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Benign Disorders of the Lower Genital Tract

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

a. Trauma

b. Neoplasia

c. Immune responses

d. All of the above

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

a. Lanolin

b. Benzocaine

c. Clobetasol propionate

d. All of the above

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

a. Biopsy

b. Colposcopy

c. Pap screening

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

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?

a. Suturing

b. Monsel paste

c. Silver nitrate stick

d. Prolonged, direct pressure with gauze

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

a. Dermal homogenization

b. Granulomatous pattern

c. Vasculopathic pattern

d. Acanthosis and hyperkeratosis

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

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.

a. Lichen planus

b. Lichen sclerosus

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