1. A 62-year-old postmenopausal woman presents with postmenopausal bleeding. Endometrial biopsy shows Grade 2 endometrioid adenocarcinoma. Which of the following is the most appropriate next step in management?

• CT scan of abdomen and pelvis
• Referral to medical oncology for chemotherapy
• Total abdominal hysterectomy with bilateral salpingo-oophorectomy
• MRI of the pelvis

2. A 67-year-old woman treated for stage IIIA Grade 2 endometrioid endometrial cancer with surgery and adjuvant pelvic radiation calls with a complaint of vaginal bleeding. Which of the following is the most likely cause?

• Menstruation
• Radiation cystitis
• Vaginal cuff recurrence
• Endometriosis

3. Which of the following patients should be screened for Lynch syndrome?

• A 35-year-old with a strong family history of colon cancer diagnosed with complex hyperplasia with atypia on endometrial biopsy
• A 55-year-old obese woman with new diagnosis of endometrial cancer
• A 60-year-old with a 30 pack-year smoking history newly diagnosed with endometrial cancer
• A 72-year-old with stage IA, grade 1 endometrioid adenocarcinoma wishing to pursue fertility sparing options

4. A 28-year-old woman presents with heavy menstrual bleeding unresponsive to medical therapy and is found to have complex hyperplasia with atypia on endometrial biopsy. Which of the following is appropriate definitive surgical management?

• Endometrial ablation
• Hysteroscopic resection of lesion
• Total abdominal hysterectomy
• Laparoscopic supracervical hysterectomy

5. Which imaging study provides the best assessment of the depth of myometrial invasion in endometrial cancer?

• CT abdomen/pelvis with contrast
• MRI pelvis with contrast
• Transvaginal ultrasound
• PET/CT