Gynac 3. Management of CA cervix

Question 1

1. Colposcopy

Details :-

Answer 1

561

Question 2

Procedure of colposcopy :- 
1. Biopsy from :- 
2. Biopsy from :- 
3. Biopsy from:-
Apply :- 
Dysplastic area. :- 
Normal :- 
Metaplasia :-

Answer 2

561

Question 3

Disadvantage of colposcopy :-

Answer 3

561

Question 4

Case senario 
Pap smear :- HSIL 
Colposcopy :- normal 
Then 
Earlier :- 
Now :-

Answer 4

562

Question 5

Cone biopsy :- 
Details :- 
Biopsy must include :- 
Complications of cone biopsy :-
1. 
2. 
Leading to :-

Answer 5

562

Question 6

Indications of cone biopsy :- 
Diagnostic :- 
1. 
2. 
3. 
4. 
Therapeutic 
1.

Answer 6

562

Question 7

Management of CIN

1. CIN 1 :-
2. CIN 2 & 3 :-
3. Recurrent CIN :-
4. CIN extending to vaginal fornix :-

Answer 7

563

Question 8

CIN -1 in 21-24 year of age :-

Hysterectomy not done in :-

Answer 8

563

Question 9

LEEP :- 
LLETZ :- 
Details 
Done in :- 
Under :- 
Method :- 
Tissue can be removed upto depth of :-

Answer 9

563

Question 10

MC gynaecological cancer in world :-
2nd MC cancer seen in female worldwide :-
MC cancer seen in female world wide :-

MC type of cancer cervix :-
MC site of cancer cervix :-
MC symptom of cancer cervix :-
Most specific symptoms :-

Answer 10

564

Question 11

Case scenario :- 
Female with complian of postcoital bleed 
1st inv :-
Lesion visible :- 
Lesion not visible :- 

MC route of spread of CA cervix :- 
MC site of metastasis :- 
MC site of hematogenous spread :- 
MC cause of death in CA cervix :- 
2nd MC cause of death in cancer cervix :-

Answer 11

564

Question 12

Staging of CA cervix :-
Inv :- staging :- surgery :-

Inv recommended by FIGO :-

Answer 12

564

Question 13

Best inv for radiological assessment of tumor >~ 1 cm :-
Best inv for nodal metastasis:-
Suspected bladder / bowel involvement should confirmed by :-

Cystoscope / sigmoidoscopy :- indication :-
1.
2.

Answer 13

565

Question 14

Staging of CA cervix

Stage 1 :-
1A:-
1A1:-
1A2:-

1B :-
1B1:-
1B2:-
1B3:-

Answer 14

565

Question 15

Stage 2
2A:-
2A1:-
2A2 :-

2B :-

Answer 15

566

Question 16

Stage 3 :- 
3A :- 
3B :- 
3C :- 
3C1 :- 
3C2 :-

Answer 16

566

Question 17

Stage 4
4A:-
4B :-

Answer 17

566

Question 18

Management of cancer cervix principle :- 
1. Radiotherapy :- 
2. Radio-sensitiser :- 
Drug :- 
3 rarely involves :-

Answer 18

567

Question 19

Stage 1A1-2A1:-
Stage 1B3-2A2 :- because :-
Stage 2B-4 :-

Answer 19

567

Question 20

Management of cancer cervix

LN in all stages :- pelvic LN dissection

Stage 1A1
Young :-
Old :-

Stage 1A2
Young :-
Old :-

Stage 1B1
Young :-
Old :-

Stage 1B2 :-
Young :-
Old :-

Stage 2A 1 :-
Young :-
Old :-

Answer 20

567

Question 21

Radica trachelectomy :-
Removal of ,,,,,,,,,,,+,,,,,,,,,,
And anastomoses of ,,,,,,,,,&,,,,,,

Done only if size of tumor :-

Mode of delivery in a women post radical trachelectomy :-

Answer 21

568

Question 22

Post operative management of cancer cervix

Immediate Risk Factor ( 3s )

High risk factor :- 3Ps
1.
2.
3.

Answer 22

568

Question 23

Stage 1A1 :-

Answer 23

568

Question 24

All stage except 1A1

No risk factor :-
Immediate risk :-
High risk :-

Stage 2B-4
Stage 1B3 & 2A2 :-

Answer 24

568

Question 25

Radiotherapy in cancer cervix :-

Brachytherapy ( intra-cavitatory )
Isotope ;-
Low dose :-
High dose :-

Answer 25

569

Question 26

2 reference point :-

                       Point A.            Point B 
Location :- 
Structure 
Present :- 
Dose :-

Answer 26

569