This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pharmacology
Mrs Shikha, 50-years-old woman is diagnosed with cervical cancer. Which lymph node group would be the first involved in metastatic spread of this disease beyond the cervix and uterus? NOT RELATED -anatomy 
Select and explain. 
A. Common iliac nodes, B. Parametrial nodes, C. External iliac node, D. Paracervical or ureteral nodes
D: Paracervical or ureteral nodes
Answer: D: Paracervical or ureteral nodes 
Explanation: .