead to symptomatic infection with Candida albicans?

<p>Diabetes, systemic antibiotic therapy, immunodeficiency, pregnancy, or recent abortion (B)</p> Signup and view all the answers

What are some examples of congenital anomalies of the vagina?

<p>Total absence of the vagina, a septate or double vagina (C)</p> Signup and view all the answers

What is the primary source of disease in the vagina?

<p>Cancer or infections arising in adjacent organs (e.g., cervix, vulva, bladder, rectum) (C)</p> Signup and view all the answers

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