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Breast Cancer Screening and Diagnosis

Question 20

According to the NCCN guidelines, when is there no upper age limit for screening mammograms?

A.Never; screening stops at age 65

B.As long as you are healthy and expected to live more than 10 years

C.Screening only recommended up to age 80

D.Regardless of health status

Question 1

What is the primary benefit of regular breast cancer screening?

A.It is only for people with symptoms

B.It can find breast cancer at its earliest, most treatable stages

C.It prevents all types of cancer

D.It replaces the need for regular checkups

Question 2

Where do most breast cancers start?

A.Fatty tissue

B.Skin surface

C.Terminal duct lobular units (TDLUs)

D.Blood vessels

Question 3

What is the most common type of breast cancer?

A.Lymphoma

B.Ductal carcinoma

C.Squamous cell carcinoma

D.Basal cell carcinoma

Question 4

Which imaging test is the only one proven to reduce death from breast cancer?

A.Ultrasound

B.Breast MRI

C.Screening mammogram

D.Molecular breast imaging

Question 5

What is the main difference between a screening and a diagnostic mammogram?

A.Diagnostic mammograms are for monitoring dense breasts

B.Screening mammograms are for people with symptoms

C.Screening mammograms are done regularly with no symptoms; diagnostic mammograms investigate symptoms or abnormal findings

D.Diagnostic mammograms use more radiation

Question 6

If you have dense breast tissue, why might additional screening beyond mammograms be recommended?

A.Dense breasts are less prone to cancer

B.Dense tissue makes it harder to see abnormalities on mammograms

C.Mammograms cannot detect cancer in fatty tissue

D.Dense breasts are a sign of existing cancer

Question 7

What does BI-RADS stand for?

A.Breast Imaging Reporting and Data System

B.Breast Information and Risk Assessment Database System

C.Biological Imaging for Rapid Analysis and Detection System

D.Basic Imaging for Radiological Data System

Question 8

A BI-RADS 5 result indicates:

A.Negative/normal mammogram

B.Benign finding

C.Highly suggestive of cancer; biopsy should be done

D.More imaging tests are needed

Question 9

At what age should annual screening mammograms start for those at average risk?

A.25

B.30

C.35

D.40

Question 10

Which of the following is NOT considered an increased risk factor for breast cancer?

A.BRCA1 or BRCA2 gene mutation

B.Mammogram showing scattered fibroglandular density

C.History of chest radiation therapy between ages 10 and 30

D.Five-year risk of invasive breast cancer of 1.7% or greater (Gail Model)

Question 11

If a person is at increased risk for breast cancer based on their family history or genetic testing, when might annual breast MRI begin?

A.At age 18

B.As early as age 25, but no later than age 40

C.Only after first symptoms appear

D.After the first abnormal mammogram

Question 12

During pregnancy, which breast cancer screening tests are considered safe?

A.Breast MRI only

B.Mammogram and breast ultrasound

C.No screening is allowed during pregnancy

D.CT scan of the breast

Question 13

Which symptom is LEAST likely to be associated with breast cancer?

A.Persistent, focused breast pain

B.Breast lump

C.General breast pain that comes and goes

D.Skin dimpling on the breast

Question 14

What should you do if you notice a new or unusual change in your breast during breastfeeding?

A.Ignore it as it is always normal

B.Contact your health care provider

C.Only worry if pain is severe

D.Stop breastfeeding immediately

Question 15

Which describes a 'core needle biopsy'?

A.Removal of the entire tumor surgically

B.Removal of a sample of tissue using a hollow needle, often guided by imaging

C.Collection of blood samples for analysis

D.Surgical removal of lymph nodes

Question 16

Who is the best health professional to see for breast-related symptoms or abnormal findings?

A.Radiologist

B.Breast specialist

C.Cardiologist

D.Nutritionist

Question 17

Among those assigned male at birth, which gene mutation may be associated with the recommendation for routine breast cancer screening?

A.BRCA2 gene mutation

B.APOE4 gene mutation

C.BCR-ABL gene mutation

D.No gene mutation is relevant

Question 18

If you have a mammogram that shows microcalcifications clustered together, what might this indicate?

A.Definite benign condition

B.Possible sign of cancer that needs further evaluation

C.Implant rupture

D.No significance

Question 19

What is 'Paget disease of the breast'?

A.A benign breast cyst

B.A rash or irritation caused by an allergy

C.A disease where abnormal cells are found in the nipple, often causing irritation or bleeding

D.A bacterial infection in breast tissue