High-Yield and Frequently Missed ABSITE Questions with Correct Answers

High-Yield and Frequently Missed ABSITE Questions with Correct Answers Breast: What is presentation, treatment, prognosis for intraductal papilloma? - Correct Answer presents with bleeding/bloody nipple discharge (most common cause), usually benign, biopsy/resect via major duct excision Breast: What are contraindications to BCT (lumpectomy) in stage I breast cancer (and what specifically is not)? - Correct Answer 1) prior irradiation; 2) pos margins; 3) inflammatory; 4) pregnancy (unless 3rd trimester) Breast: what are the axillary node levels (1-3, and one more category)? - Correct Answer 1 - lateral to pec minor; 2 - beneath pec minor; 3 - medial to pec minor; Rotter's Nodes - between pec major and pec minor Breast: when is SNLB indicated (size, nodes, tumor status, metastatic risk)>? - Correct Answer >1 cm, no positive nodes (obviously), primary tumor present, low risk of axillary mets, Breast: what do you do if you can't find radiotracer dye in SNLB? - Correct Answer have to do formal ALND Breast: what is treatment for DCIS in male/female? - Correct Answer female -- BCT + xrt OR mastectomy; male -- mastectomy Breast: what is not needed for patient with negative SLNB? - Correct Answer ALND -- just do BCT or mastectomy depending on tumor is fine Breast: what patient would get only mastectomy/BCT + tamoxifen for 5 years (4 characteristics)? - Correct Answer negative SLN, old, ER+, and tumor <2 cm Breast: what patient would get mastectomy/BCT + tamoxifen for 5 years plus chemo (4 characteristics)? - Correct Answer negative SLN, young, ER+, and tumor >1cm Breast: what are 3 chemo agents used for breast CA typically? - Correct Answer 1) adriamycin; 2) cyclophosphamide; 3) taxol Breast: what patient would get mastectomy/BCT + chemo (no tamoxifen)? - Correct Answer negative SLN, ER- Breast: what is main SE of taxol? - Correct Answer taxol - neuropathy Breas