8/26/23, 11:30 PM Formative 4 , sat, 26/8/2023

Formative 4 , sat, 26/8/2023

1. Name *

‫عبدالرحمن صلاح علي محمد‬

2. Group No.  *

D2

3. Which of the following benign disorders can mimic breast carcinoma? (1 Point) *

Mastalgia

milk congestion

traumatic fat necrosis

cyclic mastalgia

4. A pre-menopausal woman three years after mastectomy for breast cancer presents
with pulmonary metastases. Which of the following statement is false concerning
her management? (1 Point) *

If the patient has received adjuvant therapy, her response is likely to be better

If the patient is ER-positive, hormonal therapy should be the first line of treatment

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The response to chemotherapy will likely be dose-dependent

Combination chemotherapy will likely work better in this patient than a woman who is
post- menopausal

5. Which of the following pathologic findings is the strongest contraindication to

breast preservation (lumpectomy with breast radiation) as primary treatment for a
newly diagnosed breast cancer? (1 Point) *

Grade 3, poorly differentiated, infiltrating ductal carcinoma

Extensive intraductal cancer around the invasive lesion

Tumor size greater than 3 cm

Positive surgical margin for invasive cancer

6. A 42-year-old woman presents with a large irregular lump, about 12 cm in

diameter, in her right breast, of 4 months’ duration. Lump is very mobile and is
stretching the skin which is about to ulcerate, provisional diagnosis may be:
(1 Point) *

traumatic fat necrosis

phyllodes tumour

huge breast abscess

huge intra-ductal papilloma

7. Which of the following conditions is associated with increased risk of breast

cancer? (1 Point) *

Fibrocystic mastopathy

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Severe hyperplasia.

Atypical hyperplasia

Papillomatosis

8. A 42-year-old woman undergoes her first mammogram. Clustered

microcalcifications are seen but  there is no mass palpable. Which of the following
statement is true concerning this patient’s  diagnosis and management? (1 Point) *

Frozen-section examination is particularly useful in the diagnosis of this lesion

Intense interlobular fibrosis and proliferation of small ductules with loss of orientation of
lobules and epithelial cells may suggest carcinoma

This finding is associated with an increased risk of cancer

9. - The most common benign lesion of the breast is. (1 Point) *

Fibroadenoma.

Fibroadenosis

Phyllodes tumour.

Intra-ductal papilloma

10. The most common benign tumour of the breast in females below the age of thirty
five is: (1 Point) *

Fibroadenoma

Fibroadenosis

Phyllodes tumour
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Intra-ductal papilloma.

11. Choose the false statement: (1 Point) *

benign breast diseases are the commonest cause of breast problem

lipoma is a common breast condition.

fibrocystic disease can present with breast pain.

fibrocystic disease can present with breast mass.

12. Which of the following clinical presentations is incorrect for cases of mammary
duct ectasia. (1 Point) *

nipple discharge.

may be complicated by breast abscess.

nipple retraction.

mass in the axillary tail of the breast

13. Which of the following treatments should never be recommended to a patient

with purely intraductal  carcinoma? (1 Point) *

Lumpectomy to clear surgical margins, followed by observation

Incisional biopsy with an involved margin, followed by radiation

Modified radical mastectomy

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Excisional biopsy to clear margins, followed by radiation

14. Which of the following clinical presentations is incorrect for cases of mammary
cystic hyperplasia: (1 Point) *

asymptomatic

nipple retraction

breast pain

nipple discharge

15. Which of the following statement is true concerning Tissue sampling techniques
for breast  masses? (1 Point) *

The sensitivity of fine needle aspiration biopsy is such that mastectomy can be performed
in the case of malignant diagnosis

The accuracy of mammographic-directed fine needle aspiration biopsy is comparable to

that achieved for that of palpable lesions

Core-needle biopsy showing normal breast tissue is an acceptable diagnosis

The technique of core-needle biopsy is not applicable to radiographically detected lesions

16. Which of the following statement is false concerning the recurrence of breast
cancer? (1 Point) *

The majority of patients recur within five years of diagnosis

More than 70% of breast cancer recurrence involves distant metastases

Pulmonary metastases are the most common initial site of distant recurrence

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The local recurrence rate following breast-conserving procedures varies from 10% to 40%
whether or not radiation was used

17. About acute lactational breast abscess, only one of the following statements is
correct: (1 Point) *

commonly multilocular abscess.

weaning of the baby is a must.

needle aspiration is superior to incision and drainage.

treatment is essentially conservative with antibiotics

18. A 23-year-old lactating woman presents with breast pain, which of the following
criteria can together help to differentiate between the possible diagnoses: (1 Point)
*

age, presence of fever, number of previous pregnancies

breast mass, presence of fever, duration of breastfeeding

character of pain, pattern of fever, breast examination

past history of similar conditions, breast examination, mammogram

19. Which is correct about mammary duct ectasia: a) Acute periductal inflammatory
condition.
b) Most in the child-bearing period.
c) Most cases resolve spontaneously.
d) Antibiotics are indicated in most cases. (1 Point) *

Acute periductal inflammatory condition

Most in the child-bearing period.

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Most cases resolve spontaneously

Antibiotics are indicated in most cases.

20. Which of the following breast lesions are noninvasive malignancies? (1 Point) *

Intraductal carcinoma of the comedo type

Tubular carcinoma and mucinous carcinoma

Infiltrating ductal carcinoma and lobular carcinoma

Medullary carcinoma, including atypical medullary lesions

21. The proper treatment for lobular carcinoma in situ (LCIS) includes which of the
following components? (1 Point) *

Close follow-up

Radiation after excision

Mirror-image biopsy of the opposite breast

Mastectomy and regional node dissection

22. Only one of these clinical presentations can be associated with mammary duct
ectasia, duct papilloma, and fibrocystic disease of the breast:
a. nipple retraction.
b. nipple discharge.
c. breast pain. d. fever.
(1 Point) *

nipple retraction.

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nipple discharge

breast pain

fever

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