ABSITE Breast Health Assessment Exam Questions with certified Marking Scheme 2024/2025
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ABSITE Breast Health Assessment Exam Questions with certified Marking Scheme 2024/2025
During which trimesters can you do a breast conserving surgery with delayed postpartum radiation for a pregnant woman with breast cancer? - correct answer Second and third trimesters
if the patient were in...
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ABSITE Breast Health Assessment Exam
Questions with certified Marking Scheme
2024/2025
During which trimesters can you do a breast conserving surgery
with delayed postpartum radiation for a pregnant woman with
breast cancer? - correct answer Second and third trimesters
if the patient were in the first trimester, then delayed would be
waiting too long. Instead do a simple mastectomy with axillary
staging (SLNB) b/c there would be no need for radiation therapy
postop
How do you do a tracer for axillary staging in the breast of a
pregnant patient? - correct answer Radioactive sulfur colloid
Contraindicated are isosulfan blue and methylene blue
Chemotherapy during second and third trimesters is ok for which
type of endocrine therapy? Which is contraindicated? - correct
answer Systemic chemotherapy may be given during 2nd and
3rd trimesters
Trastuzumab and other hormones are contraindicated during
pregnancy and should be delayed until the postpartum period
Women should not undergo breastfeeding if they are undergoing
chemotherapy or hormone therapy
, Finding of classic LCIS on biopsy with no residual calcifications
on mammography can be treated with what therapy? - correct
answer Excisional biopsy, b/c even without calcifications there
can still be DCIS or invasive carcinoma
LCIS to more likely occur in pre or post menopausal women? -
correct answer pre-menopausal
History of ionizing radiation of the chest for treatment such as
Hodgkin lymphoma increases risk of breast cancer. What are the
risk factors based on? - correct answer Risk is based on age
at radiation receipt, duration of therapy, and concurrent use of
chemotherapy
Low (<2RR) : age of menarche <12, age at menopause >55,
nulliparity, obesity, hormone replacement therapy
Moderate (2-4RR) : age at first birth >30, mother or sister with
breast cancer, previous breast cancer, radiation exposure
High (>4RR) : BRACA1 or BRACA 2 mutation, age >70
Delayed menarche would provide overall decreased estrogen
exposure and decrease risk of breast CA
While obesity has an associated increased risk of breast CA for
postmenopausal females, in a patient who is actively
breastfeeding then obesity is not a major contributing risk factor
to developing breast CA
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