Breast

Question 1

The ‘snowstorm’ sign on ultrasound of axillary lymph nodes indicates

Answer 1

extracapsular breast implant rupture.

Question 2

green nipple discharge

Answer 2

mammary duct ectasia

Question 3

non-lactational mastitis Tx

Answer 3

co-amoxiclav

Question 4

‘halo sign’ on mammogram

Answer 4

breast cyst

(radiolucent area)

Question 5

inflammatory breast cancer

Answer 5

progressive, erythema and oedema of the breast
absent signs of infection such as fever, discharge or elevated WCC and CRP
elevated CA 15-3

Question 6

blood stained nipple discharge

Answer 6

intraductal papilloma

Question 7

Comedo necrosis

Answer 7

high nuclear grade ductal carcinoma in situ

Question 8

chemotherapy:
node+ vs node-

Answer 8

node+ FEDX
node- FEC

Question 9

bilateral nipple discharge

Answer 9

young patients- hormonal changes associated with puberty
prolactinoma

Question 10

anastrozole side effects

Answer 10

osteoporosis
hot flushes
arthralgia, myalgia
insomnia

Question 11

tamoxifen side effects

Answer 11

menstrual disturbance: vaginal bleeding, amenorrhoea
hot flushes
venous thromboembolism
endometrial cancer

Question 12

women aged >30 with an unexplained breast lump

Answer 12

2ww referral

Question 13

women aged <30 with an unexplained breast lump

Answer 13

non-urgent referral

Question 14

tamoxifen mechanism of action

Answer 14

selective oestrogen receptor modulator (SERM)