How is problem treatment of cervix cancer with pregnancy

A. Late diagnostic ,damaging effect radiotherapy on the fetus

B. Consequence of chemotherapy on fetus
C. A+B
D. No ANSWER is correct
ANSWER:C

How to diagnostic procedure are safe in pregnancy

A. Ultrasound
B. MRI
C. Biopsy , cervical conisation
D. All ANSWER upper is correct
ANSWER:C

How many stage of embryogenesis

A. 3stage for embryogenesis that are first 2weeks is blastocyst then in
organogenesis in 3-8weeks and increase fetal and organ size
B. 2 stage that are first week and 3months
C. 4 stage for becoming as fetal
D. Only stage of embryogenesis
ANSWER:A

Radiotherapy can allow to do for pregnancy

A. ALLOW TO DO
B. CONTRE- INDICATION DURING PREGNANCY
ANSWER:A

There are risks of chemotherapy in the first trimester

A. fetal malformation
B. missed abortion
C. lower birth weight
D. A+C
ANSWER:D

Differential diagnostic cervix cancer during pregnancy

A. Threatened abortion
B. Polyp or benign lesion
C. Fibroid, abortion
D. Placenta praevia
ANSWER:B

All ANSWER below is correct for effects carcinoma on pregnancy but one is not
A. Rupture uterine
B. Premature labor, abortion, post-partum hemorrhagic
C. Uterine aseptic
D. Lochiametria or pyometria
ANSWER:A

How to management abnormal cervical smear in pregnancy

A. Injection anticoagulant
B. Coloposcopy
C. Biopsy
D. A+b
ANSWER:D

When do indication for colposcopy

A. All lady have partner
B. Unexplained bleeding, anormal papsmear
C. On woman have a lot of children
D. On woman don�t get HPV vaccination
ANSWER:B

The Lady can vaginal delivery in carcinoma in situ?

A. She should be vaginal delivery with specialist of oncology
B. She must be caesarian section
C. Not contre indication vaginal delivery in this stage
D. Wait during labor
ANSWER:C

How is management for first trimester during pregnancy

A. Radical hysterectomy with the fetus
B. Only hysterectomy
C. After hysterectomy , we do lymphadectomy , aortic node and oophoropexy
D. A+C
ANSWER:D

How is management for second trimester

A. Chemiotherapy, cesarean section, hysterectomy,
B. Cesarean section then Radical hysterectomy, lymphadenectomy
C. Vaginal delivery
D. B+C
ANSWER:A

How is management for Thirst trimester

A. Cesarean section then Radical hysterectomy with lymphanectomy with aortic node
B. Radical hysterectomy with pelvic lymphadenectomy after Cesarean secion
C. Vaginal delivery then immediate radical hysterectomy
D. Cesarean section with remove of uterus and oophorectomy
ANSWER:B

What do you do in advance stage cevix cancer for pregnancy

A. Treatment by symptom
B. Cesarean section , do induce abortion
C. Only chemiotherapy
D. In first trimester, do chemotherapy with brachytherapy and thirst trimester do
Cesarean section an
ANSWER:D

What should you do when the result smear abnormal in pregnancy?

A. Wait until delivery we do hysterectomy total
B. Continue to do coloposcopy and biopsy
C. Induce abortion or cesariean section than hysterectomy
D. Hysterectomie immediate after cesarean section
ANSWER:A

How to do for Carcinoma in thirst trimester?

A. Cesarean section immediate
B. Radical hysterectomy with lymphadenectomy and aortic node
C. Cesarean section then radical hysterectomy with lymphadenectomy and aortic node
D. Radical hysterectomy after vaginal delivery
ANSWER:C

Carcinoma in situ , if do vaginal delivery what will have complication after

delivery?
A. Obstacle praevia
B. Vaginal bleeding and cervical tear
C. Baby distress
D. Spread rapid for carcinoma
ANSWER:B

What will you do when see microinvasive cancer in pregnancy?

A. Conisation
B. Radical hysterectomy
C. Wait until delivery
D. Cesarean section then radical hysterectomy
ANSWER:A

How to management when you see macroinvasive cancer in pregnancy?

