RISK REDUCTION
SYMPTOMS AND SIGNS
INVESTIGATIONS
MANAGEMENT
100

What age is HPV vaccine given in UK?

12-13 years

100

This is the most common early symptom of cervical cancer

Post-coital bleeding

100

What is the next step in managing an individual with low grade dyskaryosis on smear test?

Colposcopy

100

What is outpatient treatment of cervical cancer called as ?

LLETZ

200

Which behavioural modification decreases risk by reducing HPV transmission and improving immune response?

Smoking Cessation
200

What is the cardinal vaginal examination finding in individuals with cervical cancer

Friable, ulcerated, or fungating lesion on the cervix.

200

What is CIN3?

full thickness involvement with abnormal dyskaryotic cells

200

How is CIN1 managed?

Conservative or smear surveillance
300
How many high risk HPV subtypes does the nonavalent vaccine protect against?

16, 18, 31, 33, 45, 52, 58 (7 types).

300

Most often cervical cancer is identified via cervical screening - true or false

False

300

Which imaging modality helps in local staging of cervical cancer?

MRI

300
What is the name of the fertility sparing surgery that can be done for stage 1b?
Trachelectomy
400

When can an individual be excluded from cervical screening? (100 point for each answer x 4)

absence of cervix, radiotherapy treatment, voluntary withdrawal and under mental capacity act

400

What is the symptom that makes you think it could be stage 3 cervical cancer?

Flank pain

400

Which histological feature clinches diagnosis of cervical cancer

breach of basement membrane

400

What are the chemotherapy drugs used in cervical cancer

cisplatin, carboplatin and paclitaxel

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