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Nr 602 Review Exam Study Guide.
Vulvar carcinoma - Answers✔vulvar pruitis mostly with older women. sxs single papule on the
labia majora or minora. primary dermatosis should be considered. Lesions may be flat and raised
or verrucal. Color white (leukoplakia) brown (hyperpigmentation) or red. Lichen sclerosis.
Spread to inguinal and deep pelvic nodes.
vulvodynia - Answers✔a painful syndrome of unknown cause characterized by chronic burning,
pain during sexual intercourse, itching, or stinging irritation of the vulva. tx
gabapentin/lyrica/amitryptaline/
uterine prolapse - Answers✔the condition in which the uterus slides from its normal position in
the pelvic cavity and sags into the vagina. cx. decreased estrogen or marfans disease tx.
kegels/pessaries/hyst
dysmenorrhea - Answers✔pain caused by uterine cramps during a menstrual period. cx increased
prostagladins during ovulatory cycle. onset 1st 72 hrs. tx nsaids
rectocele - Answers✔hernia of the rectum into the vagina and pvm prolapse. can be a defect of
the rectovaginal septum. tx pessaries
Lichen sclerosis - Answers✔Is vulvar dermtosis/ epithelial lining inflammation and dry skin .
Usually occurs in postmenopausal
women. itch and vaginal soreness. It might progress to squam ca. tx 1st line clobestasol x 2-3
weeks 2nd line tacromulus and then biopsy and refer out
cystocele - Answers✔anterior vaginal wall protrusion of the bladder with dysuria stress incont tx
anterior colporrhaphy
HSIL (high grade squamous intraepithelial lesion) - Answers✔pre ca or cervical ca or anal ca. cx
HPV tx conization and colpscopy
ASC-US - Answers✔means that changes in the cervical cells have been found. The changes are
almost always a sign of an HPV infection. most common abnormal Pap test result.
LSIL - Answers✔low grade squamous intraepithelial lesion CIN 1 goes away on its on by HPV
ASC-H - Answers✔atypical squamous cells, cannot exclude HSIL
ALL RIGHTS RESERVED.
Nr 602 Review Exam Study Guide.
Vulvar carcinoma - Answers✔vulvar pruitis mostly with older women. sxs single papule on the
labia majora or minora. primary dermatosis should be considered. Lesions may be flat and raised
or verrucal. Color white (leukoplakia) brown (hyperpigmentation) or red. Lichen sclerosis.
Spread to inguinal and deep pelvic nodes.
vulvodynia - Answers✔a painful syndrome of unknown cause characterized by chronic burning,
pain during sexual intercourse, itching, or stinging irritation of the vulva. tx
gabapentin/lyrica/amitryptaline/
uterine prolapse - Answers✔the condition in which the uterus slides from its normal position in
the pelvic cavity and sags into the vagina. cx. decreased estrogen or marfans disease tx.
kegels/pessaries/hyst
dysmenorrhea - Answers✔pain caused by uterine cramps during a menstrual period. cx increased
prostagladins during ovulatory cycle. onset 1st 72 hrs. tx nsaids
rectocele - Answers✔hernia of the rectum into the vagina and pvm prolapse. can be a defect of
the rectovaginal septum. tx pessaries
Lichen sclerosis - Answers✔Is vulvar dermtosis/ epithelial lining inflammation and dry skin .
Usually occurs in postmenopausal
women. itch and vaginal soreness. It might progress to squam ca. tx 1st line clobestasol x 2-3
weeks 2nd line tacromulus and then biopsy and refer out
cystocele - Answers✔anterior vaginal wall protrusion of the bladder with dysuria stress incont tx
anterior colporrhaphy
HSIL (high grade squamous intraepithelial lesion) - Answers✔pre ca or cervical ca or anal ca. cx
HPV tx conization and colpscopy
ASC-US - Answers✔means that changes in the cervical cells have been found. The changes are
almost always a sign of an HPV infection. most common abnormal Pap test result.
LSIL - Answers✔low grade squamous intraepithelial lesion CIN 1 goes away on its on by HPV
ASC-H - Answers✔atypical squamous cells, cannot exclude HSIL
