List of top Surgical Questions

In which of the following scenarios is a PET/CT scan not indicated in the evaluation of a patient with breast cancer?

Patient presents with a rapidly enlarging breast lump which is diagnosed as a phyllodes tumor. What is the correct histopathological description of the lesion?

Which of the following statements regarding familial versus hereditary breast cancer is false?

Which of the following flaps is commonly used for autologous breast reconstruction after mastectomy, and what is its primary vascular supply?

A 35-year-old woman, a chronic smoker, presents with recurrent painful periareolar swelling and purulent nipple discharge for the past 6 months. She has undergone incision and drainage twice, but the symptoms recur after a short period. Which of the following statements about the most likely diagnosis is true?

A 48-year-old woman presents with eczematous changes and ulceration of the nipple not responding to topical therapy. What is the next step in the evaluation of suspected Paget’s disease of the nipple?

A 21-year-old woman has a smooth, firm, mobile lump in her breast. Family history of breast cancer present. What is the most likely diagnosis?

Which of the following best describes the molecular profile of Luminal B type breast carcinoma?

After neoadjuvant chemotherapy, pathologic complete response (no residual invasive cancer in breast or lymph nodes) is most frequently observed in:

Genetic testing for BRCA or other hereditary breast cancer genes is not indicated in which of the following situations?

A post-mastectomy patient (for malignant breast lump) who also had axillary lymph node dissection now presents in the postoperative period (after drain removal) with a soft, fluctuant swelling in the axilla extending into the mastectomy site.

A patient presents with a large, multilobulated breast tumour clinically suggestive of phyllodes tumour, and there is a significant family history of breast cancer (grandmother) and prostate cancer (father). What is the next step in management?

A 45-year-old woman underwent investigations for a breast lump. Her biopsy report confirms invasive ductal carcinoma of the breast. You are the surgical resident in charge and need to communicate the diagnosis to her. What is the most appropriate approach?

In a young woman with a breast lump confirmed on ultrasound to be a simple cyst, what is the next step in management?