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1.A 85 year old woman presents to the gynecology clinic with a 4 month history of vulval pain.On exam she has a 3 cm irregular mass replacing the clitoris & extending to within 17 mm of urethra.Enlarged lymph nodes are palpable in both groins.What is the next appropriate action?CorrectIncorrect
2.A 75 year old woman was referred with erosive lesion of the vulva.On exam,there is a raised irregular lesion with ulceration & raised ulcer with rolled edges measuring 2cm in diameter.,What will you do next?CorrectIncorrect
3.75 year old lady has been referred to gynecology clinic with a raised irregular lesion in the left labia majora measuring 1.5x 1.5 cm.A punch biopsy from this lesion has confirmed a well differentiated squamous cell carcinoma with a depth of invasion of 0.6 mm.What is the most appropriate management for this patient?CorrectIncorrect
4.A 75 year old has been referred with vaginal soreness & a large irregular vulval lesion involving the left labia majora.She has a history of cardiac surgery.On exam,the lesion measures 4.5×4.5cm & has raised rolled edges with irregular contour.The lesion involves the left labia majora & minora & is >1 cm away from anus & urethra.Biopsy shows moderately differentiated SCC with depth of invasion 4 mm.MRI does not show enlarged groin or pelvic LN.what is the most appropriate management?CorrectIncorrect
5.What percentage of squamous cell cancers of vulva are associated with high risk HPV subtypes?CorrectIncorrect
6.Lichen sclerosus commonly presents in the following age groupCorrectIncorrect
7.The role of sentinel lymph node mapping is most established in which gynecological malignancy?CorrectIncorrect
8. 65 year old woman complaining of severe itching is diagnosed with vulval intraepithelial neoplasia VIN3 on biopsy .What is the first line of management ?CorrectIncorrect
9.Recently the prevalence of HPV related VIN has increased significantly consequently the incidence of vulvar cancer in young women is rising .What are the most common HPV sero types found in vulval cancers ?CorrectIncorrect
10. 66 year old patient presented with vulval pruritus .On examination there was a 1.5 cm lesion on her right Labia majora with an irregular border, the lesion was tender to touch .An excision biopsy was obtained which showed squamous cell carcinoma with positive margins and invasive disease to 0.8 mm .What is the most appropriate next step in management ?CorrectIncorrect