Breast Embryology Multiple-Choice Question

Breast Embryology Multiple-Choice Questions

Question: 1. Following are true for lymphatic drainage of the breast except:

1. Apical nodes are also called infraclavicular nodes
2. Apical nodes drain into subclavian lymph trunk
3. Posterior third of the breast drain into supraclavicular nodes
4. For detection of sentinel node, ideal site is subdermal plexus around nipple

Answer: 3. Posterior third of the breast drain into supraclavicular nodes

Question: 2. Following are true for advantages of MRI in the breast except:

1. It is the best modality for women with breast implants
2. Screening in women with strong family history
3. It is also better than ultrasound to image axilla
4. It can distinguish scar from recurrence in women who have undergone breast conservative surgery

Answer: 3. It is also better than ultrasound to image axilla

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Question: 3. Following are true for retraction of the nipple except:

1. Slit-like retraction is seen in duct ectasia
2. Circumferential retraction is seen in carcinoma breast
3. Extension of the growth along the lactiferous duct causes retraction of the nipple
4. Horizontal retraction can occur at puberty suggests fibroadenomas

Answer: 4. Horizontal retraction can occur at puberty suggests fibroadenomas

Question: 4. Following are true lactational mastitis except:

1. Retracted nipple is one of the causes
2. Majority of the cases are due to anaerobic infection
3. Repeated aspiration is recommended treatment
4. Fluctuation is a late sign

Answer: 2. Majority of the cases are due to anaerobic infection

Question: 5. Smoking is associated with which of the following breast diseases?

1. Tuberculosis
2. Breast abscess
3. Duct ectasia
4. Mondor’s disease

Answer: 3. Duct ectasia

Question: 6. Following is not the common sign of periductal mastitis:

1. Discharge per nipple
2. Indurated mass
3. Fistula
4. Circumferential retraction of the nipple

Answer: 4. Circumferential retraction of the nipple

Question: 7. The widely used first investigation of choice in a lady of 25 years with lump breast is:

1. Ultrasonography
2. CT scan
3. MRI
4. FNAC

Answer: 1. Ultrasonography

Question: 8. Which one of the following is not the treatment for mastalgia?

1. Evening primrose oil
2. Danazol
3. Steroids
4. Bromocriptine

Answer: 3. Steroids

Question: 9. Following are true for parathyroid hyperplasia except:

1. Usual age of presentation is 20 years
2. Large tumour with bosselated surface
3. It may have high mitotic index
4. Rarely develop into sarcoma

Answer: 1. Usual age of presentation is 20 years

Question: 10. Which one of the following is the treatment of choice for early breast cancer in a 30-year-old lady who is 4 months pregnant?

1. Chemotherapy
2. Tamoxifen
3. Local wide excision
4. Modified radical mastectomy

Answer: 4. Modified radical mastectomy

Question: 11. Which is the drug used in a patient to prevent breast cancer with positive family history but unlikely carrier of breast cancer gene?

1. Adriamycin
2. Tamoxifen
3. Letrozole
4. Trastuzumab

Answer: 4. Tamoxifen

Question: 12. Which one of the operative steps is not done in modified radical mastectomy?

1. Total mastectomy
2. Axillary block dissection
3. Removal of pectoralis major
4. Removal of pectoralis minor

Answer: 3. Removal of pectoralis major

Question: 13. Following are the components of breast conservative surgery except:

1. Excision of tumour plus a rim of 1 cm of normal breast tissue
2. Axillary block dissection
3. Routine removal of the skin over the tumour
4. Sentinel node biopsy in selected patients

Answer: 3. Routine removal of the skin over the tumour

Question: 14. Following are true for radiotherapy in carcinoma
breast except:

1. It should be given after breast conservative surgery
2. Large tumours after surgery require radiotherapy
3. Extensive lymphovascular invasion is an indication
4. Routinely given to axilla after a complete block dissection

Answer: 4. Routinely given to axilla after a complete block dissection

Question: 15. Following are true for aromatase inhibitors except:

1. Maximum use in the premenopausal patients
2. Relapse free survival is prolonged
3. Reduction in the contralateral disease
4. Increase in the bone density loss

Answer: 1. Maximum use in the premenopausal patients

Question: 16. Which of the following is the most important aetiological factor for carcinoma breast?

