NSG6020./Week./7./quiz
A./24-year-
old./travel./agent./comes./to./your./clinic,./complaining./of./pain./and./swelling./i
n./her./vulvar./area../She./states./that./2./days./earlier./she./could./feel./a./small./tend
er./spot./on./the./left./side./of./her./vagina./but./now./it./is./larger./and./extremely./te
nder../Her./last./period./was./1./year./ago./and./she./is./sexually./active../She./uses./t
he./Depo-
Provera./shot./for./contraception../She./denies./any./nausea,./vomiting,./constip
ation,./diarrhea,./pain./with./urination,./or./fever../Her./past./medical./history./is
significant./for./ankle./surgery../Her./mother./is./healthy./and./her./father./has./typ
e./2./diabetes../On./examination./she./appears./her./stated./age./and./is./standing./u
p../She./states./she./cannot./sit./down./without./excruciating./pain../Her./blood./pr
essure,./temperature,./and./pulse./are./unremarkable../On./visualization./of./her./
perineum,./a./large,./red,./tense./swelling./is./seen./to./the./left./of./her./introitus../P
alpation./of./the./mass./causes./a./great./deal./of./pain../What./disorder./of./the./vul
va./is./most./likely./-./correct./answer./Bartholin's./gland./infection
A./48-year-
old./high./school./librarian./comes./to./your./clinic,./complaining./of./1./week./of./
heavy./discharge./causing./severe./itching../She./is./not./presently./sexually./acti
ve./and./has./had./no./burning
with./urination../The./symptoms./started./several./days./after./her./last./period../S
he./just./finished./a./course./of./antibiotics./for./a./sinus./infection../Her./past./medi
cal./history./consists./of./type./2./diabetes./and./high
blood./pressure../She./is./widowed./and./has./three./children../She./denies./tobacc
o,./alcohol,./or./drug./use../Her./mother./has./high./blood./pressure./and./her./fathe
, r./died./of./diabetes./complications../On./examination./you./see./a./healthy-
appearing./woman../Her./blood./pressure./is./130/80./and./her./pulse./is./70../Her./
head,./eyes,./ears,./nose,./throat,./cardiac,./lung,./and./abdominal./examinations./
are./unremarkable../Palpation./of./the./inguinal./lymph./nodes./is./unremarkable
../On./visualization./of./the./vulva,./a./thick,./white,./curdy./discharge./is./seen./at./t
he./introitus../On./speculum./examination./ther./-
./correct./answer./Candida./vaginitis
Which./of./the./following./represents./metrorrhagia?./-
./correct./answer./bleeding./between./periods
A./42-year-
old./realtor./comes./to./your./clinic,./complaining./of./"growths"./in./her./vulvar./a
rea../She./is./currently./undergoing./a./divorce./and./is./convinced./she./has./a./sex
ually./transmitted./disease../She./denies./any./vaginal./discharge./or./pain./with./
urination../She./has./had./no./fever,./malaise,./or./night./sweats../Her./past./medic
al./history./consists./of./depression./and./hypothyroidism../She./has./had./two./sp
ontaneous./vaginal./deliveries./and./one./cesarean./section../She./has./had./no./ot
her./surgeries../She./denies./smoking./or./drug./use../She./has./two./to./three./drink
s./weekly../Her./mother./also./has./hypothyroidism./and./her./father./has./high./bl
ood./pressure./and./hypercholesterolemia../On./examination./you./see./a./woma
n./who./is./anxious./but./appears./otherwise./healthy../Her./blood./pressure,./puls
e,./and./temperature./are./unremarkable../On./visualization./of./the./perineum./y
ou./see./two./2-./to./3-
mm,./round,./yellow./nodules./on./the./left./labia../On./palpation./they./are./nonte
nder./and./quite./firm../What./diagnosis./b./-./correct./answer./epidermoid./cyst
A./24-year-
old./travel./agent./comes./to./your./clinic,./complaining./of./pain./and./swelling./i
n./her./vulvar./area../She./states./that./2./days./earlier./she./could./feel./a./small./tend
er./spot./on./the./left./side./of./her./vagina./but./now./it./is./larger./and./extremely./te
nder../Her./last./period./was./1./year./ago./and./she./is./sexually./active../She./uses./t
he./Depo-
Provera./shot./for./contraception../She./denies./any./nausea,./vomiting,./constip
ation,./diarrhea,./pain./with./urination,./or./fever../Her./past./medical./history./is
significant./for./ankle./surgery../Her./mother./is./healthy./and./her./father./has./typ
e./2./diabetes../On./examination./she./appears./her./stated./age./and./is./standing./u
p../She./states./she./cannot./sit./down./without./excruciating./pain../Her./blood./pr
essure,./temperature,./and./pulse./are./unremarkable../On./visualization./of./her./
perineum,./a./large,./red,./tense./swelling./is./seen./to./the./left./of./her./introitus../P
alpation./of./the./mass./causes./a./great./deal./of./pain../What./disorder./of./the./vul
va./is./most./likely./-./correct./answer./Bartholin's./gland./infection
A./48-year-
old./high./school./librarian./comes./to./your./clinic,./complaining./of./1./week./of./
heavy./discharge./causing./severe./itching../She./is./not./presently./sexually./acti
ve./and./has./had./no./burning
with./urination../The./symptoms./started./several./days./after./her./last./period../S
he./just./finished./a./course./of./antibiotics./for./a./sinus./infection../Her./past./medi
cal./history./consists./of./type./2./diabetes./and./high
blood./pressure../She./is./widowed./and./has./three./children../She./denies./tobacc
o,./alcohol,./or./drug./use../Her./mother./has./high./blood./pressure./and./her./fathe
, r./died./of./diabetes./complications../On./examination./you./see./a./healthy-
appearing./woman../Her./blood./pressure./is./130/80./and./her./pulse./is./70../Her./
head,./eyes,./ears,./nose,./throat,./cardiac,./lung,./and./abdominal./examinations./
are./unremarkable../Palpation./of./the./inguinal./lymph./nodes./is./unremarkable
../On./visualization./of./the./vulva,./a./thick,./white,./curdy./discharge./is./seen./at./t
he./introitus../On./speculum./examination./ther./-
./correct./answer./Candida./vaginitis
Which./of./the./following./represents./metrorrhagia?./-
./correct./answer./bleeding./between./periods
A./42-year-
old./realtor./comes./to./your./clinic,./complaining./of./"growths"./in./her./vulvar./a
rea../She./is./currently./undergoing./a./divorce./and./is./convinced./she./has./a./sex
ually./transmitted./disease../She./denies./any./vaginal./discharge./or./pain./with./
urination../She./has./had./no./fever,./malaise,./or./night./sweats../Her./past./medic
al./history./consists./of./depression./and./hypothyroidism../She./has./had./two./sp
ontaneous./vaginal./deliveries./and./one./cesarean./section../She./has./had./no./ot
her./surgeries../She./denies./smoking./or./drug./use../She./has./two./to./three./drink
s./weekly../Her./mother./also./has./hypothyroidism./and./her./father./has./high./bl
ood./pressure./and./hypercholesterolemia../On./examination./you./see./a./woma
n./who./is./anxious./but./appears./otherwise./healthy../Her./blood./pressure,./puls
e,./and./temperature./are./unremarkable../On./visualization./of./the./perineum./y
ou./see./two./2-./to./3-
mm,./round,./yellow./nodules./on./the./left./labia../On./palpation./they./are./nonte
nder./and./quite./firm../What./diagnosis./b./-./correct./answer./epidermoid./cyst
