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Extended Matching Questions (EMQs) < Back to EMQ Chapter List 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 RadiotherapyB Laparoscopic ovarian cystectomy H Secondary chemotherapyC Laparoscopic oophorectomy I Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionD No further treatment required J Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionE Primary chemotherapy K Tumour debulkingF 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.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulkingb.) 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.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulkingc.) A 55-year-old woman with stage 3 disease resulting in obstruction of the small bowel. She has no other medical history of note.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulkingd.) A postmenopausal woman with almost certain malignancy.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulkinge.) A 25-year-old nullip with a 6 cm simple cyst; the majority of the ovary is involved.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulkingf.) An 85-year-old woman with stage 4 disease. She has COPD.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulkingg.) A 30-year-old woman with recurrence of dysgerminoma.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulkingh.) A 57-year-old woman who has had a TAH, BSO and omentectomy for a stage 1b ovarian ca.Choose from one of the following answersA Bilateral salpingo-oophorectomy (BSO)B Laparoscopic ovarian cystectomyC Laparoscopic oophorectomyD No further treatment requiredE Primary chemotherapyF Proceed to full laparotomyG RadiotherapyH Secondary chemotherapyI Total abdominal hysterectomy, BSO and omentectomy through mid-line incisionJ Total abdominal hysterectomy, BSO and omentectomy through low transverse incisionK Tumour debulking