ABSITE Exam Review Questions and
Answers
Initial treatment of 50 year-old female with metastatic breast CA to ribs & spine with ↑Ca²⁺ - Answer-
Bisphosphonates
[Fluid + Lasix + mithramycine/bisphos/calcitonin/ aldaronic acid]
Contraindications to SLNBx - Answer-1. Clinically suspicious axillary LN
2. T3/T4
3. Large biopsy cavity
4. Prior axillary surgery
5. Recent mammoplasty/breast implant
6. Likely intraductal papilloma
Young woman with bloody nipple discharge & normal mammogram → - Answer-Likely intraductal
papilloma → ductal excision
Treatment of breast pain - Answer-Bromocriptine (inhibits prolactin secretion)
Which is a contraindication to segmental mastectomy or BCT, multicentric disease or pectoralis
involvement? - Answer-Multicentric disease
, ER is a marker for _____ - Answer-Tumor differentiation
LCIS @ margin of breast excision, NEXT STEP - Answer-No further Rx
Tamoxifen & close follow-up
Management of phyllodes tumor (2 cm) - Answer-WLE without nodal dissection
Management of post-menopausal, ER+, T1N1 (stage IIa) breast CA - Answer-Chemotherapy + Tamoxifen
Management of melanoma <0.75mm - Answer-WLE with 1-cm margins
Management of 1.2mm superficial melanoma without palpable node(s) - Answer-WLE with 2-cm
margins + SLNBx for all lesions >1.0mm
Management of anal SCCa - Answer-ChemoXRT (Nigro protocol)
Malignancy most likely to have ascites and carinomatosis - Answer-Ovarian
Cancer-related cachexia is related to ____ - Answer-TNFα
Cancer least likely to metastasize to bone - Answer-Prostate > Breast > Lung > Kidney > THYROID
Inguinal LN biopsy positive for melanoma with no identifiable primary ... NEXT STEP - Answer-CT
abdomen/pelvis
Answers
Initial treatment of 50 year-old female with metastatic breast CA to ribs & spine with ↑Ca²⁺ - Answer-
Bisphosphonates
[Fluid + Lasix + mithramycine/bisphos/calcitonin/ aldaronic acid]
Contraindications to SLNBx - Answer-1. Clinically suspicious axillary LN
2. T3/T4
3. Large biopsy cavity
4. Prior axillary surgery
5. Recent mammoplasty/breast implant
6. Likely intraductal papilloma
Young woman with bloody nipple discharge & normal mammogram → - Answer-Likely intraductal
papilloma → ductal excision
Treatment of breast pain - Answer-Bromocriptine (inhibits prolactin secretion)
Which is a contraindication to segmental mastectomy or BCT, multicentric disease or pectoralis
involvement? - Answer-Multicentric disease
, ER is a marker for _____ - Answer-Tumor differentiation
LCIS @ margin of breast excision, NEXT STEP - Answer-No further Rx
Tamoxifen & close follow-up
Management of phyllodes tumor (2 cm) - Answer-WLE without nodal dissection
Management of post-menopausal, ER+, T1N1 (stage IIa) breast CA - Answer-Chemotherapy + Tamoxifen
Management of melanoma <0.75mm - Answer-WLE with 1-cm margins
Management of 1.2mm superficial melanoma without palpable node(s) - Answer-WLE with 2-cm
margins + SLNBx for all lesions >1.0mm
Management of anal SCCa - Answer-ChemoXRT (Nigro protocol)
Malignancy most likely to have ascites and carinomatosis - Answer-Ovarian
Cancer-related cachexia is related to ____ - Answer-TNFα
Cancer least likely to metastasize to bone - Answer-Prostate > Breast > Lung > Kidney > THYROID
Inguinal LN biopsy positive for melanoma with no identifiable primary ... NEXT STEP - Answer-CT
abdomen/pelvis
