Whether a or a result from chronic pain, this mood disorder is common in women with vulvar pain syndrome
What is depression
100
The appropiate course of action if vulvar dermatoses or neoplasia is suspected
What is biopsy
100
Application of this active irritant in hot peppers has been studied with mixed results
What is capsaicin
100
Jeff's current age
What is 32
200
Entrapment of this nerve can cause generalized vulvar pain
What is the pudendal nerve
200
The most commonly described pain symptom of women with vestibulodynia
What is Burning
200
This provider specializes in pelvic floor retraining and biofeedback, but should have experience in treating women with pelvic pain.
What is a physical therapist
200
This medicine, which is used for partial seizures and post-herpetic neuralgia, is a sound alternative to tricyclic antidepressents as its side effect profile is usually more tolerable.
What is gabapentin (I will also accept pregabalin)
200
Jeff's favorite sport to play (when he was in high school). He actually tried out for the college team, but needless to say, he wasn't as good as he thought.
What is Baseball
300
The embyological origin of the vestibule
What is the urogenital sinus
300
Though the evidence is weak, the most commonly associated infection with vestibulodynia
What is candidiasis
300
This gift that keeps on giving infrequently presents with pain that is not accompanied by ulcers
What is Herpes genitalis
300
The percentage of patients who have spontaneous resolution of symptoms without treatment
What is 10-30%
300
The names of Jeff's kids
What is Alison, Samuel, Andrew
400
Please mark the area of the vestibule on your paper
What is I HOPE YOU'RE RIGHT
400
The medical term for pain to light touch
What is allodynia
400
Though controversial, having a diet low in this may help with vulvar pain
What is oxalate
400
Though uncomfortable for the patient and the provider, this is a very important step before a vestibulectomy. It is done in the OR or Preop area while the patient is awake
What is mark the areas of pain
400
The age when Jeff met his wife
What is 18
500
If a patient had hyperalgesia of the vestibule in the pattern shown on the paper, please mark the best area for your planned vestibulectomy.
What is YOU CAN'T MISS IT
500
These are the criteria to make a diagnosis of vestibulitis
What is
1. Pain with touch or attempted vaginal entry
2. Localized allodynia and/or hyperalgesia to the vestibule
3. Elimination of other causes of vulvar pain
500
Please indicate whether each of the following is less than or greater than normal in a woman with chronic vulvar pain.
1. Tone of superficial muscles
2. Pelvic muscle strength on contraction
3. Ability to relax muscles of pelvic floor after contraction
What is
1. Increased
2. Decreased
3. Decreased
500
The only placebo-controlled randomized trial for po treatment of localized vulvar pain involved this po med.