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2. Breast-2
Clinical Presentations of Breast Disease
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A 35-year-old woman has a smooth, well-defined breast lump that fluctuates in size. What is the most likely diagnosis?
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1 point
C) Breast cyst
A) Breast abscess
D) Invasive ductal carcinoma
B) Fibroadenoma
E) Lipoma
A 60-year-old woman presents with unilateral nipple retraction. What underlying condition should be considered?
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1 point
E) Duct ectasia
A) Eczema
C) Breast carcinoma
D) Normal aging process
B) Breast abscess
A 45-year-old woman presents with red, swollen, and tender breast with fever. What is the most appropriate initial diagnosis?
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1 point
D) Paget’s disease of the breast
E) Ductal carcinoma in situ
C) Breast abscess
A) Inflammatory breast cancer
B) Mastitis
A 50-year-old woman has a biopsy showing atypical ductal hyperplasia. What does this finding suggest?
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1 point
A) Benign breast condition
D) Normal breast tissue
B) High risk for developing breast cancer
C) Inflammatory breast cancer
E) Breast abscess
A 47-year-old woman has a breast ultrasound showing an irregular, hypoechoic mass. What is the most likely diagnosis?
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1 point
B) Fibroadenoma
E) Breast cyst
A) Breast abscess
C) Invasive ductal carcinoma
D) Lipoma
A 45-year-old woman presents with a ‘rock-hard’, immobile mass in her breast. What is the most concerning diagnosis?
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1 point
A) Breast cyst
E) Phyllodes tumor
B) Fibroadenoma
C) Invasive ductal carcinoma
D) Lipoma
A 20-year-old woman presents with bilateral breast enlargement and tenderness. What is the most likely diagnosis?
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1 point
A) Breast cancer
D) Inflammatory breast cancer
C) Hormonal imbalance
E) Mastitis
B) Fibrocystic change
A 60-year-old woman presents with a skin rash over her breast resembling an orange peel. What is the most likely diagnosis?
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1 point
D) Paget’s disease of the breast
B) Inflammatory breast cancer
C) Mastitis
E) Eczema
A) Contact dermatitis
A 50-year-old woman reports a recent inversion of her nipple. This finding is most suggestive of?
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1 point
C) Duct ectasia
E) Normal aging process
A) Breast cyst
B) