Breast GS55-GS60.

***) Number of the breast lobes and in turn the number of the duct
orifices at the nipple is:
A. 2 3
B. 5 7
C. 9 11
D. 15 20
E. 25 30

Answer: D* 15 20

***) Fibroadenoma may be associated with one of the following breast

diseases:
A. Fibrocystic disease of breast
B. Intraductal papilloma
C. Duct ectasia
D. Galactocele
E. Medullary carcinoma

Answer: A* Fibrocystic disease of breast

***) Nipple discharge can be a manifestation of all of the following,

except:
A. Fibrocystic disease
B. Duct ectasia
C. Fibroadenoma
D. Breast carcinoma
E. Intraductal carcinoma

Answer: C* Fibroadenoma

***) All of the following conditions are benign breast disease, except:
A. Fibroadenoma
B. Duct ectasia
C. Fibroadenosis
D. Duct papilloma
E. Breast abscess

Answer: C* Fibroadenosis

***) In breast abscess the commonest causative bacteria are:

A. Staphylococcus
B. Streptococcus
C. Pneumococcus
D. Tuberculosis bacilli
E. Bacteroids

Answer: A* Staphylococcus

***) All of the following are usually caused by streptococcal infection,

except:
A. Cellulites
B. Breast abscess
C. Erysipelas
D. Tonsillitis
E. Scarlet fever

Answer: B* Breast abscess

***) The treatment of acute breast abscess is:

A. Intravenous antibiotics for one week
B. Repeated needle aspiration
C. Incision and drainage under anesthesia
D. Localized incision
E. Simple mastectomy

Answer: C* Incision and drainage under anesthesia

***) Breast self-examination in reproductive age women is best

performed:
A. At the onset of menses
B. Just after menses
C. At mid cycle
D. Just before the onset of menses
E. Monthly at anytime during the cycle

Answer: B* Just after menses

***) The most common site for breast cancer to appear is:
A. Upper outer quadrant
B. Upper inner quadrant
C. Lower outer quadrant
D. Lower inner quadrant
E. Under the nipple

Answer: A* Upper outer quadrant

***) Breast cancer is least associated with one of the following:

A. Positive family history of breast cancer
B. Late first pregnancy
C. Multiparity
D. Hard fibroadenoma
E. Fibrocystic disease
Answer: C* Multiparity

***) A 40 years old lady with premenstrual breast pain, nipple discharge
of variable color and the breasts are coarse nodular and tender, this lady
probably has:
A. Acute mastitis
B. Duct ectasia
C. Fat necrosis
D. Fibroadenosis of the breast
E. Paget's disease of the breast

Answer: D* Fibroadenosis of the breast

***) A 35 years old lady with a painless hard mass in her breast, the first
step to be done is:
A. Total body CT scanning
B. Excisional biopsy
C. Fine needle aspiration for cytology
D. Incisional biopsy
E. Broad spectrum antibiotics and follow up

Answer: C* Fine needle aspiration for cytology

***) The following are more liable to develop breast carcinoma, except:
A. Females with positive family history of breast carcinoma
B. Nulliparous women
C. Women with long standing fibrocystic disease of breast
D. Females with fat necrosis of the breast
E. Females who have first child above thirty

Answer: D* Females with fat necrosis of the breast

***) Regarding Pagets disease of the breast, one is correct:

A. It is a sort of chronic eczema of the nipple
B. It is usually bilateral
C. It is a malignant disease of breast
D. Needs long treatment with steroid ointment
E. Associated with nipple retraction in early stages

Answer: C* It is a malignant disease of breast

***) Blood stained discharge from one orifice of the nipple is a

characteristic of:
A. Early menarche
B. Lactation
C. Pregnancy
D. Intra-ductal papilloma
E. Fibroadenoma

Answer: D* Intra-ductal papilloma

***) Unilateral retraction of the nipple may occur in all of the following,
except:
A. Duct ectasia
B. Fibroadenoma
C. Intraductal carcinoma
D. Developmental occurring at the time of puberty
E. Chronic breast abscess

Answer: B* Fibroadenoma

***) The risk of bilateral breast cancer is high if the first breast shows:
A. Comedocarcinoma
B. Inflammatory carcinoma
C. Lobular carcinoma
D. Paget's disease
E. Duct papillary carcinoma

Answer: C* Lobular carcinoma

***) The initial site of distant metastasis in breast cancer:

A. Lungs
B. Liver
C. Bones
D. Brain
E. Spleen

Answer: C* Bones

***) All the following are clinical features of breast cancer except:
A. Hard mass
B. Well defined borders
C. Limited mobility
D. Watery discharge
E. Nipple retraction

Answer: B* Well defined borders

***) All the following are risk factors of breast cancer except:
A. Personal history of breast cancer
B. Family history in first degree relatives
C. Late menarche and early menopause
D. Nulliparity or late age of first pregnancy
E. Post menopausal hormonal replacement therapy

Answer: C* Late menarche and early menopause