Deck 16: The Breast

Question 1

Women who have symptoms related to fibrocystic disease report flair up of symptoms if placed on:

A) Oral contraceptives
B) Estrogen replacement therapy
C) Progesterone
D) Fertility hormones
E) Calcium

Answer 1

Estrogen replacement therapy

Question 2

The condition in which males develop breasts is known as:

A) Polymastia
B) Polythelia
C) Amastia
D) Accessory breast tissue
E) Gynecomastia

Answer 2

Gynecomastia

Question 3

A woman diagnosed with stage I breast cancer,with no metastases,underwent a lumpectomy.Her chances of surviving 5 years are:

A) 0%
B) 10%
C) 25%
D) 50%
E) 80%

Answer 3

80%

Question 4

The developmental abnormality that refers to the congenital absence of the breast is known as:

A) Accessory breast tissue
B) Polythelia
C) Polymastia
D) Amastia
E) Anumerary breasts

Question 5

The breast secretes milk in response to hormonal stimulation with:

A) Estrogen
B) Progesterone
C) Prolactin
D) Oxytocin
E) Aldosterone

Question 6

Acute mastitis is most often caused by:

A) Staphylococcus
B) Escherichia coli
C) Mycobacterium tuberculosis
D) Herpesvirus
E) Toxoplasma gondii

Question 7

Preinvasive cancers and ductal carcinoma in situ (DCIS)are considered which stage?

A) IV
B) III
C) II
D) I
E) 0

Question 8

Approximately 75% of all the lymph draining from the breast flows into the:

A) Axillary lymph nodes
B) Internal mammary lymph nodes
C) External mammary lymph nodes
D) Substernal lymph nodes
E) Cervical lymph nodes

Question 9

Breast cancer tends to metastasize via the:

A) Spleen
B) Tonsil lymph nodes
C) Axillary lymph nodes
D) Systemic circulatory system
E) Liver

Question 10

Which of the following is the most common histologic type of breast carcinoma?

A) Medullary carcinoma
B) Mucinous carcinoma
C) Invasive duct carcinoma
D) Lobular carcinoma
E) Tubular carcinoma

Question 11

A tumor of any size associated with distant metastases is known as Stage:

A) IV
B) III
C) II
D) I
E) 0

Question 12

On the histologic grading scale for tumors,which grade is the worst?

A) 0
B) 1
C) 2
D) 3
E) Depends on staging of the tumor

Question 13

Which benign tumors of the breast occur mostly in postpubertal girls and young women?

A) Fibrocystic disease
B) Polycystic disease
C) Fibroadenomas
D) Fibrocarcenomas
E) Connective tissue disease

Question 14

In contrast to nonfunctioning breasts,breasts of late pregnancy and the postpartum period contain:

A) Periareolar ducts
B) Hyperplastic subareolar ducts
C) More connective tissue stroma
D) More epithelial buds
E) Acinar cells

Question 15

Which statement is not true regarding breast cancer in males?

A) Most men do not think that they can develop breast cancer.
B) Most men do not perform breast self-examination.
C) Breast cancer in males is less common than in females.
D) Males usually have a worse prognosis than females.
E) Breast cancer in males has different histologic features than breast cancer in women.

Question 16

In postmenopausal women,the breasts gradually atrophy as a result of the loss of:

A) Acinar cells
B) Prolactin
C) Hormone-rich connective tissue
D) Hormone-sensitive connective tissue
E) Estrogen

Question 17

Julie is a 45-year-old female who detected a lump during her monthly breast self-exam.Her physician has ordered which specialized test?

A) Ultrasound of the breast and axillary region
B) Mammography
C) MRI of the breast
D) PET scan
E) Chest x-ray

Question 18

If a woman has a family history of cancer (i.e.,her mother and her sister had cancer of the breast),her chances of developing breast cancer are:

A) The same as for any other woman
B) Somewhat increased (1 to 2 times)
C) Slightly increased (2 to 3 times)
D) Significantly increased (5 to 6 times)
E) Very high and she will inevitably develop breast cancer

Question 19

In which region of the breast do 50% of breast carcinomas occur?

A) Upper medial quadrant
B) Lower medial quadrant
C) Upper lateral quadrant
D) Lower lateral quadrant
E) Underneath the areola

Question 20

A disadvantage of breast biopsy is that:

A) It must be done under general anesthesia
B) It cannot provide a positive diagnosis if cancer is present
C) It does not provide enough sample material to stage tumors
D) It leaves a scar as a result of the sample size
E) It does not provide enough sample material to grade tumors