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Invasive Breast Cancer

Question 20

What is a 21-gene assay such as Oncotype Dx used for?

A.Predicts who will benefit from radiation therapy

B.Predicts if a person needs a mastectomy

C.Predicts who might benefit from adjuvant chemotherapy in addition to endocrine therapy

D.Screens for hereditary cancer only

Question 1

What is invasive breast cancer?

A.A tumor that remains inside the milk ducts

B.Cancer that has spread from the milk ducts or lobules to the surrounding breast tissue or nearby lymph nodes

C.A noncancerous lump in the breast

D.Cancer that only affects the skin of the breast

Question 2

Which are the two most common types of invasive breast cancer?

A.Medullary carcinoma and sarcoma

B.Ductal carcinoma and lobular carcinoma

C.Inflammatory carcinoma and papilloma

D.Paget’s disease and phyllodes tumor

Question 3

What glandular structures in the breast can produce milk?

A.Lobules

B.Areolas

C.Axillary nodes

D.Fat cells

Question 4

Why is a family health history important in breast cancer assessment?

A.It determines the treatment success of chemotherapy

B.It identifies possible hereditary risks and guides genetic testing

C.It only matters if you are over 60

D.It is only used for insurance purposes

Question 5

What is the purpose of a biopsy in breast cancer diagnosis?

A.To remove a gland from the breast

B.To test blood for cancer markers

C.To remove a tissue sample for confirmation and analysis of cancer

D.To assess bone mineral density

Question 6

What does HER2-positive (HER2+) status mean?

A.The cancer grows slower than others

B.Cancer cells have higher-than-normal levels of the HER2 protein or gene

C.The tumor is benign

D.The HER2 gene is missing

Question 7

What is the main goal of surgery for invasive breast cancer?

A.To improve cosmetic appearance

B.To remove all cancer and achieve clear margins

C.To measure hormone levels

D.To replace lymph nodes with artificial ones

Question 8

Which treatments are considered systemic therapies?

A.Surgery and radiation only

B.Chemotherapy, immunotherapy, endocrine therapy, and targeted therapy

C.Lymph node dissection and mammogram

D.Screening and physical exams

Question 9

What is endocrine therapy used for in breast cancer treatment?

A.To replace lost hormones during menopause

B.To block the action of hormones like estrogen and progesterone in hormone receptor-positive cancers

C.To increase HER2 protein production

D.To build bone strength

Question 10

Which test is commonly used to stage breast cancer using size and spread?

A.Bone scan

B.Eastern Cooperative Oncology Group (ECOG) Performance Status

C.Tumor, Node, Metastasis (TNM) system

D.Mammogram only

Question 11

What is the difference between screening and diagnostic mammograms?

A.Screening is only for men, diagnostic is for women

B.Screening is routine for people without symptoms; diagnostic is for those with symptoms or abnormal findings

C.Diagnostic uses only 3D images; screening uses 2D

D.Screening requires surgery

Question 12

What does a sentinel lymph node biopsy determine?

A.If the breast tissue can produce milk

B.If cancer cells have spread to the first lymph nodes where cancer is likely to travel

C.The presence of hereditary genes

D.The stage of menopause

Question 13

How does lymphedema commonly develop in breast cancer patients?

A.Through genetic inheritance only

B.When part of the lymph system is damaged or blocked, often after lymph node removal or radiation

C.As a result of chemotherapy increasing lymph flow

D.By infection from chemotherapy drugs

Question 14

What are common late effects in breast cancer survivors?

A.Only short-term fatigue

B.Physical, mental, and social health concerns that may appear months or years after treatment

C.Only weight gain

D.None, if treatment is complete

Question 15

Why should someone consider fertility preservation before starting treatment?

A.Some cancer treatments can temporarily or permanently affect fertility

B.Treatment always improves fertility

C.Breast cancer never affects fertility

D.Only hormone therapy matters for fertility

Question 16

Which of the following describes triple-negative breast cancer?

A.The tumor is positive for estrogen, progesterone, and HER2 receptors

B.The tumor tests negative for estrogen, progesterone, and HER2 receptors

C.A cancer only found in men

D.A type always treated with surgery alone

Question 17

What is meant by 'clear or negative surgical margin'?

A.Cancer cells are present at the edge of the removed tissue

B.No cancer cells are found at the edge of removed tissue, indicating all visible cancer was likely excised

C.No tissue was removed

D.The tumor was not removed

Question 18

What is the aim of supportive (palliative) care in breast cancer?

A.To cure the cancer completely

B.To improve quality of life by managing symptoms and side effects

C.To only offer care at the end stages of life

D.To substitute for surgery

Question 19

When is a clinical trial considered in breast cancer treatment?

A.Only if standard treatments have failed

B.Only after surgery

C.At any point; everyone with cancer should consider clinical trials as a treatment option

D.Only for those under age 35