36yo female, abnormal smear report for coloscopy & biopsy. Aceto-white stain and histology shown. Diagnosis?
Leukoplakia (cervicitis chronic)
Candida albicans (thrush)
HPV 6 - LSIL
HPV 18 - HSIL
HPV condylomata acuminata
32yo female, routine pap smear cytology shown. Diagnosis?
HSIL (high grade)
LSIL (low grade)
32yo female, routing pap smear cytology shown. Diagnosis?
HSIL with koilocytes
Koilocytes with LSIL
28yo female, image shows routine smear test. Her previous PAP was reported as normal. What is the recommended management option?
Repeat PAP in 6 months
Repeat PAP in 12 months
Refer to oncology/surgical
38yo primigravida, lower abdominal pain worse during menses, dysmenorrhoea for 3yrs. Palpable adnexal mass, enlarged ovary, image shows laparoscopic view of pelvic cavity. Diagnosis?
Pelvic Inflammatory Disease (PID)
34yo female, on OCP, vaginal bleeding for 5 weeks. Polypoid mass seen projecting through cervis. Macroscopic and histological images of uterus shown. Diagnosis?
27yo female, vaginal discharge cytology. Vaginal smear shown. Diagnosis?
LSIL - koilocytes
48yo perimenopausal with 7 month history of irregular vaginal bleeding undergoes hysterectomy. Images shows her opened uterus specimen. Diagnosis?
32yo female, biopsy taken after routine pap smear shown. Diagnosis?
HPV with LSIL
HPV with HSIL
39yo post-coital bleeding after hysterectomy. Macroscopic and histological images shown. Diagnosis?
HSIL + Koilocytes
LSIL + Koilocytes
42yo female, routine pap smear shown. What is the diagnosis?
Clue cells (cervicitis)
39yo female, biopsy taken after routine pap smear shown. Diagnosis?
32yo female, cervical biopsy shown. Diagnosis?
HSIL with HPV
LSIL with HPV
42yo female, routine pap smear shown. Diagnsosis?
HSIL and cervicitis
49yo female, cervical carcinoma, macroscopic appearance shown. What is the stage?
30yo female for routine pap smear screening. Diagnosis?
Severe dysplasia - HSIL
Mild dysplasia - LSIL
48yo female, reports thick, white vaginal discharge. Examination and smear findings shown. Diagnosis?
35yo female, smelly, frothy yellow discharge. Macroscopic and smear findings shown. Diagnosis?
30yo female, routine pap smear shown. Diagnsosis?
Cervicitis - bacterial
35yo female fishy-smelling vaginal discharge has pap smear report of clue cells and dysplastic cells. Image shows appearance of biopsy on coploscopy and smear. What is the most likely diagnosis?
Candida + LSIL
Trichomonas + HSIL
Bacterial vaginitis + HSIL
HSIL with infiltration (cervical carcinoma)
HPV induced dysplasia
31yo female, infertility. Swollen vulva, inguinal lymphadenopathy. Biopsy of enlarged lymph node showed necrotizing granulomas and inclusion bodies. Most likely etiologic agent?
HPV serotype 16
52yo female, 2 year history of vulvar itching, dyspareunia. Examination shows white plaque, shiny thin skin. Image shows clinical and biopsy appearance. What is the most likely diagnosis?
Lichen sclerosis atrophicus
A 60yo woman presents with a 1-year history of vulval itching, bleeding and inflammation. Physical examination reveals a 1cm exophytic fungatic mass on the labium major. Biopsy of the mass shows poorly differentiated malignant cells. These neoplastic cells would most likely express which of the following tumour markers?
31yo woman with a 3 month history of warty, non-pruritic, non-haemorrhagic lesions on her perineum and labia majora. Images show two similar history cases and biopsy. What is the most likely diagnosis?
45yo woman blood tinged vaginal discharge for 1 month, previously had 2 episodes of postcoital bleeding in past 12 months. Images (A & B) show two cases with similar history. What is the most likely diagnosis?
HPV + HSIL