NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 128
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1. Which of the following conditions is a risk factor associated with colon cancer?
a. Anal fissures
b. Hemorrhoids
c. Gastric ulcer
d. Ulcerative colitis
Answer: d. Ulcerative colitis
Description:Ulcerative colitis is a chronic inflammatory bowel disease that causes inflammation and ulcers in the lining of the colon. It is a risk factor for colon cancer. The other options are not risk factors for colon cancer. Gastric ulcer is an ulcer in the lining of the stomach. Anal fissures are small tears in the lining of the anus. Hemorrhoids are swollen veins in the anus or rectum. These conditions are not associated with an increased risk of colon cancer. If you have ulcerative colitis, it is important to see your doctor regularly for checkups. Early diagnosis and treatment of colon cancer can improve the chances of survival.
2. Pager’s disease is characterized by
a. Hypernatremia
b. Hyperkalemia
c. Hypocalcemia
d. Hypercalcemia
Answer: d. Hypercalcemia
Description:As of my last update in September 2021, there is no medical condition known as "Pager's disease" in the medical literature. It's possible that the term "Pager's disease" may not be widely recognized or is a misspelling of another medical condition. If you have any other medical conditions or terms you would like to know about, please feel free to ask!
3. Correct regarding Paget’s disease of breast is:
b. It leads to fissuring and ulceration of skin of nipple and areola
c. The histological hallmark is involvement of epidermis by malignant above
a. It is a rare form of ductal carcinoma
d. All of the above
Answer: d. All of the above
Description:Paget's disease of the breast is a rare form of breast cancer that affects the nipple and areola. It is characterized by the development of eczema-like changes in the nipple and areola, which can progress to fissuring and ulceration. The histological hallmark of Paget's disease is the involvement of the epidermis by malignant cells from the underlying ductal carcinoma. Paget's disease of the breast is often associated with an underlying ductal carcinoma, but it can also occur in the absence of a tumor. If you are diagnosed with Paget's disease of the breast, you will need to have a complete workup to rule out an underlying tumor. Treatment for Paget's disease of the breast typically involves surgery to remove the nipple and areola, as well as radiation therapy. Here are some additional facts about Paget's disease of the breast: It is a rare form of breast cancer, accounting for about 1-2% of all breast cancers. It is more common in women over the age of 50. The symptoms of Paget's disease of the breast can be mistaken for eczema, so it is important to see a doctor if you experience any changes in the nipple or areola. Treatment for Paget's disease of the breast typically involves surgery and radiation therapy.
4. BRCA-1 mutation is associated with which cancer?
a. Leukemia
b. Breast
c. Nerve
d. Lymphoma
Answer: b. Breast
Description:BRCA-1 stands for Breast Cancer Gene 1. It is a tumor suppressor gene that helps repair damaged DNA and plays a crucial role in maintaining the stability of the cell's genetic material. Mutations in the BRCA-1 gene can increase the risk of developing breast cancer, as well as ovarian and other cancers. Option b, "Breast," is the correct answer. BRCA-1 mutations are particularly relevant in the context of hereditary breast cancer, where individuals with these mutations have a higher risk of developing breast cancer compared to the general population.
5. Risk factors for breast cancer include:
a. Young age at menopause
b. Young age at first births
c. Young age
d. Young age at menarche
Answer: d. Young age at menarche
Description:Menarche is the first menstrual period. Women who have their first menstrual period at a younger age are at an increased risk of developing breast cancer. The other options are also risk factors for breast cancer, but they are not as strong as young age at menarche. Young age at menopause, young age at first births, and family history of breast cancer are all risk factors for breast cancer. Here are some other risk factors for breast cancer: Age: Breast cancer is more common in older women. Genetics: Women who have a family history of breast cancer are at an increased risk of developing the disease. Hormones: Women who are exposed to high levels of estrogen and progesterone are at an increased risk of developing breast cancer. Radiation: Women who have been exposed to radiation are at an increased risk of developing breast cancer. Obesity: Women who are obese are at an increased risk of developing breast cancer. If you are concerned about your risk of breast cancer, it is important to talk to your doctor. There are a number of things you can do to reduce your risk, such as getting regular mammograms and maintaining a healthy weight.
