Certification Exam

According to Reed, et al in 2012, people with vulvodynia are more likely than people without vulvodynia to have any of the following comorbidities EXCEPT:

Pain can be referred to the vulva from (select all that apply)

Which statement about pelvic floor physical therapy as treatment for chronic vulvar pain is TRUE:

Regarding the video demonstration of an initial vulvovaginal exam, which activities were NOT performed:

True or False: when performing an initial vulvovaginal exam, assessment of vaginal pH and microscopic examination of vaginal secretions can be skipped or point-of-care testing for candida, bacterial vaginosis and trichomonas can be substituted if the clinician is pressed for time.

Vulvar pain mapping is performed with:

Which of the following is NOT a normal anatomic variant of the vulva:

True or False: Psoriasis on the vulva can be consistently identified by well demarcated plaques with silvery scale.

True or False: If the cause of a vulvar skin lesion is not immediately obvious, examination of other areas of the body may be helpful.

Reasons to perform a vulvar biopsy (select all that apply):

True or False: The best place to biopsy a suspected vulvar tumor is from the thickest part.

When treating inflammatory conditions of the vulva and vagina, which statement is TRUE:

For the confirmation of which conditions is microscopy more useful than cultures and point-of-care testing (select all that apply)

True or False: When evaluating vulvovaginal complaints, it is not unusual to find more than one pathologic process contributing to the patient’s symptoms.

When evaluating vaginal secretions with saline and KOH microscopy, it is important to assess: (select all that apply)

True or False: The best place to biopsy a vulvar erosion is at the edge of the lesion, including the erythematous area and a small amount of adjacent normal skin.

True or False: When evaluating pigmented vulvar lesions of the vulva, the most important lesion to biopsy is the largest one.

True or False: The preferred method of performing a biopsy of the vulva is the shave biopsy rather than a punch biopsy due to the thinness of vulvar skin.

When instructing a patient in how to apply topical corticosteroids on the vulva, a good rule of thumb is to use “a pea-sized amount” applied diffusely over the entire vulva.

Common mistakes with topical corticosteroid therapy on the vulva include all EXCEPT: