OSCE practise points

Question 1

During a breast hx, what must you ask about for cyclical related pain?

Answer 1

Menstruation hx and contraceptive use

Hx of pregnancy (antenatal hx)

Question 2

Risk factors of breast cancer to ask about in breast history?

PMH

Answer 2

Age of Menarche

Regularity of period and any problems?

Age of Menopause

Question 3

Risk of breast cancer to ask in breast hx?

FH

Answer 3

First degree degree family member?

Male family member with breast cancer?

of Jewish ancestry?

Question 4

Risk factors of breast cancer to ask about in a breast hx?

DH

Answer 4

Contraceptive pill

HRT

Question 5

Risk factors of breast cancer to ask about in breast hx?

SH and antenatal

Answer 5

How many children?

When did they have they’re first child?

Did they breast feed that child?

Alchol, smoking and BMI

Question 6

When is doing a mastectomy considered good?

Answer 6

Multiple lumps/masses

BRCA 1 or 2 gene

Cancer-to-breast ratio is too big

Local recurrence - px has already had radiotherapy to that area

Type/Grade of cancer