WHNP prep, chapter 5 part 3 Questions with Complete Solutions (Latest 2025) Lichen sclerosus - Correct Answers ✅chronic progressive inflammatory condition mostly affects postmenopausal women
sxs: itching, dyspareunia, dysuria
physical findings: lesions, plaques, loss of pigmentation
markedly thin WHITE epidermis symmetry around anal region (figure of eight) introital stenosis lichen planus - Correct Answers ✅typically seen in peri/post menopausal women flares and remits spontaneously. thought to be autoimmune
sxs: itching, burning, raw sensation, vaginal
discharge/bleeding, dyspareunia, dysuria
physical findings: sharply demarcated SHINY patches
gray white lace strands of hyperkeratosis vaginal erythema, erosions, adhesions loss of vulvovaginal architecture lichen simplex chronicus - Correct Answers ✅thickening of skin in response to chronic rubbing or scratching may be atopic rxn 1 / 2
WHNP prep, chapter 5 part 3 Questions with Complete Solutions (Latest 2025)
sxs: itching, dyspareunia, dysuria
physical findings: thickened leathery plaques, excoriation,
erosions diagnostics for lichen - Correct Answers ✅biopsy to confirm r/o vaginitis management of lichen - Correct Answers ✅remove all contact irritants use skin emollients/protectants high potency corticosteroids (ointment best) which lichen is linked to cancer? - Correct Answers ✅LICHEN SCLEROSUS -- linked to vulvar squamous cell carcinoma do yearly vulvar exam with biopsies as needed vulvodynia - Correct Answers ✅chronic vulvar discomfort in absence of identifiable cause commonly a/w IBS, IC, fibromyalgia burning, stinging, dyspareunia
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