Gynecologic Oncology — Flashcards
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Cytobrush is used to take samples from the _____
The given CT abdomen suggestive of hydronephrosis is suggestive of Stage _____ Cervical cancer
Choriocarcinoma in females may arise as a complication of _____ or as a spontaneous germ cell tumor
The next step in managing a patient who has HSIL on her pap smear is to perform a _____ and directed cervical biopsies
Treatment for primary invasive cervical carcinoma:IA1: Type _____ HysterectomyIA2: Type II (Modified Radical/ Wertheim) HysterectomyIB1-IB2, and IIA1: Type III (Radical/Meigs-Wetheim) HysterectomyIB3,IIA2 onwards: Chemoradiation
Theca-lutein cysts are often associated with _____ and hydatidiform moles
According to RCOG guidelines, in a patient with suspected post-menopausal ovarian cyst, laprotomy/laproscopy is indicated only if the size of the cyts is >_____cm or RMI is >200
_____ is indicated for CIN 1 that has persisted for >24 months and is confined to the ectocervix
_____ mutation carriers have increased risk for serous adenocarcinoma of the ovary and fallopian tube
Stage IB vulval cancer can be treated by _____ + ipsilateral inguinofemoral lymph node dissection (prophylactic)
Gynecologic Oncology Indian Medical PG Flashcards - Medical Study Cards
Master Gynecologic Oncology with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Gynecologic Oncology Flashcard Deck - 80 Cards
Flashcard 1: Cytobrush is used to take samples from the _____
Answer: endocervix
Flashcard 2: The given CT abdomen suggestive of hydronephrosis is suggestive of Stage _____ Cervical cancer
Answer: IIIB
Flashcard 3: Choriocarcinoma in females may arise as a complication of _____ or as a spontaneous germ cell tumor
Answer: gestation
Flashcard 4: The next step in managing a patient who has HSIL on her pap smear is to perform a _____ and directed cervical biopsies
Answer: colposcopy
Flashcard 5: Treatment for primary invasive cervical carcinoma:IA1: Type _____ HysterectomyIA2: Type II (Modified Radical/ Wertheim) HysterectomyIB1-IB2, and IIA1: Type III (Radical/Meigs-Wetheim) HysterectomyIB3,IIA2 onwards: Chemoradiation
Answer: I (Simple)
Flashcard 6: Theca-lutein cysts are often associated with _____ and hydatidiform moles
Answer: choriocarcinoma
Flashcard 7: According to RCOG guidelines, in a patient with suspected post-menopausal ovarian cyst, laprotomy/laproscopy is indicated only if the size of the cyts is >_____cm or RMI is >200
Answer: 5
Flashcard 8: _____ is indicated for CIN 1 that has persisted for >24 months and is confined to the ectocervix
Answer: Cryotherapy
Flashcard 9: _____ mutation carriers have increased risk for serous adenocarcinoma of the ovary and fallopian tube
Answer: BRCA1
Flashcard 10: Stage IB vulval cancer can be treated by _____ + ipsilateral inguinofemoral lymph node dissection (prophylactic)
Answer: partial vulvectomy
Flashcard 11: Clinical staging of CA cervix:Stage 3; C is involvement of _____ (C1)/para-aortic (C2) lymph nodes
Answer: pelvic
Flashcard 12: Papillary carcinoma of the breast typically presents as a _____ nipple discharge in a post-menopausal woman
Answer: bloody
Flashcard 13: _____ with post-renal failure is a common cause of death in advanced cervical carcinoma in females
Answer: Hydronephrosis
Flashcard 14: HPV-related vulvar carcinoma is most commonly due to HPV types _____ and 18 (high risk)
Answer: 16
Flashcard 15: Which strains of HPV are associated with cervical dysplasia or carcinoma in situ?_____
Answer: HPV16
Flashcard 16: Choriocarcinoma that arises from _____ has a very good response to chemotherapy
Answer: gestation
Flashcard 17: An abnormal pap smear is followed by confirmatory _____ (visualization of cervix with a magnifying glass) and biopsy
Answer: colposcopy
Flashcard 18: Buzz word for HPV _____ cancer: post-coital bleeding
Answer: cervical
Flashcard 19: Clinical staging of CA cervix:Stage 1: Limited to the cervix; A is a microscopic lesion with A1 having measured stromal invasion {{c1::
Answer: Clinical staging of CA cervix:Stage 1: Limited to the cervix; A is a microscopic lesion with A1 having measured stromal invasion {{c1::