6. Which of the following is a good prognostic factor in breast cancer?
a. Estrogen receptor positivity
b. HER 2 receptor over expressions
c. Lymph node involvement
d. Grade III tumor
Answer: a. Estrogen receptor positivity
Description:Estrogen receptor (ER) positivity refers to the presence of estrogen receptors on the surface of breast cancer cells. Breast cancers that are estrogen receptor-positive tend to have a better prognosis compared to estrogen receptor-negative tumors. This is because estrogen receptor-positive tumors are often more responsive to hormone therapy, which can help in their treatment and reduce the risk of recurrence. The other options are not considered good prognostic factors: b. Grade III tumor: Higher-grade tumors are associated with more aggressive behavior and poorer outcomes. c. HER2 receptor overexpression: HER2-positive breast cancers can be more aggressive, but targeted therapies like trastuzumab have significantly improved outcomes in HER2-positive cases. d. Lymph node involvement: Lymph node involvement indicates that the cancer has spread beyond the breast, which is generally associated with a higher risk of recurrence and a less favorable prognosis. As with any medical condition, the prognosis in breast cancer depends on multiple factors, and each case is unique. It's essential for patients to consult their healthcare providers to better understand their specific situation and treatment options.
7. Which of the following is a risk factor for development of breast cancer?
a. Late menarche
b. Early first pregnancy
c. No pregnancies
d. Early menopause
Answer: c. No pregnancies
Description:Women who have never been pregnant are at an increased risk of developing breast cancer. This is because the breasts are exposed to more estrogen and progesterone during pregnancy, and these hormones can increase the risk of breast cancer. The other options are not risk factors for breast cancer. Late menarche and early menopause do not increase the risk of breast cancer. Early first pregnancy actually decreases the risk of breast cancer. Here are some other risk factors for breast cancer: Age: Breast cancer is more common in older women. Genetics: Women who have a family history of breast cancer are at an increased risk of developing the disease. Hormones: Women who are exposed to high levels of estrogen and progesterone are at an increased risk of developing breast cancer. Radiation: Women who have been exposed to radiation are at an increased risk of developing breast cancer. Obesity: Women who are obese are at an increased risk of developing breast cancer. If you are concerned about your risk of breast cancer, it is important to talk to your doctor. There are a number of things you can do to reduce your risk, such as getting regular mammograms and maintaining a healthy weight.
8. Which of the following statement is true about breast cancer?
a. Lifetime risk for a woman of developing breast cancer is 1/9
b. Incidence of breast cancer is decreasing in the last one decade.
c. Prognosis is worse in women of higher socioeconomic status.
d. A specific cause of the breast cancer is known for each case.
Answer: a. Lifetime risk for a woman of developing breast cancer is 1/9
Description:a. Lifetime risk for a woman of developing breast cancer is 1/9. This means that, on average, the lifetime risk of a woman developing breast cancer is approximately 1 in 9, which translates to about 11% of women. The other statements are not true: b. A specific cause of breast cancer is known for each case. The exact cause of breast cancer is not fully understood, and it can result from a combination of genetic, hormonal, environmental, and lifestyle factors. While certain risk factors are known to increase the likelihood of developing breast cancer, a specific cause for each individual case is not identified. c. Incidence of breast cancer is decreasing in the last one decade. As of my last update in September 2021, the incidence of breast cancer has not been decreasing consistently over the past decade. In some regions and populations, there may have been fluctuations in incidence rates due to various factors, but no universal decrease in breast cancer incidence has been reported. d. Prognosis is worse in women of higher socioeconomic status. Prognosis in breast cancer can be influenced by various factors, but higher socioeconomic status is generally associated with better access to healthcare and resources, which can improve the likelihood of early detection and treatment. Therefore, prognosis is typically not worse in women of higher socioeconomic status.
9. Which of the following is one of the risk factors for breast cancer?
a. Young age at first child
b. Young age at menarche
c. Young age at first pregnancy.
d. Young age at menopause
Answer: b. Young age at menarche
Description:. Young age at menopause, young age at first child, and family history of breast cancer are all risk factors for breast cancer, but young age at menarche is the strongest risk factor. Here are some other risk factors for breast cancer: Age: Breast cancer is more common in older women. Genetics: Women who have a family history of breast cancer are at an increased risk of developing the disease. Hormones: Women who are exposed to high levels of estrogen and progesterone are at an increased risk of developing breast cancer. Radiation: Women who have been exposed to radiation are at an increased risk of developing breast cancer. Obesity: Women who are obese are at an increased risk of developing breast cancer. If you are concerned about your risk of breast cancer, it is important to talk to your doctor. There are a number of things you can do to reduce your risk, such as getting regular mammograms and maintaining a healthy weight.
