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8816 Gynaecology & Obstetrics

A patient presents to your office for her annual examination. She admits to having intercourse with multiple sexual partners over the past year. Her only medication is an oral contra ceptive pill (O C P ) which she takes very regularly. She has no new symptoms or concerns. On physical examination, a painless punched-out ulcer is appreciated on the left labia.After appropriate testing and treatment, you counsel the patient to practice safer sex in the future. If this patient had not been treated, what would be the next sequelae?

AArgyll-Robertson pupil
BGummas on the skin and bones
CTabes dorsalis
DRash involving palms and soles
Gynaecology & Obstetrics
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8819 Gynaecology & Obstetrics

A 28 year old woman diagnosed with vulvar carcinoma. The lesion is on right labia, away from midline and measures 3 cm with stromal invasion of 2mm with no inguinal lymph nodes. Treatment is?

AWide local excision
BRadical local excision with 1 cm tumor free margin with ipsilateral lymph node dissection
CRadical local excision with 1 cm tumor free margin with bilateral lymph node dissection
DRadical local excision without LN dissection
Gynaecology & Obstetrics
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