Flashcard 20: Stage II vulval cancers of size 2-4cm can be treated by _____ + bilateral inguinofemoral lymph node dissection (prophylactic)
Answer: total vulvectomy
Flashcard 21: Vulvar carcinoma may be caused by two pathways: _____ related or non-HPV related
Answer: HPV
Flashcard 22: Clinical staging of CA cervix:Stage 2; A extends to the upper two-thirds of the vagina without parametrial involvement with A1 (invasive CA) {{c1::
Answer: Clinical staging of CA cervix:Stage 2; A extends to the upper two-thirds of the vagina without parametrial involvement with A1 (invasive CA) {{c1::
Flashcard 23: _____ cell tumor is an ovarian sex cord stromal tumor that often produces estrogen and inhibin
Answer: Granulosa
Flashcard 24: After a hydatidiform mole, patients should monitor _____ levels to ensure adequate mole removal and to screen for development of choriocarcinoma
Answer: hCG
Flashcard 25: Class IV PAP consists of CIN grade _____ and Bethesda grade high SIL
Answer: II, III or CIS
Flashcard 26: Staging of Vulval cancer:Stage _____ are lesions >2 cm in size, confined to the vulva or perineum or with stromal invasion > 1 mm
Answer: IB
Flashcard 27: Staging of Vulval cancer:Stage _____ are lesions d2 cm in size, confined to the vulva or perineum and with stromal invasion d 1 mm
Answer: IA
Flashcard 28: Stage II vulval cancers of size >4cm or poorly differentiated can be treated by _____ + bilateral inguinofemoral +pelvic lymph node dissection (prophylactic)
Answer: radical vulvectomy
Flashcard 29: The prognosis of gynecologic tumor epidemiology can be remembered with the mnemonic: CEOs often go from best to worst as they get olderC_____ > Endometrial > Ovarian
Answer: ervical
Flashcard 30: Ovarian surface epithelial tumors typically present _____ and therefore have poor prognosis
Answer: late
Flashcard 31: Besides for multiple sexual partners, the other major risk factors for cervical carcinoma are:- deficiency of the _____ system- infection by high-risk HPV - tobacco use- early onset of sexual activity- lack of barrier contraception
Answer: immune
Flashcard 32: _____ maybe indicated if the endocervical curettage is positive for CIN 2/CIN 3.
Answer: Conisation
Flashcard 33: Plateau of high serum -hCG level for _____ measurements during a period of 3 weeks or longer is an indicator of choriocarcinoma
Answer: four
Flashcard 34: Primary mucinous tumors of the ovary (e.g. surface epithelial tumor) are usually _____, where as Krukenberg tumors are usually bilateral (unilateral/bilateral)
Answer: unilateral
Flashcard 35: What is the next step in mx of a patient (postmenopausal) with pap findings of AGUS?_____
Answer: Colposcopy f/b endocervical curettage +endometrial biospy
Flashcard 36: Clinical staging of CA cervix:Stage 1: Limited to the cervix; B is a macroscopic lesion with B2 having _____cm in greatest dimension
Answer: 2-4
Flashcard 37: _____ maybe indicated if the limits of lesion cannot be visualized on colposcopy or SCJ is not seen at all
Answer: Conisation
Flashcard 38: What is the next step in mx of a patient (premenopausal) with pap findings of AGUS?_____
Answer: Colposcopy f/b endocervical curettage
Flashcard 39: Clinical staging of CA cervix:Stage 4; B is _____
Answer: distant mets.
Flashcard 40: Clinical staging of CA cervix:Stage 3; B extends to _____ (hydronephrosis/non-functioning kidney)
Answer: pelvic wall
Flashcard 41: _____ is used for staging, planning appropriate treatment and also determines the extent of spread of endometrial malignancy along uterine wall
Answer: Fractional curettage
Flashcard 42: Theca lutein cysts of molar pregnancy often spontaneously regress after _____ of the pregnancy
Answer: suction evacuation
Flashcard 43: When microinvasion is confirmed in class II/III/IV PAP, in a old parous woman, with a recurrent or persistent lesion, in-situ adenocarcinoma cervix, do _____
Answer: hysterectomy
Flashcard 44: Microinvasive carcinoma of the cervix is managed using a simple _____ in a woman with completed family
Answer: extrafascial hysterectomy
Flashcard 45: Theca-leutein cysts of size >_____cm or persistence is an indicator of choriocarcinoma
Answer: 6
Flashcard 46: A _____ is the next line of management in the patient of suspected CA cervix if symptomatic (eg. Postcoital bleeding) and has a visible lesion.
