Female Reproductive Quiz

Q.1

A 32-year-old woman had a firm nodule palpable on her uterus three years ago noted on a routine physical examination. The nodule has slowly increased in size and is now about twice the size it was when first discovered. She is asymptomatic. Which of the following does this patient most likely have?

Adenocarcinoma
Leiomyosarcoma
Rhabdomyosarcoma
Leiomyoma

Q.2

A 36-year-old woman finds a lump in her right breast. Her physician notes a 4 cm firm, irregular, fixed mass in the upper outer quadrant of her right breast. A fine needle aspiration is performed, and the findings are consistent with infiltrating ductal carcinoma. The mass is removed, and a sentinel lymph node dissection is performed. Which of the following findings will best predict a better prognosis for the patient?

The patient has concurrent ductal carcinoma in situ in the same breast
The sentinel node is negative for tumor
The patient has a sister who had a similar type of breast cancer
The tumor has a high grade

Q.3

Prognostic factors in invasive breast carcinoma include all of the following EXCEPT:

Tumor size
Type of carcinoma (ductal, inflammatory, etc.)
Location of primary tumor within breast
Lymph node involvement by tumor
Grade of tumor

Q.4

All of the following are true regarding fibroadenoma EXCEPT:

It is the most common benign tumor of the female breast
More common in younger women
May enlarge late in the menstrual cycle and during pregnancy
Is an important risk factor for breast carcinoma
Usually presents as solitary, movable mass

Q.5

Which of the following neoplasms is derived from all three germ cell layers?

Carcinoma
Teratoma
Sarcoma
Apudoma

Q.6

All of the following are true of endometrial carcinoma EXCEPT:

Most cases occur in postmenopausal women
It is caused by prolonged stimulation of the endometrium by progesterone
It is preceded by endometrial hyperplasia in most cases
It can metastasize via lymphatic and/or hematogenous routes
The most important prognostic factor is the stage of the tumor

Q.7

All of the following are true of squamous cell carcinoma of the cervix EXCEPT:

It is preceded by squamous cell dysplasia in most cases
It is caused by human papillomavirus (HPV)
Early age at first intercourse is a risk factor
Most cases occur in women over 65
The Pap smear is an important screening test

Q.8

Which of the following is true regarding ovarian neoplasms?

Most are malignant
They usually present while still small (< 1 cm)
They may interfere with fertility
They are very rare
Most arise from germ cells