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Med Yr3 EMQs > Breast Cancer > Flashcards

Breast Cancer Flashcards

1
Q

A palpable breast lump in a woman aged 40 years: Should be investigated by ultrasound only

A

False

Triple assessment:
Clinical
Imaging
FNA biopsy

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2
Q

A palpable breast lump in a woman aged 40 years: When investigated by mammography alone, there is a 50% sensitivity for detecting malignancy

A

False

No, 86% sensitivity. In women over 35 mammography is the investigation of choice in terms of imaging.

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3
Q

A palpable breast lump in a woman aged 40 years: is most likely to be a fibroadenoma

A

False

No, cysts/carcinoma are more likely. Think of fibroadenomas in age group 20-30

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4
Q

A palpable breast lump in a woman aged 40 years: May be ductal carcinoma in situ.

A

False

It is impalpable

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5
Q

A palpable breast lump in a woman aged 40 years: May be associated with a positive paternal family history

A

True

Positive family history is one of the risk factors for development of breast cancer.

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6
Q

In a patient with nipple discharge: Galactorrhoea may be caused by hypoprolactinaemia

A

False

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7
Q

In a patient with nipple discharge: Blood-stained discharge should always be investigated

A

True

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8
Q

In a patient with nipple discharge: Blood stained discharge is most commonly due to duct ectasia.

A

False

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9
Q

Breast Abscess: Most commonly occur immediately post partum

A

True

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10
Q

Palpable breast cysts: May produce skin tethering.

A

False

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11
Q

Palpable breast cysts: Are commonly bilateral.

A

True

It is common for breat cysts to be multiple and bilateral. They can also reappear after aspiration. Most common in 30-40 age group.

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12
Q

Palpable breast cysts: Are most common in the fourth decade

A

False

it is most common in 20-40 age group

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13
Q

Palpable breast cysts: Should be re-aspirated each time they refill

A

False

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14
Q

Palpable breast cysts: Usually contained blood-stained fluid

A

False

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15
Q

Breast pain: is common in the absence of sinister disease.

A

True

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16
Q

Breast pain: Is rarely a symptom of cancer.

A

False

Occurs in 10%. Other things to look out for are: -skin changes, -nipple discharge, -palpable lump. However, malignancy may be there in the absence of all these.

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17
Q

Breast pain: Is most commonly non-cyclical

A

False

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18
Q

Breast pain: May be due to Tietze’s syndrome.

A

True

Tietze’s S is a inflammatory disorder of the cartilage.

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19
Q

Breast pain: is common in the absence of sinister disease.

A

True

20
Q

Breast pain: Is rarely a symptom of cancer.

A

False

Occurs in 10%. Other things to look out for are: -skin changes, -nipple discharge, -palpable lump. However, malignancy may be there in the absence of all these.

21
Q

Breast pain: Is most commonly non-cyclical

A

False

22
Q

Breast pain: May be due to Tietze’s syndrome.

A

True

Tietze’s S is a inflammatory disorder of the cartilage.

23
Q

Breast pain: May be treated with tamoxifen

A

False

24
Q

The incidence of breast cancer is increased in: Late menarche

A

False

25
Q

Paget’s disease of the breast: May lead to secondary sarcoma development.

A

False

26
Q

The incidence of breast cancer is increased in: Late menopause

A

True

27
Q

The incidence of breast cancer is increased in: Obesity

A

True

28
Q

The incidence of breast cancer is increased in: Breastfeeding

A

False

29
Q

The incidence of breast cancer is increased in: Nulliparity

A

True

30
Q

The incidence of breast cancer is increased in: Women on HRT

A

True

31
Q

Paget’s disease of the breast: Mimics psoriasis in the early stages

A

False

32
Q

Paget’s disease of the breast: Is caused by intradermal infiltration by malignant cells.

A

True

33
Q

Paget’s disease of the breast: Is not invasive

A

False

34
Q

Paget’s disease of the breast: Is best treated by mastectomy and axillary clearance.

A

True

35
Q

Mammography: A) When negative confirms that a breast lump does not need to be removed

A

False

36
Q

Mammography: B) Is superior to ultrasound in the detection of cysts.

A

False

37
Q

Mammography: C) Detects more tumours when two screening views are taken.

A

True

38
Q

Mammography: D) Carries a small risk of inducing breast cancer

A

True

39
Q

Routine investigations for confirmed EARLY breast cancer include: Chest x-ray

A

True

Breast cancer distant spread: bone, pleura, liver, lung.

40
Q

Routine investigations for confirmed EARLY breast cancer include: Bone scan

A

False

41
Q

Routine investigations for confirmed EARLY breast cancer include: Liver ultrasound

A

False

42
Q

Routine investigations for confirmed EARLY breast cancer include: CT scan

A

False

43
Q

Routine investigations for confirmed EARLY breast cancer include: Serum tumour marker levels

A

False

44
Q

FNA cytology: A) Should be performed on all patients presenting with breast lumps

A

True

It is a part of triple assessment. 
Every breast lump needs a triple assessment.
Clinical Hx and Examination
Radiology
Ultrasound if 35 y/o
Histology/Cytology (FNA / core biopsy)
cystic lump - aspirate
clear fluid - discard and reassure the patient
bloody fluid - send for cytology
residual mass - core biopsy
solid lump - core biopsy and histology
45
Q

FNA cytology: B) Should be performed prior to mammography.

A

False

46
Q

FNA cytology: C) Should readily yield cellular material

A

False

47
Q

FNA cytology: D) If acellular should always be repeated.

A

False

Med Yr3 EMQs (3 decks)

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