COPY: Non-Neoplastic and Tumors of the Vulva
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COPY: Non-Neoplastic and Tumors of the Vulva

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Questions and Answers

What is the primary cause of cervicitis?

  • Hormonal changes
  • Sexually transmitted infections (correct)
  • Autoimmune disorders
  • Genetic mutations
  • What is the primary characteristic of lichen sclerosus?

  • Hyperkeratosis of the skin
  • Marked epithelial thickening
  • Benign dermatosis with no cancer risk
  • Dermal fibrosis with atrophic epithelium (correct)
  • Which organism is responsible for approximately 40% of cervicitis cases in sexually transmitted disease clinics?

  • Herpes simplex virus
  • Candida spp.
  • Neisseria gonorrheae
  • Chlamydia trachomatis (correct)
  • What screening test is considered the most successful for detecting cervical cancer?

    <p>Pap smear</p> Signup and view all the answers

    Which form of condyloma is more commonly seen on anogenital surfaces?

    <p>Condylomata acuminata</p> Signup and view all the answers

    At what age does the peak incidence of Cervical Intraepithelial Neoplasia (CIN) typically occur?

    <p>30 years</p> Signup and view all the answers

    What is a significant risk associated with lichen sclerosus?

    <p>Development of squamous cell carcinoma</p> Signup and view all the answers

    In which demographic is non-HPV-related vulvar squamous cell carcinoma most commonly seen?

    <p>Older women</p> Signup and view all the answers

    Which factor is likely to increase the risk of developing CIN and invasive cervical carcinoma?

    <p>Sexual transmission of HPV</p> Signup and view all the answers

    Which of the following is NOT true regarding condylomata?

    <p>Condylomata lata are the most commonly seen form today.</p> Signup and view all the answers

    Which of the following statements about cervical cancer and CIN is TRUE?

    <p>CIN can be detected by cytologic examination before invasive cancer development.</p> Signup and view all the answers

    What type of cancers commonly arises from the cervix?

    <p>Squamous cell carcinoma</p> Signup and view all the answers

    What histopathological feature is associated with lichen simplex chronicus?

    <p>Epithelial thickening</p> Signup and view all the answers

    What percentage of vulvar carcinomas is squamous cell carcinoma?

    <p>90%</p> Signup and view all the answers

    Which characteristic is associated with cervicitis?

    <p>Purulent vaginal discharge</p> Signup and view all the answers

    Which condition is often present at the margins of established vulvar cancer?

    <p>Lichen simplex chronicus</p> Signup and view all the answers

    What is the primary function of the BRCA1 and BRCA2 genes?

    <p>DNA repair</p> Signup and view all the answers

    Which of the following genetic conditions is associated with mutations in the p53 gene?

    <p>Li-Fraumeni syndrome</p> Signup and view all the answers

    What was observed regarding the use of combined estrogen plus progestin hormone therapy?

    <p>Increases the risk of breast cancer</p> Signup and view all the answers

    How does ionizing radiation to the chest affect breast cancer risk?

    <p>It increases the risk only in women irradiated before age 30</p> Signup and view all the answers

    What percentage of women irradiated for Hodgkin lymphoma in their teens and 20s develop breast cancer?

    <p>20% to 30%</p> Signup and view all the answers

    Which of the following is NOT considered a well-established risk factor for breast cancer?

    <p>Genetic mutations in BRCA3</p> Signup and view all the answers

    What is the characteristic appearance of cysts in fibrocystic changes?

    <p>Cysts lined by flattened or cuboidal epithelial cells</p> Signup and view all the answers

    Which of the following is NOT included in proliferative breast disease without atypia?

    <p>Atypical ductal hyperplasia</p> Signup and view all the answers

    What type of breast tumor is the most common benign neoplasm in females?

    <p>Fibroadenoma</p> Signup and view all the answers

    In which demographic do fibroadenomas most commonly appear?

    <p>Women in their thirties</p> Signup and view all the answers

    What is a common feature of phyllodes tumors?

    <p>They have a leaflike appearance</p> Signup and view all the answers

    Which statement about atypical lobular hyperplasia is true?

    <p>It is considered a precursor to breast cancer.</p> Signup and view all the answers

    What contributes to the development of fibroadenomas?

    <p>Increased estrogen activity</p> Signup and view all the answers

    Which characteristic is associated with sclerosing adenosis?

    <p>Proliferation of ductal epithelium without atypia</p> Signup and view all the answers

    What characteristic is associated with the most malignant breast tumors?

    <p>Increased stromal cellularity</p> Signup and view all the answers

    Which symptom is commonly associated with intraductal papilloma?

    <p>Serous or bloody nipple discharge</p> Signup and view all the answers

    At what age group is breast cancer most commonly diagnosed?

    <p>Older than 50 years</p> Signup and view all the answers

    What percentage of breast cancer cases metastasize to distant sites?

    <p>15%</p> Signup and view all the answers

    Which group of women is most likely to carry a breast cancer susceptibility gene?

    <p>Women with bilateral breast cancer and a family history</p> Signup and view all the answers

    What is the typical behavior of solitary intraductal papillomas?

    <p>Almost always remain benign</p> Signup and view all the answers

    How does the incidence of breast cancer vary geographically?

    <p>Significantly higher in North America and northern Europe</p> Signup and view all the answers

    Which factor is not typically correlated with breast cancer risk?

    <p>Height and weight at birth</p> Signup and view all the answers

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