a) Tethering with skin indicate poor prognosis
b) Mammography is done of the triple assessment
c) FNAC negative no need to go for further investigation
d) Hormonal treatment compare with CT is best in this patient than young patient with same features
e) If decided to do breast conservation surgery, radiotherapy should not given
02. Regarding breast carcinoma;
a) Detected by self breast examination is free of metastatic disease
b) In 80 year old woman can effectively treat with tamoxifen only.
c) Her-2-neu receptor represents poor prognosis
d) Micro metastases can be excluded if the isotope bone scan is normal
e) Treated with mastectomy has better overall survival rather than breast conservative surgery combined with radiotherapy
03. Features of metastatic breast CA
a) Bone pain
b) High ALP level
c) Hypocalcaemia
d) Pathological fractures
e) Pleural effusions
04. Regarding breast CA
a) Fibro adenoma is an AND! arising from a single terminal duct lobule
b) Typical hyperplasia of fibrocystic disease has a high risk for developing malignancies c) USS is a method of screening
d) Hormonal therapy is the first line therapy for elderly patients
05. A 40 year old female presented with pain in both breasts & upper limbs for 6 months. Features favoring the diagnosis of fibrocystic disease are,
a) Cyclical pain
b) Nodules like feeling in the respective area c) Presence in upper medial quadrant
d) Bilateral involvement
06. What is the most common complication following simple mastectomy and axillary clearance
a) Bleeding
b) Thoracodorsal never damage
c) Seroma formation
d) Surgical site infection
e) Flap necrosis mastectomy
07. Risk factors for breast carcinoma
a) Hormone replacement therapy
b) Menopause at 35y of age
c) Oral contraceptive pills for 5 years
d) Null parity
e) Breast feeding
08. Regarding breast disorders,
a) Acute mastitis needs incision and drainage.
b) Female with malignant lump without any metastasis can be treated with lumpectomy. c) Cyclical mastalgia can be treated with cyst aspiration.
d) 2cm fibro adenoma need wide local excision.
e) Mastalgia is common at perimenopause age.
09. Breast carcinoma,
a) Characterized by macro calcifications on mammogram.
b) Detected on self breast examination stands the best chance of cure.
c) When locally advanced, best treated with neo adjuvant chemotherapy.
d) Micro metastasis cannot be excluded if the isotope bone scan is normal.
e) Survival is superior when treated by modified radical mastectomy comparing with breast conservation surgery combine with radiotherapy.
10. Regarding breast carcinoma
a) Tumor situated in sub areolar area is the best situation for breast conservative surgery
b) Estrogen receptor positive breast carcinoma has good prognosis
c) Estrogen ,progesterone and HER2 receptors can be identified
d) Usually sensitive to chemotherapy
11. True or False regarding benign breast disease
a) Fibro adenoma has irregular margins
b) Usually grows up to 2-3cm in size
c) Giant fibro adenoma can be seen in pregnancy
d) Well lobulated
12. WOF are true or false
a) Middle thyroid vein drains to the internal jugular vein
b) Clinical features of L5/S1 disc prolapse affecting the S1 root includes parasthesia of the lateral aspect of the foot
c) 80% of blood supply to the liver is from the portal vein
d) Iliohypogastric nerve passes through the external inguinal ring along with the spermatic cord
e) Abductor pollicis brevis muscle is supplied by the ulnar nerve
Answers
01. a) T b) T c) F d) F e) F
02. a) F b) F c) T d) F e) F
03. a) T b) T c) F d) T e) T
04. a) T b) F c) T d) F
05. a) T b) T c) F d) T
06. a
07. a) T b) F c) T d) T e) F
08. a) F b) F c) F d) F e) F
09. a) F b) F c) T d) T e) F
10. a) F b) T c) T d) T
11. a) F b) T c) F d) F
12. a) T b) T c) T d) F e) F
