Cervical Cancer Quiz

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Created by Connor Bohlken and Chris Galbraith
Edited by Dr. Paris Ingledew

Question: The majority of cases of cervical cancer are diagnosed at stage ____, with more that 70% of these diagnosed cases being in women aged _____.

1 point

Stage II, Aged 55-69

Stage IV, Aged 55-69

Stage I, Aged 18-39

Stage III, Aged 18-39

Stage I, Aged 40-54

Clear selection

You are a Year 2 Family Practice Resident working on a rural rotation in. Your first patient is Racheal Whyme, a 25 year old female here for her first Pap. Before you enter the room, Dr. Green wants to ensure you know the difference between two types of HPV vaccinations offered for Cervical cancer: Cervarix and Gardasil 9. You answer:

1 point

Cervarix protects against HPV 16 and 18. While Gardasil 9 protects against HPV 16, 18, 31, and 33.

Cervarix protects against HPV 31 and 33, while Gardasil 9 protects against HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58.

Gardasil 9 protects against HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 while Cervarix protects against HPV 4, 22, and 41.

Cervarix protects against HPV 16 and 18. While Gardasil 9 protects against HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58.

Gardasil 9 protects against HPV 16 and 18. While Cervarix protects against HPV 6, 11, 16, 18, 31, 33, 45, 52, and 58 while Cervarix protects against HPV 4, 22, and 41.

Clear selection

You are a third year medical student on your rural family medicine rotation when Mrs. Sarah Vicks a 27 year old female comes in. Recently, she was talking to friends and they were surprised to find out she doesn't have the HPV vaccine. She is interested in receiving it, but first wants to discuss some risk factors for HPV. Which of the following is a risk factor for HPV?

1 point

Nullparity

Smoking

Late age of first coitus

High socioeconomic status

One sexual partner

Clear selection

Which of the following females is the best candidate for HPV screening?

1 point

Jane, a 54 year female who had a total hysterectomy for fibroids at the age of 51

Becka, a 27 year female who has been sexually active for 8 years

Dorra, a 18 year female who recently became sexually active

Magda, a 74 year female who has not had a positive screen in 10 years

Sarah, a 20 year female who is not sexually active

Clear selection

You are a third year medical student on your first day of your Obs/Gyne clinical rotation. You are in the office today with Dr. Dow. Your first patient is a referral. The referral note reads: 57 year old post menopausal female query early cervical cancer? The referral note neglected to include any other information including Pap smear results, Biopsy results, recent lab reports etc. What is the most common symptom of early cervical cancer?

1 point

Pelvic and back pain that radiates down the legs.

Hematuria, Hematochezia, vaginal pressure, and passage of stool or urine.

Abnormal vaginal bleeding.

Increased vaginal discharge which may be: malodorous, purulent, mucoid, or watery.

Vaginal pruritis.

Clear selection

The Cervical Intraepithelial Neoplasia System (CIN) is a histological classification system used for cervical biopsies that correlates to the Bethesda System of evaluating an abnormal Pap Smear. Which of the following is the correct definition of CIN I?

1 point

CIN I refers to cellular dysplasia confined to the basal third of the epithelium.

CIN I refers to cellular dysplasia confined to the basal third of the mesothelium.

CIN I refers to extension of cellular dysplasia through the Basement membrane.

CIN I refers to cellular dysplasia confined to the basal two thirds of the epithelium.

CIN I refers to cellular dysplasia that extends past the basal two thirds of the epithelium.

Clear selection

You are a third year medical student in your outpatient ObGyn rotation. Today Mrs. Celia Isabel Naft comes into the office. She is a 29 year G1 T1 P0 A0 L1 mother who is not sure if she would like to have future children. She is coming in for a follow up appointment after having a colposcopy and biopsy done. You have already looked up the pathology report, and note that it is CIN 3. Prior to entering the room your attending, the esteemed Dr. Maturn, asks you what would be the best management option going forward. You answer:

1 point

Hysterectomy

Observation with routine CA125

Administration of Gardasil9

Chemoradiation

Loop Electrosurgical Excision (LEEP)

Clear selection

You are a second year medical student strolling through the University with your favourite physiologist Dr. Sarah C. Jewel. Dr. Jewel is passionate about the squamocolumnar junction and wants to share that passion with you. Specifically she wants to know what happens during puberty that increases the susceptibility to HPV. You answer:

1 point

The cervix everts, exposing the columnar epithelium to the acidic vaginal environment.

The cervix inverts, exposing the stratified squamous epithelium to the basic cervical environment.

There is no physiological explanation. Sexual contact alone explains the increase of HPV during puberty.

Puberty results in decreased lactobacillus which is protective against HPV.

Puberty results in increased lactobacillus which causes HPV.

Clear selection

What is the name of the classification system used for classifying the abnormalities found on a Pap smear?

1 point

CIN Classification System

Gleason Grading System

Amsterdam Criteria

Wells Criteria

Bethesda Classification System

Clear selection

You are a third medical student on your first day of your oncology rotation. Your first patient is Dorothy Hutch, a 42 year female with cervical cancer. You introduce yourself and learn a little bit more about her. She lives out of town and has rare contact with health care professionals. However, several months ago she noticed new onset post-coital bleeding and went to see a doctor. Workup has revealed that she has cervical cancer secondary to HPV. The stage is IIIB. Today she reports feeling well, but does endorse some lower back pain. You deferred the pelvic exam until your attending is in the room. When you report back to your attending, they ask what is the correct management for this patient. You answer:

1 point

Loop Electrosurgery Excision (LEEP)

Trachelectomy

Chemoradiation

Conization

Hysterectomy

Clear selection

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