Matthew Coulson
Quiz by , created more than 1 year ago

Surgery and reconstruction for breast cancer given on 09/01/2019

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Matthew Coulson
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Surgery and Reconstruction for Breast Cancer

Question 1 of 27

1

Fill the blank space to complete the text.

'Lumpectomy' is another term for Breast Surgery

Explanation

Question 2 of 27

1

Fill the blank space to complete the text.

Apart from Breast Conserving Surgery, what is the other major type of breast surgery performed by oncoplastic breast surgeons?

Explanation

Question 3 of 27

1

Breast Conserving Surgery alone has the same risk of relapse as receiving a Mastectomy.

Select one of the following:

  • True
  • False

Explanation

Question 4 of 27

1

Select from the dropdown list to complete the text.

( Breast Conserving Surgery + Radiotherapy, Breast Conserving Surgery + Chemotherapy, Breast Conserving Surgery alone ) has a similar rate of relapse to Mastectomy, as in after either treatment plan you will have the same risk of the cancer relapsing.

Explanation

Question 5 of 27

1

Breast Conserving Surgery is conducted to excise breast masses

Drag and drop to complete the text.

    leaving a clear margin of healthy tissue
    by removing the entire breast
    and all axillary lymph nodes

Explanation

Question 6 of 27

1

All operations conducted on the breast also include removal of ... for pathology.

Select one of the following:

  • All axillary lymph nodes

  • Some, but not all, of the axillary lymph nodes

  • All internal mammary lymph nodes

  • Some, but not all, of the internal mammary lymph nodes

Explanation

Question 7 of 27

1

Fill the blank space to complete the text.

Removing all lymph nodes during surgery typically leads to the patient developing which condition years down the line?

Explanation

Question 8 of 27

1

Breast Conserving Surgery requires that a clear margin of what is considered as healthy tissue to be removed along with the cancer. At least how much of this tissue should be removed to create a clear margin around the excised tumour area?

Select one of the following:

  • >1mm

  • >2mm

  • >0.5mm

  • >3mm

Explanation

Question 9 of 27

1

Currently, what is used to tag impalpable tumours so that surgeons know what they are aiming to remove during an operation?

Select one of the following:

  • A metal wire

  • Gamma-sensitive tags

  • Fluorescent biomarkers

Explanation

Question 10 of 27

1

Which of the following adjuvant treatments is most effective in combination with chemotherapy/radiotherapy when treating breast cancer?

Select one of the following:

  • Herceptin (Trastuzumab)

  • Tamoxifen

  • Mifepristone

Explanation

Question 11 of 27

1

Mifepristone -
Tamoxifen -
Herceptin (Trastuzumab) -

Drag and drop to complete the text.

    Oestrogen Receptor Antagonist
    Progesterone Receptor Antagonist
    HER2 Receptor Antagonist
    LH Receptor Antagonist

Explanation

Question 12 of 27

1

Fill the blank space to complete the text.

Which aromatase inhibitor is first line in the treatment of hormonally-responsive breast cancer specifically in postmenopausal women?

Explanation

Question 13 of 27

1

Fill the blank space to complete the text.

Aromatase is the enzyme that catalyzes a key aromatization step in the synthesis of which key hormone?

Explanation

Question 14 of 27

1

If a large area of breast is being removed from one side of the body, an oncoplastic surgeon will typically (with patient's permission) attempt to reconstruct the other breast as well so that the woman's breasts are as symmetrical as possible.

Select one of the following:

  • True
  • False

Explanation

Question 15 of 27

1

Fill the blank space to complete the text.

Removal of all breast tissue surgically is known as a

Explanation

Question 16 of 27

1

Mastectomy with breast reconstruction often involves taking 'free flaps' which are areas of tissue taken from areas of excess elsewhere on the body. Which two of the following sites are common sites to be utilised for 'free flap' reconstruction?

Select one or more of the following:

  • Abdomen

  • Buttocks

  • Inner thigh

  • Calf

  • Upper middle back

Explanation

Question 17 of 27

1

Fill the blank space to complete the text.

Which muscle of the upper body is sometimes repositioned in order to mimic a breast?

Explanation

Question 18 of 27

1

1 in 4 implants used in reconstructive surgery are lost due to which of the following?

Select one of the following:

  • Infection

  • Movement of implant away from breast

  • Disintegration of implant

  • Relapsing breast cancer

Explanation

Question 19 of 27

1

Which type of cancer is loosely associated with breast implants?

Select one of the following:

  • Lymphoma

  • Lipoma

  • Papilloma

  • Fibroadenoma

  • Ductal Carcinoma In Situ (DCIS)

Explanation

Question 20 of 27

1

Which type of breast reconstruction surgery is most popular following a mastectomy?

Select one of the following:

  • Implant Based

  • Autologous (Free flap, TRAM, etc)

Explanation

Question 21 of 27

1

Once implants are inserted following a mastectomy, they tend to be fixed in place and thus do not require revisional surgeries as the woman ages.

Select one of the following:

  • True
  • False

Explanation

Question 22 of 27

1

Fill the blank space to complete the text.

Which artery is connected to the umbilical skin when it is used as a graft for reconstructive surgery?
The artery

Explanation

Question 23 of 27

1

Select from the dropdown list to complete the text.

The ( inferior, superior, medial, lateral ) gluteal fold can also be used as a graft for breast reconstruction surgery.

Explanation

Question 24 of 27

1

Fill the blank space to complete the text.

The first axillary nodes to be drained by a cancer must be surgery removed upon any form of breast cancer surgery. These lymph nodes are known as the lymph nodes

Explanation

Question 25 of 27

1

Axillary node clearance is mandatory for all breast cancer surgeries so that staging of the cancer can be conducted.

Select one of the following:

  • True
  • False

Explanation

Question 26 of 27

1

Are the internal mammary lymph nodes commonly operated upon during breast surgeries?

Select one of the following:

  • Yes

  • No

Explanation

Question 27 of 27

1

Creating bigger margins when excising breast cancers means that the patient is more less likely to have a recurrence of their breast cancer.

Select one of the following:

  • True
  • False

Explanation

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