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ExamPro MCQ Tests

MCQ Test: Vulvar Neoplasia

Number of questions in this MCQ test: 12
Suggested time for this MCQ test: 15 minutes

All of the following are true in regards to vulvar Paget's disease with the EXCEPTION of :
Presents as an erythematous, eczematoid lesion of the vulva
Most common in postmenopausal, Caucasian women
Presenting complaints of pruritus and vulvar soreness
Pathologic extent of disease corresponds well to the visual assessment of the lesion
Treatment of choice is very wide local excision
All of the following are true in regards to vulvar cancers EXCEPT:
Patients with >1 mm of invasion require surgical evaluation of the groin nodes
Most vulvar cancers have squamous histology
At this time, patients with vulvar cancer are rarely treated with radical vulvectomy and bilateral inguinofemoral node dissection
Nearly all vulvar cancers are as a result of infection with human papilloma virus
Patients with advanced disease (urethral, vaginal, anal involvement) are treated with radiotherapy and possible chemotherapy as a radiation sensitizer
A 60-year-old lady presents with 1 cm "rodent ulcer" with rolled edges on the right anterior vulva. Biopsies showed a basal cell carcinoma. Approprate therapy would be:
Radical local excision
Excision with 1 cm margins and ipsilateral groin dissection
Excision with 2 cm margins and ipsilateral groin dissection
Excision with 1 cm margins and bilateral groin dissection
Excision with 2 cm margins and bilateral groin dissection
Which of the following are true of vulvar dysplasia (VIN):
High-grade VIN lesions are frequently multifocal in younger women
In older patients the high-grade VIN lesions are often unifocal
Large, unifocal, confluent lesions best managed with wide local excision
Even if the margins of the wide local excision are microscopic positive, reexcision is generally not done provided all the macroscopic disease has been removed
All of the above are true
Cloquent's lymph node is located :
Above the cribriform fascia
Between the femoral artery and vein
Medial to the femoral vein and below the cribriform fascia
In Hunter's canal
Lateral to the femoral artery
A 50-year-old woman is found to have a 1 cm raised, grey lesion on the left lubium minus. Radical local excision shows vulvar carcinoma in situ and an invasive squamous carcinoma with 0.9 mm of invasion. Subsequent treatment should include :
Only peroidic follow up examinations
Left superficial groin dissection
Left superficial and deep groin dissection
Bilateral superficial grion dissection
Bilateral superficial and deep groin dissection
All of the following are true in regards to vulvar Paget's disease with the EXCEPTION of :
Presents as an erythematous, eczematoid lesion of the vulva
Most common in postmenopausal, Caucasian women
Presenting complaints of pruritus and vulvar soreness
Pathologic extent of disease corresponds well to the visual assessment of the lesion
Treatment of choice is very wide local excision
All of the following are true in regards to vulvar cancers EXCEPT:
Patients with >1 mm of invasion require surgical evaluation of the groin nodes
Most vulvar cancers have squamous histology
At this time, patients with vulvar cancer are rarely treated with radical vulvectomy and bilateral inguinofemoral node dissection
Nearly all vulvar cancers are as a result of infection with human papilloma virus
Patients with advanced disease (urethral, vaginal, anal involvement) are treated with radiotherapy and possible chemotherapy as a radiation sensitizer
A 60-year-old lady presents with 1 cm "rodent ulcer" with rolled edges on the right anterior vulva. Biopsies showed a basal cell carcinoma. Approprate therapy would be:
Radical local excision
Excision with 1 cm margins and ipsilateral groin dissection
Excision with 2 cm margins and ipsilateral groin dissection
Excision with 1 cm margins and bilateral groin dissection
Excision with 2 cm margins and bilateral groin dissection
Which of the following are true of vulvar dysplasia (VIN):
High-grade VIN lesions are frequently multifocal in younger women
In older patients the high-grade VIN lesions are often unifocal
Large, unifocal, confluent lesions best managed with wide local excision
Even if the margins of the wide local excision are microscopic positive, reexcision is generally not done provided all the macroscopic disease has been removed
All of the above are true
Cloquent's lymph node is located :
Above the cribriform fascia
Between the femoral artery and vein
Medial to the femoral vein and below the cribriform fascia
In Hunter's canal
Lateral to the femoral artery
A 50-year-old woman is found to have a 1 cm raised, grey lesion on the left lubium minus. Radical local excision shows vulvar carcinoma in situ and an invasive squamous carcinoma with 0.9 mm of invasion. Subsequent treatment should include :
Only peroidic follow up examinations
Left superficial groin dissection
Left superficial and deep groin dissection
Bilateral superficial grion dissection
Bilateral superficial and deep groin dissection

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