Test 3

Question 1

Fibroadenoma

Answer 1

Mass that is unattached to surrounding tissue

Question 2

Fibroadenoma examination

Answer 2

Oval, freely moveable, and rubbery. 1-15cm

Question 3

Fibrocystic breast condition

Answer 3

Painful tender lumps, rubbery, Ill defined, upper quadrant of breast.
Onset late teens, subsides after menopause

Question 4

Fibrocystic breast condition cause

Answer 4

Imbalance in normal estrogen to progesterone ratio.

Question 5

Gynecomastia

Answer 5

Symptom rather than a disease

Can be the result of primary cancer-lung or testicular cancer

Question 6

Causes of gynecomastia

Answer 6

Anti-androgens, corticosteroids 
Aging
Obesity
Estrogen excess
Androgen deficiency 
Breast cancer

Question 7

When to do a breast exam

Answer 7

Premenopausal - 1 week after cycle

Postmenopausal- anytime

Question 8

Noninvasive breast cancer

20% of them

Answer 8

Ductal carcinoma. In-situ. Have not invaded any surrounding tissue
Lobular carcinoma- rare

Question 9

Invasive

80%

Answer 9

Infiltrating ductal carcinoma

Inflammatory breast cancer

Question 10

Infiltrating ductal carcinoma

Answer 10

Originates in mammary ducts

Most common

Question 11

Inflammmatory breast cancer

Answer 11

Most aggressive.

Redness, swelling, pain

Question 12

Coopers ligaments

Answer 12

Fibrosis of the tissue causes shortening of these ligaments, which causes skin dimpling- advanced disease

Question 13

Peau d’ orange

Answer 13

Edematous thickening of the skin and pitting of breast skin

Question 14

Breast cancer complications

Answer 14

Invasion of the lymph channnels, causing skin edmea
Metz to lymph nodes
Bone, lungs, brain, liver- sites to Metz
Ulceration of overlying skin

Question 15

Male breast cancer

Answer 15

Rare, fewer than 1% of cases
Average age of onset is 68 years
Hard, painless

Question 16

Mammograms not recommended

Answer 16

Average risk, under 40 years

Question 17

Modified radical mastectomy

Answer 17

Breast tissue, nipple and lymph nodes removed, muscles left intact

Question 18

Simple mastectomy

Answer 18

Breast tissue and usually nipple removed, lymph nodes intact

Question 19

Lumpectomy with lymph node dissection

Answer 19

Only tumor nodes are removed

Question 20

Mastectomy excercise

Answer 20

Hand wall climbing
Pulley excersize
Rope turning

Question 21

Age of menopause is

Answer 21

51

Question 22

Adjuvant therapy

Answer 22

Radiation/ drug therapy

Question 23

Decision to use adjuvant therapy after surgery depends on

Answer 23

Stage
Age and menopausal status 
Patient preference
Pathological examination
Hormone receptor status 
Genetic

Question 24

Chemotherapy

Herceptin

Answer 24

Standard of care for women with node-positive cancer or with tumor larger than 1 cm

Question 25

Herceptin

Answer 25

Chemo- cardiac affects

Question 26

Hormonal therapy purpose

Answer 26

Reduce estrogen available to breast tumors

Question 27

Tamoxifen

Answer 27

Blocks estrogen receptors and this limits cancer cell growth