Ovarian Cancer

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Question 1 of 5

1. Question
1. A 55-year-old woman presents with symptoms of an ovarian mass that has been confirmed on ultrasound scan. It is a theca cell tumour. What is the most appropriate advice regarding prognosis?
- A. She should be assured that they are typically benign
- B. That up to 10% of them are androgenic
- C. She should be counselled that Meig syndrome is a recognised complication
- D. She should be told that they are characteristically bilateral
- E. There is no need to screen her for endometrial hyperplasia
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Question 2 of 5

2. Question
2. A 69-year-old woman underwent optimal surgical staging for suspected early stage ovarian cancer. Her final histology showed stage 1a grade 3 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 and serum Ca125
- C. Follow-up in 6 months with CT scan and serum Ca125
- D. Offer adjuvant Chemotherapy as 6 cycles of paclitaxel
- E. Offer adjuvant Chemotherapy as 6 Cycles of Carboplatin and Bevacizumab
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Question 3 of 5

3. Question
3. Systematic retroperitoneal lymphadenectomy as part of standard surgical treatment in women with suspected ovarian cancer whose disease appears to be confined to the ovaries (that is, who appears to have stage I disease) should be avoided as per the guidelines. What is systematic retroperitoneal lymphadenectomy?
- A. Block dissection of common, external, and internal iliac and obturator lymph nodes
- B. Block dissection of lymph nodes from the pelvic side walls to the level of the renal veins
- C. Block dissection of common, external and internal iliac lymph nodes
- D. Block dissection of common, external and internal iliac, obturator, lower para-aortic and bifurcation of aorta lymph nodes
- E. Block dissection of the para-aortic lymph nodes
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Question 4 of 5

4. Question
4. RMI is recommended to triage post-menopausal women with ovarian cyst to assess low, moderate or high risk of malignancy. This is calculated as U (ultrasound score) × M (menopausal status) × CA125. What is the risk of ovarian cancer in a woman who has an RMI of 25–250 (moderate risk)?
- A. 3%
- B. 20%
- C. 25%
- D. 60%
- E. 75%
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Question 5 of 5

5. Question
5. The lifetime risk of ovarian cancer in the general population is 1.4%. However, women with hereditary ovarian cancer syndrome have significantly higher risks of developing ovarian cancer. What is the risk of ovarian cancer in a woman who has a BRCA1 mutation carrier?
- A. 15–25%
- B. 25–35%
- C. 20–50%
- D. 45–55%
- E. 55–65%
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Ovarian Cancer

Ovarian Cancer

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