FCPS Part 2 Written – 3 Months Course July 22 – Oncology Part 2 – Day 2
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1. A 45-year-old woman complains of intermenstrual bleeding for the past 6 months. Past history includes 6 normal vaginal deliveries and hypertension and last smear was over 5 years ago. On speculum examination, there is a raised 2 cm friable area on the cervix.What is the most likely diagnosis?CorrectIncorrect
2.A 40-year-old woman with severe dyskariosis on smear underwent colposcopy and large loop excision of transformation zone (LLETZ). Histology confirmed a moderately differentiated squamous cell carcinoma 4mm deep and 6mm wide. Clinical and radiological examination confirmed organ confined disease.What stage of cervical cancer is this?CorrectIncorrect
3.A 53-year-old woman is diagnosed with stage IA1 cervical squamous cell carcinoma after histological, clinical and radiological assessment. What is the most appropriate management plan?CorrectIncorrect
4.A 35-year-old woman is diagnosed with stage IB1 cervical squamous cell carcinoma of the cervix on histological and clinical assessment.What is the most appropriate radiological investigation for this patient?CorrectIncorrect
5.The following are recommended by FIGO for staging of cervical cancer except:CorrectIncorrect
6.All of the following about adenocarcinomas of the cervix are true except:CorrectIncorrect
8.Ms. XY is 55 years old. She underwent a TAH + BSO, 4 weeks ago. Her preoperative histology following a prior loop excision of the cervix suggested incompletely excised CIN 3. She is at a consultant-led follow-up clinic to discuss her further management. Which of the following treatment options are best suited to her?CorrectIncorrect
9.The role of the sentinel lymph node mapping is most established in this gynaecological malignancy:CorrectIncorrect
9.A patient wishes you to explain the concept of cervical intraepithelial neoplasia (CIN) III, which has been diagnosed fromher cervical biopsy after a low-grade squamous intraepithelial lesion (LGSIL) was found on a Pap smear. What can you correctly tell her about CIN III?CorrectIncorrect
10.Lifetime increase in risk of breast cancer with CTPA:CorrectIncorrect