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THE BREAST

1) The breast :
A) is a modified apocrine sweat gland
B) overlies the third to the sixth rib
C) is having usually more than 30 lacteferous ducts
D) is drained only by six groups of axillary lymph
nodes
E) is having no attachment to skin
2) The commonest cause of bloody nipple discharge is :
A) mammary ductectasia
B) carcinoma of the breast
C) lactational mastitis
D) duct papilloma
E) fibrocystic disease of the breast
3) All of the following may be manifestations of breast carcinoma
EXCEPT
A) peau d orange of covering skin
B) no mass may be felt clinically
C) enlargement of the ipsilateral axillary lymph nodes
D) cervical spine metastasis
E) none of the above

4) Bacterial mastitis:
A)
B)
C)
D)
E)

never occurs in lactating mothers


is usually caused by streptococcu hemolyticus
is mostly caused by staphylococcus aureus
is treated only by incision and drainage
is the same as mastitis of puberty

5) Signs of malignancy on mammogram may include all of the


following
EXCEPT :
A) mass lesions with poorly defined irregular margins
B) fine stipped soft tissue with periductal and not vascular
microcalcifications
C) thickening and retraction of the overlying skin
D) dysplastic ductal pattern
E) well circumscribed , homogenous,and often surrounded
by a zone of fatty tissue
6) Early detection of carcinoma of the breast includes all of the
following
EXCEPT:
A) self-examination just after menstruation
B) screening mammography
C) frequent consultations among the high risk group
patients
D) presence of fixed breast mass to chest wall with skin
changes on
clinical examination
E) A, B, C, are correct

6) Regarding Paget s disease of the nipple :


A)
B)
C)
D)
E)

It is a benign condition
It is simply an eczematous lesion of the nipple
It is treated by excision of the nipple
It is usually diagnosed by biopsy of the suspected lesion
the areola and the surrounding skin are never involved

7) in a patient with fibroadenosis of the breast ;


A) cyst formation, adenosis, fibrosis,epitheliosis and
papillomatosis are invariably present
B) is premalignant
C) pregnancy usually produces relief
D) presentation may include pain, nipple discharge, and/ or
breast lump
E) all of the above are usually characteristics

8) Regarding gynaecomastia :
A)
B)
C)
D)

it is hypertrophy of female breast


it is hypertrophy of male breast
it may associate leprosy and liver failure
it may associate cimetidine, spironolactone, INH, or
digitalis thrapy
E) B, C, and D are correct

9) Regarding modified radical mastectomy all are correct


EXCEPT :
A)
B)
C)
D)

it is indicated recently for T1N0M0


pectoralis major muscle is excised
axillary clearance is mandatory
adjuvant radiotherapy must be given for all patients
post-operatively
E) the long thoracic nerve of Bell (nerve to serratous
anterior) must be prsesrved but nerve to latismus dorsi
might be sacrified

10) Mammary duct ectasia is characterized by the


following EXCEPT :
A) is defiened as primary dilatation of major ducts of breast
in middle aged women
B) may present with nipple retraction and Peau d orange
picture
C) is treated usually by simple mastectomy
D) anaerobic superinfection cmmmonly occurs in this
recurrent periductal plasma cell mastitis
E) is commonly pre-malignant

11)

Regarding carcinoma of the breast :


A)
B)
C)
D)
E)

invasive intraductal carcinoma is the commonest form


lobular carcinoma may present bilateral
clinical staging is always correct and definit
the medullary (anaplastic) type feels hard
A, and B, are correct