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Worksheetscancer cervix
Total questions: 20
Worksheet time: 10mins
The most common histological type of cervical cancer is:
Adenocarcinoma
Squamous cell carcinoma
Small cell carcinoma
Clear cell carcinoma
The most important risk factor for cervical cancer is:
Smoking
Multiparity
HPV infection
Early menarche
The recommended screening test for cervical cancer is:
CA-125
Pap smear
FNAC
Colonoscopy
HPV vaccines are most effective when given:
After first childbirth
After marriage
Before sexual activity
During menopause
woman has postcoital bleeding and a friable cervix. The next best step is:
Start antibiotics
Pap smear
Cervical biopsy
Hysterectomy
FIGO staging of cervical cancer is based
CT and MRI findings
Laparoscopic staging
Clinical examination
Tumor markers
Stage IB1 cervical cancer is best managed with:
Chemotherapy alone
Radical hysterectomy
Simple hysterectomy
Conization
The earliest symptom of cervical cancer is:
Weight loss
Pelvic pain
Postmenopausal bleeding
Postcoital bleeding
CIN III corresponds to which of the following?
Mild dysplasia
Moderate dysplasia
Severe dysplasia/CIS
Invasive cancer
The most common site of metastasis in carcinoma cervix is
Liver
Brain
Lungs
Pelvic lymph nodes
A 42-year-old woman presents with postcoital bleeding for 3 months. On per speculum examination, there is a friable, irregular growth on the cervix.
Q1. What is the next best step in management?
Pap smear
Colposcopy
HPV DNA testing
Cervical biopsy
biopsy confirms squamous cell carcinoma, what is the most probable etiological factor?
Epstein-Barr virus
Herpes simplex virus
HPV 16/18
CMV infection
A 30-year-old woman, para 2, presents for routine screening. She is asymptomatic. Pap smear shows HSIL (High-grade Squamous Intraepithelial Lesion).What is the next appropriate step in evaluation?
Repeat Pap smear in 6 months
Colposcopy with biopsy
Start antibiotics
LEEP procedure immediately
biopsy shows CIN II, what is the recommended treatment?
Observation and follow-up
Total hysterectomy
Cryotherapy
LEEP (Loop Electrosurgical Excision Procedure)
A 48-year-old woman presents with foul-smelling vaginal discharge and pelvic pain. Clinical examination suggests bulky cervix with parametrial involvement up to the pelvic wall.
Q5. What is the FIGO stage?
Stage IB
Stage IIA
Stage IIB
Stage IIIB
60-year-old postmenopausal woman complains of blood-stained vaginal discharge and urinary frequency. On pelvic examination, there is a hard, fixed cervical growth involving upper 2/3 of vagina.
Q2. What FIGO stage is most likely?
Stage IIA
Stage IIB
Stage IIIA
Stage IIIB
Best modality to evaluate hydronephrosis (for staging purposes)?
CT scan
Pelvic X-ray
Intravenous pyelogram (IVP)
MRI
29-year-old woman with a history of CIN III undergoes LEEP procedure. On follow-up at 6 months, her Pap smear is normal, and HPV test is negative.
Q4. What is the best follow-up plan?
Repeat LEEP
No follow-up needed
Pap smear and HPV test in 1 year
Annual colposcopy for life
52-year-old woman, para 4, presents with chronic watery vaginal discharge and lower abdominal discomfort. On exam: barrel-shaped cervix and bulky uterus, no parametrial involvement.
Q5. What is the likely diagnosis?
Chronic cervicitis
Cervical fibroid
Adenocarcinoma of cervix
Endometrial carcinoma
What is the best method for diagnosing adenocarcinoma
Pap smear
Punch biopsy
Endocervical curettage
Cone biopsy
