Deck 5: Gynecological Cysts, HPV, and Cervical Carcinoma

Question 1

Considering endometroid cyst :

A)not uncommon
B)due to menstrual reaction
C)torsion is common
D)a&b .
E)all the above

Answer 1

a&b .

Question 2

Considering endometrial cyst ttt all true except :

A)GNRH is of benefit
B)laparosope idicated in small cyst
C)laparotomy is preferred
D)recurrence is not common
E)none

Answer 2

recurrence is not common

Question 3

Considering the follicular cyst it is rarely associated with :

A)endometrial hyperplasia
B)acute abdomen
C)polycystic ovary
D)On PV in obese patient it may rupture .
E)none

Answer 3

acute abdomen

Question 4

Female patient with history of endometriosis , menstrual disorders complaining from pain on right iliac fossa , on examination there was tenderness on right iliac fossa with no rebound pain no rigidity , on CBC it was normal , most likely :

A)peritonitis
B)appendicitis
C)follicular cyst
D)non of the above
E)none

Question 5

Considering a case of follicular cyst it need all of following except :

A)assurance follow up
B)OCP
C)usually surgical removal
D)repeated US
E)none

Question 6

Considering the follicular cyst all of following is true except :

A)associated with metropathia hemorrhagica
B)OCP indicated in ttt
C)the second common functional cyst
D)TAS is the gold standard diagnostic method
E)none

Question 7

Considering the endometroid cyst :

A)associated with dysmenorrhoea
B)associated with pelvic pain
C)associatd with pelvic endometriosis
D)All of the above
E)none

Question 8

Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be :

A)follicular cyst
B)theca lutein cyst
C)corpus luteum cyst
D)none of the above .
E)all

Question 9

A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:

A)Vaginal hysterectomy
B)Radical hysterectomy/Radiotherapy
C)Cold-knife conization of the cervix
D)Loop excision of the cervical tranformation zone
E)none

Question 10

The following about human papilloma virus (HPV) infection are correct EXCEPT:

A)It is the most common viral STDs.
B)It may lead CIN and cervical cancer.
C)It is due to RNA virus.
D)Infection may be warty or flat condyloma.
E)Infection is usually associated with others STDs.

Question 11

The lymphatic drainage of the cervix is to the following lymph nodes EXCEPT:

A)The femoral lymph nodes.
B)The internal iliac lymph nodes.
C)The para-cervical lymph nodes.
D)The pre-sacral lymh nodes.
E)The Obturator lymph nodes

Question 12

The commonest secondary change in uterine fibroids is:

A)Fatty degeneration
B)Myxomatous degeneration.
C)Hyaline degeneration
D)Cystic degeneration
E)Calcification

Question 13

The following is correct about the ovarian ligaments:

A)Contain ureters.
B)Contain ovarian arteries.
C)Are attached laterally to pelvic wall.
D)Lie anterior to the broad ligament.
E)Are homologous to part of the gubernaculums testis in the male

Question 14

The severity of CIN is graded

A)1-3
B)1a-4a
C)I-III+ I-IV
D)A-C
E)none

Question 15

Cervical polyps

A)causes spontaneous abortion
B)are cause of antepartum hge
C)cause watery vaginal discharge
D)are covered by squamous epithelium
E)cause intermenstrual bleeding

Question 16

Involves pelvic LN clearance, hysterectomy, removal of the parametrium and the upper third of the vagina.

A)Wartman's hysterectomy
B)Wertheim's hysterectomy
C)Wertheims Trachelectomy
D)Radical trachelectomy
E)Trachelems hysterectomy

Question 17

5 year survival for someone with stage 3-4 cervical carcinoma

A)10-30%!!!
B)80-95%
C)2-10%
D)65-80%
E)45-60%

Question 18

Cervical carcinoma spread and staging: Microinvasion of the basement membrane, <7mm across, with no lymph/vascular space invasion

A)Stage 1b
B)Stage 3
C)Stage 4
D)Stage 1a
E)Stage 2a

Question 19

Acetic acid turns a portion of the cervix _____ in a patient with a CIN

A)Green
B)Blue
C)Brown
D)Orange
E)White

Question 20

Typical cells are found only in the lower third of the epithelium

A)CIN III
B)CIN I
C)CIN V
D)CIN IV
E)CIN II

Question 21

A 42-year-old G4P4 has had postcoital bleeding for the past four months. She has not had a Pap test since the delivery of her last child 7 years ago. Speculum examination shows a vaginal discharge and a 1 cm exophytic lesion of the posterior cervical lip. The most appropriate next step is:

A)Perform a Pap smear
B)Perform a cold-knife conization
C)Give the patient a course of intravaginal Metronidazole gel followed by reexamination in 6 weeks
D)Perform a punch biopsy of the lesion
E)none

Question 22

The area where cervical carcinoma usually originates

A)Neoplastic zone
B)Metaplastic field
C)Retrograde area
D)Transformation zone
E)Transition field

Question 23

Cervical carcinoma is most common between the ages of

A)45-55
B)16-18
C)18-22
D)35-45
E)25-35

Question 24

Cervical carcinoma characteristically spreads in the

A)Tissue
B)Lymph
C)Bone
D)Blood
E)Mucus

Question 25

Which of the following is thought to be protective against CIN?

A)HIV
B)Oral contraceptive usage
C)Long term sexual abstinence
D)Smoking
E)Long term steroid use