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Category: Obstetrics & Gynecology--->Benign and Malignant Disorders of the Breast and Pelvis
Page: 3

Question 11# Print Question

A pregnant 35-year-old patient is at highest risk for the concurrent development of which of the following malignancies? 

A. Cervix
B. Ovary
C. Breast
D. Vagina
E. Colon


Question 12# Print Question

Stage Ia2 microinvasive cervical cancer is diagnosed based on cervical biopsy in a 34-year-old woman who is 12 weeks’ pregnant.

What is the best next step in management?

A. Recommend pregnancy termination so her cervical cancer can be treated
B. Perform a cone biopsy
C. Treat her with chemotherapy during the pregnancy
D. Wait until after the pregnancy to treat her cervical cancer
E. Treat the cervical cancer with radiation during the pregnancy


Question 13# Print Question

A 54-year-old woman presents for well-woman examination. On pelvic examination you palpate an enlarged, tender right adnexal mass. You order a pelvic ultrasound as the next step in this patient’s evaluation.

Which of the following sonographic characteristics of the cyst in this patient would warrant further evaluation for possible ovarian malignancy?

A. Lack of pelvic ascites
B. The presence of a unilocular cyst in one ovary
C. Papillary vegetations within a cystic ovary
D. An ovarian cyst with a diameter of 4 cm
E. Demonstration of arterial and venous flow by Doppler imaging


Question 14# Print Question

A 70-year-old woman presents for evaluation of a pruritic lesion on the vulva. Examination shows a white, friable lesion on the right labia majorum that is 3 cm in diameter. No other suspicious areas are noted. Biopsy of the lesion confirms squamous cell carcinoma.

In this patient, lymphatic spread of the cancer would be first to which of the following lymph nodes? 

A. External iliac lymph nodes
B. Superficial inguinal lymph nodes
C. Deep femoral lymph nodes
D. Periaortic nodes
E. Internal iliac nodes


Question 15# Print Question

A 17-year-old girl is seen by her primary care physician for the evaluation of left lower quadrant pain. The physician felt a pelvic mass on physical examination and ordered a pelvic ultrasound. You are consulted because an ovarian neoplasm is identified by the ultrasound.

Which of the following is the most common ovarian tumor in this type of patient?

A. Germ cell
B. Papillary serous epithelial
C. Fibrosarcoma
D. Brenner tumor
E. Sarcoma botryoides




Category: Obstetrics & Gynecology--->Benign and Malignant Disorders of the Breast and Pelvis
Page: 3 of 12