EBCOG Part 1 Oncology – Day 2 SBA

1.53 year old woman presents with symptoms of an ovarian mass that has been confirmed on ultrasound.It is a theca cell tumour.What is the most appropriate advice regarding prognosis?

a.She should be assured they are typically malignant.
b.That upto 10% of them are androgenic.
c.That Meig syndrome is a recognised complication.
d.They are characteristically bilateral.
e.No need to screen for endometrial hyperplasia.

2.69 year old woman underwent optimal surgical staging for suspected early stage ovarian cancer.Her histology showed stg 1a grade3 serous epithelial ovarian cancer.What is the preferred plan of care after discussion in MDT?

a.Offer adjuvant chemotherapy as 6 cycles of carboplatin
b.Follow up in 3 months with CT scan & serum CA125.
c.Follow up in 6 months with CT scan & serum CA 125.
d.Offer adjuvant chemotherapy as 6 cycles of paclitaxel.
e.Offer adjuvant chemotherapy as 6 cycles of carboplatin & bevacizumab

3.Systematic retroperitoneal lymphadenectomy as part of standard surgical treatment in women with suspected ovarian cancer whose disease is confined to ovaries should be avoided as per guidelines.What is systematic retroperitoneal lymphadenectomy?

a.Block dissection of common,external & internal iliac & obturator LN.
b.Block dissection of LN from pelvic side wall to level of renal veins.
c.Block dissection of common,external & internal iliac LN.
d.Block dissection of common,external & internal iliac,obturator ,lower para-aortic & bifurcation of aorta LN.

4.RMI is recommended to triage post menopausal women with ovarian cyst to assess low ,moderate or high risk of malignancy. What is the risk of ovarian cancer in a woman who has RMI of 25-250?

a.3%
b.20%
c.25%
d.60%
e.75%

5.Calculate the risk of malignancy index in a post menopausal woman who presents with an ovarian cyst ,which shows solid areas & there is evidence of ascites.Her serum CA 125 level is 100.

a.300
b.450
c.600
d.750
e.900

6. The incidence of occult ovarian cancers detected in women with BRCA mutation who undergone risk reducing salpingo-oophorectomy is

a.1 – 2%
b. 5 – 7%
c.10- 12%
d. 25 – 30%
e.40 to 50%

7. Call Exner bodies are found in

a. Dermoid tumours
b.granulosa cell tumours
c.mature teratomas
d.serous cystadenomas
e.theca cell tumours

8.Mrs xy is 64 years old ,post menopausal .Her recent TV ultrasound scan reveals the presence of 4 cm right ovarian cyst .The cyst shows anechoic fluid with no solid areas .There is no free fluid .The left ovary is normal.Serum CA 125 is 5 u/ml.which of the following treatment options are best suited to her ?

a.discharge from care
b.laparoscopy and unilateral or bilateral saplingo-ophorectomy
c.repeat TVS+ Se CA125 at 4 mths interval for a year
d.repeat TVS +Se CA125 at yearly interval for 2 years
e.USG guided cyst aspiration

9. All of the following statements regarding borderline ovarian tumours are true except

a.BRCA gene mutation carriers are not at increased risk for the development of borderline ovarian tumours .
b.complete surgical staging is the cornerstone of management
c.lactation is found to be protective against borderline ovarian tumours
d.oral contraceptive use is protective against the development of borderline ovarian tumours
e.Stomal invasion is not seen .

10.70 year old woman has undergone laparotomy for suspected ovarian cancer .At laparotomy ,the cancer is found to involve the left ovary and uterus and she has positive peritoneal washings .As per the FIGO classification for staging of ovarian cancer ,what is her staging ?

a.Stg 1C
b.Stg IIA
c.Stg IIB
d.Stg IIC
e.Stg IIIC

EBCOG Part 1 Oncology – Day 2 SBA

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