ROBINS’ PATHOLOGY-THE FEMALE GENITAL TRACT.
STUDY GUIDE AND 200 NEWEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
List some sexually transmitted infections that play an important role in female
genital tract pathology. –
Answer -Herpes Simplex virus
Molluscum contagiosum
Fungal infections - Candidiasis
Trichomonas vaginalis
Gardnerella vaginalis
This sexually transmitted infection has a type 1 that usually infects the oropharynx
and a type 2 that usually involves the genital mucosa and skin - Answer -Herpes
simplex virus (HSV)
Type 1 - oropharynx
Type 2 - genitals
This sexually transmitted disease is a pox virus of skin and mucous membranes.
There are 4 types; type 1 is the most common, type II is the most often sexually
transmitted form. After a 6 week incubation period, the dimpled, dome-shaped
lesion erupts. - Answer -Molluscum contagiosum
This sexually transmitted infection is a part of the normal vaginal microflora and
can expand to form an infection when the host microbial ecosystem is disrupted. -
Answer -Fungal infections - candidiasis
This sexually transmitted infection is a flagellated protozoan. Patients present with
a frothy yellow discharge, vulvovaginal discomfort, dysuria and dyspareunia. -
Answer -Trichomonas vaginalis
This sexually transmitted infection is a gram negative bacillus and the major cause
of bacterial vaginitis; patients present with a thin, green-gray, fishy-smelling
discharge. Such infections can precipitate premature labor. - Answer -Gardnerella
vaginalis
,ROBINS’ PATHOLOGY-THE FEMALE GENITAL TRACT.
STUDY GUIDE AND 200 NEWEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Describe Pelvic inflammatory disease (PID) - Answer -Infections that arise in the
vulva or vagina and ascend to involve the other genital tract structures
What is the most common causes of PID? - Answer -Gonococcus - the most
common
Chlamydia - second most common
This lesion of the vulva is a common lesions resulting from occlusion of the
draining bartholin gland ducts by inflammation. - Answer -Bartholin cyst
These non-neoplastic epithelial, heterogeneous groups of lesions manifest as
opaque, white, plaque-like thickenings and are often accompanied by pruritus and
scaling. - Answer -Leukoplakia
This non-neoplastic epithelial disorder manifests as papillose or malcules those
coalescent smooth, white parchment-like areas. - Answer -Lichen Sclerosus
This is a non-specific response to recurrent rubbing or scratching to relieve
pruritis; it is characterized by white plaques that are thickened epithelium
(Squamous cell hyperplasia). It does not exhibit epithelial atypic with no
predisposition to malignancy. - Answer -Lichen simplex chronicus
Which benign exophytic lesions are associated with an infection? what is the
infection? - Answer -Condyloma accuminatum - HPV
Condyloma latum - syphilis
Which benign exophytic lesions are not associated with any infectious agent -
Answer -Fibroepithelial polyps - skin tags
squamous papillomas (vulvar papillomatosis - multiple)
, ROBINS’ PATHOLOGY-THE FEMALE GENITAL TRACT.
STUDY GUIDE AND 200 NEWEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
These are veracious lesions on the vluva, perineum, vagina, and cervix (rarely) that
are sexually transmitted by HPV type 6 or 11. They are not considered pre-
cancerous. - Answer -Condyloma accuminatum
What is the most common vulvar carcinoma? - Answer -Keratinizing squamous
cell carcinoma
Prognosis of vulvar carcinoma depends on what factors? - Answer -size
depth of invasion
Lymph node status
Basaloid and warty carcinomas arise from precancerous in situ lesions called? and
most are positive for which type of HPV? - Answer -classic vulvar intraepithelial
Neoplasia (VIN)
HPV 16
What is the setting for keratinizing squamous cell carcinoma? - Answer -Long
standing lichen sclerosus or squamous cell hyperplasia
This benign tumor arises from modified apocrine sweat gland and presents as a
sharply circumscribed nodule or tubular duct line by non-ciliated columnar cells
atop a flattened layer of myoepithelial cells. - Answer -Papillary Hidradenoma
This malignant lesion appears as a red, crusted, sharply demarcated map-like area
with large anapestic mucin containing tumor cells lying singly or in small cluster
within the epidermis and appendages. - Answer -Extramammary paget disease
Describe malignant melanoma in the vulva. - Answer -<5% of all vulvar
malignancy and 2% of female melanomas
60-80 years is common
Delayed detection and rapid progression to vertical growth phase
STUDY GUIDE AND 200 NEWEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
List some sexually transmitted infections that play an important role in female
genital tract pathology. –
Answer -Herpes Simplex virus
Molluscum contagiosum
Fungal infections - Candidiasis
Trichomonas vaginalis
Gardnerella vaginalis
This sexually transmitted infection has a type 1 that usually infects the oropharynx
and a type 2 that usually involves the genital mucosa and skin - Answer -Herpes
simplex virus (HSV)
Type 1 - oropharynx
Type 2 - genitals
This sexually transmitted disease is a pox virus of skin and mucous membranes.
