Gynac 2. Cancer Cervix Flashcards

1
Q

Endocervix : -

  1. Lies close to:-
  2. Lined by :-
  3. Colour :-
A

547

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2
Q

Exocervix

  1. Part of cervix that lies :-
  2. Lined by :-
  3. Colour :-
A

547

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3
Q
External os :- 
Part where cervix :- 
Shape 
1. :- 
2. :-
A

547

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4
Q

Transformation zone

  1. Junction :-
  2. Dynamic point : -
  3. Lies at the level of :-

Trnaspformation zone movies outward ( toward cervix ) under 3 Ps

Moves inward when there’s no :-
I.e :-

A

547-548

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5
Q

Classification of transformation zone :-
Type 1 :-
Type 2 :-
Type 3 :-

Colour :-

A

548

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6
Q

Cancer cervix

MC cancer of cervix :-
MC site of cancer cervix :-
MC site of adenocarcinoma cervix :-

A

548

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7
Q
Lymphatic drainage of cervix :- 
H
O
P
E 

MC LN involved in CA cervix :-
Sentinal LN for CA cervix :-
Superficial LN in CA cervix :-

A

548

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8
Q

Pathogenesis of CA cervix

  1. Metaplasia :-
  2. Dysplasia :-
Classification of dysplasia 
CIN :- 
CIN 1 :- 
CIN 2 :- 
CIN 3 :- 
Cancer in situ :- 
Invasive cancer cervix :-
A

549

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9
Q

Bethesda classification:-
CIN 1 :-

CIN 2 :-
CIN 3 :-
Cancer in situ :-

Note :- dysplastic cells :-

A

549

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10
Q
Cancer cervix risk factor 
Most important :- 
Increase chances of inf in :- 
Other 
1. 
2. 
3. OCP causes :- 
4. Exposer to :-
A

550

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11
Q

Human papilloma virus :-

  1. Viral protein required
    a. For attachment:-
    b. For viral replication :-
    c. For malignancy:-

E6 :- suppresses :-
E7:- suppresses :-

A

551

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12
Q

Diagnosis of HPV :- ,,,,,,,,,

  1. ( best )

Done in female :-

A

551

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13
Q

HPV subtypes :-

A

551

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14
Q
One liner 
MC HPV associated with cancer cervix :- 
MC HPV associated with SCC of cervix :- 
Most specific HPV for CA cervix :- 
MC HPV asso with adenocarcinoma cervix :-
A

551

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15
Q
Bivalent vaccine :- 
Brand :- 
HPV subtype :- 
Protect against:- 
Dosage schedule:- 
Route :- 
Administrated to :-
Adjuent :-
A

552

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16
Q

Quadrivalent vaccine

Brand :- 
HPV subtype :- 
Protect against:- 
Dosage schedule:- 
Route :- 
Administrated to :-
Adjuent :-
A

552

17
Q

9 valent

Brand :- 
HPV subtype :- 
Protect against:- 
Dosage schedule:- 
Route :- 
Administrated to :-
Adjuent :-
A

552

18
Q
Age of vaccine administration:- 
Ideal age :- 
MC complication :- 
Contraindication 
1. 
2. 
3.
A

553

19
Q
MC age group of HPV inf :- 
MC sexually transmitted disease ( std ) in usa :- 
MC age for 
CIN :- 
Cancer in situ :- 
Cancer cervix :-
A

553

20
Q

Diagnosis of CA cervix :-

Screening test

  1. Rural area :-

Diagnostic test :-
1.
2.

A

553

21
Q
Pap smear 
Age to start :- 
Instruments :- image 
1. 
2. 
Sample site 
Slide 1:-         To detect 
Slide 2 :-        To detect 
Slide 3 :-       From 

Images :-

A

554

22
Q

Sample site for cytology ( Pap smear ) :-
Sample site for hormone study :-

Fixative used in :-

A

555

23
Q

Liquid based cytology
1. Instrument:-
2. Ficpxative :-;
3.

A

555

24
Q
Guidelines for Pap smear :- 
1. Start pap smear at:- ,,,,,,,,,
    Repeat every :- 
    Till women becomes :- 
    From age ,,,,to ,,,yr of age :- ,,,,,,,,,l+ ,,,,,,,,
    Done every :-         
Or continue :-
A

556

25
Q
  1. Stop Pap smear at :- ,,,,, years age
    Criteria to stop:-
    1. :-
    2.:-
  2. HIV positive female :-
    Screening every :-
    Uncertain to stop :-
  3. Female treated for
    Continue for :-
  4. If female has taken HPV vaccine :
    :-
A

556

26
Q

VIA:-
Dysplasia +ve colour : -
Normal :-

A

556

27
Q

VILI
Dysplasia +ve colour :-
Unstained reason :-
Normal :-

A

556

28
Q
Report or action of Pap smear :- 
Report 1 :- 
Report 2 :- 
Report 3 :- 
Report 4 :- 
Report 5 :- 
Report 6 :- 
Report 7 :- 
Report 8 :-
A

557

29
Q
Report 3 :-  ,,,,,,
Pap can detect inf 
1. 
2. 
3. 
4. 
5. 
Pap smear can not detect :- 
1. 
2.
A

557

30
Q

Report 4 :-
ASCUS :-
% ,,,,,to convert in ,,,,,,,

  1. Age 21-24 :- ,,,,,,,,
  2. Age > 25 :-
A

557

31
Q

Report 5 :-
LSIL
1. :-
2. :-

In case of HSIL :- growth not visible :-

A

558

32
Q

LSIL in female ( 21-24 ) :-
Follow up with :-
Contraindicated:-

LSIL in post menopausal :-

LSIL in pregnant female :-

In HSIL :-

A

558

33
Q

Other report and action of Pap smear :-

  1. Pap :- normal , but HPV DNA is positive :-
    Repeat:-
    Persist
    Do :-
A

559

34
Q

Report 6 :-
% of conversion :-
HPE cannot exclude :-
Do :-

A

559

35
Q

Report 7
Lesion visible :-
Lesion not visible :-

A

559

36
Q

Report 8 :-
Suggest :-
Test done :-

A

559