FRCPath Part1 Course
Gynaecological Pathology MCQ 1 A 48-year-old woman presented with vaginal bleeding for the past 2 months. An endometrial biopsy is performed and showed endometrial hyperplasia. An abdominal ultrasound reveals a solid right ovarian mass. Which of the following neoplasms is this woman most likely to have? A. B. C. D. E.
Mature cystic teratoma Granulosa cell tumour Serous papillary adenocarcinoma Mucinous cystadenoma Sertoli-Leydig cell tumour
MCQ 2 Cervical smear from a 28-year-old woman showed severely dysplastic cells. A biopsy of the cervix showed cervical intraepithelial neoplasia III (CIN III). Infection with which of the following organisms is most likely to cause her disease? A. B. C. D. E.
Herpes simplex virus infection Epstein-Barr virus Candida albicans Human papillomavirus Trichomonas vaginalis
MCQ 3 A hysterectomy was performed due to menorrhagia. On gross examination a reddish-tan mass was found with a fleshy cut surface. Microscopically the mass was highly cellular, with spindle cells having hyperchromatic nuclei and 10 to 20 mitoses per high power field. Which of the following is the most likely diagnosis? A. B. C. D. E.
Endometrial polyp Endometrial adenocarcinoma Adenomyosis Leiomyoma Leiomyosarcoma
MCQ 4 A 31-year-old woman at 14 weeks gestation had vaginal bleeding for 2 weeks. Laboratory studies showed an HCG level of 650,000 U/L. A D&C was performed with evacuation. A month later her vaginal bleeding persisted and her serum beta-HCG was 35,000 U/L. Which of the following pathologic abnormalities is most likely to be present in this woman? A. Endometriosis B. Endometritis C. Invasive mole D. Tubal ectopic pregnancy E. Placental site trophoblastic tumor
www.oxbridgemedica.com