USMLE Forum Archives - USMLE Step 1 - bm1
bm1
babbu5508 - 03-22-11 22:46
A 41-year-old woman comes to the physician 3 weeks after a vaginal delivery, complaining of a lump in her right breast. She states that over
the past few days, she has noticed increasing redness in the area and that the site is painful and feels somewhat firm to her. She also
complains of fever and chills. She is concerned because she is currently breast-feeding her child. She has no medical or surgical history. She
uses acetaminophen occasionally for headaches and is allergic to sulfa drugs. Her temperature is 37.8 C (100.1 F), blood pressure is
110/70 mm Hg, pulse is 98/minute, and respirations are 12/minute. The right breast has an area of erythema and edema that is tender with
no fluctuance.
Which of the following is the most likely diagnosis?
/ A. Breast carcinoma
/ B. Eczema
/ C. Fibroadenoma
/ D. Mastitis
/ E. Trauma
babbu5508 - 03-22-11 22:46
A 41-year-old woman comes to the physician 3 weeks after a vaginal delivery, complaining of a lump in her right breast. She states that over
the past few days, she has noticed increasing redness in the area and that the site is painful and feels somewhat firm to her. She also
complains of fever and chills. She is concerned because she is currently breast-feeding her child. She has no medical or surgical history. She
uses acetaminophen occasionally for headaches and is allergic to sulfa drugs. Her temperature is 37.8 C (100.1 F), blood pressure is
110/70 mm Hg, pulse is 98/minute, and respirations are 12/minute. The right breast has an area of erythema and edema that is tender with
no fluctuance.
Which of the following is the most likely diagnosis?
/ A. Breast carcinoma
/ B. Eczema
/ C. Fibroadenoma
/ D. Mastitis
/ E. Trauma
The correct answer and explanation will be available after you answer.
Page 1
#2
Re: bm1
babbu5508 - 03-23-11 14:19 The correct answer is D. Mastitis represents a parenchymatous infection of the mammary glands. It is most often seen in postpartum women who are breast-feeding, and the symptoms typically appear 3-4 weeks postpartum. Most women with mastitis complain of pain in the breast with an area of redness and "hardness." Women also often have fever and chills, myalgias and arthralgias, and tachycardia. Examination shows erythema, edema, and tenderness.
#3
Re: bm1 sudha2015 - 03-24-11 02:34 My answer is: d.
she has noticed increasing redness in the area and that the site is painful and feels somewhat firm to her. She also
complains of fever and chills. She is concerned because she is currently breast-feeding her child. She has no medical or surgical history. She
uses acetaminophen occasionally for headaches and is allergic to sulfa drugs
Page 1