1. Oral Contraceptive Pills
2. Childhood Irradiation For Hodgkin’S Lymphoma
3. Duct Ectasia
4. Racial Factors

Answer: 2. Childhood irradiation for Hodgkin’s lymphoma

Question: 17. Following are true for ductal carcinoma in situ (DCIS) except:

1. It is usually unilateral
2. Multifocal
3. Excision with or without radiotherapy is the treatment of choice
4. No role for chemotherapy

Answer: 2. Multifocal

Question: 18. Following are true for inflammatory carcinoma except:

1. It results in blockage of dermal lymphatics
2. It is considered as locally advanced breast cancer
3. Neoadjuvant chemotherapy is the treatment ofchoice
4. Severe degree of inflammation present pathologically

Answer: 4. Severe degree of inflammation present pathologically

Question: 19. Following are true for lobular carcinoma in situ except:

1. It is usually unilateral
2. Multifocal
3. Excision with or without radiotherapy is the treatment of choice
4. 20% will develop into invasive carcinoma

Answer: 1. It is usually unilateral
Question: 20.Following are true about internal mammary lymph nodes except:

1. They drain posterior part of the breast
2. They communicate with subdiaphragmatic lymph nodes
3. They are included in the staging system now
4. Their involvement indicates metastatic disease

Answer: 4. Their involvement indicates metastatic disease

Question: 21. Following are true for sentinel node biopsy in carcinoma breast except:

1. Injection Of Patent Blue Localises The Sentinel Node
2. Injecting Into Subdermal Plexus Around The Nippleis Ideal
3. Hand Held Gamma Camera Detects This
4. It Is Ideal In Clinically Node Positive Axilla

Answer: 4. It Is Ideal In Clinically Node Positive Axilla

Question: 22. Following is an indication for radiotherapy to chest wall in carcinoma breast except:

1. Extensive Lymphovascular Invasion
2. Large Number Of Positive Nodes In The Axilla
3. Base Is Involved By The Tumour
4. Skin Is Infiltrated

Answer: 4. Skin Is Infiltrated

Question: 23. Following are true for tamoxifen except:

1. It Is Widely Used As Hormonal Treatment In Premenopausal Patients
2. It Decreases The Annual Recurrence By 25%
3. It Also Has Benefit In Preventing Contralateral Breast Cancer
4. It Is Not Recommended In Patients Who Have Family History Of Carcinoma Breast But Unlikely Carriers Of Breast Cancer Gene

Answer: 4. It Is Not Recommended In Patients Who Have Family History Of Carcinoma Breast But Unlikely Carriers Of Breast Cancer Gene

Question: 24. Treatment option for carcinoma breast in pregnancy is:

1. Local wide excision
2. Radiotherapy
3. Chemotherapy
4. Mastectomy

Answer: 4. Mastectomy

Question: 25. Which one of the following is not true in male breast cancer?

1. Most Commonly It Is Infiltrating Duct Carcinoma
2. Mostly It Presents As Bleeding Per Nipple
3. Mostly Mastectomy Is Required
4. Gynaecomastia Is A Predisposing Factor

Answer: 2. Mostly It Presents As Bleeding Per Nipple

Question: 26. When do you use vancomycin in breast abscess due to MRSA?

1. All Cases
2. Breast Abscess In Pregnant Patients
3. Stage Of Mastitis To Prevent Progression To Abscess
4. Breast Abscess With Systemic Toxicity

Answer: 4. Breast Abscess With Systemic Toxicity

Question: 27. Following are true for ductal carcinoma in situ except:

1. Wide Excision And Radiotherapy Is Given
2. Pre-Menopausal Women Are Treated With Tamoxifen Postoperatively
3. Comedocarcinoma In Situ Requires Chemotherapy
4. It Can Present As Mammographically Detected Microcalcification

Answer: 3. Comedocarcinoma In Situ Requires Chemotherapy