10. All of the following assessment may be necessary for a patient who first present with a breast lump; EXCEPT:
a. Chest X-ray
b. Fine needle aspiration (FNA)
c. Examination of axillary lymph node
d. Chest X-ray
Answer: d. Chest X-ray
Description:When a patient first presents with a breast lump, the following assessments may be necessary: a. Fine needle aspiration (FNA): This procedure involves using a thin needle to extract cells from the breast lump for examination under a microscope. It helps in determining whether the lump is a fluid-filled cyst or a solid mass. b. Examination of axillary lymph nodes: The healthcare provider will check the lymph nodes in the armpit (axilla) to see if they are enlarged or suspicious, which can indicate whether the breast cancer has spread to the nearby lymph nodes. c. Examination of breasts in the supine position: The healthcare provider will examine the breasts while the patient lies down to assess the lump's size, shape, texture, and mobility. d. Chest X-ray: A chest X-ray is not typically part of the initial assessment for a breast lump. It is more commonly used to assess the lungs and the presence of any distant metastases if breast cancer has been diagnosed. The other options (a, b, and c) are all relevant assessments when evaluating a patient with a breast lump.
11. Risk factor for breast cancer is:
a. Early menarche
b. Radiation exposure
c. Going through menopause after age 55
d. All of the above
Answer: d. All of the above
Description:Early menarche, going through menopause after age 55, and radiation exposure are all risk factors for breast cancer. Other risk factors include: Age Family history of breast cancer Personal history of breast cancer Genetic mutations Dense breasts Being overweight or obese Drinking alcohol Not being physically active It is important to note that not everyone who has these risk factors will develop breast cancer. However, if you have any of these risk factors, it is important to talk to your doctor about your breast health.
12. In breast self-examination palpation of breast tissue and axillary lymph node is there along with:
a. Inspection of bilateral breast
b. Percussion of breast tissue for any dullness
c. Palpation of cervical lymph node
d. Mammography
Answer: a. Inspection of bilateral breast
Description:Breast self-examination typically involves the following steps: Inspection: Visually examine both breasts for any changes in size, shape, or skin texture, as well as any visible lumps or abnormalities. Palpation of breast tissue: Use your fingers to feel the breast tissue, checking for any lumps, thickening, or changes in texture. Palpation of axillary lymph nodes: Feel the lymph nodes in the armpit (axilla) for any swelling or tenderness, as enlarged lymph nodes can be a sign of breast cancer or infection. Mammography is not a part of breast self-examination, as mammograms are usually performed by healthcare professionals as a screening tool for breast cancer. Percussion of breast tissue is not a standard method for breast self-examination. Palpation of cervical lymph nodes is not directly related to breast self-examination, but it is part of a thorough examination when assessing the neck and surrounding areas. Remember, while breast self-examination is valuable, it is essential to also undergo regular clinical breast exams and mammograms as recommended by healthcare professionals. These screenings can help detect any potential breast issues at an early stage.
13. Which of the following is not a screening examination for breast cancer?
a. Breast biopsy
b. Intravenous pyelography
c. Breast imaging
d. Clinical breast examination
Answer: b. Intravenous pyelography
Description:Except intravenous pyelography all others are the screening examination for breast cancer. An intravenous pyelogram (IVP) is an X-ray examination of the kidneys, ureters and urinary bladder.
