Gynaecological oncology: cervical cancer staging: 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.

Try it

OBG · Gynaecological oncology: cervical cancer staging

Sample item

A woman has a cervical cancer extending to the upper two-thirds of the vagina and into the parametrium without reaching the pelvic wall (FIGO IIB). What is the treatment of choice?

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

The answer and the reasoning

A. Concurrent chemoradiation with cisplatin

Locally advanced disease (IB3 to IVA) is treated with concurrent cisplatin-based chemoradiation, including external beam radiotherapy and brachytherapy. Surgery is reserved for early disease (IA to IB2/IIA1). Stage IIB involves the parametrium, so surgery is not suitable.

Option by option

  • A. Concurrent chemoradiation with cisplatin (correct)

    Correct. Chemoradiation is standard for stage IIB.

  • B. Palliative care only

    Curative therapy is feasible.

  • C. Wertheim's hysterectomy

    Wertheim hysterectomy is for stage IB to IIA1.

  • D. Simple hysterectomy

    Simple hysterectomy is inadequate for stage II.

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 A, Concurrent chemoradiation with cisplatin. Locally advanced disease (IB3 to IVA) is treated with concurrent cisplatin-based chemoradiation, including external beam radiotherapy and brachytherapy.

Why is "Palliative care only" not the answer?

Curative therapy is feasible.

Why is "Wertheim's hysterectomy" not the answer?

Wertheim hysterectomy is for stage IB to IIA1.

Why is "Simple hysterectomy" not the answer?

Simple hysterectomy is inadequate for stage II.

What concept does this question test?

It tests Gynaecological oncology: cervical cancer staging in OBG. Surgery is reserved for early disease (IA to IB2/IIA1). Stage IIB involves the parametrium, so surgery is not suitable.

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: cervical cancer staging?

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.