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Exam-High-Yield & ABSITE Missed(287) Questions with Correct Answers
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Exam-High-Yield & ABSITE Missed(287) Questions withCorrect Answers
Breast: What is presentation, treatment, prognosis for intraductal papilloma? Correct
Answer-presents with bleeding/bloody nipple discharge (most common cause), usually
benign, biopsy/resect via major duct excision
Breast: What are contraindications to BCT (lumpectomy) in stage I breast cancer (and what
specifically is not)? Correct Answer-1) prior irradiation;
2) pos margins;
3) inflammatory;
4) pregnancy (unless 3rd trimester)
Breast: what are the axillary node levels (1-3, and one more category)? Correct Answer-1 -
lateral to pec minor;
2 - beneath pec minor;
3 - medial to pec minor;
Rotter's Nodes - between pec major and pec minor
, Exam-High-Yield & ABSITE Missed(287) Questions with
Correct Answers
Breast: when is SNLB indicated (size, nodes, tumor status, metastatic risk)>? Correct
Answer->1 cm, no positive nodes (obviously), primary tumor present, low risk of axillary
mets,
Breast: what do you do if you can't find radiotracer dye in SNLB? Correct Answer-have to
do formal ALND
Breast: what is treatment for DCIS in male/female? Correct Answer-female -- BCT + xrt OR
mastectomy; male -- mastectomy
Breast: what is not needed for patient with negative SLNB? Correct Answer-ALND -- just do
BCT or mastectomy depending on tumor is fine
Breast: what patient would get only mastectomy/BCT + tamoxifen for 5 years (4
characteristics)? Correct Answer-negative SLN, old, ER+, and tumor <2 cm
Breast: what patient would get mastectomy/BCT + tamoxifen for 5 years plus chemo (4
characteristics)? Correct Answer-negative SLN, young, ER+, and tumor >1cm
, Exam-High-Yield & ABSITE Missed(287) Questions with
Correct Answers
Breast: what are 3 chemo agents used for breast CA typically? Correct Answer-1)
adriamycin; 2) cyclophosphamide; 3) taxol
Breast: what patient would get mastectomy/BCT + chemo (no tamoxifen)? Correct
Answer-negative SLN, ER-
Breast: what is main SE of taxol? Correct Answer-taxol - neuropathy
Breast: what is main SE of adriamycin (doxorubacin)? Correct Answer-cardiomyopathy
Breast: what is treatment for inflammatory breast cancer (in order)? Correct Answer-
neoadjuvant chemo, then mastectomy (mod radical), then XRT
Breast: what options are available for breast mass post neoadjuvant therapy? Correct
Answer-same as de novo breast cancer -- BCT or mastectomy -- if tumor shrunk and now
amenable to BCT, that's fine, even if it was big before and needed mastectomy based on size
, Exam-High-Yield & ABSITE Missed(287) Questions with
Correct Answers
Breast: LCIS -- who primarily gets this, what is most important characteristic, what % get
cancer, where, and what type? Correct Answer-- pre-menopausal
- NOT premalignant itself
- 30% lifetime risk
70% ductal CA
Breast: LCIS -- what % have synchronous cancer? Correct Answer-5%
Breast: LCIS -- what is treatment (4 possibility, 2 things not needed ever)? Correct Answer-
1) Need to resect the lesion but do not need neg margins
2) nothing and careful F/U
3) Hormonal therapy
-(pre-meno: tamoxifen; Post-meno: raloxifene)
4) bilateral subcutaneous mastectomy (no ALND)
Breast: What are the benign proliferative breast lesions that have increased risk of CA? (3)
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