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Rafi Reproductive - Questions And Answers (Pass!)
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Rafi Reproductive - Questions And Answers (Pass!)
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Rafi Reproductive - Questions And Answers (Pass!)A 35-year-old woman presents to her GP complaining of a lump in the upper
outer quadrant of her right breast. She comments the lump becomes
particularly tender before the start of her menstrual cycle. What is the most
likely diagnosis?
A. Localised fibroadenosis
B. Fibroadenoma
C. Cyst
D. Fat necrosis
E. Carcinoma" Right Ans - A. Localised fibroadenosis
"
A 31-year-old woman presents complaining of a lump in her left breast. On
examination you note the lump is non-tender, rubbery and fairly mobile. What
is the most likely diagnosis?
A. Localised fibroadenosis
B. Cyst
C. Fat necrosis
D. Fibroadenoma
E. Carcinoma" Right Ans - D. Fibroadenoma
"
A 55-year-old woman presents with a lump on her right breast. On
examination you
note the lump is tense and mobile. On fine- needle aspiration you note the
production of a straw-coloured fluid. What is the most likely diagnosis?
A. Localised fibroadenosis
B. Fibroadenoma
C. Fat necrosis
D. Carcinoma
E. Cyst" Right Ans - E. Cysts
"
A 34-year-old woman smoker presents with
,a green-coloured discharge from both her nipples. On examination you note
evidence of nipple retraction and breast lumpiness. What is the most likely
diagnosis?
A. Mammary duct ectasia
B. Duct papilloma
C. Galactorrhoea
D. Duct carcinoma
E. Paget'sdisease" Right Ans - A. Mammary dyct ectasia
"
A middle aged woman presents with a
serous discharge from her right nipple. On examination the breast appears
normal but on deep palpation the discharge is produced. What is the most
likely diagnosis?
A. Mammary duct ectasia
B. Duct papilloma
C. Galactorrhoea
D. Duct carcinoma
E. Paget'sdisease" Right Ans - B. Duct papilloma
"
A 55-year-old woman presents with a
painless lump in her right breast. On general examination you note
enlargement of her right axillary lymph nodes. You suspect the diagnosis of
breast cancer. The following are all high risk factors for breast cancer
EXCEPT?
A. Age greater than 50
B. A north European origin
C. Age less than 35 years
D. Nulliparity
E. Previous history of breast cancer" Right Ans - C. Age less than 35 years
old
"
A 57-year-old woman is recently diagnosed with breast cancer. Her GP
comments she was at high risk due to her strong family history of breast
,cancer. The GP explains that particular chromosomes are linked to the
condition. Which chromosome is most likely to be associated with breast
cancer?
A. Chromosome 14
B. Chromosome 15
C. Chromosome 16
D. Chromosome 17
E. Chromosome 18" Right Ans - D. Chromosome 17
"
A 45-year-old woman is concerned about developing breast cancer. She comes
to see you asking when she will be called for a 'screening mammogram'. At
what ages do women in the UK undergo screening as part of a National
Programme?
A. 50-64
B. 45-59
C. 55-69
D. 46-60
E. 56-70" Right Ans - B. 49-59
"
A 64-year-old woman presents with a lump
in her left breast. On examination the lump
is non-tender and painless. In addition you
note dimpling of the skin and retraction of
her left nipple. You refer her for urgent tissue biopsies which confirm the
presence of an adenocarcinoma with associated fibrosis. Having explained the
diagnosis you explain that this tumour is the most common type of tumour to
affect women. What is the most likely diagnosis?
A. Ductal
B. Lobular
C. Medullary
D. Colloid
E. Sarcoma" Right Ans - A. Ductal
"
, A 28-year-old woman presents with a lump on her right breast. On
examination you note the lump is tense, discrete and mobile. You suspect the
possibility of a breast cyst. Which investigation is the most appropriate in this
scenario?
A. Mammography
B. CT chest scan
C. MRI chest scan
D. Ultrasound
E. ChestX-ray" Right Ans - D. Ultraasound
"
A39-year-oldwomanisdiagnosedwithleft- sided breast cancer. The tumour is
confirmed as an oestrogen-receptor-negative, well differentiated
adenocarcinoma approximately 6.5 cm in size. There is involvement of
ipsilateral axillary nodes but no evidence of distant metastasis. She is referred
to a breast surgeon who explains possible treatment options. What is the next
most appropriate step in management?
A. Neoadjuvant chemotherapy and surgical excision with axillary clearance
B. Primary surgical excision of tumour without axillary dissection
C. Radiotherapy
D. Tamoxifen
E. Herceptin" Right Ans - A. Neoadjuvant chemotherapy and surgical
excision with axillary clearance
"
A middle aged woman presents with a scaly red coloured rash affecting her
right nipple and areola. She comments it is sore and has a tendency to bleed.
What is the most likely diagnosis?
A. Mammary duct ectasia
B. Duct papilloma
C. Galactorrhoea
D. Duct carcinoma
E. Paget's disease" Right Ans - E. Pagets disease
"
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