v1. The following are classifications of benign breast disorders except:* 1/1 a. ANDI b. Pathologic classification d. Classification based on the risk of Malignancy oO Oo © Clinical Classification Oo © e. None of the Above oP X_ 2. The following are True about Fibroadenoma except: * o/1 © a. Most common benign breast condition © » Solitary, slow growing, painless, freely mobile , firm, solid breast mass © c. The average size is 2.5¢em x oO d. Common in adolescents and women in their 20s Correct answer © a. Most common benign breast conditionY 3. The following are the branches of the axillary artery except: * WV © 2-Highest thoracic artery © b. Lateral thoracic artery oO c. Pectoral branches of the thoracoacromial artery © d. Lateral branches of the posterior intertcostal artery SY X 4.454 yo patient came to see you with a history of a rapidly enlarging 0/1 breast mass on the right of 7 months duration.Patient is menopausal, G2P2 with no history of breast cancer in the family. No history of taking any OCP on HRT. On PE, an 8 x10 cm mass is protruding on the right breast with no skin ulceration, no nipple retraction. No axillary lymphadenopathies palpated. What could be your likely diagnosis? * ©@ a. Fibroadenoma x oO b. Invasive Ductal Carcinoma oO c. Ductal Carcinoma in situ © 4. Phyllodes tumor Correct answer © 4. Phyllodes tumorv5. The following are common causes of nipple discharge except: * WW © 2. Duct Ectasia C© b. Intraductal Papilloma O .Prolactinoma © d. Fibrocystic change of the breast vv re X_ 6.A 40yo patient went to your clinic because of left nipple discharge o/1 which she noted 2 weeks ago. She is single, GOPO. She claimed that her sister is diagnosed with Breast Cancer at the age of 35. On PE, you noted a spontaneous, one duct bloody nipple discharge on the left, 3:00 O'clock periareolar area but with no palpable mass. You requested for a mammogram and an ultrasound of the breasts. The mammogram showed group of punctuate microcalcification on the left periareolar and a spiculated 0.8 x 0.7 mass on the left 3:00 O'clock periareoalar area. What will you do next? * ©@ 2. Observe x oO b. Ask the patient to repeat the ultrasound after 6 months CO ©.Do cytology of the left nipple discharge @ 4. Refer patient for ultrasound guided core biopsy of the left breast mass.X_ 7. What could be the likely diagnosis of the patient above(question #6)? * 0/1 © a. Intraductal papilloma @ ». Fibroadenoma x © . Invasive Ductal Carcinoma © 4. Lobular Carcinoma in Situ Correct answer © ©. Invasive Ductal Carcinoma Y 8. \tis a benign nonsuppurative inflammatory process of adipose tissue 1/1 which is usually caused by trauma, RT, anticoagulation or breast procedures and and infection: * ©@ a2. Fat necrosis 7 © b. Ductal Carcinoma in situ © ©. Lobular carcinoma in situ O d. Fibocystic changes of the breastY 9. Which of the following statement is true? * WM a. Breast Ca risk is decreased with high endogenous estrogen levels in both Sv premenopausal and postmenopausal women levels in both premenopausal and postmenopausal women b, 2%-5% of all breast Ca are caused by an inherited gene mutation c. Exposure to therapeutic ionizing radiation is not a recognized risk of Breast Ca d. Hyperplasia with atypia in breast biopsy increases the risk by 4-6x e. None of the above OO0O000 ®© x 10.The following are indications for referral for genetic counseling for o/1 BRCA gene testing except: * © Personal history of both breast and ovarian carcinoma © » First degree male relative with breast cancer c. Personal history of premenopausal breast cancer, particularly if it is triple positive © d.Personal history of breast cancer and two first degree relatives with breast cancer, any ages Correct answer © c. Personal history of premenopausal breast cancer, particularly if it is triple positive