A. Radical hysterectomy with radiotherapy after cesarean section
B. Wait until delivery then do hysterectomy with chemotherapy
C. Normal delivery then hysterectomy with chemotherapy
D. Hysterectomy with fetus and radiotherapy
ANSWER:A

You should be recommend to do abortion when to see cervical cancer in pregnancy?

A. yes should be
B. No keep fetus until delivery
C. Depend on stage of cancer
D. Up on mother and stage of cancer
ANSWER:D

what is ectopic breast?

A. Supernumerary breast
B. It is along of line milk breast
C. It is normal breast
D. All reponse is correct
ANSWER:D

what is Polythelia breast?

A. It is areola and underlying mammary duct
B. is anomaly of breast
C. change malignancy tumor
D. should be remove immediate
ANSWER:A

What is puerperal mastitis?

A. happened in early 2-3 weeks after delivery
B. cause by stasis of milk distended duct
C. cause infection staphyolococie
D. all ANSWER upper is correct
ANSWER:D

What is Adenosis?
A. is a longation of terminal ductules
B. cause caricature of the lobule and non palpable lesion
C. A+B
D. all ANSWER is wrong
ANSWER:C

How to find diagnostic of breast cancer in pregnancy?

A. in the first week of pregnancy
B. during pregnancy, lactation, after post partum
C. after delivery and lactation
D. after cesarean section
ANSWER:B

How many weeks of gestational easy to find breast cancer?

A. in 8weeks
B. in 3months
C. between 17-25 weeks
D. in full term
ANSWER:C

what is the sign of breast cancer>

A. nipple discharge
B. dumping
C. breast lump
D. nipple retraction and change in size of breast with or not discharge
ANSWER:D

How to investigate diagnostic of breast cancer during pregnancy

A. Breast Ultrasound.
B. Needle biopsy
C. Mammogram is rare
D. Hormone status of tumor , blood marker after needle biopsy
ANSWER:D

How to treat breast cancer in pregnancy?

A. depend on stage and age of gestational
B. wait until delivery
C. vaginal delivery then remove of tumor immediate
D. Chemotherapy after delivery
ANSWER:A

How to management of breast cancer?

A. Mastectomy
B. Surgery and radiotherapy with chemotherapy
C. Tumorectomy then radiotherapy
D. Quarantectomy, remove lymph nod
ANSWER:B

In first trimester, should be give Chemotherapy

A. yes
B. no don�t give
ANSWER:B

Many option for breast cancer surgery but one except

A. modified radical mastectomy
B. monotherapy
C. Breast conserving surgery like tomorectomy, quandrantectomy, lumpectomy etc
D. mastectomy and lymph node then chemotherapy and radiotherapy depend on stage
cancer
ANSWER:B

there are drug for treatment breast cancer but except one
A. Methotrexate
B. Cyclophosphamide, 5FU
C. Epitubicin
D. Docetaxel
ANSWER:A

What will do Radiation for breast cancer in pregnant?

A. wait until delivery
B. during pregnancy
C. after cesarean section
D. after chemotherapy
ANSWER:A

what option surgery stage I and II for breast cancer in pregnancy

A. mastectomy
B. modified radical mastectomy or breast conserving surgery
C. breast conserving surgery during pregnancy then give chemotherapy after first
trimester
D. only radical mastectomy and lymph node
ANSWER:C

what option for stage III and stage IV?

A. Radiation
B. Mastectomy and chemotherapy during pregnancy
C. Chemotherapy
D. Radiation and chemotherapy
ANSWER:D

Hormonotherapy should be recommend in pregnancy?

A. no
B. yes
C. depend on result of histology
ANSWER:A

the lady can vaginal delivery or cesarean section if she have breast cancer?
A. she can normal delivery
B. must be do cesarean section because have tear vaginal during delivery .
C. she can choose delivery herself and depend on obstetrician evaluate and need
pediatrician exam baby and exam placenta.
D. A+C
ANSWER:D

Mother can give breast feeding ?

A. no recommend to breast feeding
B. recommend to breast feeding
C. chemotherapy and hormonotherapy effect on the breast feeding so not recommend to
give breast feeding
D. can but waiting finish chemotherapy or hormonotherapy
ANSWER:C

how is prognosis for breast cancer in pregnancy?

