ABSITE Exam Questions and Answers (Latest Update) Question 1: Breast: What is presentation, treatment, prognosis for intraductal papilloma?
CORRECT ANSWER : presents with bleeding/bloody
nipple discharge (most common cause), usually benign, biopsy/resect via major duct excision
Question 2: Breast: What are contraindications to BCT (lumpectomy) in stage I breast cancer (and what specifically is not)?
CORRECT ANSWER : 1) prior irradiation; 2) pos margins;
3) inflammatory; 4) pregnancy (unless 3rd trimester)
Question 3: Breast: what are the axillary node levels (1-3, and one more category)?
CORRECT ANSWER : 1 - lateral to pec minor; 2 - beneath
pec minor; 3 - medial to pec minor; Rotter's Nodes - between pec major and pec minor
Question 4: Breast: when is SNLB indicated (size, nodes, tumor status, metastatic risk)?
CORRECT ANSWER: >1 cm, no positive nodes
(obviously), primary tumor present, low risk of axillary mets
Question 5: Breast: what do you do if you can't find radiotracer dye in SNLB?
CORRECT ANSWER : have to do formal ALND
Question 6: Breast: what is treatment for DCIS in male/female?
CORRECT ANSWER : female -- BCT + xrt OR
mastectomy; male -- mastectomy
Question 7: Breast: what is not needed for patient with negative SLNB?
CORRECT ANSWER : ALND -- just do BCT or
mastectomy depending on tumor is fine
Question 8: Breast: what patient would get only mastectomy/BCT + tamoxifen for 5 years (4 characteristics)?
CORRECT ANSWER : negative SLN, old, ER+, and tumor
<2 cm
Question 9: Breast: what patient would get mastectomy/BCT
- tamoxifen for 5 years plus chemo (4 characteristics)?
CORRECT ANSWER : negative SLN, young, ER+, and
tumor >1cm
Question 10: Breast: what are 3 chemo agents used for breast CA typically?
CORRECT ANSWER: 1) adriamycin; 2)
cyclophosphamide; 3) taxol
Question 11: Breast: what patient would get mastectomy/BCT
- chemo (no tamoxifen)?
CORRECT ANSWER : negative SLN, ER-
Question 12: Breast: what is main SE of taxol?
CORRECT ANSWER : taxol - neuropathy
Question 13: Breast: what is main SE of adriamycin (doxorubacin)?
CORRECT ANSWER : cardiomyopathy
Question 14: Breast: what is treatment for inflammatory breast cancer (in order)?
CORRECT ANSWER : neoadjuvant chemo, then
mastectomy (mod radical), then XRT
Question 15: Breast: what options are available for breast mass post neoadjuvant therapy?
CORRECT ANSWER : same as de novo breast cancer --
BCT or mastectomy -- if tumor shrunk and now amenable to BCT, that's fine, even if it was big before and needed mastectomy based on size
Question 16: Breast: LCIS -- who primarily gets this, what is most important characteristic, what % get cancer, where, and what type?