Deck 34: Gynecological Tumors

Question 1

1)Bolus may be used when treating which of the following cancers?

A) Ovarian
B) Cervical
C) Vaginal
D) Vulvar

Answer 1

D
The vulva and perineum usually develop significant moist desquamation as a result of the smaller thickness of tissue in the region relative to the pelvic separation, the tangential delivery of the external beam, and the need for use of bolus.

Question 2

18)The prescription point A can be measured from the cervical os ______________.

A) 2 cm superior and 2 cm lateral
B) 2 cm inferior and 2 cm lateral
C) 3 cm superior and 5 cm lateral
D) 3 cm inferior and 5 cm lateral

Answer 2

A
Central doses are traditionally prescribed to the point A prescription point, usually defined as 2 cm superior to the cervical os and 2 cm lateral to the endocervical canal.

Question 3

14)Which of the following cancers is treated with the patient in the "frog leg" position?

A) Ovarian
B) Cervical
C) Vaginal
D) Vulvar

Answer 3

D
The patient with vulvar cancer is usually simulated in the "frog leg" position, with wires over surgical scars and palpable nodes so that they may be included within the field.

Question 4

20)Diarrhea is a side effect of pelvic irradiation.Patients experiencing this side effect should be advised to adhere to a _________diet.

A) high-calorie
B) low-calorie
C) low-fiber
D) high-fiber

Question 5

11)Who has the most significant risk of developing ovarian cancer?

A) 35-year-old woman with one child
B) 35-year-old woman with five children
C) 65-year-old woman with one child
D) 65-year-old woman with five children

Question 6

6)Chlamydia infections are a risk factor for developing which female reproductive cancer?

A) Ovarian
B) Cervical
C) Vaginal
D) Vulvar

Question 7

5)Overall, cervical cancer occurs most frequently with those associated with which of the following factors?
I)Women of lower socioeconomic status
II)Early sexual activity and multiple partners
III)Multiple instances of pelvic infection

A) I and II
B) I and III
C) II and III
D) I, II, and III

Question 8

16)Which female reproductive organ is most likely to develop cancer?

A) Ovarian
B) Uterus (endometrium)
C) Vaginal
D) Vulvar

Question 9

4)Cervical cancer that has spread outside the cervix to the upper third of the vagina is which stage?

A) I
B) II
C) III
D) IV

Question 10

12)Treating ovarian cancer with radiation blocks which of the following organs?

A) Ovaries
B) Kidneys
C) Small bowel
D) Spinal cord

Question 11

8)Ovarian cancer is most closely related to which other cancer(s)?
I)Breast
II)Colon
III)Cervical

A) I only
B) I and II
C) II and III
D) I, II, and III

Question 12

19)Radiation therapy to the peritoneum for ovarian cancer would extend from which of the following?

A) Diaphragm to the 5th lumbar vertebrae
B) 5th lumbar vertebrae to the ischial tuberosities
C) Diaphragm to the floor of the pelvis
D) Tenth thoracic vertebrae to the symphysis pubis

Question 13

17)Which is true of a cervical cancer with a stage II classification?
I)The cancer invades beyond the uterus but not to the pelvic sidewalls.
II)The cancer extends to the lower third of the vagina.
III)Bladder or rectum involvement is possible.

A) I
B) II
C) III
D) I, II, and III

Question 14

15)Which of the following cancers can be treated using whole abdomen irradiation?

A) Ovarian
B) Cervical
C) Vaginal
D) Vulvar

Question 15

7)Intraperitoneal radiopharmaceuticals can be used to treat which of the following female reproductive organs?

A) Ovarian
B) Uterus (endometrium)
C) Vaginal
D) Vulvar

Question 16

9)Pap testing is a screening tool used to detect which cancer?

A) Ovarian
B) Cervical
C) Vaginal
D) Vulvar

Question 17

13)What is the common name for the female external genitalia?

A) Vulva
B) Mons pubis
C) Labia
D) Perineum

Question 18

2)Cancer of which female reproductive organ is most deadly?

A) Ovarian
B) Uterus (endometrium)
C) Vaginal
D) Vulvar

Question 19

10)Primary peritoneal carcinomas are most closely associated with which cancer?

A) Ovarian
B) Cervical
C) Vaginal
D) Vulvar

Question 20

3)Cancer of which organ can be genetically linked to breast cancer?

A) Ovarian
B) Uterus (endometrium)
C) Vaginal
D) Vulvar