Fibrocystic changes in the breast are most common in females between 30-50 years of age. The disorder
is characterized by painful, often multiple and usually bilateral masses that are associated with increased
pain and size of breast mass premenstrually. - correct answer Fibrocystic
changes in the breast are most common in females between 30-50 years of age. The disorder is
characterized by painful, often multiple and usually bilateral masses that are associated with increased
pain and size of breast mass premenstrually.
A 24 year-old G2 P1 at 32 weeks of gestation presents to labor and delivery with contractions. Her
previous pregnancy resulted in an uncomplicated term delivery at 37 weeks. Which of the following will
be most helpful in predicting the likelihood of preterm delivery in this patient? - correct answer
Fetal fibronectin: An increase in the concentration of fetal fibronectin in cervicovaginal secretions is
found with preterm labor. A preterm rise in the concentration may be associated with an increase
likelihood of birth between 22 and 34 weeks of gestation and birth within 7-14 days of the test.
Clinical Intervention: Breast cyst - correct answer Clinical Intervention: Breast
cyst
Clinical Intervention/Obstetrics/Gynecology
A 35 year-old female presents with a solitary breast mass. Fine needle aspiration reveals bloody fluid
with no malignant cells. What is the next best step in the care of this patient?
A. Monthly follow-up
B. Excisional biopsy
C. Hormone therapy
D. Repeat fine needle aspiration - correct answer B. Excisional biopsy
Excisional biopsy is the next step in cases of bloody fluid, residual mass or thickening.
Diagnostic Studies/Obstetrics/Gynecology
A 25 year-old female presents for a routine gynecological examination. You palpate a 2 cm breast mass
in her right breast. Her menstrual period was last week. She has no family history of breast cancer. What
is the modality of choice to further evaluate her breast mass?
,A. Magnetic resonance imaging (MRI)
B. Excisional biopsy
C. Ultrasound
D. Mammography - correct answer C. Ultrasound
In a 25 year-old an ultrasound is the best choice because of the density of the breast tissue in young
women.
Clinical Intervention/Obstetrics/Gynecology
A 35 year-old female presents with a solitary breast mass. Fine needle aspiration reveals bloody fluid
with no malignant cells. What is the next best step in the care of this patient?
Answers
A. Monthly follow-up
B. Excisional biopsy
C. Hormone therapy
D. Repeat fine needle aspiration - correct answer B. Excisional biopsy
Excisional biopsy is the next step in cases of bloody fluid, residual mass or thickening.
Diagnosis: Breast carcinoma - correct answer Diagnosis: Breast carcinoma
Health Maintenance/Obstetrics/Gynecology
An increased incidence of breast cancer is associated with
A. nulliparity.
B. late menarche.
C. trauma to the breast.
D. early natural menopause. - correct answer A. nulliparity.
Nulliparous women have a 1.5 times higher incidence of breast cancer than multiparous women.
Diagnosis/Obstetrics/Gynecology
A 22 year-old G0P0 asymptomatic female is seen for her yearly gynecologic examination. She denies
performing self-breast exams and any family history of breast or gynecologic cancers. On palpation of
, her left breast, a solitary 1 cm rubbery, firm, well-circumscribed, non-tender breast mass is noted. In
review of her records, similar findings were noted on last year's examination. Which of the following is
the most likely diagnosis?
A. fibroadenoma
B. breast fat necrosis
C. fibrocystic changes
D. intraductal papilloma - correct answer A. Fibroadenoma
Fibroadenoma of the breast most commonly is seen in young females. Typical characteristics include a
solitary 1-3 cm firm, painless, freely movable mass that does not change with the menstrual cycle and
are slow growing. Most are found as an incidental finding on physical examination or during self-breast
examination.
History & Physical/Obstetrics/Gynecology
Which of the following is the most common presenting clinical manifestation of breast cancer?
A. breast tenderness
B. nipple discharge
C. nipple retraction
D. breast mass - correct answer D. breast mass
A breast mass is the most common presenting clinical manifestation of breast cancer found by the
patient or health care provider.
A 16 year-old nulliparous acutely ill female presents with bilateral lower abdominal pain. She has a
temperature of 100.4 degrees F and on examination has a tender, enlarged left adnexa. Cervical culture
is positive for Chlamydia. Ultrasound reveals a complex tubular structure in the left adnexal area. What
is the recommended treatment?
A. Outpatient treatment with IM ceftriaxone and oral doxycycline
B. Oral doxycycline
C. IM procaine penicillin
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