Some examples from this set of practice questions
1.
Lichen sclerosis is considered a predisposing factor of this malignancy, which gynaecological malignancy is this?
Answer: VULVA cancer. lichen sclerosis is an autoimmune loss of vulval collagen, leading to a thin epithelium. it is the commonest in postmenopausal women. affected lesions appears shiny, white and tight and may be itchy and painful. areas of lichen sclerosis may be biopsied, as there is a 5% risk of progression to vulval intra-epithelial neoplasia (VIN) and eventually vulval squamous cell carcinoma
2.
What is the commonest cause of gynaecological cancer death in the UK?
Answer: OVARIAN cancer is the commonest cause of death from gynaecological cancer in the westernised society. Endometrial cancer is the commonest malignancy of the female genital tract.
3.
Which gynaecological malignancy is diabetes a risk factor for?
Answer: ENDOMETRIAL tumours are oestrogen dependent, hence many risk factors involve unopposed oestrogen exposure including COCP, obesity, nulliparity, late menopause, diabetes and pelvic irradiation for cervical cancer.
4.
Which gynaecological malignancy tends to present the following way: with intermittent abdominal pain which is relieved by sudden watery discharge?
Answer: FALLOPIAN TUBE cancer - this is rare and 70% are serous carcinomas. This clinical presentation occurs in 10% of fallopian tube malignancies.
5.
Which type of ovarian tumour is associated with Meig\'s syndrome?
Answer: Meigs\' syndrome is characterised as the triad of ascites, pleural effusion, and ovarian fibromas. Ovarian fibromas are sex cord tumours (they originate from teh stroma of the gonad)
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