Breast SCAQ

1. What is the primary function of the female breast?
   A) To store fat
   B) To produce and store milk
   C) To regulate body temperature
   D) To produce hormones

2. Where are the paired mammary glands located?
   A) Over the abdominal muscles
   B) Over the anterior chest wall muscles
   C) Behind the sternum
   D) In the lower back

3. The upper outer quadrant of the breast is important because:
   A) It contains the most glandular tissue
   B) It has the highest number of blood vessels
   C) It is the least likely area for tumor formation
   D) It is the site of lactation production

4. The Montgomery glands are found in the:
   A) Nipple
   B) Areola
   C) Axillary lymph nodes
   D) Lactiferous ducts

5. What is the function of the lactiferous ducts?
   A) To produce hormones
   B) To transport milk to the nipple
   C) To support breast structure
   D) To prevent infections

6. What is the main structural support of the breast?
   A) Lactiferous ducts
   B) Cooper’s ligaments
   C) Pectoral muscles
   D) Areola

7. Which tissue type determines breast size and shape?
   A) Glandular tissue
   B) Fibrous tissue
   C) Fatty tissue
   D) Lymphatic tissue

8. The lymph nodes of the breast function to:
   A) Drain lymph and filter microorganisms
   B) Store excess fat
   C) Support the pectoral muscles
   D) Produce hormones

9. Which of the following is NOT a major axillary lymph node?
   A) Anterior (pectoral) nodes
   B) Posterior (subscapular) nodes
   C) Medial (sternal) nodes
   D) Central (mid-axillary) nodes

10. Peau d’orange appearance of the breast is caused by:
    A) Blocked lymphatic drainage
    B) Sunburn
    C) Allergic reaction
    D) Excessive milk production

11. Which of the following is a non-modifiable risk factor for breast cancer?
    A) Obesity
    B) Alcohol consumption
    C) Early menstruation before age 12
    D) Sedentary lifestyle

12. Which is a modifiable risk factor for breast cancer?
    A) Family history of breast cancer
    B) Genetic mutations in BRCA1 and BRCA2
    C) Alcohol consumption
    D) Dense breast tissue

13. The recommended age for annual mammogram screenings is:
    A) 30 years and older
    B) 40 years and older
    C) 50 years and older
    D) 60 years and older

14. Breast self-examinations (BSE) should be performed:
    A) Every three months
    B) Once a year
    C) Every month
    D) Only if symptoms are present

15. Which position is recommended for a patient during breast palpation?
    A) Sitting with arms above the head
    B) Lying supine with a small pillow under the upper back
    C) Standing with hands on hips
    D) Sitting with arms folded across the chest

16. Abnormal nipple discharge should be evaluated by:
    A) Performing a mammogram
    B) A cytologic study
    C) Applying heat to the area
    D) Ignoring unless painful

17. Gynecomastia in males is commonly associated with:
    A) A rare form of breast cancer
    B) Enlarged lymph nodes
    C) Hormonal imbalances
    D) Excessive lactation

18. Which breast palpation method involves moving in circular motions?
    A) Wedge pattern
    B) Line pattern
    C) Circle pattern
    D) Horizontal pattern

19. Fibroadenomas are usually:
    A) Hard, fixed, and tender
    B) Soft, mobile, and non-tender
    C) Found only in older women
    D) Associated with skin redness

20. Paget’s disease of the breast typically presents with:
    A) A firm, movable mass
    B) Red, scaly, crusty areas around the nipple
    C) A smooth lump
    D) Enlarged axillary lymph nodes

21. Dimpling or retraction of the breast suggests:
    A) Fibroadenoma
    B) Infection
    C) A malignant tumor
    D) Benign cyst

22. Supernumerary nipples appear:
    A) Along the embryonic milk line
    B) Only in pregnant women
    C) In the lower abdomen
    D) As a rare birth defect

23. The most common location for malignant breast tumors is:
    A) Lower inner quadrant
    B) Upper outer quadrant
    C) Areola
    D) Nipple

24. Which hormone therapy increases breast cancer risk?
    A) Testosterone supplements
    B) Estrogen and progesterone therapy
    C) Vitamin D therapy
    D) Thyroid hormone supplements

25. Which sign indicates an inflammatory breast condition?
    A) Sudden increase in breast size
    B) Symmetrical nipple appearance
    C) Firm, mobile lumps
    D) No change in breast shape

26. Milk cysts in the breast are associated with:
    A) Cancerous tumors
    B) Breastfeeding women
    C) Axillary lymph nodes
    D) Nipple discharge

27. What is a common breast abnormality found in older women?
    A) Increased firmness of breast tissue
    B) More pendulous, less firm breasts
    C) Enlarged axillary lymph nodes
    D) Increased milk production

28. Palpation of the axillary lymph nodes is performed by:
    A) Asking the patient to stand
    B) Using circular finger motions
    C) Pressing deeply into the pectoral muscles
    D) Feeling along the clavicle

29. A breast mass associated with cancer is usually:
    A) Soft and movable
    B) Hard and fixed
    C) Fluid-filled and smooth
    D) Tender and round

30. Which breast examination pattern involves moving fingers up and down?
    A) Wedge pattern
    B) Line pattern
    C) Circular pattern
    D) Horizontal pattern

31. Hormone replacement therapy (HRT) increases the risk of:
    A) Bone fractures
    B) Breast cancer
    C) Hypothyroidism
    D) Malnutrition

32. Which breast examination technique is performed first?
    A) Palpation
    B) Inspection
    C) Percussion
    D) Auscultation

33. Which lymph node is palpated during a breast exam?
    A) Infraclavicular
    B) Parotid
    C) Mesenteric
    D) Iliac

34. What is the purpose of using three different pressures during breast palpation?
    A) To check for skin elasticity
    B) To assess different tissue depths
    C) To evaluate blood flow
    D) To identify nipple discharge

Answer Key

1 B | 2. B | 3. A | 4. B | 5. B | 6. B | 7. C | 8. A | 9. C | 10. A

11 C | 12. C | 13. B | 14. C | 15. B | 16. B | 17. C | 18. C | 19. B | 20. B

21 C | 22. A | 23. B | 24. B | 25. A | 26. B | 27. B | 28. B | 29. B | 30. B

31 B | 32. B | 33. A | 34. B