Quiz – Breast Surgery

#1. Which statement about gynecomastia is wrong?

It is most often caused by decreased estrogen activity

It is most commonly seen in hormonal transition phases such as neonatal age, puberty, and the age after 50 years

The male breast tissue contains no lobules

The incidence is between 25 to 65 percent, depending on selection criteria

It can be caused by cannabis abuse

#2. What statement about breast reduction performed in public hospitals is correct?

The reduced amount of breast tissue should be at least 700-800 g on each side

All women ≥25 years of age must have normal mammography within the last 6 months

The ability to breastfeed may be affected

In Denmark surgeons often rely on the inferolateral pedicle

A supportive bra must be worn for 2 weeks after surgery

#3. When planning a mastopexy in a public hospital, what is not an indication?

Pshycological discomfort

Skin maceration/intertrigo and fungal infections in the IMF

Adjustment of breast size to the contralateral breast after this has been reconstructed due to disease

Severe breast ptosis due to a massive weight loss (> 15 BMI points)

Significant breast asymmetry

#4. What is not a risk factor of breast augmentation?

Capsular contraction

Infection

Implant rupture

Decreased skin sensitivity

Necrosis of the NAC

#5. Which statement is false about pedicles in breast reduction?

A central pedicle enables a large volume resection

High risk of bottoming out with an inferior pedicle

A superior pedicle maintains breast projection

A superomedial pedicle has no dual blood supply

Decreased sensation of the NAC with a central pedicle

#6. Identify the incorrect anatomical structure?

External thoracic artery

Long thoracic nerve

Thoracodorsal nerve

Pectoralis major muscle

Serratus anterior muscle

#7. What is incorrect in terms of "the normal breast"?

The mammary gland consists of adipose tissue, milk-producing lobules and milk ducts

Obvious persistent asymmetry is seen in up to 25% of all women

Standard jugulum-nipple distance is 27-29 cm

Standard nipple-IMF distance is 5-6 cm

The footprint rests on the pectoral muscles and anterior thoracic wall

#8. Find the false statement about breast reduction techniques

The vertical scar technique typically involves a shorter scar

The Hall-Findlay technique is an inverted T-technique

The superomedial pedicle is most often used

The pedicle should not be undermined

A "Wise-pattern" is drawn in the inverted T-technique

#9. Which statement is correct about the abnormal breast?

Tuberous breasts are not a congenital abnormality

Pectus excavatum is a chest wall deformity causing a convex appearance in the anterior chest wall

'East-west asymmetry' is often coupled with mild to moderate pectus carinatum

In grade 2 ptosis the nipple is still above the IMF

The Tanner scale is used when assessing breast ptosis

#10. What is incorrect about breast augmentation with implants?

Overall, there exists two shapes of implants - round and anatomical

Overtall, implants can be saline- or silicone filled

Overtall, implants can be smooth og textured

Most women's breast width is between 15-18 cm

Breast height and width must be assessed when finding the right implant

Quiz Overview