ABSITE Review Questions and Answers (Graded A)ABSITE Review Questions and Answers (Graded A)ABSITE Review Questions and Answers (Graded A)ABSITE Review Questions and Answers (Graded A)ABSITE Review Questions and Answers (Graded A)
Initial treatment of 50 year-old female with metastatic breast CA t...
Contraindications to SLNBx - ANSWER - 1. Clinically suspicious axillary LN
2. T3/T4
3. Large biopsy cavity
4. Prior axillary surgery
5. Recent mammoplasty/breast implant
6. Likely intraductal papilloma
Young woman with bloody nipple discharge & normal mammogram → - ANSWER - Likely
intraductal papilloma → ductal excision
Treatment of breast pain - ANSWER - Bromocriptine (inhibits prolactin secretion)
Which is a contraindication to segmental mastectomy or BCT, multicentric disease or pectoralis
involvement? - ANSWER - Multicentric disease
ER is a marker for _____ - ANSWER - Tumor differentiation
Most variable portion of the cell cycle - ANSWER - G1 (determines cell cycle length)
Management of 9-cm adrenal mass - ANSWER - Adrenalectomy (tranabdominal approach)
ACTH level during shock - ANSWER - Elevated
, LCIS @ margin of breast excision, NEXT STEP - ANSWER - No further Rx
Tamoxifen & close follow-up
Management of phyllodes tumor (2 cm) - ANSWER - WLE without nodal dissection
Management of post-menopausal, ER+, T1N1 (stage IIa) breast CA - ANSWER - Chemotherapy
+ Tamoxifen
Management of melanoma <0.75mm - ANSWER - WLE with 1-cm margins
Management of 1.2mm superficial melanoma without palpable node(s) - ANSWER - WLE with
2-cm margins + SLNBx for all lesions >1.0mm
Management of anal SCCa - ANSWER - ChemoXRT (Nigro protocol)
Malignancy most likely to have ascites and carinomatosis - ANSWER - Ovarian
Cancer-related cachexia is related to ____ - ANSWER - TNFα
Cancer least likely to metastasize to bone - ANSWER - Prostate > Breast > Lung > Kidney >
THYROID
Inguinal LN biopsy positive for melanoma with no identifiable primary ... NEXT STEP - ANSWER
- CT abdomen/pelvis
Inhibitory factor of tumor growth - ANSWER - TGFβ
Mechanism of angiogenesis - ANSWER - Proliferation/migration
Management of 0.8mm melanoma - ANSWER - WLE with 1-cm margins
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