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Benign Disorders of the Lower Genital Tract

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Pathology involving the vulva is common, with lesions resulting from which of the following?

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a. Trauma

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b. Neoplasia

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c. Immune responses

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d. All of the above

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Agents commonly implicated in allergic or contact dermatitis include which of the following?

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a. Lanolin

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b. Benzocaine

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c. Clobetasol propionate

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d. All of the above

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The initial evaluation of vulvovaginal complaints without an obvious etiology typically includes which of the following vaginal assessments?

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a. Biopsy

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b. Colposcopy

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c. Pap screening

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d. Saline slide preparation, vaginal pH testing, and aerobic culture

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Vulvar skin changes are frequently nonspecific, requiring biopsy for accurate diagnosis. Biopsy site bleeding may need control. Which of the following approaches to hemostasis may permanently discolor the skin?

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a. Suturing

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b. Monsel paste

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c. Silver nitrate stick

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d. Prolonged, direct pressure with gauze

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Chronic vulvar trauma due to excessive rubbing and scratching may result in lichen simplex chronicus. Histology classically shows which of the following?

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a. Dermal homogenization

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b. Granulomatous pattern

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c. Vasculopathic pattern

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d. Acanthosis and hyperkeratosis

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Which chronic inflammatory condition of the anogenital skin is demonstrated in this photograph?

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Reproduced with permission from Griffith WF, Werner CL: Benign disorders of the lower reproductive tract. In Hoffman BL, Schorge JO, Schaffer JI, et al, (eds): Williams Gynecology. 2nd ed. New York, McGraw-Hill, 2012, Figure 4-3.

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a. Lichen planus

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b. Lichen sclerosus

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