There are 4 types; type 1 is the most common, type II is the most often sexually
transmitted form. After a 6 week incubation period, the dimpled, dome-shaped
lesion erupts. - Answer -Molluscum contagiosum
This sexually transmitted infection is a part of the normal vaginal microflora and
can expand to form an infection when the host microbial ecosystem is disrupted. -
Answer -Fungal infections - candidiasis
This sexually transmitted infection is a flagellated protozoan. Patients present with
a frothy yellow discharge, vulvovaginal discomfort, dysuria and dyspareunia. -
Answer -Trichomonas vaginalis
This sexually transmitted infection is a gram negative bacillus and the major cause
of bacterial vaginitis; patients present with a thin, green-gray, fishy-smelling
discharge. Such infections can precipitate premature labor. - Answer -Gardnerella
vaginalis
,ROBINS’ PATHOLOGY-THE FEMALE GENITAL TRACT.
STUDY GUIDE AND 200 NEWEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Describe Pelvic inflammatory disease (PID) - Answer -Infections that arise in the
vulva or vagina and ascend to involve the other genital tract structures
What is the most common causes of PID? - Answer -Gonococcus - the most
common
Chlamydia - second most common
This lesion of the vulva is a common lesions resulting from occlusion of the
draining bartholin gland ducts by inflammation. - Answer -Bartholin cyst
These non-neoplastic epithelial, heterogeneous groups of lesions manifest as
opaque, white, plaque-like thickenings and are often accompanied by pruritus and
scaling. - Answer -Leukoplakia
This non-neoplastic epithelial disorder manifests as papillose or malcules those
coalescent smooth, white parchment-like areas. - Answer -Lichen Sclerosus
This is a non-specific response to recurrent rubbing or scratching to relieve
pruritis; it is characterized by white plaques that are thickened epithelium
(Squamous cell hyperplasia). It does not exhibit epithelial atypic with no
predisposition to malignancy. - Answer -Lichen simplex chronicus
Which benign exophytic lesions are associated with an infection? what is the
infection? - Answer -Condyloma accuminatum - HPV
Condyloma latum - syphilis
Which benign exophytic lesions are not associated with any infectious agent -
Answer -Fibroepithelial polyps - skin tags
squamous papillomas (vulvar papillomatosis - multiple)
, ROBINS’ PATHOLOGY-THE FEMALE GENITAL TRACT.
STUDY GUIDE AND 200 NEWEST 2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
These are veracious lesions on the vluva, perineum, vagina, and cervix (rarely) that
are sexually transmitted by HPV type 6 or 11. They are not considered pre-
cancerous. - Answer -Condyloma accuminatum
What is the most common vulvar carcinoma? - Answer -Keratinizing squamous
cell carcinoma
Prognosis of vulvar carcinoma depends on what factors? - Answer -size
depth of invasion
Lymph node status
Basaloid and warty carcinomas arise from precancerous in situ lesions called? and
most are positive for which type of HPV? - Answer -classic vulvar intraepithelial
Neoplasia (VIN)
HPV 16
What is the setting for keratinizing squamous cell carcinoma? - Answer -Long
standing lichen sclerosus or squamous cell hyperplasia
This benign tumor arises from modified apocrine sweat gland and presents as a
sharply circumscribed nodule or tubular duct line by non-ciliated columnar cells
atop a flattened layer of myoepithelial cells. - Answer -Papillary Hidradenoma
This malignant lesion appears as a red, crusted, sharply demarcated map-like area
with large anapestic mucin containing tumor cells lying singly or in small cluster
within the epidermis and appendages. - Answer -Extramammary paget disease
Describe malignant melanoma in the vulva. - Answer -<5% of all vulvar
malignancy and 2% of female melanomas
60-80 years is common
Delayed detection and rapid progression to vertical growth phase
