Gynae MCQs Flashcards
How is HSIL managed?
Proceed to colposcopy
LEEP/cold coagulation/cone biopsy
How is LSIL managed?
If HPV - → routine recall
If HPV + → colposcopy
How is ASCUS managed?
If HPV - → routine recall
If HPV + → colposcopy
What nodes does cervical cancer metastasise to?
Parametrial nodes
What is the stage of cervical carcinoma causes hydronephrosis?
Stage 3B
What stage of cervical carcinoma involves the lower 1/3 of the vagina?
Stage 3A
What are the risk factors for cervical cancer?
Multiple sexual partners
Early onset of sexual activities
High risk sexual partner
Immunosupression
Smoking
What type of epithelium lines the vulva?
Squamous
How is vulvar carcinoma diagnosed?
Punch biopsy plus staging scans (CXR, CT-TAP)
What are the risk factors for endometrial cancer?
Unopposed oestrogen (HRT, tamoxifen, obesity, early menarche, nulliparity)
Genetics (HNPCC)
Diabetes
What is the likely diagnosis in a 72yo female presenting with PV bleeding?
Endometrial cancer
What are the risk factors for ovarian cancer?
Increased age
Increased ovulation
Genetic (BRCA)
What is the most common type of benign ovarian neoplasm?
Serous cystadenoma
What is the most common type of malignant ovarian neoplasm?
Serous carcinoma (surface derived epithelial tumours)
What is the tumour marker in ovarian cancer?
CA-125