14. Most accurate test to diagnose cancer of breast is:
a. MRI
b. Mammography
c. Breast self-examination
d. Myelography
Answer: b. Mammography
Description:Mammography is considered one of the most effective and widely used screening methods for detecting breast cancer at an early stage. It uses low-dose X-rays to create images of the breast tissue, allowing healthcare professionals to identify abnormalities such as tumors or calcifications. While MRI (a) and breast self-examination (c) are valuable in certain contexts, they are not the primary diagnostic tests for breast cancer. MRI can be used for further evaluation when additional imaging is needed or for high-risk individuals, but it is not the first-line screening tool for breast cancer. Myelography (d) is not used to diagnose breast cancer. It is a diagnostic imaging procedure used to examine the spinal cord and spinal nerve roots. It's important to note that if an abnormality is found on a mammogram, further tests like biopsy and ultrasound may be performed to confirm the diagnosis. Regular mammographic screening, along with clinical breast exams, can significantly improve the early detection of breast cancer and increase the chances of successful treatment.
15. The commonest carcinoma among women is:
a. Carcinoma of lung
b. Carcinoma of breast
c. Carcinoma of cervix
d. Carcinoma of oral cavity
Answer: b. Carcinoma of breast
Description:Breast cancer is the most common cancer among women in the world, accounting for about 25% of all cancers diagnosed in women. In 2020, there were an estimated 2.2 million new cases of breast cancer and 685,000 deaths from breast cancer worldwide. The risk of developing breast cancer increases with age. About 1 in 8 women will develop breast cancer during their lifetime. However, the risk of developing breast cancer is also influenced by other factors, such as family history, genetic mutations, and lifestyle factors such as obesity and smoking. There are a number of screening tests available for breast cancer, such as mammograms and breast self-examination. Early detection of breast cancer is important because it can lead to more effective treatment.
16. Most common site for breast cancer metastasis.:
a. Liver
b. Brain
c. Bone
d. Liver
Answer: c. Bone
Description:Breast cancer is the most common cancer among women in the world, accounting for about 25% of all cancers diagnosed in women. In 2020, there were an estimated 2.2 million new cases of breast cancer and 685,000 deaths from breast cancer worldwide. The risk of developing breast cancer increases with age. About 1 in 8 women will develop breast cancer during their lifetime. However, the risk of developing breast cancer is also influenced by other factors, such as family history, genetic mutations, and lifestyle factors such as obesity and smoking. There are a number of screening tests available for breast cancer, such as mammograms and breast self-examination. Early detection of breast cancer is important because it can lead to more effective treatment.
17. Which among the following is a rare site of breast cancer metastases?
a. Kidney
b. Liver
c. Bone
d. Brain
Answer: a. Kidney
Description:The most common sites of breast cancer metastases are the bones, liver, and lungs. Other less common sites include the brain, adrenal glands, and skin. Kidney metastases from breast cancer are very rare, occurring in less than 1% of cases. The reason why kidney metastases from breast cancer are rare is not fully understood. However, it is thought that the kidneys may be less susceptible to the spread of breast cancer cells than other organs. Additionally, the kidneys may have some natural defense mechanisms that help to prevent the spread of cancer cells. If you have been diagnosed with breast cancer, it is important to talk to your doctor about the risks of metastasis. Your doctor can help you to understand the signs and symptoms of metastasis and to develop a plan for monitoring your health.
18. Which among the following intervention is appropriate for restoring the normal functioning of arm on the affected site after mastectomy?
a. Sleep on the affected side
b. Place daily ice packs to minimize the risk of lymphedema
c. Teach passive exercises with the affected arm in a dependent position
d. Do post mastectomy exercise to increase range of motion.
Answer: d. Do post mastectomy exercise to increase range of motion.
Description:After mastectomy, it is important to engage in post-mastectomy exercises and physical therapy to promote healing, prevent complications, and restore normal functioning of the arm and shoulder on the affected side. These exercises are designed to improve range of motion, strength, and flexibility in the shoulder joint, which may be affected after the surgery. The other options are not the most suitable interventions for restoring normal arm functioning after mastectomy: a. Sleeping on the affected side may not directly help in restoring arm function and may not be comfortable for some patients after surgery. b. Placing daily ice packs to minimize the risk of lymphedema may help manage swelling, but it is not primarily focused on restoring arm function. c. Teaching passive exercises with the affected arm in a dependent position is not the most effective way to promote range of motion and functioning of the arm. Active exercises are usually more beneficial. Physical therapy and exercises prescribed by healthcare professionals can play a significant role in improving the quality of life and functional outcomes for patients who have undergone mastectomy. It's essential to follow the guidance of healthcare providers to ensure safe and effective rehabilitation.
