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BSOG-FOGSI Quiz Preliminary Round Conducted on 24Th April at API

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BSOG-FOGSI Quiz Preliminary Round Conducted on 24Th April at API BSOG-FOGSI quiz preliminary round conducted on 24th April at API Bhavana South Zone Yuva Fogsi 2016 Quiz – BSOG round Topic- Gynecological Oncology 24th April, 2016 (60 marks) Name: Institution: Dear participants, Welcome to the FOGSI Quiz 2016 Thirty questions are to be answered in 30 minutes. Circle the right answer. Scratching and overwriting will get a negative marking even if the final answer is right. Each correct answer gets 2 marks and a wrong one gets a negative marking of minus 1.The top 2 scorers will represent BSOG in South Zone Yuva FOGSI 2016 in Madurai on 22nd May 2016. The decision of the Quiz Master is final. Happy Quizzing!!! 1. With regards to the staging of endometrial cancer, pick the wrong answer a. Stage 1a Endometrial Adenocarcinoma is confined to the uterus and involves less than half of the myometrium b. Stage 4a Endometrial Adenocarcinoma invades bladder mucosa c. Stage 4b Endometrial Adenocarcinoma involves inguinal lymph nodes d. Stage 3c2 Endometrial Adenocarcinoma involves more than half of myometrium and pelvic lymph nodes Ans: Stage 3c1 is involvement of pelvic nodes, Stage 3c2 is involvement of paraaortic nodes 2. The average time between HPV infection and pre-cancer is a. 2-5 years b. 15-20 years c. 7-10 years d. 20-25 years Novak 3. What factor does not contribute to persistence and progression of HPV infection? a. Smoking b. Contraceptive use c. STDs d. Drinking alcohol Novak 4. On Colposcopy, Adenocarcinoma has the following features a. Mosaic pattern b. Punctate lesions c. Abnormal vasculature d. No specific findings Novak 1307 5. Chemical commonly used for frozen section is a. Methyl Chloride b. Ethyl Chloride c. Ethanol d. Ethyl Fluoride 6. Most common site of vulvar cancer is: a. Labia majora b. Perineum c. Prepuce of clitoris d. Bartholin gland Novak 7. Almost all primary malignancies of the fallopian tube are a. Transitional cell Ca b. Adeno-squamous Ca c. Squamous cell carcinoma d. Papillary serous adenocarcinoma Novak 8. Most common site for carcinoma vagina is: a. Lower ⅓ b. Middle ⅓ c. Posterior upper ⅓ d. Anterior Upper 1/3 Novak 9. A patient is receiving External Beam radiation for Metastatic Endometrial cancer. The treatment field includes the entire pelvis. Which of the following tissues within this field is the most radio-sensitive? a. Vagina b. Ovary c. Bladder d. Rectum MRCOG 10. A pregnant 35 year old patient is at highest risk for concurrent development of which of the following malignancies? a. cervix b. ovary c. breast d. colon MRCOG 11. A postmenopausal woman presents with pruritic white lesions on the vulva which is diagnosed as Lichen Sclerosus on biopsy. Which of the following histological features are consistent with the diagnosis of Lichen Sclerosus? a. Presence of thickened keratin layer b. Acute inflammatory infiltration c. Blunting or loss of rete pegs d. Presence of mitotic figures MRCOG 12. A 19 year old woman undergoes laparotomy for a 9 cm ovarian mass. The HPE report shows glial tissue, cerebellar and cortical tissue. The likely diagnosis is: a. Struma ovarii b. Sertoli-Leydig cell tumour c. Gonadoblastoma d. Immature Teratoma MRCOG 13. A 42 year old woman is reported as HSIL on Pap smear. She undergoes a colposcopy which is reported as showing evidence of HPV infection. Cervical biopsy comes as chronic cervicitis. What is the most appropriate step in the further management of this patient? a. Cryotherapy of the cervix b. Hysterectomy c. Conization of the cervix d. Repeat the Pap smear in 3-6 months MRCOG 14. In features of complete mole, pick the wrong answer a. Uterus usually large for dates b. Villous edema is widespread c. Subsequent GTN seen in 1-5 % of cases d. Marked Trophoblastic atypia Subsequent GTN is seen in 15-20 % of cases Williams 15. Worst prognosis in endometrial carcinoma is seen in a. Adenocarcinoma b. Adenocanthoma c. Mixed adeno-squamous carcinoma d. Clear cell Carcinoma Novak 16. Adenocarcinoma uterus along with sarcoma of the uterus is known as: a. Homologous sarcoma b. Leiomyoblastoma c. Malignant Mixed Mullerian Tumour d. Heterologous sarcoma Novak 17. All are features of vaginal sarcoma botryoides except: a. Mesenchymal tumour b. Grape like growth seen c. Common in old age d. Malignant 18. According to WHO classification of ovarian tumours, Brenner tumour of ovary belongs to: a. Epithelial tumors b. Sex cord stromal tumors c. Germ cell tumors d. Metastatic tumors Novak 19. Germ cell tumors are always unilateral in: a. Dysgerminoma b. Immature teratoma c. Embryonal cell carcinoma d. Endodermal sinus tumor Novak 20. All of these secrete sex-hormones, except a. Dysgerminoma b. Granulose cell tumor c. Hilus cell tumor d. Theca cell tumor 21. Sentinel node biopsy is found to be most useful in: a. Ca. cervix b. Ca. endometrium c. Ca. vulva d. Ca. vagina 22. The recommended age for HPV vaccination according to IAP is a. 7-9 yrs b. 10-12yrs c. 13-15 yrs d. 16-18 yrs 23. About the ureter, all are false except a. Is partially retroperitoneal b. Passes behind the Genitofemoral nerve c. Receives blood supply from the ovarian vessels d. Enters the pelvis mid-way along the Ext Iliac artery MRCOG 24. The following are all Alkylating agents except a. Cyclophosphamide b. Bleomycin c. Melphalan d. Thiotepa MRCOG Decode the following Acronyms 1 mark each, No Negative marking 25. ALTS: ASC-US/LSIL Triage Study 26. CASH study: Cancer and steroid hormone study 27. HE4: Human epididymis protein 4 28. PORTEC study– Post-Op Radiation Therapy in Endometrial Carcinoma 29. CA 125—Cancer Antigen 125 30. Match the following 1mark each. No negative marking 1. Signet Ring cells Krukenberg tumour 2. Call-Exner bodies Granulosa cell tumour 3. Puffed wheat nucleus Brenner tumour 4. Schiller-Duval bodies Endodermal Sinus Tumour 5. Psammoma bodies Serous Cystadenocarcinoma 6. Reinke Crystals Hilus Cell Tumour 7. Coffee Bean nucleus Granulosa Tumour.
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