GYN ONC one-liners

Question 1

What is the most common breast tumor in a young woman?

Answer 1

Fibroadenoma

Question 2

At what age is universal breast screening with mammography recommended?

Answer 2

50 years 


Question 3

What is the inheritance pattern of BRCA1 and BRCA2?

Answer 3

Autosomal dominant

Question 4

Which cancer can be treated exclusively with radiation?

Answer 4

Cervical, vaginal

Question 5

From which part of the fallopian tube does aggressive ovarian serous cystadenocarcinoma originate?

Answer 5

Fimbria

Question 6

What is the next best step for evaluation of a patient with complex atypical hyperplasia?

Answer 6

Hysteroscopy D&C or referral to GYN ONC

Question 7

What is the treatment for a patient with cervical cancer and hydronephrosis?

Answer 7

Radiation (it is at least stage 3B)


Question 8

Where is point A?

Answer 8

2 cm lateral and superior to external cervical os (where ureter crosses under uterine artery)

Question 9

What is the lifetime risk of ovarian cancer in BRCA1 carrier?

Answer 9

50%

Question 10

What is the indication for lymph node dissection in vulvar cancer?

Answer 10

Depth of invasion > 1 mm

Question 11

What is the most common type of breast cancer?

Answer 11

Infiltrating ductal

Question 12

In a patient with gestational trophoblastic disease and brain metastases, what is the best treatment?

Answer 12

Radiation with concurrent chemotherapy (EMACO) 


Question 13

How is a 1.5 cm squamous cell vulvar cancer that has <1 mm invasion treated?

Answer 13

Radical wide local excision with 2 cm margin

Question 14

How often should quantitative hcgs be checked status post D&C for molar pregnancy?

Answer 14

Weekly until HCG < 5 x 3, then Month x 6-12 months

Question 15

What is the most common type of ovarian neoplasm?

Answer 15

Epithelial

Question 16

What is the most significant risk for ovarian cancer?

Answer 16

Age

Question 17

How is endometrial cancer staged?

Answer 17

Surgically with total hysterectomy, BSO, pelvic washings, pelvic and para-aortic lymphadenopathy

Question 18

What is the most common post-operative complication of a radical hysterectomy?

Answer 18

Bladder dysfunction

Question 19

Sertoli-Leydig tumors produce what type of hormone?

Answer 19

Testosterone

Question 20

What ultrasound characteristic is most characteristic of ovarian malignancy?

Answer 20

Papillary projections or excrescences

Question 21

What tumor marker is elevated in endodermal sinus tumor?

Answer 21

AFP 


Question 22

What is the karyotype of an incomplete molar gestation?

Answer 22

69XXX (or 69 XXY)