Family Medicine OBGYN Exam
Questions & Answers (Grade A+)
what is the most common malignancy in women -
correct answer ✅breast cancer
risk factors for breast cancer (4) -
correct answer ✅-(increased exposure to estrogen):
-Menarche before age 12
-increased age at first pregnancy, no pregnancies
-Menopause after age 52
-HRT
what are signs of breast cancer (4) -
correct answer ✅-immobile
-irregular
-Nipple retraction
-bloody nipple discharge
what is the most common type of breast cancer -
correct answer ✅Infiltrating Intraductal Carcinoma (IIC) 80%
,Family Medicine OBGYN Exam
Questions & Answers (Grade A+)
pagets disease of the nipple -
correct answer ✅chronic eczematous itchy, scaling rash on the
nipples and areola
signs of inflammatory breast cancer -
correct answer ✅-red swollen
-warm and itchy breast often with nipple retraction and peau
d'orange (NO LUMP)
what are the 3 tumor markers associated with breast cancer -
correct answer ✅-Estrogen receptor (ER) positive 75%
-Progesterone receptor (PR) positive 65%
-HER2 positive 25%
what is the USPSTF guideline for breast cancer screening -
correct answer ✅-Baseline mammogram every 2 years from age
40-74
-Every 2 years beginning at age 40 if increased risk factors - 10 years
prior to the age the 1'st degree relative was diagnosed
-Clinical breast exam every 3 years in women age 20-39 years, then
annually after age 40
,Family Medicine OBGYN Exam
Questions & Answers (Grade A+)
-Breast self-exam monthly beginning at age 20 - immediately after
menstruation on days 5-7 of the menstrual cycle
treatment for breast cancer with positive nodes stage I and stage II
with tumors less than 4 cm in diameter -
correct answer ✅Segmental mastectomy (lumpectomy) followed
by breast irradiation in all patients and adjunctive chemotherapy
treatment for ER postive breast cancers -
correct answer ✅Anti-estrogen Tamoxifen
Aromatase inhibitors are useful in postmenopausal ER-positive
treatment for HER2 breast cancer -
correct answer ✅Trastuzumab
what characteristics of a breast mass should be evaluated -
correct answer ✅-such as soft, hard, firm), skin changes, nipple-
areolar changes
-fixation to the chest wall
, Family Medicine OBGYN Exam
Questions & Answers (Grade A+)
what is the next step for all women with a suspicious breast mass -
correct answer ✅mammogram is the first diagnostic test
performed.
when is US indicated to evaluate a breast mass -
correct answer ✅clinically benign mass, such as a fibroadenoma,
and no family history of premenopausal breast cancer,
how to make a definitive diagnosis of a breast mass -
correct answer ✅breast biopsy, which includes a fine needle
aspiration, core biopsy, or an open biopsy
fibroadenomas -
correct answer ✅benign (not harmful in effect) tumors of the
breast, most often present in women in their 20s and 30s
characteristics of a fibroadenoma -
correct answer ✅-Painless
-Firm or rubbery
-Mobile
-Solitary, round, well-circumscribed, with distinct smooth borders
Questions & Answers (Grade A+)
what is the most common malignancy in women -
correct answer ✅breast cancer
risk factors for breast cancer (4) -
correct answer ✅-(increased exposure to estrogen):
-Menarche before age 12
-increased age at first pregnancy, no pregnancies
-Menopause after age 52
-HRT
what are signs of breast cancer (4) -
correct answer ✅-immobile
-irregular
-Nipple retraction
-bloody nipple discharge
what is the most common type of breast cancer -
correct answer ✅Infiltrating Intraductal Carcinoma (IIC) 80%
,Family Medicine OBGYN Exam
Questions & Answers (Grade A+)
pagets disease of the nipple -
correct answer ✅chronic eczematous itchy, scaling rash on the
nipples and areola
signs of inflammatory breast cancer -
correct answer ✅-red swollen
-warm and itchy breast often with nipple retraction and peau
d'orange (NO LUMP)
what are the 3 tumor markers associated with breast cancer -
correct answer ✅-Estrogen receptor (ER) positive 75%
-Progesterone receptor (PR) positive 65%
-HER2 positive 25%
what is the USPSTF guideline for breast cancer screening -
correct answer ✅-Baseline mammogram every 2 years from age
40-74
-Every 2 years beginning at age 40 if increased risk factors - 10 years
prior to the age the 1'st degree relative was diagnosed
-Clinical breast exam every 3 years in women age 20-39 years, then
annually after age 40
,Family Medicine OBGYN Exam
Questions & Answers (Grade A+)
-Breast self-exam monthly beginning at age 20 - immediately after
menstruation on days 5-7 of the menstrual cycle
treatment for breast cancer with positive nodes stage I and stage II
with tumors less than 4 cm in diameter -
correct answer ✅Segmental mastectomy (lumpectomy) followed
by breast irradiation in all patients and adjunctive chemotherapy
treatment for ER postive breast cancers -
correct answer ✅Anti-estrogen Tamoxifen
Aromatase inhibitors are useful in postmenopausal ER-positive
treatment for HER2 breast cancer -
correct answer ✅Trastuzumab
what characteristics of a breast mass should be evaluated -
correct answer ✅-such as soft, hard, firm), skin changes, nipple-
areolar changes
-fixation to the chest wall
, Family Medicine OBGYN Exam
Questions & Answers (Grade A+)
what is the next step for all women with a suspicious breast mass -
correct answer ✅mammogram is the first diagnostic test
performed.
when is US indicated to evaluate a breast mass -
correct answer ✅clinically benign mass, such as a fibroadenoma,
and no family history of premenopausal breast cancer,
how to make a definitive diagnosis of a breast mass -
correct answer ✅breast biopsy, which includes a fine needle
aspiration, core biopsy, or an open biopsy
fibroadenomas -
correct answer ✅benign (not harmful in effect) tumors of the
breast, most often present in women in their 20s and 30s
characteristics of a fibroadenoma -
correct answer ✅-Painless
-Firm or rubbery
-Mobile
-Solitary, round, well-circumscribed, with distinct smooth borders
