EOR - GYN (Women's Health) Exam Questions with Complete Solutions (100% Correct)

Adolescent female presents with *primary amenorrhea* and cyclic pelvic pain Pe: may be notable for absence of an identifiable vaginal lumen, a tense bulging hymen, and possibly increasing abdominal girth correct answer imperforate hymen resulting in obstruction of the outflow tract and build up of secretions in the vagina = Hydrocolpos and mucocolpos Hematocolpos = build up of menstrual flow in the vagina Hematometra = ...in the uterus Adolescent female presents with *primary amenorrhea* and cyclic pelvic pain Pe: normal external female genitalia and a short vagina that appears to end in a blind pouch correct answer transverse vaginal septum - occurs when the mullerian tubercle is not canalized What is vaginal atresia correct answer agenesis of the lower vagina -lower vagina fails to develop and is replaced by fibrous tissue -reproductive organs are normal -presents in adolescent female with primary amenorrhea and cyclic pelvic pain -pe: *vaginal dimple* Tx: vaginal pull-through procedure What is vaginal agenesis correct answer mayer-rokitansky-kuster-hauser (mrkh) syndrome Congenital absence of the vagina and the absence of hypoplasia of all or part of the cervix, uterus, and fallopian tubes Benign (non-neoplastic) epithelial disorders of the vulva and vagina correct answer lichen sclerosis Lichen planus Lichen simplex chronicus Vulvar psoriasis Symmetric white, thinned shin on labia, perineum, and perianal region Shrinkage and agglutination of labia minora Sx: usu pruritus or dyspareunia (often asymptomatic) correct answer lichen sclerosis Tx: high-potency topical steroids (clobetasol or halobetasol 0.05%) 1-2x/d for 6-12 weeks Then maintenance Multiple shiny, flat, red-purple papules, usu on the inner aspects of the labia minora and vestibule with lacy white changes; often erosive Sx: pruritis with mild inflammation to severe erosions correct answer vulvar lichen planus -uncommon-