NURS 5333 Family 1 Test2 P 4 (Vulvar Disorders) –
Questions & Accurate Answers
A lot of skin diseases that can occur in other parts of the body can also
occur...like melanoma Right Ans - in the vulva
Punch biopsy Right Ans - For clarification: send part of the tissue over to
the pathologist, and they will help you make a more specific diagnosis.
Non-vulvar disorders Right Ans - pruritus: which is terribly severe itching.
Pt can also experience pain, burning, irritation
Might present with a mass or a growth" a small little cyst" or an infection..ex
bad infection like a herpes infection. Right Ans - non-vulvar disorders
When you take a Pt history: Many times when it's a vulvar problem, a woman
has used a non-prescription remedy like... Right Ans - maybe doing some
warm compresses, complex as a woman, who I had recently, that tried to
Lance her own labial cyst.
Non-vulvar disorders: Lesions Right Ans - Non-vulvular lesions can change
in appearance from their original appearance
Pruritus (severe itching) Right Ans - is often the most common symptom
that the patient is going to have with vulvar disorders
Interview Pt: Ask... Right Ans - rash looked like before the patient started
itching, putting a home remedies on it or scratching.
Vulvar disorders: Good physical exam Right Ans - get a look at the vulva
with a handheld microscope called a dermatoscope, have a good light and
maybe a magnifying glass to help you examine the external genitalia
Some vulvar problems are caused by the patient having vaginitis or cervicitis
and could be caused by... Right Ans - Problem could be caused by an STD or
STI
, Pt got some discharge coming from inside the vagina and the drainage is
what's causing the irritation to the vulva? Right Ans - S/S Could be caused
by an STD or STI
We want to use microscope for( when looking at vaginal discharge) Right
Ans - Wet preps
Colposcope/Colposcopy Right Ans - instrument used to examine the
vagina/procedure for examining the vagina
punch biopsy procedure Right Ans - disinfect with povidone solution
use sterile disposable gown and gloves
infiltrate area with 1% lidocaine
obtain a biopsy from the periphery of the lesion
formalin jar
steristrip edge of the skin
compressive dressing
keep the area dry for 3 days then air dry
Vaginal exam: we need to know what the patient labs: Such as.... Right Ans -
CBC, thyroid test, B12 levels, an ANA, CRP, sed rate,
If you suspect that the patient might have some erosions or ulcerations...
Right Ans - the patient might have a herpes simplex virus infection and
perhaps we want to do a viral culture.
Hepatitis( type)develop some problems in the vulva Right Ans - Patients
sometimes with hepatitis C have vulvar issues
does the patient have an auto-immune disease or do they have some type of
allergy that's being expressed and we may have to have allergy testing for a
patient. Right Ans - if the rash is not responding to tx
Get a very detailed clinical history like.... Right Ans - what the treatment
has been, what have they done to it, or what have other providers suggested
for it?the vulva is skin, so it can manifest other organ systems
Expression of tuberculosis or Crohn's disease or even endometriosis Right
Ans - can be a vulvar disorder
Questions & Accurate Answers
A lot of skin diseases that can occur in other parts of the body can also
occur...like melanoma Right Ans - in the vulva
Punch biopsy Right Ans - For clarification: send part of the tissue over to
the pathologist, and they will help you make a more specific diagnosis.
Non-vulvar disorders Right Ans - pruritus: which is terribly severe itching.
Pt can also experience pain, burning, irritation
Might present with a mass or a growth" a small little cyst" or an infection..ex
bad infection like a herpes infection. Right Ans - non-vulvar disorders
When you take a Pt history: Many times when it's a vulvar problem, a woman
has used a non-prescription remedy like... Right Ans - maybe doing some
warm compresses, complex as a woman, who I had recently, that tried to
Lance her own labial cyst.
Non-vulvar disorders: Lesions Right Ans - Non-vulvular lesions can change
in appearance from their original appearance
Pruritus (severe itching) Right Ans - is often the most common symptom
that the patient is going to have with vulvar disorders
Interview Pt: Ask... Right Ans - rash looked like before the patient started
itching, putting a home remedies on it or scratching.
Vulvar disorders: Good physical exam Right Ans - get a look at the vulva
with a handheld microscope called a dermatoscope, have a good light and
maybe a magnifying glass to help you examine the external genitalia
Some vulvar problems are caused by the patient having vaginitis or cervicitis
and could be caused by... Right Ans - Problem could be caused by an STD or
STI
, Pt got some discharge coming from inside the vagina and the drainage is
what's causing the irritation to the vulva? Right Ans - S/S Could be caused
by an STD or STI
We want to use microscope for( when looking at vaginal discharge) Right
Ans - Wet preps
Colposcope/Colposcopy Right Ans - instrument used to examine the
vagina/procedure for examining the vagina
punch biopsy procedure Right Ans - disinfect with povidone solution
use sterile disposable gown and gloves
infiltrate area with 1% lidocaine
obtain a biopsy from the periphery of the lesion
formalin jar
steristrip edge of the skin
compressive dressing
keep the area dry for 3 days then air dry
Vaginal exam: we need to know what the patient labs: Such as.... Right Ans -
CBC, thyroid test, B12 levels, an ANA, CRP, sed rate,
If you suspect that the patient might have some erosions or ulcerations...
Right Ans - the patient might have a herpes simplex virus infection and
perhaps we want to do a viral culture.
Hepatitis( type)develop some problems in the vulva Right Ans - Patients
sometimes with hepatitis C have vulvar issues
does the patient have an auto-immune disease or do they have some type of
allergy that's being expressed and we may have to have allergy testing for a
patient. Right Ans - if the rash is not responding to tx
Get a very detailed clinical history like.... Right Ans - what the treatment
has been, what have they done to it, or what have other providers suggested
for it?the vulva is skin, so it can manifest other organ systems
Expression of tuberculosis or Crohn's disease or even endometriosis Right
Ans - can be a vulvar disorder
