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Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Benign and Malignant Disorders of the Breast and Pelvis
Page: 2

Question 6#Print Question

A 45-year-old G1P1 presents for her routine annual examination. The patient is a healthy smoker who has no medical problems. Her surgical history is significant for a cesarean delivery with bilateral tubal interruption. You perform a Pap smear, which returns showing high grade squamous intraepithelial lesion (HSIL). She undergoes colposcopy, which is inadequate.

Cone biopsy of the cervix shows squamous cell cancer that has invaded only 2 mm beyond the basement membrane with a lateral spread of 5 mm. There are no confluent tongues of tumor, and there is no evidence of lymphatic or vascular invasion. The margins of the cone biopsy specimen are free of disease.

How should you stage this patient’s disease?

a. Microinvasive cancer, stage Ia2
b. Carcinoma in situ
c. Microinvasive cancer, stage Ia1
d. Invasive cancer, stage Ib
e. Invasive cancer, stage IIa


Question 7#Print Question

A 45-year-old G1P1 presents for her routine annual examination. The patient is a healthy smoker who has no medical problems. Her surgical history is significant for a cesarean delivery with bilateral tubal interruption. You perform a Pap smear, which returns showing high grade squamous intraepithelial lesion (HSIL). She undergoes colposcopy, which is inadequate.

Which lymph node group would be the first involved in metastatic spread of this disease beyond the cervix and uterus?

a. Common iliac nodes
b. Sacral nodes
c. External iliac nodes
d. Paracervical nodes
e. Para-aortic nodes


Question 8#Print Question

A 45-year-old G1P1 presents for her routine annual examination. The patient is a healthy smoker who has no medical problems. Her surgical history is significant for a cesarean delivery with bilateral tubal interruption. You perform a Pap smear, which returns showing high grade squamous intraepithelial lesion (HSIL). She undergoes colposcopy, which is inadequate.  

This patient now asks you for your advice on how to treat her cervical cancer.

Your best recommendation is for the patient to undergo which of the following?

a. Treatment with external beam radiation
b. Implantation of radioactive cesium into the cervical canal
c. Extrafascial hysterectomy
d. Radical hysterectomy with pelvic lymphadenectomy
e. Treatment with adjuvant chemoradiation


Question 9#Print Question

A woman is found to have a unilateral invasive vulvar carcinoma that is 3 cm in diameter but not associated with evidence of lymph node spread.

Initial management should consist of which of the following?

a. Chemotherapy
b. Radiation therapy
c. Simple vulvectomy
d. Radical vulvectomy with bilateral lymphadenectomy
e. Radical local excision and ipsilateral inguinal lymphadenectomy


Question 10#Print Question

A woman is found to have a unilateral invasive vulvar carcinoma that is 3 cm in diameter but not associated with evidence of lymph node spread.

If this woman had multiple medical comorbidities, what would be the best option for management?

a. Chemotherapy
b. Radiation therapy
c. She should still undergo the same surgery that would be recommended for a healthy patient
d. Simple vulvectomy
e. She should not receive any treatment, and should be referred to hospice




Category: Obstetrics & Gynecology--->Benign and Malignant Disorders of the Breast and Pelvis
Page: 2 of 12