Gynaecological oncology: vulval cancer: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Gynaecological oncology: vulval cancer

Sample item

In vulval carcinoma, which lymph nodes are the first to be involved?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Superficial inguinal nodes

The vulva drains first to the superficial inguinal, then deep femoral and pelvic nodes. Sentinel node biopsy or inguinofemoral lymphadenectomy is part of treatment. Most vulval cancers are squamous.

Option by option

  • A. Internal iliac nodes

    Internal iliac nodes are involved later.

  • B. Para-aortic nodes

    Para-aortic nodes are involved late.

  • C. Obturator nodes

    Obturator nodes are pelvic nodes, involved later.

  • D. Superficial inguinal nodes (correct)

    Correct. Superficial inguinal nodes are first.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Superficial inguinal nodes. The vulva drains first to the superficial inguinal, then deep femoral and pelvic nodes.

Why is "Internal iliac nodes" not the answer?

Internal iliac nodes are involved later.

Why is "Para-aortic nodes" not the answer?

Para-aortic nodes are involved late.

Why is "Obturator nodes" not the answer?

Obturator nodes are pelvic nodes, involved later.

What concept does this question test?

It tests Gynaecological oncology: vulval cancer in OBG. Sentinel node biopsy or inguinofemoral lymphadenectomy is part of treatment. Most vulval cancers are squamous.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Gynaecological oncology: vulval cancer?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.