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  • August 21, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • high yield and frequently missed absite questions
  • high yield and frequently missed absite answers
  • breast what is presentation treatment prognosi

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  • ABSITE
  • ABSITE

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High-Yield And Frequently Missed
ABSITE Questions And Answers 100%
Verified
Breast: What is presentation, treatment, prognosis for intraductal papilloma? - 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)? - 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)? - ANSWER - 1 - lateral
to pec minor;
2 - beneath pec minor;
3 - medial to pec minor;
Rotter's Nodes - between pec major and pec minor


Breast: when is SNLB indicated (size, nodes, tumor status, metastatic risk)>? - 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? - ANSWER - have to do formal
ALND


Breast: what is treatment for DCIS in male/female? - ANSWER - female -- BCT + xrt OR
mastectomy; male -- mastectomy


Breast: what is not needed for patient with negative SLNB? - 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)? - ANSWER - negative SLN, old, ER+, and tumor <2 cm


Liver: amebic abscess - how does organism enter, what organism is it - ANSWER - through
portal system


Liver: amebic abscess - what are 3 presenting symptoms? - ANSWER - fever, RUQ pain, RUQ
tenderness


Liver: amebic abscess - what test may help diagnose? - ANSWER - indirect hemagglutination


Liver: amebic abscess - what is first line treatment, when should surgery be done, and what
other option exists? - ANSWER - first option metronidazole -- surgery or percutaneous drainage
if failure


Liver: what are 2 primary routes for pyogenic liver abscess, and what are 2 specific causes for
each? - ANSWER - biliary infection (cholecystitis/cholangitis) - most common
seeding from portal vein drainage (appendicitis, diverticulitis)


Liver: pyogenic abscess - what are most common organisms (3)? - ANSWER - e. coli,
klebsiella, strep


Liver: treatment for pyogenic abscess (variuos options)? - ANSWER - abx and/or percutaneous
drainage, always search for primary source


Breast: what patient would get mastectomy/BCT + tamoxifen for 5 years plus chemo (4
characteristics)? - ANSWER - negative SLN, young, ER+, and tumor >1cm


Breast: what are 3 chemo agents used for breast CA typically? - ANSWER - 1) adriamycin; 2)
cyclophosphamide; 3) taxol


Breast: what patient would get mastectomy/BCT + chemo (no tamoxifen)? - ANSWER -
negative SLN, ER-

, Breast: what is main SE of taxol? - ANSWER - taxol - neuropathy


Breast: what is main SE of adriamycin (doxorubacin)? - ANSWER - cardiomyopathy


Breast: what is treatment for inflammatory breast cancer (in order)? - ANSWER - neoadjuvant
chemo, then mastectomy (mod radical), then XRT


Breast: what options are available for breast mass post neoadjuvant therapy? - 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


Breast: LCIS -- who primarily gets this, what is most important characteristic, what % get cancer,
where, and what type? - ANSWER - - pre-menopausal
- NOT premalignant itself
- 30% lifetime risk
70% ductal CA


Breast: LCIS -- what % have synchronous cancer? - ANSWER - 5%


Breast: LCIS -- what is treatment (4 possibility, 2 things not needed ever)? - 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)
Tx? - ANSWER - - LCIS
- Atypical ductal hyperplasia
- atypical lobular hyperplasia
Tx: resect the lesion w/ (-) margins

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