19. Correct statement regarding fibroadenoma is:
a. Commonest benign neoplasm of the breast
b. Through to be due to increased estrogen activity.
c. It is biphasic tumor of stromal origin
d. All of the above.
Answer: d. All of the above.
Description:Fibroadenomas are the most common benign neoplasms of the breast. They are thought to be due to increased estrogen activity, and they are biphasic tumors of stromal origin. This means that they are made up of both stromal tissue (connective tissue) and epithelial tissue (glandular tissue). Fibroadenomas are usually painless, round, and mobile. They are most common in women between the ages of 15 and 35, but they can occur at any age. In most cases, fibroadenomas do not require treatment. However, if a fibroadenoma is large or causing discomfort, it can be removed surgically. Here are some additional facts about fibroadenomas: They are usually about 1-2 centimeters in diameter, but they can grow up to 5 centimeters or more. They are often described as feeling like a "rubbery" or "squishy" lump. They are usually not associated with any other symptoms, such as pain, nipple discharge, or skin changes. They are more common in women who have a family history of breast cancer. If you find a lump in your breast, it is important to see your doctor to have it checked out. However, if the lump is a fibroadenoma, there is no need to be alarmed. Fibroadenomas are benign tumors, and they do not increase your risk of developing breast cancer.
20. Carcinoma breast is more commonly seen in quadrant of the breast
a. Lower inner quadrant
b. Upper outer quadrant
c. Upper inner quadrant
d. Lower outer quadrant
Answer: b. Upper outer quadrant
Description:Breast cancer, including carcinoma of the breast, is more commonly seen in the upper outer quadrant of the breast. This area is located near the armpit and is one of the most common locations for breast cancer to develop. However, it's important to note that breast cancer can occur in any quadrant of the breast, and it may also develop in other areas of the breast tissue or even outside the breast. Routine breast self-examination, regular clinical breast exams, and mammography are crucial for early detection and prompt treatment of breast cancer, regardless of its location within the breast. If you notice any changes or abnormalities in your breast, it's essential to seek medical attention for proper evaluation and diagnosis.
21. The commonest type of breast cancer is:
a. Ductal carcinoma
b. Nodular carcinoma
c. Segmental carcinoma
d. Lobular carcinoma
Answer: a. Ductal carcinoma
Description:Ductal carcinoma is the most common type of breast cancer, accounting for about 70-80% of all breast cancers. Ductal carcinomas start in the milk ducts of the breast. They can spread to other parts of the breast, as well as to other parts of the body. Lobular carcinoma is the second most common type of breast cancer, accounting for about 10-15% of all breast cancers. Lobular carcinomas start in the lobules of the breast, which are the glands that produce milk. They can also spread to other parts of the breast, as well as to other parts of the body. Nodular carcinoma and segmental carcinoma are less common types of breast cancer. Nodular carcinoma is a type of ductal carcinoma that forms a single, distinct lump. Segmental carcinoma is a type of ductal carcinoma that affects a specific segment of the breast. It is important to note that the type of breast cancer does not necessarily affect the prognosis. The prognosis for breast cancer is based on a number of factors, including the stage of the cancer, the grade of the cancer, and the patient's age and overall health.
22. Risk factors of breast carcinoma includes:
a. Nulliparous women
b. Mutation in BRCA 1 gene
c. Family history of breast cancer
d. All of the above.
Answer: d. All of the above.
Description:reast carcinoma (breast cancer) risk factors include: a. Mutation in BRCA1 gene: Inherited mutations in the BRCA1 gene increase the risk of breast cancer. b. Family history of breast cancer: Having a first-degree relative (mother, sister, or daughter) with a history of breast cancer increases the risk. c. Nulliparous women: Women who have never given birth or had a full-term pregnancy may have a slightly higher risk of breast cancer. In addition to these, there are other risk factors for breast cancer, such as increasing age, personal history of breast cancer or certain benign breast conditions, early onset of menstruation (before age 12) or late menopause (after age 55), dense breast tissue, previous radiation therapy to the chest, and hormone replacement therapy with estrogen and progesterone. Some lifestyle factors, such as alcohol consumption, obesity, and physical inactivity, can also contribute to an increased risk of breast cancer. It's important to note that having one or more risk factors does not mean someone will definitely develop breast cancer. Many people with breast cancer have no known risk factors, and many individuals with risk factors do not develop breast cancer. Regular breast screenings and awareness of any changes in the breast can aid in early detection and better outcomes in case breast cancer does develop.
