FRCPath Part1 Course
Minimum datasets and clinical staging TNM Staging system EMQ 1 Choose from the options below: FIGO AJCC 8th edition UICC TNM 8th edition UICC ypT3N0M0 pT2N0M0 pT0N0M0 cT3N0M0 1. 2. 3. 4.
System used for staging of endometrial tumour Organisation that develops TNM staging Staging system used for Melanoma staging currently in the UK Colorectal tumour which had received neoadjuvant therapy and on resection infiltrates beyond muscularis propria without lymph node involvement or metastases 5. In MDT, the stage used before resection of breast carcinoma clinically measuring 55mm Breast MCQ 2 Which of these is the most important parameter in breast cancer staging? A. Type of tumour B. Hormone status C. Tumour size D. Tumour grade MCQ 3 A sentinel lymph node in wide local excision specimen has tumour cells measuring 1.8mm in maximum dimension. Which of the category does this fall into? A. Macrometastases B. Micrometastases C. Isolated tumour cells D. No evidence of metastases MCQ 4 A histology mastectomy specimen shows Paget’s disease of nipple but no evidence of invasive carcinoma. How will you stage it A. pTx B. pT0 C. pT1 D. pTis
www.oxbridgemedica.com
FRCPath Part1 Course Thyroid MCQ 5 A thyroid tumour has histology of anaplastic carcinoma with infiltration into the recurrent laryngeal nerve. What is the tumour stage? A. pT0 B. pT1 C. pT2 D. pT3 E. pT4 Colorectum MCQ 6 Which of the following stage of tumour can be confirmed on macroscopic examination of colorectal tumour? A. pT1 B. pT2 C. pT3 D. pT4a E. pT4b Gastrointestinal MCQ 7 A gastric tumour shows spindle cell morphology and is positive for CD117 and DOG-1. The tumour measures 1cm with 3 mitoses per 5mm². What is the risk of progressive disease according to Lasota and Miettinen criteria? A. None B. Low C. Moderate D. High Melanoma MCQ 8 A patient has cutaneous melanoma with Breslow thickness of 0.7 mm with Clark level 2, mitotic rate 1mm², brisk tumour infiltrating lymphocytes, no lymphovascular invasion or perineural invasion. No evidence of ulceration. Margins are clear. Which is the most important staging criteria here? A. Clark level B. Breslow thickness C. Ulceration D. Mitoses EMQ 9 A. Gastric cancer B. Oesophageal cancer C. pM0 D. cM0 E. cM1 F. High grade G. Low grade
www.oxbridgemedica.com
FRCPath Part1 Course A. A tumour at within 5 cm gastroesophageal junction without extension into the oesophagus – B. A liver biopsy with clinical suspicion of metastasis but no evidence of metastasis on histology C. An endometrial tumour shows morphology of serous carcinoma comprising of 20% solid area. What is the tumour grade? D. An ovarian tumour showing morphology of serous carcinoma with highly pleomorphic cells and 15 mitoses/10 hpf.
www.oxbridgemedica.com