Breast

Question 1

what should all women who have a wide local excision have afterwards to prevent recurrence

Answer 1

whole breast radiotherapy

Question 2

what is other name for trastuzumab
when would you use it

Answer 2

herceptin
for her positive breast cancer

Question 3

what is blood stained discharge usually indicative of

Answer 3

intraductal papilloma

Question 4

big rf for mastoiditis and breast abcess

Answer 4

smoking

Question 5

rx of er positive breast cancer
pre/peri menopausal vs post menopausal

Answer 5

premenopausal - SERMs eg tamoxifen
post menopausal - aromatase inhibitors eg anastrazole

Question 6

mom of aromatase inhibitors

Answer 6

reduce peripheral production of oestrogen

Question 7

when to give abx in mastitis

Answer 7

if present with high temp
or if symptoms fail to resolve after initial advice and reassurance

Question 8

side effects of tamoxifen

Answer 8

VTE
hot flushes
nausea

Question 9

duct ectasia presentation

Answer 9

post menopausal woman.
creamy discharge may be green, slit like opening to nipple

Question 10

what to do with an <30 with unexplained breast lump with or with our pain

Answer 10

non-urgent referral to breast clinic

Question 11

red flag referral criteria for breast 2ww

Answer 11

> 30 with unexplained breast lump
50 with unilateral discharge, retraction or other concerning changes of the nipple

Question 12

what does ‘snowstorm’ sign on US of lady with augmented breast suggest

Answer 12

implant rupture