Term 4, CPC 4 Quiz

14 Questions | Total Attempts: 116

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Term 4, CPC 4 Quiz - Quiz

Questions and Answers
  • 1. 
    A 38 year old woman presented with a 5 mm discrete mobile nodular mass in the left breast. Biopsy image is shown below. What is the most likely diagnosis?
    • A. 

      Sclerosing adenosis

    • B. 

      Fibroadenoma

    • C. 

      Fibrocystic disease

    • D. 

      Duct ectasia

    • E. 

      Invasive duct carcinoma

  • 2. 
    A 51 year old woman presents with massive enlargement of her left breast over the last 3 months. On examination there is a discrete large mass with some fixation to underlying tissue making it less mobile. The below image shows the histopathological appearance. What is the most likely diagnosis?
    • A. 

      Sclerosing adenosis

    • B. 

      Fibroadenoma

    • C. 

      Cystosarcoma phyllodes

    • D. 

      Lobular carcinoma

    • E. 

      Invasive duct carcinoma

  • 3. 
    A 52 year old woman presents with bloody nipple discharge and a single irregular mass below the areola. The below image shows the histopathological features. What is the most likely diagnosis?
    • A. 

      Sclerosing adenosis

    • B. 

      Fibroadenoma

    • C. 

      Invasive ductal carcinoma

    • D. 

      Papillary carcinoma

    • E. 

      Duct papilloma

  • 4. 
    Which of the following changes in the breast are associated with an increased risk of developing breast cancer?
    • A. 

      Epithelial hyperplasia

    • B. 

      Apocrine metaplasia

    • C. 

      Sclerosing adenosis

    • D. 

      Fibrocystic disease

    • E. 

      Fibroadenoma

  • 5. 
    A 65 year old woman underwent mastectomy for breast cancer. The image of the specimen received at pathology laboratory is shown. What is the most likely type of cancer?
    • A. 

      Medullary carcinoma

    • B. 

      Lobular carcinoma

    • C. 

      Schirrous carcinoma

    • D. 

      Inflammatory carcinoma

    • E. 

      Lymphoma of breast

  • 6. 
    A 61 year old woman presented with diffuse enlargement of left breast. No mass was felt on physical examination. What is the most likely explanation for the appearance shown in the picture below?
    • A. 

      Inflammation

    • B. 

      Lymphatic obstruction

    • C. 

      Carcinoma infiltration

    • D. 

      Paget's disease

    • E. 

      Phyllodes tumour

  • 7. 
    A 32 year old female presented with painful swelling over upper medial quadrant of right breast, unable to feed her 1 week old baby. Below is the histopathology image from needle biopsy. What is the most likely diagnosis?
    • A. 

      Inflammatory carcinoma

    • B. 

      Fat necrosis

    • C. 

      Breast trauma

    • D. 

      Acute mastitis

    • E. 

      Chronic mastitis

  • 8. 
    A 36 year old woman complains of bloody discharge from her right nipple. There are no palpable lumps in her breast, no axillary lymphadenopathy. The patient is on oral contraceptive pills. What is the most likely lesion to be found on excisional biopsy?
    • A. 

      Fibroadenoma

    • B. 

      Fibrocystic disease

    • C. 

      Phyllodes tumour

    • D. 

      Intraductal papilloma

    • E. 

      Sclerosing adenosis

  • 9. 
    A 30 year old woman suffers a traumatic blow to her right breast resulting in a 3 cm contusion. A few weeks later she notices a firm irregular lump in the same area of her breast. What is the most likely diagnosis?
    • A. 

      Fibroadenoma

    • B. 

      Fat necrosis

    • C. 

      Intraductal carcinoma

    • D. 

      Duct ectasia

    • E. 

      Sclerosing adenosis

  • 10. 
    A 55 year old man develops bilateral breast enlargement over the past year, which is symmetric and not painful to palpation. The patient is not obese and not taking any medication. Which of the following underlying condition accounts for this change?
    • A. 

      Micronodular cirrhosis

    • B. 

      Chronic glomerulonephritis

    • C. 

      Choriocarcinoma of testis

    • D. 

      ACTH secreting pituitary adenoma

    • E. 

      Cushing’s syndrome

  • 11. 
    A 45 year old woman had excision biopsy done for the lump which was a firm irregular mass in the upper outer quadrant of the left breast. The gross appearance is shown. Which of the additional findings do you think would be present in this patient?
    • A. 

      Fibrocystic change

    • B. 

      Lobular carcinoma

    • C. 

      Fibroadenoma

    • D. 

      Infiltrating ductal carcinoma

    • E. 

      Fat necrosis

  • 12. 
    A 27 year old woman presents with a lump in her breast. She has a strong family history of breast cancer. The lump is found to be a firm 2 cm mass in the upper outer quadrant of her left breast. The biopsy shows presence of carcinoma. Genetic analysis shows that she is a carrier of BRCA1 gene mutation, as has her mother and sister. Which of the following histologic types of cancer has the highest incidence in families like hers?
    • A. 

      Lobular carcinoma

    • B. 

      Papillary carcinoma

    • C. 

      Medullary carcinoma

    • D. 

      Metaplastic carcinoma

    • E. 

      Ductal carcinoma in situ

  • 13. 
    A 24 year old woman who is breast feeding her three week old baby notices fissures in the skin around her left nipple. Later she develops fever with erythematous and tender swelling of her breast with purulent discharge from the nipple. Which of the following organisms is most likely to be cultured from the discharge?
    • A. 

      Staphylococcus aureus

    • B. 

      Streptococcus pyogenes

    • C. 

      Lactobacillus

    • D. 

      Candida albicans

    • E. 

      Streptococcus viridans

  • 14. 
    The below breast excision biopsy specimen was taken from a 44 year old female patient. What diagnosis can you make from the gross specimen?
    • A. 

      Fibroadenoma

    • B. 

      Breast carcinoma

    • C. 

      Fibrocystic disease

    • D. 

      Lobular carcinoma

    • E. 

      Intraductal carcinoma

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