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TRANSCRIPT
4/14/2016
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Post Test
Hope K. Haefner, MDThe University of Michigan Center for Vulvar Diseases
ASCCP 2016 Annual Meeting
Disclosure
Hope Haefner, MD was previously on the advisory board of Merck Co., Inc.
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AS PCC
Slides From This Lecture
The pdf from this lecture will be Downloaded to the University ofMichigan Center for Vulvar Diseaseswebsite tomorrow morning
Learning ObjectiveAt the end of this presentation, the participant will:
• Be able to develop an effective differential diagnosis for a variety of vulvovaginal conditions
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Your Diagnosis Is?
A. Complex aphthous ulcerB. Erosive lichen planusC. Herpes simplex virusD. Crohn’s disease
Your Diagnosis Is?
A. Complex aphthous ulcerB. Erosive lichen planusC. Herpes simplex virusD. Crohn’s disease
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Which patient isimmunocompromised?
A. A
B. BC. Both
A.
B.
Which patient isimmunocompromised?
A. A
B. BC. Both
A.
B.
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Which Statement is Incorrect about Diagnostic Studies used to evaluate an Ulcer?
A. DFA, PCR, and culture studies for herpes simplex virus carry similar sensitivities (ability to detect a true infection when present)
B. A DIF (direct immunofluorescence) study is performed on a biopsy of a specific patient’s skin to look for the present of auto antibodies
C. A tissue biopsy-based wound culture on an open wound is better than a swab-based wound culture for detecting an infectious ulcer
Which Statement is Incorrect about Diagnostic Studies used to evaluate an Ulcer?
A. DFA, PCR, and culture studies for herpes simplex virus carry similar sensitivities (ability to detect a true infection when present)
B. A DIF (direct immunofluorescence) study is performed on a biopsy of a specific patient’s skin to look for the present of auto antibodies
C. A tissue biopsy-based wound culture on an open wound is better than a swab-based wound culture for detecting an infectious ulcer
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Which Statement is Correct about Aphthae?
A. Aphthae almost always heal with scarring
B. A large portion of patients with aphthae have Behçet’s disease
C. Oral medications that target neutrophils can treat aphthae
D. Topical steroids are often ineffective for aphthae
Which Statement is Correct about Aphthae?
A. Aphthae almost always heal with scarring
B. A large portion of patients with aphthae have Behçet’s disease
C. Oral medications that target neutrophils can treat aphthae
D. Topical steroids are often ineffective for aphthae
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An important condition to rule out when considering DIV is:
1. Gonorrhea
2. Syphilis
3. Mobiluncus
4. Trichomonas
An important condition to rule out when considering DIV is:
1. Gonorrhea
2. Syphilis
3. Mobiluncus
4. Trichomonas
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Silicone lubricants feel smoother and are more resistant to drying out than water based lubricants
A. True
B. False
Silicone lubricants feel smoother and are more resistant to drying out than water based lubricants
A. True
B. False
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What is this in patient with hidradenitis suppurativa?
A. Squamous cell carcinomaB. Epithelial inclusion cystC. Pyogenic granuloma D. Paget’s disease
What is this in patient with hidradenitis suppurativa?
A. Squamous cell carcinomaB. Epithelial inclusion cystC. Pyogenic granuloma D. Paget’s disease
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What is the staging system used for Hidradenitis Suppurativa?
A. WHHS (World Health Hidradenitis Staging) B. Clark’s StagingC. Breslow’s Staging D. Hurley’s Staging
What is the staging system used for Hidradenitis Suppurativa?
A. WHHS (World Health Hidradenitis Staging) B. Clark’s StagingC. Breslow’s Staging D. Hurley’s Staging
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Clinical Appearance
Histology
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Your Diagnosis Is:
A. Squamous cell cancer
B. Erosive lichen planus
C. Plasma cell vulvitis
D. Basal cell cancer
Your Diagnosis Is:
A. Squamous cell cancer
B. Erosive lichen planus
C. Plasma cell vulvitis
D. Basal cell cancer
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•Breast cancer survivors should not be given local vaginal or vulvar estrogens
•True
•False
•Breast cancer survivors should not be given local vaginal or vulvar estrogens
•True
•False
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Ospemifene is safer to use in breast cancer survivors than Bazedoxifene
•True
•False
Ospemifene is safer to use in breast cancer survivors than Bazedoxifene
•True
•False
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19 y.o. GO developed vulvovaginal itching February 2014 for which she sought treatment • She denied having any ulcers at that time•Vulvar lesions appeared in March of 2014 and initially started as 3 to 4, small, moon shaped, lesions on her vulva, not particularly painful
• She finds this interfering with her day to day routine, but is not bedridden
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She has seen multiple healthcare providers and obtained an extensive workup, which to this point has been negative
She was most recently seen at the at a major referral center due to suspected Behcet's disease; however, this has since been ruled out
Numerous tests all negative, including extensive STD workup
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Your Diagnosis Is? What is her main problem?A. Self inflicted tissue damage
B. Aphthous ulcers
C. Pyoderma gangrenosum
D. Decubitus ulcers
Your Diagnosis Is? What is her main problem?A. Self inflicted tissue damage
B. Aphthous ulcers
C. Pyoderma gangrenosum
D. Decubitus ulcers
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See You There!IFCPC/ASCCP
Orlando, Florida | April 4-7, 2017
April 2‐7, 2017
Orlando, Florida
USA
April 4‐7, 2017