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Kaplan Qbank USMLE



Author2 Posts
  #1

1. what are the diagnostic tests of choice for :

a. vulval cancer
b. vaginal cancer
c. cervical cancer
d. endometrial cancer
e. fallopian tube cancer.
f.ovarian cancer


2. what is the most common cause of postmenopausal bleeding ?

3.what is the MCC of vulval cancer,cervical cancer ,endometrial cancer,ovarian cancer ?

  #2

MCC and Diagnostic Tests:

1a. HPV (melanoma is 2nd) , Biopsy is diagnostic
1b. DES exposure (HPV for SCC), Biopsy is diagnostic.
1c. HPV, Pap smear --> Colposcopy --> Biopsy.
1d. Excessive and unopposed estrogen (OCP, PCOS, obesity, nulliparity), Histopathology of endometrial sampling.
1e. Laproscopic surgery for diagnosis ??
1f. Increased ovulation and BRCA gene. Diagnosis is made with pelvic examination --> USG --> Laprotomy and surgrical staging.

2. endometrial and vaginal atropy, but endometrial ca should be ruled out.

Age hint: ~45 (cervical), ~55 (endometrial), ~65 (ovarian)

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