Breast Surgery written exam- Sample questions.

Only one correct answer

1. Microcalcifications in mammography

A) are almost always an indication for surgical biopsy

B) surgical biopsy should be performed when core needle biopsy shows atypical ductal hyperplasia

C) malignancy can be detected or ruled out using fine needle aspiration cytology

D) invasive cancer can be detected or ruled out using core needle biopsy in practically all patients

E) none of the alternatives is correct  

2. 55-year old woman complains persistent green discharge from both nipples

A) you perform clinical examination, mammography and breast ultrasound, and when negative tell the patient that the symptom is harmless

B) you perform a clinical examination and nipple discharge cytology, and when negative, tell the patient that the symptom is harmless

C) you perform clinical examination, order mammography and breast ultrasound and when negative, also a ductography of all ducts with discharge

D) you examine serum prolactine level to rule out prolactinoma

E) this symptom is a side effect of hormone replacement therapy and you suggest cessation of this medication

3. The status of internal mammary lymph nodes

A) has similar impact on survival as axillary lymph node status

B) has less impact on survival than axillary lymph node status

C) has more impact on survival than axillary lymph node status

D) has similar impact on survival as axillary lymph node status, but only in medially located tumours

E) has a negligible impact on survival

4. The risk of total flap loss after breast reconstruction with microvascular abdominal flap is approximately

A) less than 0,1 %

B) 1-2 %

C) 5-10%

D) 10-20%

E)  33%

5. Risk reducing  mastectomy in BRCA mutation carriers

A) provides 100% risk reduction

B) provides 90% risk reduction

C) provides 75% risk reduction

D) provides 60 % risk reduction

E) provides 50% risk reduction