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RT. Pat history pay attn.
"Benzonatate" -> suppresses the cough. HOW? Reflex through peripheral action (anesthetizes the *stretch R -> located in the lungs, pleura, and respiratory passages) no abuse.

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A 27 y/o F present to you with a breast mass that was detected by 2nd yr resident IM fiance on intimate act ~ 10 days ago. http://i.imgur.com/SsJHpci.png?1 reveals. Biopsy of breast show neoplastic epithelia ductal structures situated w/in fibromyxoid. Pat refuses treatment and informs she might be 10 days pregnant. Tell me which is most likely effect of her pregnancy on breast lesion here?

a)Development of invasive ductal carcinoma w/in the lesion
b)Fibrocystic change/w sclerosing adenosis
c)Formation of intraductal papilloma
d)Metastasis to regional lymph nodes
e)Rapid growth

@crush pay attn.

thanks a lot for the explanation guys !!

is it ee

E? Histo suggests fibroadenoma. but pic shows popcorn like calcifications. bit confused. will go with E coz pain is not a complaint - fibroadenoma.

@cardio. thank u for posting the q.

actually, thinking abt it. will go with B.

FCC - sclerosing adenosis has neoplastic ductal epithelial cells + surrounding sclerosis + popcorn calcification.

RT ANS *E*

@crush take look at this https://www.inkling.com/read/dabbs-breas...4/adenosis

And pay attention what been ask http://books.google.com/books?id=Sossht2...ma&f=false

thank u cardio.

i have a q. can fibroadenoma have neoplastic ductal epithelial cells also? i thought it was purely a benign tumor of fibrous tissue of breast. that's what confused me.

@crush pay attn what u been ask ?
MC "benign tumor" of F breast they May have *neoplastic stromal component*/w polyclonal epi component, no worry you will not be tested on that on Step 1 in pathology board exam you need to know.

For step one just remember fibro MC benign tumor female breast,occur 20s & 30sfrequently multiple & bilateral. Densely hyalinized after menopause -> may calcify as I show u & large lobulated “popcorn” calcifications on mammo... fibro, and invasive ductal carcinomain a fibro is rare. Don't mix it up. THATS all u need to know for step 1.
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A pat above give birth to healthy neonate at 38ks gestation and begins nursing her newborn
child. She complain to you her milk appears yellow and thick. You explain, that her milk rich in which of the following important biological molecules?

a)Proteases
b)Coagulation factors
c)Complement proteins
d)Antibodies
e)Lipases

dd

hi cardio .. isn't benign tumors r also monoclonal? they have neoplastic cell but r also monoclonal.pls correct me if am wrong .