Obstetrics and Gynaecology

Fifth Edition

Lawrence Impey, Tim Child

Extended Matching Questions (EMQs)

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Chapter 5


1. Choose the most appropriate treatment from the list below. Each option may be used once, more than once or not at all.

Possible Answers

A Bilateral salpingo-oophorectomy (BSO)G Radiotherapy
B Laparoscopic ovarian cystectomyH Secondary chemotherapy
C Laparoscopic oophorectomyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incision
D No further treatment requiredJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incision
E Primary chemotherapyK Tumour debulking
F Proceed to full laparotomy

For each of the questions below, select the answer which is most appropriate. Each option can be used once, more than once or not at all.

a.) A premenopausal patient with almost certain malignancy.

b.) A 35 year old, P3, undergoing laparoscopy for an ovarian cyst. At surgery, the cyst is found to be complex, measuring >5 cm. Its characteristics are not consistent with a dermoid cyst or endometrioma; there is ascites.

c.) A 55-year-old woman with stage 3 disease resulting in obstruction of the small bowel. She has no other medical history of note.

d.) A postmenopausal woman with almost certain malignancy.

e.) A 25-year-old nullip with a 6 cm simple cyst; the majority of the ovary is involved.

f.) An 85-year-old woman with stage 4 disease. She has COPD.

g.) A 30-year-old woman with recurrence of dysgerminoma.

h.) A 57-year-old woman who has had a TAH, BSO and omentectomy for a stage 1b ovarian ca.