Women's Health Quiz 2 Questions & Answers Graded A+

Women's Health Quiz 2 Questions & Answers Graded A+ 1. A 21-year-old African American female, G0P0, presents to your clinic with pain in her abdomen for the past 8 days, and dyspareunia. You gather a thorough history, do a full physical, including an abdominal exam with no abnormal findings, and decide to do a pelvic exam as your next step. During the pelvic exam, you find an irregularity in the shape of your patient's uterus. After deciding to get an ultrasound, you notice a small, intramural leiomyoma on her uterus. What is the BEST treatment option for your patient, considering that she mentioned she wants to have children in the distant future? ️️Observation 2. A 76-year-old Caucasian female, G2P2002, presents to clinic complaining of vaginal pressure, lower back pain, urinary retention, and difficulty with lifting objects. She states that she has not been sexually active in years and does not care to be sexually active again. She was diagnosed with a cystocele 6 months ago with uterine prolapse and was given a pessary with vaginal estrogen therapy. The patient states she is ready to do something else because she doesn't think the pessary is working. The patient has no chronic conditions. What would be the next appropriate step for this patient? ️️Colpocleisis 3. A 59 year old postmenopausal woman, G3P3003, presents to the clinic with complaints of consistent vulvar pain and pruritus, dyspareunia, post coital bleeding, and a noticeable amount of vaginal discharge for the past 6 months. She is not currently on any medication and had no relevant personal or family history. She has been tested for STDs and autoimmune disorders, which were all negative. During the vaginal exam you note some atrophy of the introitus and labia minora as well as erythematous ulcerated-like lesions with whitish, lacy bands on the vulva and vaginal wall. She also had extreme pain during the examination. What is the most likely diagnosis for this patient? ️️Lichen Planus