Answer: targeted biopsy
Flashcard 47: What is the ideal management of complete mole in a 40+ female who has completed her family?_____
Answer: Hysterectomy
Flashcard 48: Stage IA vulval cancer can be treated by _____
Answer: radical wide local excision
Flashcard 49: Microinvasive carcinoma of the cervix includes lesions within _____ mm of the base of the epithelium
Answer: 5
Flashcard 50: Clinical staging of CA cervix:Stage 2; B extends to the parametrium but not _____
Answer: pelvic wall
Flashcard 51: Clinical staging of CA cervix:Stage 2; A extends to the upper two-thirds of the vagina without parametrial involvement with A2 (invasive CA) _____cm in greatest dimension
Answer: >4
Flashcard 52: Stage IV vulval cancers can be treated by _____ as mainstay treatment along with local excision on residual tumor
Answer: chemorx or radiorx
Flashcard 53: Dysgerminoma is a highly radio_____ tumor.
Answer: sensitive
Flashcard 54: Stage III vulval cancers can be treated by _____ + local sx excision
Answer: megavoltage radiotherapy
Flashcard 55: Management of a Class III PAP smear is to test for HPV and follow up _____
Answer: yearly
Flashcard 56: Stage III vulval cancers can be treated by _____ for local recurrence
Answer: chemorx
Flashcard 57: Postmenopausal women with atypical endometrial hyperplasia, are treated by _____
Answer: hysterectomy
Flashcard 58: Most common presentation of Ca. cervix is stage _____
Answer: IIIB
Flashcard 59: CA-153 is raised most commonly in disorders of the _____
Answer: breast
Flashcard 60: Which is the only germ cell ovarian malignancy with significant rate of bilateral involvement?_____
Answer: Dysgerminoma
Flashcard 61: Clinical staging of CA cervix:Stage 4; A is _____ involvement
Answer: bladder/bowel
Flashcard 62: Clinical staging of CA cervix:Stage 1: Limited to the cervix; A is a microscopic lesion with A2 having measured stromal invasion _____mm depth
Answer: 3-5
Flashcard 63: Uterine malignancy is a(n) _____ contraindication to uterine artery embolisation
Answer: absolute
Flashcard 64: _____ is indicated for diagnosis in women with HSIL or adenocarcinoma in situ of the cervix
Answer: Conisation
Flashcard 65: Which ovarian tumor is more common in patients with ovarian dysgenesis?_____
Answer: Dysgerminomas
Flashcard 66: Management of a Class V PAP smear is to perform a _____ and treat according to stage
Answer: biopsy
Flashcard 67: Sentinel lymph node biopsy is most useful in _____ carcinoma among gynecological malignancies.
Answer: vulval
Flashcard 68: Clinical staging of CA cervix:Stage 1: Limited to the cervix; B is a macroscopic lesion with B3 having _____cm in greatest dimension
Answer: >4
Flashcard 69: According to RCOG guidelines, in a patient with suspected post-menopausal ovarian cyst size >1cm on USG, the next step would be to perform _____
Answer: CA-125 level measurements
Flashcard 70: Is conization diagnostic or therapeutic?_____
Answer: Both
Flashcard 71: -hCG levels >_____ mIU/mL is an indicator of choriocarcinoma
Answer: 100,000
Flashcard 72: Clinical staging of CA cervix:Stage 3; A extends to lower _____ of the vagina
Answer: 1/3
Flashcard 73: When microinvasion is suspected in class II/III/IV PAP, while not being able to visualize the transformation zone, or if there is a discrepancy of findings between cytology, colposcopy & biopsy, do _____
Answer: conization
Flashcard 74: In Stage IV vulval cancers with positive ipsilateral inguinofemoral lymph node, _____ node is removed
Answer: contralateral
Flashcard 75: The ureteric injury is most commonly associated with _____ hysterectomy
Answer: Wertheim
Flashcard 76: What is the gold standard for screening for Cervical Carcinoma?
Answer: Pap Smear
Flashcard 77: Stage _____ of cervial carcinoma involves the upper part of the vagina and parametrium.
Answer: II B
Flashcard 78: Malignant pleural effusion is defined as FIGO stage _____ of Ovarian carcinoma
Answer: IVA
Flashcard 79: _____ rotations in same direction with a broom are recommended for sampling for cervical cancer
Answer: Five
Flashcard 80: For treatment of low risk GTN, methotrexate with _____ is recommended
Answer: folinic acid
Keywords: Gynecologic Oncology flashcards, medical flashcards, NEET PG preparation, USMLE Step 1 flashcards, Anki alternative, spaced repetition medical, OnCourse flashcards
Study by Chapter
Cervical Cancer
Flashcards
Endometrial Cancer
Flashcards
Ovarian Cancer
Flashcards
Vulvar and Vaginal Cancer
Flashcards
Gestational Trophoblastic Disease
Flashcards
Screening for Gynecologic Cancers
Flashcards
Principles of Gynecologic Oncology Surgery
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Radiation Therapy in Gynecologic Malignancies
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Chemotherapy in Gynecologic Oncology
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Palliative Care in Gynecologic Oncology
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