USMLE Forum Archives - USMLE Step 1 - bm23
bm23
babbu5508 - 03-22-11 23:34
A 23-year-old woman comes to the physician because of a lump in her right breast. She states that she first noted the lump about a year ago
and that it has seemed to enlarge over the past year. She notes some occasional tenderness in the area, usually at the same time during her
menstrual cycle. She has no medical problems. She had an appendectomy at the age of 18. She takes no medications and is allergic to
penicillin. Examination of the breast demonstrates a freely mobile, smoothly contoured, discrete mass in the upper outer quadrant of the
breast. UItrasonography demonstrates a smooth mass with circumscribed margins and homogeneous echo pattern, consistent with a solid
Iesion.
Which of the following is the most likely diagnosis?
/ A. Breast abscess
/ B. Fibroadenoma
/ C. Fibrocystic breast changes
/ D. Mastitis
/ E. Pregnancy
babbu5508 - 03-22-11 23:34
A 23-year-old woman comes to the physician because of a lump in her right breast. She states that she first noted the lump about a year ago
and that it has seemed to enlarge over the past year. She notes some occasional tenderness in the area, usually at the same time during her
menstrual cycle. She has no medical problems. She had an appendectomy at the age of 18. She takes no medications and is allergic to
penicillin. Examination of the breast demonstrates a freely mobile, smoothly contoured, discrete mass in the upper outer quadrant of the
breast. UItrasonography demonstrates a smooth mass with circumscribed margins and homogeneous echo pattern, consistent with a solid
Iesion.
Which of the following is the most likely diagnosis?
/ A. Breast abscess
/ B. Fibroadenoma
/ C. Fibrocystic breast changes
/ D. Mastitis
/ E. Pregnancy
The correct answer and explanation will be available after you answer.
Page 1
#2
Re: bm23
babbu5508 - 03-23-11 14:12 The correct answer is B. Fibroadenomas are the most common breast lesions found in women under 25 years of age. Fibroadenomas are the second most common cause of benign breast lesions
#3
Re: bm23 sudha2015 - 03-24-11 03:40 breast demonstrates a freely mobile, smoothly contoured, discrete mass in the upper outer quadrant of the
breast. UItrasonography demonstrates a smooth mass with circumscribed margins and homogeneous echo pattern, consistent with a solid
Iesion
b
Page 1