Vaginal Health and Moisturizers

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Questions and Answers

What type of skin diseases can occur in the vulva?

  • Benign and malignant skin diseases (correct)
  • Fungal skin diseases only
  • Only benign skin diseases
  • Malignant skin diseases only

Why is it important to consider malignancy if a vulvar issue is not resolving with treatment?

  • To avoid performing a punch biopsy
  • Because vulvar issues are always malignant
  • Other skin cancers can exist on the vulva, even melanoma (correct)
  • To ensure the patient's quality of life

What procedure does the lecturer recommend becoming comfortable with as an FNP?

  • Dermatologic treatment
  • Punch biopsy (correct)
  • Laser therapy
  • Surgical excision

Which part of the vulva can be affected by dermatologic conditions?

<p>Labia majora or labia minora (A)</p> Signup and view all the answers

What is the preferred method of treatment for most patients with dry vagina?

<p>Estrogen and creams (D)</p> Signup and view all the answers

What is the recommendation for cleansing the vulvar area?

<p>Use only water (C)</p> Signup and view all the answers

What is a potential consequence of severe lichen planus?

<p>Severe scarring of the vulva (D)</p> Signup and view all the answers

What is the initial suspicion when a patient presents with lichen planus?

<p>Herpes simplex virus (C)</p> Signup and view all the answers

What kind of specialist may be needed to treat severe lichen planus?

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

What is the recommended treatment for lichen planus?

<p>High potency steroid suppository and cream (D)</p> Signup and view all the answers

At what age does lichen sclerosis typically become more common?

<p>Above age 30 (A)</p> Signup and view all the answers

What symptom is almost unbearable for patients with lichen sclerosis?

<p>Severe itching (C)</p> Signup and view all the answers

What diagnostic procedure is used to confirm lichen sclerosis?

<p>Punch biopsy (D)</p> Signup and view all the answers

What is associated with patients who have lichen sclerosis?

<p>Rough intercourse and trauma (B)</p> Signup and view all the answers

What is the recommended treatment for lichen sclerosis?

<p>Topical steroids (D)</p> Signup and view all the answers

What age group is less likely to develop lichen sclerosis?

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

What is the most common symptom of vulvodynia according to the text?

<p>Pain in the vulva with pressure (B)</p> Signup and view all the answers

Why is it important for healthcare providers to be aware of vulvodynia?

<p>It may impact a woman's quality of life and sexual function (D)</p> Signup and view all the answers

What is one possible cause of vulvodynia mentioned in the text?

<p>Inflammatory processes in the vulva (B)</p> Signup and view all the answers

What type of specialists are involved in the treatment of vulvodynia, as mentioned in the text?

<p>Physical therapists and psychologists (B)</p> Signup and view all the answers

Why should healthcare providers consider lab testing for inflammatory processes in patients with vulvodynia?

<p>To rule out multiple sclerosis as a potential cause (C)</p> Signup and view all the answers

What should healthcare providers keep in mind if a patient with vulvodynia is not responding to treatment?

<p>Rule out the possibility of malignancy related to the vulvar skin (B)</p> Signup and view all the answers

What is one of the common causes of contact dermatitis mentioned in the text?

<p>New bathing suits (C)</p> Signup and view all the answers

What treatment is recommended for contact or allergic dermatitis in the text?

<p>Low potency steroid cream (C)</p> Signup and view all the answers

What should be considered if a patient, especially an infant, has a red rash in the genital area not resolving with yeast infection treatment?

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

What is an important management principle mentioned for patients with vulvar disease?

<p>Avoiding feminine hygiene products (B)</p> Signup and view all the answers

What is mentioned as a potential effective treatment for itching in the vulvar area?

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

What type of pads are recommended for patients with allergy to certain preservatives or detergents?

<p>100% cotton pads (D)</p> Signup and view all the answers

What should be done to treat contact or allergic dermatitis according to the text?

<p>Identify the source and remove the exposure (B)</p> Signup and view all the answers

What is important to consider for infants with a red rash in the genital area not resolving with yeast infection treatment?

<p>Possibility of psoriasis (B)</p> Signup and view all the answers

What should be avoided for patients with vulvar disease according to the text?

<p>&quot;Mr.Bubble&quot; bubble baths (C)</p> Signup and view all the answers

What type of creams are frequently used in the case of atrophic vaginitis according to the text?

<p>Estrogen and progesterone creams (A)</p> Signup and view all the answers

What is emphasized as an effective treatment for terrible itching in the vulvar area?

<p>Tricyclic antidepressants (D)</p> Signup and view all the answers

What is important when using topical corticosteroids for vulvar conditions as per the text?

<p>Careful use to avoid exacerbation of symptoms (A)</p> Signup and view all the answers

What is a common symptom that patients with vulvar disorders often experience?

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

What can cause a distortion in the appearance of the rash in patients with vulvar disorders?

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

What tool can be used to examine the external genitalia of a patient with vulvar disorders?

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

What might cause irritation to the vulva in patients with vulvar disorders?

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

What condition may cause labial adhesions in females?

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

What infection should be suspected if a patient presents with erosions or ulcerations in the vulva?

<p>Herpes simplex virus (C)</p> Signup and view all the answers

What is a common remedy that has been recommended for labial adhesions?

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

What tool can be used for wet preps in patients with vulvar disorders?

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

What condition might have an unusual presentation with typical psoriatic lesions elsewhere on the body?

<p>Vulvar psoriasis (C)</p> Signup and view all the answers

What might be used to help examine the skin with better visibility in patients with vulvar disorders?

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

What test might be needed if there is suspicion of an auto-immune disease in patients with vulvar disorders?

<p>Thyroid test (D)</p> Signup and view all the answers

What might cause an expression of Crohn's disease in the vulva?

<p>Crohn's disease (C)</p> Signup and view all the answers

What is the recommended treatment for labial adhesions in older patients?

<p>Application of local estrogen cream (C)</p> Signup and view all the answers

What might be a symptom of vulvovaginal candidiasis without the classic discharge?

<p>Swollen labia (C)</p> Signup and view all the answers

What is a common condition seen in people who are immunocompromised or have diabetes?

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

Which medication is commonly preferred for the treatment of vulvitis due to candidiasis?

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

What is the typical cause of atrophic vaginitis in peri or post-menopausal patients?

<p>Lack of estrogen (A)</p> Signup and view all the answers

What is a symptom of atrophic vaginitis in peri or post-menopausal patients?

<p>Vaginal dryness (C)</p> Signup and view all the answers

What is recommended to treat atrophic vaginitis in peri or post-menopausal patients?

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

What might be a symptom of vulvitis due to candidiasis?

<p>Itching in the genital area (B)</p> Signup and view all the answers

Which condition is typically seen in older patients with labial adhesions?

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

What might be a consequence of atrophic vaginitis during sexual intercourse?

<p>Tearing during intercourse (D)</p> Signup and view all the answers

What is a common risk factor for developing vulvovaginal candidiasis?

<p>Immunocompromised state (D)</p> Signup and view all the answers

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