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Endometrial Carcinoma

Total questions: 10

Worksheet time: 8mins

Name
Class
Date
1.

What is the etiology of most carcinomas of the endometrium?

a)

Incessant ovulation

b)

Unopposed estrogen

c)

Genetic predisposition

d)

Viral infection

2.

Who among the following patient has increased chance of developing Endometrial Carcinoma?

a)

40 years old, G6P6 commercial sex worker with complaint of foul smelling discharge

b)

35 years old, Nulligravid, Obese I, with complaints of intermenstrual spotting

c)

50 years old, Nulligravid, Obese I, with postmenopausal bleeding

d)

55 years old, G7P7 with complaints of introital mass

3.

A 50 years old Nulligravid complained of post menopausal spotting, on transvaginal ultrasound revealed thickened endometrium. What is the NEXT best step?

a)

Endometrial sampling

b)

Cervical biopsy

c)

Repeat transvaginal ultrasound

d)

High dose progesterone therapy

4.

On endometrial biopsy, the following is seen under the microscope. What is the diagnosis?

a)

Brenner Tumor

b)

Squamous Cell Carcinoma

c)

Disordered proliferative endometrium

d)

Endometrioid Adenocarcinoma

5.

What is the cut off for a thickened endometrium in postmenopausal women?

a)

> 2 mm

b)

>4 mm

c)

>5 mm

d)

>1 cm

6.

Which of the following diminishes the risk for Endometrial carcinoma?

a)

Use of oral contraceptive pills

b)

Diabetes Mellitus

c)

Nulliparity

d)

Late Menopause

7.

Which of the following histopathologic finding is suggestive of uterine leiomyosarcoma

a)
b)
c)
d)
8.

Which of the following characteristics points to Type 2 Endometrial Cancer?

a)

Estrogen dependent

b)

Serous papillary type

c)

Better prognosis

d)

Positive Estrogen Receptors

9.

A 48 yo has been diagnosed with Endometrioid Adenocarcinoma grade I on endometrial sampling. What is the best approach?

a)

Ex Lap, TAHBSO with BLND

b)

Ex Lap, EHBSO with BLND

c)

Ex Lap, TAH with BLND

d)

Concurrent chemoradiation

10.

The patient underwent Ex Lap, EHBSO with Lymph Node dissection. Final histopath revealed Endometrioid adenocarcinoma grade I with invasion of 70% of the myometrium, negative lymph nodes. What is the most likely stage?

a)

IA

b)

IB

c)

IIIA

d)

IIIC