A. depend on stage cancer
B. type of cancer
C. hormone status
D. all ANSWER upper is correct
ANSWER:D

Tell about function of ovary

A. Hormonal production oestrogene and progesterone
B. Exogenous substances including OCs, GnRH, agonists ovulation.
C. Hormonal production of TSH, T3, T4, Prolactin
D. Reponse a+b
ANSWER:D

Dignostic differrentiel of Ovarian Tumor

A. Fetus, pregnancy
B. Fat, Fibroid
C. Flatus, full blandder
D. A+B=C
ANSWER:D
What is follicular cyst, all response is correct but except one wrong
A. Is cyst of diameter >3cm
B. Is cystic follicular of diameter>3-8cm
C. lose with4-8weeks
D. Easy rupture or torse
ANSWER:A

All reponse below is correct for Corpus luteal cyst but except one is not
A. Less common than follicular cyst
B. May rupture leading to hemoperitoneum
C. No rupture cyst, but pain because of bleeding intoclose ovarian cavity
D. May become malign tumor
ANSWER:D

How is management of functional cysts

A. Remove if should cyst persist
B. Cystectomy
C. Expectant , waiting for 2-3 cycles
D. All upper
ANSWER:D

What is definition Endometriomas , all below is correct but one wrong:

A. Is pseudocyst format by invagination of the ovarian cortex , sealed off by
adhesions
B. Malignt transformation 0.8%
C. Management by medical or surgical
D. waiting until menopause
ANSWER:D

What is usually the first sign of ovarian cancer

A. Abdominal bloating, pressure, pain
B. Abdominal fullness after eating, difficulty eating
C. An increase in urination or urge to urination
D. all reponse is right
ANSWER:D

Risk factor of ovarian cancer

A. family of ovarian cancer, patient history of breast cancer, uterine cancer,
colon cancer,
B. mutation genetic
C. smoking , nullipare
D. past history have cyst or endometriomas cyst
E. A+B+D
ANSWER:E

Complication of ovarian tumor

A. Torsion,rupture, , obstacle of praevia during pregnancy
B. change Malignant
C. A+B
D. inf
ANSWER:C

What is to find diagnosis ovarian tumor

A. Laparotomy
B. Ultrasound , CT Scan, MRI
C. vaginal touch
D. A+B
ANSWER:D
How to management ovarian cancer in stage I with pregnancy
A. waiting until delivery
B. TAH + Bilateral salpingo oophorectomy
C. B+D
D. Appendicectomy and Omentectomy
ANSWER:C

How to effect of ovarian cancer on pregnancy , all ANSWER below is right but one is
not correct
A. Malpresentation , abdominal discomfort
B. Abortion, preterm labor
C. Malformation of fetus
D. obstruct labor
ANSWER:C

How to treatment Ovarian cancer on pregnancy

A. if not obstruct , can vaginal delivery then surgery after delivery
B. if obstruct , do Cesarian section and immediate operation
C. can wait until delivery
D. a+b
ANSWER:D

When we give chemotherapy for ovarian cancer on pregnancy

A. after delivery
B. during pregnancy
C. after caesarian section
D. immediate when diagnostic finding
ANSWER:A

ANSWER below are the causes of death from ovarian cancer, but one is not right
A. Distance of Metastasis
B. Vaginal bleeding
C. Intestinal obstruction
D. Complication of tumor, bleeding, infection, DVT
ANSWER:B

How is ovarian cancer treated? Only ANSWER is wrong

A. treatment medical
B. Oophorectomy, hysterectomy
C. Chemotherapy
D. Radiotherapy
ANSWER:A

Mother can give breast feeding to baby

A. yes she can give
B. no she can�t
C. depend on stage cancer
D. depend on health of mother
ANSWER:B

Risk factor of ovarian cancer have

A. history of infertility
B. used medication to aid in getting pregnant
C. breast cancer before
D. a+b+c
ANSWER:D

all drug below for treat ovarian cancer but except one not
A. Avastin, Doxil
B. Hydroclopropamid
C. Carboplatin, Bevacizumb
D. Doxorubicin hydroclorid
ANSWER:B

what are side effect chemotherapy on the fetus?

A. Fetal loss weight or premature birth
B. Malformation fetus like syndactyly, ventriculomegaly�,otoxicity fetus
C. Hodgkin�s lymphoma
D. a+b+c
ANSWER:D