USMLE Forum Archives - USMLE Step 2 CK - is a mammogram needed
is a mammogram needed
bingousmle - 04-11-10 02:08
A 22-year-old woman is seeing her physician with complaints of breast pain. It is associated with her menstrual cycle and is described as a bilateral “heaviness” that radiates to the axillae and arms. Examination reveals groups of small breast nodules in the upper outer quadrants of each breast. They are freely mobile and slightly tender. Which of the following statements is most correct?
a. The patient has bilateral fibroadenomas, and reassurance is all that is necessary
b. The patient has bilateral fibroadenomas, and a mammogram is necessary for
further evaluation
c. The patient has bilateral fibrocystic changes, and reassurance is all that is necessary
d. The patient has bilateral fibrocystic changes, and a mammogram is necessary
for further evaluation
e. The patient has bilateral mastitis, and antibiotic therapy is needed
bingousmle - 04-11-10 02:08
A 22-year-old woman is seeing her physician with complaints of breast pain. It is associated with her menstrual cycle and is described as a bilateral “heaviness” that radiates to the axillae and arms. Examination reveals groups of small breast nodules in the upper outer quadrants of each breast. They are freely mobile and slightly tender. Which of the following statements is most correct?
a. The patient has bilateral fibroadenomas, and reassurance is all that is necessary
b. The patient has bilateral fibroadenomas, and a mammogram is necessary for
further evaluation
c. The patient has bilateral fibrocystic changes, and reassurance is all that is necessary
d. The patient has bilateral fibrocystic changes, and a mammogram is necessary
for further evaluation
e. The patient has bilateral mastitis, and antibiotic therapy is needed
The correct answer and explanation will be available after you answer.
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#2
Re: is a mammogram needed conym5 - 04-11-10 08:58 My answer is: a.
breast pain bilateral “heaviness” that radiates to the axillae and arms associated with her menstrual cycle is most likely patient has bilateral fibroadenomas, and reassurance is all that is necessary
#4
Re: is a mammogram needed zoah2005 - 04-12-10 14:01 My answer is: c.
its fibrocystic disease , besides if u order a mammogram it would be a good joke for radiologist bcoz they dont do mammogram in 22 yr old
#6
Re: is a mammogram needed
bingousmle - 04-19-10 12:31 My answer is: a.
breast pain , bilateral heavinessÂť that radiates to the axillae and arms associated with her menstrual cycle is most likely patient has bilateral fibroadenomas, and reassurance is all that is necessary....
#7
Re: is a mammogram needed bingousmle - 04-19-10 12:33 is not correct since Fibrocystic changes are the most common benign condition of the breast. Cysts may range in size from 1 mm to more than 1 cm in size. Fibroadenomas are usually rubbery, smooth, well-circumscribed, nontender, and freely mobile. Mammogramsare not necessary for women under 30, as they are less sensitive in younger women with denser breast tissue. Mastitis generally occurs with
nursing, and is characterized by inflammation, edema, and erythema in areas of the breast.
#16
Re: is a mammogram needed nidayasir - 04-26-10 14:42 fibroadenomas r painless whereas fibrocystic changes r painless
#19
Re: is a mammogram needed mtniharika - 04-30-10 08:23 My answer is: c.
c. The patient has bilateral fibrocystic changes, and reassurance is all that is necessary...but in severe cases drugs like evening primrose,danazol,bromocriptine are advised.
#21
Re: is a mammogram needed babbu5508 - 05-20-10 14:38 My answer is: c.
c. The patient has bilateral fibrocystic changes, and reassurance is all that is necessary. The treatments for fibrocystic breast condition are directed at the individual components of the condition, including the relief of symptoms (such as breast pain and tenderness)
#23
Re: is a mammogram needed babbu5508 - 05-21-10 02:30 Fibrocystic breast condition that involves hyperplasia is associated with a slightly elevated risk of breast cancer, and atypical hyperplasia is associated with a moderately increased risk of breast cancer when compared to women without fibrocystic changes.
#32
Re: is a mammogram needed sudha2015 - 03-29-11 01:25 c. The patient has bilateral fibrocystic changes, and reassurance is all that is necessary
#33
Re: is a mammogram needed babbu5508 - 03-31-11 18:45 bilateral “heaviness” that radiates to the axillae and arms, tender and mobile indicates fibrocystic changes and just needs reassurance
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