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Match the biopsy techniques to their field:
Fine Needle Aspiration = [blank_start]Cytopathology[blank_end]
Core Needle Biopsy = [blank_start]Histology[blank_end]
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Which is most commonly utilised mode of biopsy in terms of retrieving breast tissue?
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Fine Needle Aspiration
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Core Needle Biopsy
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[blank_start]Histological[blank_end] biopsy techniques allow a clinician to assess whether a malignant cancer is in situ or invasive.
This is not available when utilising a [blank_start]Cytological[blank_end] technique of biopsy.
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Histological
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Cytological
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Cytological
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Histological
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Excessive growth of the breasts during puberty is known as juvenile breast [blank_start]hypertrophy[blank_end]
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Enlargement of a man's breasts, usually due to hormone imbalance or hormone therapy is known as [blank_start]gynaecomastia[blank_end]
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Gynaecomastia involves ductal growth within the breast [blank_start]without[blank_end] associated lobular development
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Excessive cannabis use is a known cause of gynaecomastia
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Having [blank_start]liver[blank_end] disease is a risk factor for developing gynaecomastia
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liver
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kidney
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heart
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crohn's
Frage 9
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Women between the ages of 20-50 (majority 40-50) commonly develop benign breast lumps due to fibrous tissue aggregates in an area of the breast.
What is this known as?
[blank_start]Fibrocystic change[blank_end]
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Fibrocystic change occurs in around [blank_start]one third[blank_end] of women at some point in their lifetime (typically 40-50)
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one third
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a half
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one quarter
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three quarters
Frage 11
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Fibrocystic changes in women typically subside or reduce following menopause.
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Fibrocystic changes are usually painless.
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What is the difference between cytology and histology?
[blank_start]Cytology[blank_end] = Study of individual cells
[blank_start]Histology[blank_end] = Study of tissues
Frage 14
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Which two of the following are known risk factors for breast cancer development?
Frage 15
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Despite being associated with breast cancer, early menarche and late menopause are also associated with fibrocystic changes.
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Which, if any, of the following conditions is painful?
Fibrocystic Change: [blank_start]Painful[blank_end]
Fibroadenoma: [blank_start]Painless[blank_end]
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Painless
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Painful
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Painful
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Painless
Frage 17
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Fibrocystic change usually occurs as development of a single solitary mass.
Frage 18
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What is the typical management of fibrocystic change?
Frage 19
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Fibrocystic changes are known to commonly develop into breast cancer
Frage 20
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Name the condition:
"A circumscribed benign lesion composed of tissues normal to the breast (adipose, glandular and connective) but organised in an abnormal proportion or distribution"
[blank_start]Hamartoma[blank_end]
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Fibroadenomas typically occur as a single solitary lesion.
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Occurs as multiple lesions: [blank_start]Fibrocystic Change[blank_end]
Occurs as single lesion: [blank_start]Fibroadenoma[blank_end]
Typically painless: [blank_start]Fibroadenoma[blank_end]
Typically painful: [blank_start]Fibrocystic Change[blank_end]
Antworten
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Fibroadenoma
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Fibrocystic Change
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Fibroadenoma
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Fibrocystic Change
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Fibrocystic Change
-
Fibroadenoma
-
Fibrocystic Change
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Fibroadenoma
Frage 23
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Fibroadenoma is more common in women of asian origin.
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Fibroadenomas most commonly present in a woman's [blank_start]30s[blank_end]
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Fibroadenomas are typically [blank_start]mobile[blank_end] lesions
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When seeing woman with suspicious breast lesions, their age defines which type of scan they should have:
A woman under the age of [blank_start]40[blank_end] should have [blank_start]an Ultrasound Scan[blank_end]
A woman over the age of [blank_start]40[blank_end] should have [blank_start]a Mammogram[blank_end]
Antworten
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a Mammogram
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an Ultrasound Scan
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an Ultrasound Scan
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a Mammogram
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40
-
30
-
50
-
40
-
30
-
50
Frage 27
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How are fibroadenomas typically managed?
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Exclude malignancy and reassure patient
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Immediate excision once diagnosis is made
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Topical steroid to reduce the mass
Frage 28
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Malignant breast cancers are typically solid and fixed within the breast.
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[blank_start]Sclerosing Adenosis[blank_end] is a benign proliferative condition of the terminal duct lobular units characterised by an increased number of acini and their glands. This may cause a mass or calcification within the breast which can be mistaken for a breast cancer.
Frage 30
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Sclerosing Adenosis should be excised as soon as possible following diagnosis due to the risk that it may undergo malignant change.
Frage 31
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A complex sclerosing lesion of the breast is a benign breast lesion that can radiologically mimic malignancy. Clinically, this is known as a [blank_start]radial[blank_end] scar
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A [blank_start]Radial Scar[blank_end] is more serious as it can progress to invasive carcinoma. It should therefore the excised or at least extensively sampled.
Antworten
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Radial Scar
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Sclerosing Adenosis
Frage 33
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Which two of the following biopsy techniques are typically utilised in the diagnosis of a radial scar?
Antworten
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Core Needle Biopsy
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Vacuum Needle Biopsy
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Fine Needle Aspiration
Frage 34
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Which of the following conditions most commonly occurs due to local trauma, for example a seat belt injury?
Antworten
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Fat necrosis
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Duct ectasia
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Acute mastitis
Frage 35
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Which anticoagulant drug is also known to cause fat necrosis of the breast?
[blank_start]Warfarin[blank_end]
Frage 36
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Which of the following conditions is very highly associated with a long smoking history?
Antworten
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Fat necrosis
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Duct ectasia
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Acute mastitis
Frage 37
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Which inflammatory breast condition is associated with smoking and causes fistulas to open up around the nipple?
[blank_start]Duct ectasia[blank_end]
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Duct ectasia is typically very painful and produces bloody and/or purulent discharge
Frage 39
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Which 3 of the following features typically occur as part of duct ectasia?
Frage 40
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Which three of the following are common interventions for duct ectasia?
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Treat any underlying infection
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Referral to smoking cessation service
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Excise the affected subareolar ducts
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Apply topical steroid to suppress the inflammation - fistulas will close with time and positive lifestyle choices
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Mastectomy
Frage 41
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Which 2 of the following bacteria are typically involved in mastitis due to breast-feeding?
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Staph Aureus
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Strep Pyogenes
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Strep Viridans
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Staph Epidermidis
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Klebsiella Pneumoniae
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Phyllodes Tumours are, in the most part, benign tumours although they can become malignant.
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Phyllodes Tumours are typically removed via a laparoscopic operation