SURGERY EOR EXAM PAEA BLUEPRINT
QUESTIONS AND SOLUTIONS
◉ What is the secondary surgical intervention for a malignant
phyllodes tumor when clear margins cannot be achieved with
breast-conserving surgery?
Answer: Total mastectomy without axillary lymph node dissection
◉ Which adjuvant therapy is indicated as a tertiary treatment option
for recurrent or highly aggressive malignant phyllodes tumors?
Answer: Adjuvant external beam radiation therapy to the chest wall
◉ What primary lab screening panel must be ordered in the initial
evaluation of a male presenting with rapid-onset gynecomastia?
Answer: Serum Testosterone, Luteinizing Hormone (LH), Follicle-
Stimulating Hormone (FSH), Estradiol, beta-hCG, and Thyroid-
Stimulating Hormone (TSH)
◉ What selective estrogen receptor modulator (SERM) is the first-
line pharmacological agent for patients with painful, early-stage
gynecomastia?
Answer: Tamoxifen
,◉ What is the secondary surgical treatment option for persistent,
fibrotic gynecomastia that has failed medical therapy?
Answer: Subcutaneous mastectomy with liposuction
◉ Which potassium-sparing diuretic is the most common
pharmacological trigger for painful gynecomastia?
Answer: Spironolactone
◉ What is the primary endocrine therapy class and popular drug
name used as first-line treatment for hormone receptor-positive
(ER/PR+) breast cancer in premenopausal women?
Answer: Selective Estrogen Receptor Modulator (SERM) such as
Tamoxifen
◉ What is the primary endocrine therapy class and popular drug
name used as first-line treatment for hormone receptor-positive
(ER/PR+) breast cancer in postmenopausal women?
Answer: Aromatase inhibitor such as Anastrozole
◉ What is the first-line targeted monoclonal antibody therapy and
its specific generic name used for patients with HER2-positive
breast cancer?
Answer: Trastuzumab
, ◉ What is the primary systemic therapeutic regimen for patients
with Triple-Negative Breast Cancer (TNBC) prior to surgical
resection?
Answer: Neoadjuvant chemotherapy utilizing Paclitaxel,
Doxorubicin, and Cyclophosphamide combined with Pembrolizumab
◉ At what maximum diameter threshold is elective surgical repair
indicated for an asymptomatic abdominal aortic aneurysm (AAA) in
a male patient?
Answer: 5.5 cm
◉ At what maximum diameter threshold is elective surgical repair
indicated for an asymptomatic abdominal aortic aneurysm (AAA) in
a female patient?
Answer: 5.0 cm
◉ Besides diameter, what rapid expansion rate of an abdominal
aortic aneurysm (AAA) serves as a primary indication for surgical
repair?
Answer: Growth of more than 0.5 cm in 6 months or more than 1.0
cm in 1 year
◉ What is the gold standard pre-operative imaging modality of
choice to map the anatomy and evaluate the neck of an abdominal
aortic aneurysm (AAA)?
QUESTIONS AND SOLUTIONS
◉ What is the secondary surgical intervention for a malignant
phyllodes tumor when clear margins cannot be achieved with
breast-conserving surgery?
Answer: Total mastectomy without axillary lymph node dissection
◉ Which adjuvant therapy is indicated as a tertiary treatment option
for recurrent or highly aggressive malignant phyllodes tumors?
Answer: Adjuvant external beam radiation therapy to the chest wall
◉ What primary lab screening panel must be ordered in the initial
evaluation of a male presenting with rapid-onset gynecomastia?
Answer: Serum Testosterone, Luteinizing Hormone (LH), Follicle-
Stimulating Hormone (FSH), Estradiol, beta-hCG, and Thyroid-
Stimulating Hormone (TSH)
◉ What selective estrogen receptor modulator (SERM) is the first-
line pharmacological agent for patients with painful, early-stage
gynecomastia?
Answer: Tamoxifen
,◉ What is the secondary surgical treatment option for persistent,
fibrotic gynecomastia that has failed medical therapy?
Answer: Subcutaneous mastectomy with liposuction
◉ Which potassium-sparing diuretic is the most common
pharmacological trigger for painful gynecomastia?
Answer: Spironolactone
◉ What is the primary endocrine therapy class and popular drug
name used as first-line treatment for hormone receptor-positive
(ER/PR+) breast cancer in premenopausal women?
Answer: Selective Estrogen Receptor Modulator (SERM) such as
Tamoxifen
◉ What is the primary endocrine therapy class and popular drug
name used as first-line treatment for hormone receptor-positive
(ER/PR+) breast cancer in postmenopausal women?
Answer: Aromatase inhibitor such as Anastrozole
◉ What is the first-line targeted monoclonal antibody therapy and
its specific generic name used for patients with HER2-positive
breast cancer?
Answer: Trastuzumab
, ◉ What is the primary systemic therapeutic regimen for patients
with Triple-Negative Breast Cancer (TNBC) prior to surgical
resection?
Answer: Neoadjuvant chemotherapy utilizing Paclitaxel,
Doxorubicin, and Cyclophosphamide combined with Pembrolizumab
◉ At what maximum diameter threshold is elective surgical repair
indicated for an asymptomatic abdominal aortic aneurysm (AAA) in
a male patient?
Answer: 5.5 cm
◉ At what maximum diameter threshold is elective surgical repair
indicated for an asymptomatic abdominal aortic aneurysm (AAA) in
a female patient?
Answer: 5.0 cm
◉ Besides diameter, what rapid expansion rate of an abdominal
aortic aneurysm (AAA) serves as a primary indication for surgical
repair?
Answer: Growth of more than 0.5 cm in 6 months or more than 1.0
cm in 1 year
◉ What is the gold standard pre-operative imaging modality of
choice to map the anatomy and evaluate the neck of an abdominal
aortic aneurysm (AAA)?
