Paper II
2025 March (Supplementary (SAY)) (2019 Scheme) · 100 marks · 180 min

Question

All are true statement about HER2 positive invasive carcinoma breast EXCEPT

  • a) More common in young women
  • b) Metastasize early to viscera and brain
  • c) Targeted therapy available
  • d) Most common carcinoma associated with BRCA 2 germline mutation (PTO)
Qxx1 marksMCQs

Answer

Correct answer: d) Most common carcinoma associated with BRCA 2 germline mutation (PTO)

This is the exception (FALSE statement). BRCA2-associated breast carcinomas are typically hormone receptor-positive (ER/PR+) and HER2-negative (a luminal-like phenotype), not HER2-positive; BRCA1-associated cancers, in turn, are more typically triple-negative/basal-like. The other statements about HER2-positive breast carcinoma are genuinely true: it tends to occur more often in younger women (option a), shows a propensity for early visceral and brain metastasis (option b), and has effective targeted therapy available (anti-HER2 agents such as trastuzumab and pertuzumab, option c).

Checkpoint: This completes all 8 sittings of Pathology qpCode 214001 (Paper II, new/CBME scheme) — 176/176 questions answered, 0 stubs remaining. One additional gap for the developer team: printedNumber “1” (the first Long Essay) of this 2025-March (Supplementary (SAY)) sitting has no corresponding scaffold file at all in the source data — this appears to be a missing-ingestion gap (the paper’s numbering jumps from a section header directly to printedNumber “2”), distinct from the leaked-content gaps found elsewhere; flagged here for the ingestion team, no new scaffold file created.

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