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Worksheetsbenign and malignant of ovaries
Total questions: 10
Worksheet time: 5mins
Which ovarian malignancy is most strongly associated with BRCA mutation and often shows psammoma bodies on histology?
Mucinous carcinoma
Dysgerminoma
High-grade serous carcinoma
Granulosa cell tumour
Which benign ovarian tumour commonly contains hair and teeth due to differentiation of all three germ layers?
Serous cystadenoma
Endometrioma
Dermoid cyst (mature teratoma)
Follicular cyst
Which of the following is a risk factor for ovarian cancer?
Multiparity
Late menopause
Use of combined oral contraceptive pills
Early first pregnancy
High-grade serous ovarian carcinoma is believed to originate primarily from which site according to the fallopian tube theory?
Ovarian cortex
Fimbrial end of fallopian tube
Endometrium
Peritoneum
A woman presents with sudden severe lower abdominal pain and vomiting; ultrasound shows an ovarian cyst. What is the most likely complication?
Endometriosis
Ovarian torsion
PID
Ruptured ectopic pregnancy
Which investigation is most accurate for characterising an ovarian cyst?
CT abdomen
MRI pelvis
Transvaginal ultrasound
Abdominal X-ray
Which surgery is part of standard staging operation for ovarian cancer?
Cystectomy only
Total abdominal hysterectomy with bilateral salpingo-oophorectomy and omentectomy
Myomectomy
Appendectomy only
Which tumour marker is most useful in follow-up of granulosa cell tumours?
CA-125
hCG
Inhibin
AFP
Which of the following clinical features is most suggestive of ovarian malignancy rather than a benign cyst?
Unilateral small cyst
Mobile, smooth mass
Ascites with fixed irregular mass
Mild lower abdominal discomfort
Which combination is commonly used as first-line chemotherapy in epithelial ovarian cancer?
Methotrexate + 5-FU
Carboplatin + Paclitaxel
Doxorubicin + Cyclophosphamide
Cisplatin + Vincristine
