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HIGH-YIELD AND FREQUENTLY MISSED ABSITE 2025|
BRAND NEW ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR GRADES.
Breast: What is presentation, treatment, prognosis for intraductal papilloma? -
(answers)presents with bleeding/bloody nipple discharge (most common cause),
usually benign, biopsy/resect via major duct excision



Breast: What are contraindications to BCT (lumpectomy) in stage I breast cancer
(and what specifically is not)? - (answers)1) prior irradiation;

2) pos margins;

3) inflammatory;

4) pregnancy (unless 3rd trimester)



Breast: what are the axillary node levels (1-3, and one more category)? -
(answers)1 - lateral to pec minor;

2 - beneath pec minor;

3 - medial to pec minor;

Rotter's Nodes - between pec major and pec minor



Breast: when is SNLB indicated (size, nodes, tumor status, metastatic risk)>? -
(answers)>1 cm, no positive nodes (obviously), primary tumor present, low risk of
axillary mets,

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Breast: what do you do if you can't find radiotracer dye in SNLB? - (answers)have
to do formal ALND



Breast: what is treatment for DCIS in male/female? - (answers)female -- BCT + xrt
OR mastectomy; male -- mastectomy



Breast: what is not needed for patient with negative SLNB? - (answers)ALND --
just do BCT or mastectomy depending on tumor is fine



Breast: what patient would get only mastectomy/BCT + tamoxifen for 5 years (4
characteristics)? - (answers)negative SLN, old, ER+, and tumor <2 cm



Breast: what patient would get mastectomy/BCT + tamoxifen for 5 years plus
chemo (4 characteristics)? - (answers)negative SLN, young, ER+, and tumor >1cm



Breast: what are 3 chemo agents used for breast CA typically? - (answers)1)
adriamycin; 2) cyclophosphamide; 3) taxol



Breast: what patient would get mastectomy/BCT + chemo (no tamoxifen)? -
(answers)negative SLN, ER-



Breast: what is main SE of taxol? - (answers)taxol - neuropathy



Breast: what is main SE of adriamycin (doxorubacin)? - (answers)cardiomyopathy

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Breast: what is treatment for inflammatory breast cancer (in order)? -
(answers)neoadjuvant chemo, then mastectomy (mod radical), then XRT



Breast: what options are available for breast mass post neoadjuvant therapy? -
(answers)same as de novo breast cancer -- BCT or mastectomy -- if tumor shrunk
and now amenable to BCT, that's fine, even if it was big before and needed
mastectomy based on size



Breast: LCIS -- who primarily gets this, what is most important characteristic, what
% get cancer, where, and what type? - (answers)- pre-menopausal

- NOT premalignant itself

- 30% lifetime risk

70% ductal CA



Breast: LCIS -- what % have synchronous cancer? - (answers)5%



Breast: LCIS -- what is treatment (4 possibility, 2 things not needed ever)? -
(answers)1) Need to resect the lesion but do not need neg margins

2) nothing and careful F/U

3) Hormonal therapy

-(pre-meno: tamoxifen; Post-meno: raloxifene)

4) bilateral subcutaneous mastectomy (no ALND)

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Breast: What are the benign proliferative breast lesions that have increased risk
of CA? (3)

Tx? - (answers)- LCIS

- Atypical ductal hyperplasia

- atypical lobular hyperplasia

Tx: resect the lesion w/ (-) margins



Breast: for atypical ductal hyperplasia; atypical lobular hyperplasia; LCIS, how are
these characterized and what treatment should be considered? - (answers)benign
proliferative dz. Incr risk of CA.

Need to resect - don't need (-) margins

Can give hormone therapy

- pre-meno: tamoxifen

- post-meno: raloxifene

Bilateral total mastectomy (no ALND)



Liver: amebic abscess - how does organism enter, what organism is it -
(answers)through portal system



Liver: amebic abscess - what are 3 presenting symptoms? - (answers)fever, RUQ
pain, RUQ tenderness



Liver: amebic abscess - what test may help diagnose? - (answers)indirect
hemagglutination