Surgery and Reconstruction for Breast Cancer

Descrição

Surgery and reconstruction for breast cancer given on 09/01/2019
Matthew Coulson
Quiz por Matthew Coulson, atualizado more than 1 year ago
Matthew Coulson
Criado por Matthew Coulson quase 6 anos atrás
14
1

Resumo de Recurso

Questão 1

Questão
'Lumpectomy' is another term for Breast [blank_start]Conserving[blank_end] Surgery
Responda
  • Conserving

Questão 2

Questão
Apart from Breast Conserving Surgery, what is the other major type of breast surgery performed by oncoplastic breast surgeons? [blank_start]Mastectomy[blank_end]
Responda
  • Mastectomy

Questão 3

Questão
Breast Conserving Surgery alone has the same risk of relapse as receiving a Mastectomy.
Responda
  • True
  • False

Questão 4

Questão
[blank_start]Breast Conserving Surgery + Radiotherapy[blank_end] has a similar rate of relapse to Mastectomy, as in after either treatment plan you will have the same risk of the cancer relapsing.
Responda
  • Breast Conserving Surgery + Radiotherapy
  • Breast Conserving Surgery + Chemotherapy
  • Breast Conserving Surgery alone

Questão 5

Questão
Breast Conserving Surgery is conducted to excise breast masses [blank_start]leaving a clear margin of healthy tissue[blank_end]
Responda
  • leaving a clear margin of healthy tissue
  • by removing the entire breast
  • and all axillary lymph nodes

Questão 6

Questão
All operations conducted on the breast also include removal of ... for pathology.
Responda
  • All axillary lymph nodes
  • Some, but not all, of the axillary lymph nodes
  • All internal mammary lymph nodes
  • Some, but not all, of the internal mammary lymph nodes

Questão 7

Questão
Removing all lymph nodes during surgery typically leads to the patient developing which condition years down the line? [blank_start]Lymphoedema[blank_end]
Responda
  • Lymphoedema

Questão 8

Questão
Breast Conserving Surgery requires that a clear margin of what is considered as healthy tissue to be removed along with the cancer. At least how much of this tissue should be removed to create a clear margin around the excised tumour area?
Responda
  • >1mm
  • >2mm
  • >0.5mm
  • >3mm

Questão 9

Questão
Currently, what is used to tag impalpable tumours so that surgeons know what they are aiming to remove during an operation?
Responda
  • A metal wire
  • Gamma-sensitive tags
  • Fluorescent biomarkers

Questão 10

Questão
Which of the following adjuvant treatments is most effective in combination with chemotherapy/radiotherapy when treating breast cancer?
Responda
  • Herceptin (Trastuzumab)
  • Tamoxifen
  • Mifepristone

Questão 11

Questão
Mifepristone - [blank_start]Progesterone Receptor Antagonist[blank_end] Tamoxifen - [blank_start]Oestrogen Receptor Antagonist[blank_end] Herceptin (Trastuzumab) - [blank_start]HER2 Receptor Antagonist[blank_end]
Responda
  • Oestrogen Receptor Antagonist
  • Progesterone Receptor Antagonist
  • HER2 Receptor Antagonist
  • LH Receptor Antagonist

Questão 12

Questão
Which aromatase inhibitor is first line in the treatment of hormonally-responsive breast cancer specifically in postmenopausal women? [blank_start]Letrozole[blank_end]
Responda
  • Letrozole

Questão 13

Questão
Aromatase is the enzyme that catalyzes a key aromatization step in the synthesis of which key hormone? [blank_start]Oestrogen[blank_end]
Responda
  • Oestrogen

Questão 14

Questão
If a large area of breast is being removed from one side of the body, an oncoplastic surgeon will typically (with patient's permission) attempt to reconstruct the other breast as well so that the woman's breasts are as symmetrical as possible.
Responda
  • True
  • False

Questão 15

Questão
Removal of all breast tissue surgically is known as a [blank_start]mastectomy[blank_end]
Responda
  • mastectomy

Questão 16

Questão
Mastectomy with breast reconstruction often involves taking 'free flaps' which are areas of tissue taken from areas of excess elsewhere on the body. Which two of the following sites are common sites to be utilised for 'free flap' reconstruction?
Responda
  • Abdomen
  • Buttocks
  • Inner thigh
  • Calf
  • Upper middle back

Questão 17

Questão
Which muscle of the upper body is sometimes repositioned in order to mimic a breast? [blank_start]Latissimus Dorsi[blank_end]
Responda
  • Latissimus Dorsi

Questão 18

Questão
1 in 4 implants used in reconstructive surgery are lost due to which of the following?
Responda
  • Infection
  • Movement of implant away from breast
  • Disintegration of implant
  • Relapsing breast cancer

Questão 19

Questão
Which type of cancer is loosely associated with breast implants?
Responda
  • Lymphoma
  • Lipoma
  • Papilloma
  • Fibroadenoma
  • Ductal Carcinoma In Situ (DCIS)

Questão 20

Questão
Which type of breast reconstruction surgery is most popular following a mastectomy?
Responda
  • Implant Based
  • Autologous (Free flap, TRAM, etc)

Questão 21

Questão
Once implants are inserted following a mastectomy, they tend to be fixed in place and thus do not require revisional surgeries as the woman ages.
Responda
  • True
  • False

Questão 22

Questão
Which artery is connected to the umbilical skin when it is used as a graft for reconstructive surgery? The [blank_start]internal mammary[blank_end] artery
Responda
  • internal mammary

Questão 23

Questão
The [blank_start]inferior[blank_end] gluteal fold can also be used as a graft for breast reconstruction surgery.
Responda
  • inferior
  • superior
  • medial
  • lateral

Questão 24

Questão
The first axillary nodes to be drained by a cancer must be surgery removed upon any form of breast cancer surgery. These lymph nodes are known as the [blank_start]sentinel[blank_end] lymph nodes
Responda
  • sentinel

Questão 25

Questão
Axillary node clearance is mandatory for all breast cancer surgeries so that staging of the cancer can be conducted.
Responda
  • True
  • False

Questão 26

Questão
Are the internal mammary lymph nodes commonly operated upon during breast surgeries?
Responda
  • Yes
  • No

Questão 27

Questão
Creating bigger margins when excising breast cancers means that the patient is more less likely to have a recurrence of their breast cancer.
Responda
  • True
  • False

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