Multiple choice  questions and single best answer of Gynaecology

Topics: Breast

Number of question : 30

1.which type of nipple discharge not seen in dact ectasia?

a.serous

b.blood stained

c.purulent

d.grumous

e.mucopurulent

2.deep vains of the breast drains into:

a. Internal thorasic vein

b.axillary thorasic vein

c.anterior intercostal vein

d.posterior intercostal vein

e. Superficial vein of lower part of the neck

3.SBA: most common bacteria causing breast infection:

a.. staph. Aureus

b.staph. agalacti

c. Streep. Pyogens

d.streep. pneumoniae 

e.staph. epidermidis

4.SBA: A 50 yr old women diagonosed unilateral breast cancer, the size of the lump is 4 cm, fixed axillary nodes & evidence of distant meta stasis. What is her TNM score?

a.T1N2M1

b.T2N2M1

c.T2N1M1

d.T1N0M1

e.T3N2M1

5.secondary breast cancer :

a. From oposite breast

b.lungs

c.intestine

d.pleura

e.pancreas 

 6.Pain is a common complaints in case of:

a.  Ca breast

b.  Acute mastitis

c.   Chronic mastitis

d.fibroadenosis

e. Mamary dysplasia

7.which are true about pagets disease of the breast?

a.bilateral

b.intens itching

c. Occurs commonly at menopause 

d.nipple may be destroyed 

e.lump may present

8.halsted mastectomy includes excision of:

a. Breast

b.axillary LN

c.supra-clavicular LN

d. Pectoralis mejor & minor muscles 

e.only pectoralis minor muscle

9.Through lymphatic Route Ca breast can metastasis into:

a. Bones

b.lungs

c.internal mammary chain

d.supraclavicular LN e pleura

10.SBA:Most common site of Ca breast?

a.upper & inner quadrant 

b.upper & outer quadrant 

c.lower & outer quadrant 

d.lower & inner quadrant 

e. Central

 11.ANDI includes?

a.cyst

b.fibroadenoma

c.duct ectasia

d.mastalgia

e.mastitis

12.causes of breast lump in elderly women:

a.Mastitis

b.Ca breast

c.fibroadenoma

d.paget’s disease of breast 

e.duct ectasia

13.cause of breast pain without any lump?

a.cyclical breast pain

b.an area of fibrosis

c.non cyclical breast pain

d.sometimes carcinoma

e.cyst

14.mixed tumour of breast:

a.Adenoma

b.fibroma

c.fibroadenoma

d.phylloides tumour

e.duct papilloma

15.following r true about fibroadenoma:

a. It’s a mixed tumour 

b.also known as breast mouse

c.malignant tumour 

d.freely mobile

e.>2 cm size needs surgery

 16. Risk factors of ca breast?

a.age

b.gender

c.consanguinity 

d.physical exersion 17.ca breast common in:

a.relative of ca breast

b.nullipera women

c.who avoid breast feeding

d.late menarche & menopause 

e.high carbohydrate diet

18.retraction of nipple :

a.is associated with discharge 

b.is characteristics of pagets disease 

c.important factor of breast abscess d due to fate necrosis

e.due to chancre

19. Causes of bloody nipple discharge? 

a. Carcinoma 

b.duct ectasia

c.fibrocystic disease 

d.fibroadenoma 

e.Mastitis 

20.SBA: Mammography is contraindicated in :

a.4th decade

b.age below 30

c. Age >35

d.5th decade 

e.none of them

21. SBA: lump size in stage III A carcinima:

a. 3 cm

b.4 cm

c.5 cm

d.  Any size

e.  >5 cm

22.triple assessment not include :

a.clinical findings 

b.hormonal assay

c.mammography 

d.FNAC

e.ultrasound 

23.causes of solide breast lump? 

a.fibroadenoma 

b.duct ectasia

c.   Ca breas d traumatic fat necrosis 

e.mastitis

24.SBA: supernumerary nipple is called:

a.polymazia

b.polythelia

c.amazia

d.  athelia

e.none of them

25.following r true about breast anatomy:

a.developed under the influence of estrogen

b.located in mid clavicular line

c.areola in rich in nerv supply

d.glandular tissue > fat 

e.composed of 12-20 lobes

26.About FNAC:

a.sensitivity >specificity 

b.sensitivity <specificity 

c.false negative in 2-10% cases

d.fales positive very rare

e.false positive in 2-5% cases

27.SBA:FNAC is indicated when lump size:

a. >3 cm

b.>4 cm

c.>5 cm

d.5-6 cm

e.>6 cm

28.SBA:A 30 yr old parous women comolains of bilateral cyclical mastlagia. Probable dx is? a.fibroadenoma

b.fibrocystic disease 

c.mastitis

d. Breast abcess

e.ca breast

29.SBA:giant fibroadenoma(lump size >5 cm) common in:

a. Asia

b.africa

c.Europe 

d.america

e.obes women

30.SBA:most common type ca breast?

a.Ductal carcinoma in situ

b.invasive lobular carcinoma 

c.lobular carcinoma in situ

d.invasive ductal carcinoma 

e.fibrosarcoma

Author : 

Ahmed Sumon 

MBBS, Rangpur Medical College