gyne- cervical and ovarian ca

Question 0

Cervical SCCA/AdenoCa: associated with early and freq sexual contact

Answer 0

SCCA

Question 1

Cervical SCCA/AdenoCa: most common cervical ca

Answer 1

SCCA

Question 2

Cervical SCCA/AdenoCa: not affected by sexual contact

Answer 2

Adenoca

Question 3

Cervical SCCA/AdenoCa: associated with sexual contact and cervical viral infection

Answer 3

SCCA

Question 4

Subtypes of cervical SCCA

Answer 4

Large cell( keratinizing and non keratinizing)
Small cell
Verrucous

Question 5

Cervical ca associated with diethylstilbestrol exposure

Answer 5

Clear cell cervical ca

Question 6

Subtypes of cervical adenoca

Answer 6

Typical (endocervical)
Endometrioid
Clear cell
Adenoid cystic
Adenoma malignum

Question 7

Basaloid cylindroma

Answer 7

Adenoid cystic of cervical ca

Question 8

Minimal deviation adenoca

Answer 8

Adenoma malignum of cervical ca

Question 9

Mixed cervical ca

Answer 9

Adenosquamous

Glassy cell

Question 10

Keratinizing/nonkeratinizing:

IRREG NESTS of squamous cells forming several PEARLS separated by fibrous stroma

Answer 10

Keratinizing

Question 11

Keratinizing/nonkeratinizing:

Discrete islands of UNIFORM large cells with abundant CYTOPLASM separated by fibrous stroma

Answer 11

Nonkeratinizing LCCA

Question 12

How many years younger is Small cell cervical ca to SCCA?

Answer 12

10y.o

Question 13

Small cell cervical ca is an aggressive ca which may metastasize to…

Answer 13

Bone
Liver
Skin
Brain

Question 14

Verrucous ca is a warty, large, bulbous mass wc is similar to

Answer 14

Vulva

Question 15

Risk factors for cervical adenocarcinoma

Answer 15

HPV DNA
OCP use
Lack of cervical cytologic screening

Question 16

Clear cell adenoca of cervix is histologically similar to…

Answer 16

Vagina

Ovary

Question 17

T or F: clear cell adenoca can develop simultaneously

Answer 17

True

Question 18

Adenoid cystic cervical ca resembles…

Answer 18

Cylindroma of salivary gland or breast origin

BCCa of Skin

Question 19

T or f: mixed cervical ca is a hospital diagnosis

Answer 19

True

Question 20

T or f: adenosquamous ca occur freq in nonpregnant women

Answer 20

False. Occurs in pregnant women

Question 21

Glass cell cervical ca is a SMALL/LARGE cell containing cyto with ground glass appearne which tends to metastasize to ____

Answer 21

Large cells

Metastasize in lymph nodes

Question 22

Mixed cervical ca

Answer 22

Adenosquamous ca

Glass cell ca

Question 23

Clinical features of cervical ca

Answer 23

Bleeding or brownish discharge
Ff douching or intercourse
Spont in between men’s

Question 24

Late manifestations of cervical ca which usually means extensive spread of ca

Answer 24

Back pain Loss of appetite Weight loss

Question 25

Age of cervical ca

Answer 25

40-60

Question 26

Preinvasive intraepithelial cervical ca age

Answer 26

20

Question 27

Diagnostic tests for cervical ca

Answer 27

Pap smear Colposcopy Endocervical curettage Biopsy

Question 28

Excisional/punch biopsy is preferable in cervical ca

Answer 28

Excisional biopsy

Question 29

Helps in selecting the biopsy sight where growth is a obvious in cervical ca

Answer 29

Schiller's test/acetic acid

Question 30

Biopsy for early cases of cervical ca

Answer 30

Cone biopsy

Question 31

Used in VIA

Answer 31

3-5% Acetic acid

Question 32

Used in schiller's test

Answer 32

Iodine

Question 33

Characteristic of good screening tool

Answer 33

``` High sn and sp Applied to asymptomatic women Diagnosis of disease at premalignant Easily applied to large grp Reasonable cost ```

Question 34

Adeq specimen of Pap smear

Answer 34

Squamo columnar junction

Question 35

Sn and sp of Pap smear

Answer 35

Sn 50% | Sp 95%

Question 36

Best yield Pap smear

Answer 36

Arye spatula plus endocervical brush

Question 37

Developed as a uniform system of terminology which provides clear guidance for clinical management

Answer 37

Bethesda system

Question 38

Most imp quality assurance of bethesda system

Answer 38

Evaluation of specimen adequacy

Question 39

When the degree of atypia is not sufficient to warrant diagnosis of SIL

Answer 39

ASC

Question 40

Management for ASC

Answer 40

Observe, ff up

Question 41

ASC-H have a significantly higher predictive value for ___ than ASC-US

Answer 41

CIN 2 or 3

Question 42

Management for ASC-US and ASC-H

Answer 42

Biopsy