CMN 572 Ch. 40 DeCherney-Benign Disorders of Uterine Cervix Questions With Complete Solutions

Women who were exposed to Diethylstilbestrol (DES) in utero are increased risk for? correct answer: Vaginal carcinoma in female offspring. They are increased risk for infertility and adverse outcomes in pregnancy. What is the risk involved when performing a D & C in the postmenopausal patient? correct answer: cervical laceration requiring suturing What are 2 methods to decrease the risk of cervical laceration when performing D & C in the postmenopausal patient. correct answer: Use a cervical laminaria preoperatively Use misoprostol to soften cervix and reduce force needed to dilate What are the most common causes of infectious cervicitis? correct answer: 1. Neisseria Gonorroeae 2. Chlamydia Trachomatis 3. Herpes Simplex virus 4. HPV 5. Trichomoniasis 6. Mycoplasma genitalium 7. Cytomegalovirus 8. Bacterial vaginosis What are the s/s of Acute Cervicitis? correct answer: -Purulent vaginal discharge is primary sign -vaginal bleeding -vulvar burning and itching -Chylamydia may be asymptomatic or produce purulent discharge from red cervix Please list the appearance of vaginal discharge in each of these diseases: 1. Gonorrhea & Chylamydia 2. Trichomonal 3. Candidiasis 4. BV correct answer: 1. thick and creamy 2. foamy and greenish-white 3. white and curd like 4. thin and gray-fishy odor What does the cervix look like with the below infections? 1. Gonorrhea 2. Chlamydia 3. Candidiasis