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always unilateral and are often less D. 1, 2, 3
than 2 cm in size E. All are correct
D. Unilateral adrenalectomy in the
setting of Idiopathic 307. Cushing s syndrome can be
hyperaldosteronism is curative caused by: 1. Adrenocortical
E. Adrenal cortical aldosterone- adenoma; 2. Adrenocortical
producing carcinoma is carcinoma; 3. Pituitary
extremely rare and represents corticotroph adenoma; 4. Ectopic
another surgically treatable form secretion of ACTH by
of primary aldosteronism nonpituitary tumor; 5. Ectopic
secretion of corticotropin-
304. Main clinical signs of primary releasing hormone.
hyperaldosteronism are: 1. Arterial A. 1, 2, 3
hypertension; 2. Arythmia; 3. B. 1, 2, 4
Hypokalemia; 4. Increased C. 2, 4, 5
aldosterone level; 5. Decreased D. 1, 3, 5
plasma renin activity. E. All can cause
A. 1, 2, 3
B. 1, 3, 5 308. Choose the main clinical signs
C. 1, 4, 5 typical for Cushing s syndrome: 1.
D. 2, 3, 5 Centripetal obesity; 2.
E. All are correct Hypertension; 3. Osteoporosis; 4.
Acne; 5. Polyuria, polydipsia.
305. Patients with endogenous A. 1, 2, 3
Cushing s syndrome caused by a B. 1, 2, 4
unilateral adrenal tumor will have: C. 2, 4, 5
47
D. 1, 3, 5 312. Galactorrhea, a milky discharge
E. All are typical from the nipple in nonpregnant
women, is most likely to be
309. For Cushing s syndrome is typical associated with which of the
deposition of adipose tissue in following?
characteristic sites: 1. Face A. Fibroadenoma
("moon" facies); 2. Interscapular B. Tubular adenoma
area ("buffalo hump"); 3. C. Pituitary adenoma
Mesenteric bed ("truncal" D. Hyperparathyroidism
obesity); 4. Lower extremity; 5. E. Breast abscess
Upper extremity.
A. 1, 2, 3 313. A 28-year-old female figure skater
B. 1, 2, 4 presents several weeks after having
C. 2, 4, 5 sustained an injury to her left breast.
D. 1, 3, 5 She has a painful mass in the upper
E. All are typical outer quadrant. Skin retraction is
noticed, and a hard mass, 3 4 cm in
310. A 35-year-old professional dancer diameter, can easily be palpated.
presents with a well-defined, tense, What is the most likely diagnosis?
smooth mass in the upper outer A. Infiltrating carcinoma
quadrant of the left breast. She B. Breast abscess
states that the mass becomes larger C. Hematoma
just before onset of her periods. D. Fat necrosis
Aspiration yields a clear yellow E. Sclerosing adenosis
fluid and the mass disappears. The
most likely diagnosis is: 314. A 35-year-old patient presents to
A. Fibroadenoma in a cyst your office with chronic draining
B Breast cyst subcutaneous periareolar abscesses,
C Carcinoma in a cyst which have been incised and
D. Lipoma drained many times in the past 5
E.Galactocele years but keep recurring. What is
the best treatment of choice?
311. An 23-year-old presents with a A. Repeat incision and drainage (I
wellcircumscribed 2-cm mass in her and D) since the previous
right breast. The mass is painless procedures were inadequate
and has a rubbery consistency and B. Long-term antibiotics
discrete borders. It appears to move C. Major duct excision
freely through the breast tissue. D. Complete excision of the
What is the likeliest diagnosis? drainage tract
A. Carcinoma E. Tell the patient there is nothing
B. Cyst to do and that this will
C. Fibroadenoma eventually resolve with age
D. Cystosarcoma phyllodes
E. Intramammary lymph node 315. A patient presents 1 month after a
benign right breast biopsy with a
48
lateral subcutaneous cord felt just 318. A 40-year-old lawyer comes
under the skin and causing pain. into your office after seeing some
The etiology of this condition is? information on the Internet relating
A. Fat necrosis to breast cancer. Which of the
B. Infection following factors has not shown to
C. Superficial thrombophlebitis increase a woman s risk for breast
D. Suture granuloma cancer?
E. Misdiagnosed breast cancer A. Smoking
B. Previous history of benign breast
316. A 36-year-old woman complains biopsies
of a 3-month history of bloody C. Atypia seen on pathology from
discharge from the nipple. At previous breast biopsy
examination, a small nodule is D. First-degree relative with history
found, deep to the areola. Careful of breast cancer
palpation of the nippleareolar E. Increasing age
complex results in blood arrearing
at the 3 O clock position. 319. A 46-year-old woman presents
Mammogram findings are normal. with a mammogram that shows a 1-
What is the likeliest diagnosis? cm cluster of fine calcification in
A. Intraductal papilloma the right breast. Following
B. Breast cyst mammographic wire localization,
C. Intraductal carcinoma the lesion is excised and the
D. Carcinoma in situ pathology reported as ductal
E. Fat necrosis carcinoma in situ (DCIS) with
comedo features and free margins.
317. During a routine screening What advice should be given to the
mammography, a 62-year-old patient?
teacher is informed that she has A. If untreated, about 30% of such
changes on her mammography, and lesions become invasive over a
she should consult her physician. 10-year period
She can be reassured that the B. Comedo DCIS is less aggressive
findings that indicate a benign than noncomedo DCIS
condition are which of the C. Bilateral mastectomy and
following? radiotherapy are the preferred
A. Discrete, stellate mass treatments
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