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TREATING PRIMARY BREAST CANCER

Question 21

How can breast cancer patients get emotional support during and after treatment?

A.Isolating themselves for recovery

B.Relying only on medication

C.Using services like helplines, forums, and support courses by Breast Cancer Now

D.Ignoring emotional wellbeing

Question 1

What is the main aim of treatment for invasive primary breast cancer?

A.To reduce pain and discomfort

B.To remove all the cancer in the breast and any affected lymph nodes under the arm

C.To improve cosmetic appearance

D.To boost the immune system

Question 2

Which treatment is used for local control of primary breast cancer?

A.Hormone therapy

B.Chemotherapy

C.Surgery and radiotherapy

D.Targeted therapy

Question 3

What is a multidisciplinary team (MDT) in breast cancer care?

A.A group of friends supporting the patient

B.A single doctor overseeing all treatments

C.A team of specialists who discuss and manage treatment together

D.An online support group for patients

Question 4

Which of the following is typically the first treatment for primary breast cancer?

A.Chemotherapy

B.Radiotherapy

C.Hormone therapy

D.Surgery

Question 5

What is the purpose of breast-conserving surgery?

A.To remove the entire breast

B.To remove cancer with a margin of normal breast tissue

C.To perform cosmetic surgery only

D.To shrink the tumor using medication

Question 6

When is a mastectomy most likely to be recommended?

A.When the tumor is small and localized

B.When cancer takes up a large area or there’s more than one area of cancer in the breast

C.For cosmetic reasons

D.When chemotherapy is not possible

Question 7

What is the main risk of having lymph nodes removed during breast cancer surgery?

A.Hearing loss

B.Memory loss

C.Lymphoedema (swelling of the arm, hand, or chest area)

D.Increased appetite

Question 8

What is adjuvant chemotherapy?

A.Chemotherapy given before surgery

B.Chemotherapy given during surgery

C.Chemotherapy given after surgery to reduce the risk of cancer coming back

D.Chemotherapy given only if hormone therapy fails

Question 9

Which type of breast cancer is hormone (endocrine) therapy used for?

A.HER2 positive only

B.Oestrogen receptor positive (ER+)

C.Oestrogen receptor negative (ER-)

D.All breast cancers

Question 10

What is a common example of a targeted therapy for HER2 positive breast cancer?

A.Tamoxifen

B.Anastrozole

C.Trastuzumab

D.Bisphosphonates

Question 11

For which patients are bisphosphonates usually recommended?

A.Premenopausal women with DCIS

B.Postmenopausal women who have had treatment for invasive breast cancer

C.All men with breast cancer

D.Children with hereditary breast cancer

Question 12

What is the Nottingham Prognostic Index (NPI) used for?

A.To select the type of anesthesia used

B.To assign patients to clinical trials

C.To estimate prognosis and categorize outlook for breast cancer patients

D.To measure pain levels after surgery

Question 13

Which of the following is a possible advantage of radiotherapy to the lymph nodes over surgery?

A.Increases the risk of lymphedema

B.Associated with fewer side effects than surgery

C.Always requires hospitalization

D.Provides a quicker recovery than surgery

Question 14

Who is usually your main point of contact during breast cancer treatment in the UK?

A.Radiologist

B.Surgeon

C.Breast care nurse

D.Oncologist

Question 15

What is a sentinel lymph node biopsy?

A.Removal of all lymph nodes under the arm

B.A test to identify the first lymph node(s) likely to be affected by cancer

C.A blood test for recurrence

D.Chemotherapy injection into lymph nodes

Question 16

If you decline participation in a clinical trial, what will happen?

A.Your treatment will be withheld

B.You will not receive standard care

C.You will continue to receive your treatment and care as before

D.You must sign a formal refusal

Question 17

What is a major focus of breast reconstruction after mastectomy?

A.Restoring skin pigmentation

B.Creating a new breast shape using surgery

C.Preventing recurrence of cancer

D.Improving bone health

Question 18

Which of the following may impact your option or timing for breast reconstruction?

A.Receiving radiotherapy

B.Having chemotherapy only

C.Genomic testing

D.Not having a family history

Question 19

What is lymphoedema?

A.Excess bone growth

B.Swelling due to lymph fluid build-up, often in the arm or chest after lymph node removal

C.Increase in white blood cells

D.Loss of appetite after surgery

Question 20

Which of these is a typical recommendation after completing primary breast cancer treatment?

A.No follow-up is needed

B.Immediate discharge from hospital care

C.Ongoing monitoring (follow-up) depending on individual needs

D.Annual biopsies for life