1 Which of the following is the most common cause of cancer in women worldwide?

C
A. Lung cancer
B. Colon cancer
C. Breast cancer
D. Ovarian cancer
E. Brain cancer
2 Which of the following structures gives the breast its shape by anchoring the skin of the breast to the underlying pectoral A
fascia?
A. Suspensory ligaments (Cooper’s)
B. Subcutaneous tissue
C. Mammary gland lobules
D. Supraclavicular lymph nodes
3 Best time for breast examination is: B
A. 5 to 7 days before the onset of menstruation
B. 5 to 7 days after the onset of menstruation
C. In the middle of premenstrual phase
D. 14 days after the onset of menstruation.

4 Risk factors for breast cancer is: E

A. Previous breast cancer
B. Affected first degree relative
C. Late menarche, early menopause
D. Multiple pregnancies
E. A and B
F. All of the above
5 You inspect your patient’s breasts on physical examination. You have your patient place her arms at her sides, raise her A
arms overhead, press her hands against her hips, and lean forward. Which of the following is a “retraction sign” seen on
inspection of the breast that would demonstrate an abnormality in the underlying breast tissue – like a tumor?
A. Abnormal contour
B. Tender mass
C. Nipple discharge
D. Palpable mass
6 Which of the following methods of breast palpation has shown to be the most accurate method for detecting breast A
masses?
A. Vertical strip method
B. Spokes of a wheel approach
C. Concentric circles
D. Mammographic method
7 Which of the following reasons BEST explains the “peau d’orange” (skin of an orange) appearance of the skin of the breast C
in some breast cancers?
A. The tumor invades the subcutaneous tissue, leading to dimpling
B. The tumor invades the suspensory ligaments, leading to dimpling
C. The tumor invades the lymphatic draining, leading to edema of the dermis and visual prominence of the pores
D. The tumor invades the supraclavicular lymph nodes, leading to swelling of the entire breast
8 Which of the following describes accessory breasts with nipples? B
A. Polymammia
B. Polymastia
C. Polythelia
D. Hypermastia
9 Your patient has a breast mass at 2 o’clock of the right breast – 5 cm away from the nipple. In which quadrant is the breast A
mass?
A. Upper inner quadrant
B. Upper outer quadrant
C. Lower inner quadrant
D. Lower outer quadrant
10 Which of the following would be a concerning symptom for breast cancer? C
A. Breast pain during menstruation
B. Breast asymmetry since adolescence
C. New onset inverted nipple on one side
D. New onset milky discharge right after childbirth