23. Most common histological subtype of cancer of breast is:
a. Ductal carcinoma
b. Lobular carcinoma
c. Mucinous carcinoma
d. Medullary carcinoma
Answer: a. Ductal carcinoma
Description:Ductal carcinoma is the most common histological subtype of breast cancer, accounting for about 70-80% of all breast cancers. It is a type of cancer that starts in the milk ducts of the breast. Ductal carcinomas can be further classified into different subtypes, including: Infiltrating ductal carcinoma (IDC): This is the most common subtype of ductal carcinoma. It is a type of cancer that has spread beyond the milk ducts and into the surrounding breast tissue. In situ ductal carcinoma (DCIS): This is a type of cancer that has not spread beyond the milk ducts. DCIS is often called pre-cancer because it can progress to IDC if it is not treated. Medullary carcinoma: This is a rare type of breast cancer that is characterized by a large, soft tumor. Medullary carcinomas are often aggressive, but they are also more responsive to treatment than other types of breast cancer. Lobular carcinoma: This is the second most common type of breast cancer, accounting for about 10-15% of all breast cancers. Lobular carcinomas start in the lobules of the breast, which are the glands that produce milk. Lobular carcinomas are often less aggressive than ductal carcinomas, but they can also spread to other parts of the body. It is important to note that the histological subtype of breast cancer does not necessarily affect the prognosis. The prognosis for breast cancer is based on a number of factors, including the stage of the cancer, the grade of the cancer, and the patient's age and overall health.
24. Factor contributing to poor prognosis of carcinoma breast include:
a. Poorly differentiated tumor
b. Distant metastasis
c. Lymph vascular invasion
d. All of the above
Answer: d. All of the above
Description:Factors contributing to a poor prognosis of breast carcinoma (breast cancer) include: a. Lymph vascular invasion: This refers to cancer cells spreading into the blood vessels or lymphatic vessels surrounding the tumor. It indicates a higher likelihood of cancer cells spreading to nearby lymph nodes and potentially to distant parts of the body. b. Poorly differentiated tumor: Tumor grade refers to how abnormal the cancer cells look under a microscope compared to normal cells. A poorly differentiated tumor means that the cancer cells are more abnormal and aggressive, which can lead to a poorer prognosis. c. Distant metastasis: When breast cancer has spread to distant parts of the body, such as the bones, liver, lungs, or brain, it is considered to have metastasized. Distant metastasis indicates an advanced stage of cancer, which can significantly impact the prognosis. These factors, along with other factors such as tumor size, hormone receptor status, HER2/neu status, and the overall health of the patient, are taken into consideration to assess the prognosis and plan appropriate treatment for breast cancer. Early detection and timely treatment are crucial for better outcomes in breast cancer cases.
25. Which of the following chemotherapeutic agents are used in the treatment of breast cancer?
a. Cyclophosphamide
b. 5- fluorouracil
c. Doxorubicin
d. All of the above
Answer: d. All of the above
Description:All three chemotherapeutic agents listed (5-fluorouracil, Cyclophosphamide, and Doxorubicin) are used in the treatment of breast cancer. These drugs are commonly used as part of various chemotherapy regimens to target and destroy cancer cells in breast cancer patients. Here's a brief overview of each drug: a. 5-fluorouracil (also known as 5-FU) is an antimetabolite chemotherapy drug that interferes with the synthesis of DNA and RNA in cancer cells, ultimately leading to cell death. b. Cyclophosphamide is an alkylating agent that damages the DNA of cancer cells, disrupting their ability to grow and divide. c. Doxorubicin (also known as Adriamycin) is an anthracycline chemotherapy drug that works by inhibiting the replication of cancer cells and causing DNA damage. These drugs may be used alone or in combination with other chemotherapeutic agents, targeted therapies, or hormone therapies, depending on the specific type and stage of breast cancer, as well as individual patient factors. Treatment plans are tailored to each patient's unique situation and may involve a combination of different drugs to achieve the best possible outcome.
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