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. - ANSWER-Fibrocystic changes in the breast a...
PAEA REVIEW Exam With Verified/Correct Solutions
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.
- 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? - 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 - 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 - 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 - 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 - ANSWER-B. Excisional biopsy
Excisional biopsy is the next step in cases of bloody fluid, residual mass or thickening.
Diagnosis: Breast carcinoma - 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. - 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 - 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 - ANSWER-D. breast mass
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