Update on breast diseases for the internist

      MCQs on Update on breast diseases for the internist

1. Which are the red herring features of breast malignancy in a patient presenting to you with a suspicious mass of breast on self palpation:

           a) Family and personal history of breast or ovarian cancer
           b) Prior breast biopsy report of atypical hyperplasia
           c) Early age of menarche
           d) Early age at parity
           e) All of the above

     2.   The investigation of choice for a suspected mass of breast on palpation is/are:
           
            a) Bilateral mammogram
            b) targeted Ultrasound of the breast
            c) Both
            d) None of the above

     3. All statements are true except :
   
             a) Asymmetric density and pleomorphic calcifications in mammogram is highly  suspicious
                 of malignancy
            b) A normal mammogram in a obese lady with a discrete breast mass is an encouraging report
            c) Thin walled fluid filed cysts are likely to be benign
            d) Complex thick walled cysts in USG breast should be biopsied

    4.  Red herring signs of breast malignancy in mammogram are :
          
            a) Pleomorphic calcifications
            b) Asymmetry
             c) Architectural distortion
             d) Thick walled cysts
    5.  Short interval follow up of patient is required in which grade of mammogram (BIRADS)

          a) 1
          b) 2
          c)  3
          d) 4
          e) 5
 
   6 . Causes of  haemmorhagic nipple discharge are all except :
         a) ductal ectasia
         b) ductal papilloma
         c) periductal mastitis
          d) malignancy
         e) prolactinoma

  7.  Mondors disease is thrombosis of which vein:

     a) Mammary veins
     b) Cephalic vein
     c) thoraco epigastric veins
     d) brachiocephalic veins

  

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