Pregunta 1
Pregunta
Match the biopsy techniques to their field:
Fine Needle Aspiration = [blank_start]Cytopathology[blank_end]
Core Needle Biopsy = [blank_start]Histology[blank_end]
Pregunta 2
Pregunta
Which is most commonly utilised mode of biopsy in terms of retrieving breast tissue?
Respuesta
-
Fine Needle Aspiration
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Core Needle Biopsy
Pregunta 3
Pregunta
[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.
Respuesta
-
Histological
-
Cytological
-
Cytological
-
Histological
Pregunta 4
Pregunta
Excessive growth of the breasts during puberty is known as juvenile breast [blank_start]hypertrophy[blank_end]
Pregunta 5
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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]
Pregunta 6
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Gynaecomastia involves ductal growth within the breast [blank_start]without[blank_end] associated lobular development
Pregunta 7
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Excessive cannabis use is a known cause of gynaecomastia
Pregunta 8
Pregunta
Having [blank_start]liver[blank_end] disease is a risk factor for developing gynaecomastia
Respuesta
-
liver
-
kidney
-
heart
-
crohn's
Pregunta 9
Pregunta
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]
Pregunta 10
Pregunta
Fibrocystic change occurs in around [blank_start]one third[blank_end] of women at some point in their lifetime (typically 40-50)
Respuesta
-
one third
-
a half
-
one quarter
-
three quarters
Pregunta 11
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Fibrocystic changes in women typically subside or reduce following menopause.
Pregunta 12
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Fibrocystic changes are usually painless.
Pregunta 13
Pregunta
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
Pregunta 14
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Which two of the following are known risk factors for breast cancer development?
Pregunta 15
Pregunta
Despite being associated with breast cancer, early menarche and late menopause are also associated with fibrocystic changes.
Pregunta 16
Pregunta
Which, if any, of the following conditions is painful?
Fibrocystic Change: [blank_start]Painful[blank_end]
Fibroadenoma: [blank_start]Painless[blank_end]
Respuesta
-
Painless
-
Painful
-
Painful
-
Painless
Pregunta 17
Pregunta
Fibrocystic change usually occurs as development of a single solitary mass.
Pregunta 18
Pregunta
What is the typical management of fibrocystic change?
Pregunta 19
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Fibrocystic changes are known to commonly develop into breast cancer
Pregunta 20
Pregunta
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]
Pregunta 21
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Fibroadenomas typically occur as a single solitary lesion.
Pregunta 22
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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]
Respuesta
-
Fibroadenoma
-
Fibrocystic Change
-
Fibroadenoma
-
Fibrocystic Change
-
Fibrocystic Change
-
Fibroadenoma
-
Fibrocystic Change
-
Fibroadenoma
Pregunta 23
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Fibroadenoma is more common in women of asian origin.
Pregunta 24
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Fibroadenomas most commonly present in a woman's [blank_start]30s[blank_end]
Pregunta 25
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Fibroadenomas are typically [blank_start]mobile[blank_end] lesions
Pregunta 26
Pregunta
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]
Respuesta
-
a Mammogram
-
an Ultrasound Scan
-
an Ultrasound Scan
-
a Mammogram
-
40
-
30
-
50
-
40
-
30
-
50
Pregunta 27
Pregunta
How are fibroadenomas typically managed?
Respuesta
-
Exclude malignancy and reassure patient
-
Immediate excision once diagnosis is made
-
Topical steroid to reduce the mass
Pregunta 28
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Malignant breast cancers are typically solid and fixed within the breast.
Pregunta 29
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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.
Pregunta 30
Pregunta
Sclerosing Adenosis should be excised as soon as possible following diagnosis due to the risk that it may undergo malignant change.
Pregunta 31
Pregunta
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
Pregunta 32
Pregunta
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.
Respuesta
-
Radial Scar
-
Sclerosing Adenosis
Pregunta 33
Pregunta
Which two of the following biopsy techniques are typically utilised in the diagnosis of a radial scar?
Respuesta
-
Core Needle Biopsy
-
Vacuum Needle Biopsy
-
Fine Needle Aspiration
Pregunta 34
Pregunta
Which of the following conditions most commonly occurs due to local trauma, for example a seat belt injury?
Respuesta
-
Fat necrosis
-
Duct ectasia
-
Acute mastitis
Pregunta 35
Pregunta
Which anticoagulant drug is also known to cause fat necrosis of the breast?
[blank_start]Warfarin[blank_end]
Pregunta 36
Pregunta
Which of the following conditions is very highly associated with a long smoking history?
Respuesta
-
Fat necrosis
-
Duct ectasia
-
Acute mastitis
Pregunta 37
Pregunta
Which inflammatory breast condition is associated with smoking and causes fistulas to open up around the nipple?
[blank_start]Duct ectasia[blank_end]
Pregunta 38
Pregunta
Duct ectasia is typically very painful and produces bloody and/or purulent discharge
Pregunta 39
Pregunta
Which 3 of the following features typically occur as part of duct ectasia?
Pregunta 40
Pregunta
Which three of the following are common interventions for duct ectasia?
Respuesta
-
Treat any underlying infection
-
Referral to smoking cessation service
-
Excise the affected subareolar ducts
-
Apply topical steroid to suppress the inflammation - fistulas will close with time and positive lifestyle choices
-
Mastectomy
Pregunta 41
Pregunta
Which 2 of the following bacteria are typically involved in mastitis due to breast-feeding?
Respuesta
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Staph Aureus
-
Strep Pyogenes
-
Strep Viridans
-
Staph Epidermidis
-
Klebsiella Pneumoniae
Pregunta 42
Pregunta
Phyllodes Tumours are, in the most part, benign tumours although they can become malignant.
Pregunta 43
Pregunta
Phyllodes Tumours are typically removed via a laparoscopic operation