Answer to Question 1
ANS: C
A vesicovaginal fistula, which develops between the bladder and vagina, is the most common type of genital fistula. A small opening permits seepage of urine, although the patient may void normally. Total incontinence may result from a large fistulous aperture and cause irritation of the vagina, vulva, and thighs.
Answer to Question 2
ANS: B
A Bartholin gland is a secretory duct. When the gland is obstructed, a cyst forms and enlarges as mucous secretions accumulate. Marsupialization establishes drainage from within the vagina by creation of a new, enlarged ductal opening. The cyst is incised linearly in the region of the normal opening and evacuated. The edges of the vaginal mucosa and cyst wall are sutured together to produce epithelialization so that the cyst cannot recur.