A 35-year-old woman, gravida 1, para 0, at 12 weeks gestation comes to the office for evaluation of genital warts. She first noticed the warts last week and is concerned that it has persisted. The patient has occasional mild pruritus but no pain. She is currently sexually active with her boyfriend and engages in oral and vaginal intercourse. Examination shows several verrucous, skin-colored lesions over the labia majora. The patient asks whether the lesion could affect her future child. The virus involved in this patient's condition also has an affinity to infect which of the following structures?

Question

A 35-year-old woman, gravida 1, para 0, at 12 weeks gestation comes to the office for evaluation of genital warts.  She first noticed the warts last week and is concerned that it has persisted.  The patient has occasional mild pruritus but no pain.  She is currently sexually active with her boyfriend and engages in oral and vaginal intercourse.  Examination shows several verrucous, skin-colored lesions over the labia majora.  The patient asks whether the lesion could affect her future child.  The virus involved in this patient's condition also has an affinity to infect which of the following structures?

Quizplus · Accepted Answer

Eductional Objective: Human papilloma virus (HPV) is a small DNA virus with a tropism for stratified squamous epithelium, which protectively lines anatomical areas that undergo frequent friction and abrasion, including the true vocal cords, cervix, and anus.  Infants can acquire respiratory papillomatosis via passage through an HPV-infected birth canal.

A 35-Year-Old Woman, Gravida 1, Para 0, at 12 Weeks