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cancer cervix

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

The most common histological type of cervical cancer is:

a)

Adenocarcinoma

b)

Squamous cell carcinoma

c)

Small cell carcinoma

d)

Clear cell carcinoma

2.

The most important risk factor for cervical cancer is:

a)

Smoking

b)

Multiparity

c)

HPV infection

d)

Early menarche

3.

The recommended screening test for cervical cancer is:

a)

CA-125

b)

Pap smear

c)

FNAC

d)

Colonoscopy

4.

HPV vaccines are most effective when given:

a)

After first childbirth

b)

After marriage

c)

Before sexual activity

d)

During menopause

5.

woman has postcoital bleeding and a friable cervix. The next best step is:

a)

Start antibiotics

b)

Pap smear

c)

Cervical biopsy

d)

Hysterectomy

6.

FIGO staging of cervical cancer is based

a)

CT and MRI findings

b)

Laparoscopic staging

c)

Clinical examination

d)

Tumor markers

7.

Stage IB1 cervical cancer is best managed with:

a)

Chemotherapy alone

b)

Radical hysterectomy

c)

Simple hysterectomy

d)

Conization

8.

The earliest symptom of cervical cancer is:

a)

Weight loss

b)

Pelvic pain

c)

Postmenopausal bleeding

d)

Postcoital bleeding

9.

CIN III corresponds to which of the following?

a)

Mild dysplasia

b)

Moderate dysplasia

c)

Severe dysplasia/CIS

d)

Invasive cancer

10.

The most common site of metastasis in carcinoma cervix is

a)

Liver

b)

Brain

c)

Lungs

d)

Pelvic lymph nodes

11.

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?

a)

Pap smear

b)

Colposcopy

c)

HPV DNA testing

d)

Cervical biopsy

12.

biopsy confirms squamous cell carcinoma, what is the most probable etiological factor?

a)

Epstein-Barr virus

b)

Herpes simplex virus

c)

HPV 16/18

d)

CMV infection

13.

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?

a)

Repeat Pap smear in 6 months

b)

Colposcopy with biopsy

c)

Start antibiotics

d)

LEEP procedure immediately

14.

biopsy shows CIN II, what is the recommended treatment?

a)

Observation and follow-up

b)

Total hysterectomy

c)

Cryotherapy

d)

LEEP (Loop Electrosurgical Excision Procedure)

15.

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?

a)

Stage IB

b)

Stage IIA

c)

Stage IIB

d)

Stage IIIB

16.

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?

a)

Stage IIA

b)

Stage IIB

c)

Stage IIIA

d)

Stage IIIB

17.

Best modality to evaluate hydronephrosis (for staging purposes)?

a)

CT scan

b)

Pelvic X-ray

c)

Intravenous pyelogram (IVP)

d)

MRI

18.

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?

a)

Repeat LEEP

b)

No follow-up needed

c)

Pap smear and HPV test in 1 year

d)

Annual colposcopy for life

19.

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?

a)

Chronic cervicitis

b)

Cervical fibroid

c)

Adenocarcinoma of cervix

d)

Endometrial carcinoma

20.

What is the best method for diagnosing adenocarcinoma

a)

Pap smear

b)

Punch biopsy

c)

Endocervical curettage

d)

Cone biopsy