Female Genital Tract

Traditional essay:

1. Classify ovarian tumours (WHO classification). Describe the germ cell tumours in detail. (5+10=15).

Modified essay:

1. A 52 year old female presented with postmenopausal bleeding per vagina, foul smelling discharge and pain during intercourse. P/s examination showed a friable mass arising from the cervix which bleeds on touch. (2+3+5+5=15)

a. What is the most likely diagnosis?
b. Mention the risk factors for this condition.
c. Describe the different morphological patterns of the lesion?
d. Write a note on the precursor lesions of this lesion.

Short essay: 8 marks

1. Surface epithelial tumours of ovary.

2. Germ cell tumours of ovary.

3. Gestational trophoblastic neoplasms.

4. Endometrial carcinoma – etiopathogenesis, morphology.

5. Carcinoma cervix – risk factors, pathogenesis and morphology.

Short answer: 4 marks

1. CIN.

2. Molar pregnancy.

3. Endometrial hyperplasia.

5. Adenomyosis.

6. Teratoma ovary.

7. Krukenberg tumour.

8. Leiomyoma.

Name the following: 1 mark

1. Call exner bodies are seen in …………….

2. What is adenomyosis?

3. Name two microscopic findings in endometrisos.

4. Benign genital warts caused by low-risk HPV 6 and 11 are called ………….

5. Inactivation of ……………. tumour suppressor gene is a common genetic alteration in both endometrial hyperplasia and endometrioid endometrial carcinoma.

6. Name two germ cell tumours of the ovary.

7. Mature teratoma of ovary composed entirely of mature thyroid tissue is called ……………

8. Karyotype in ninety percent of complete mole is …………..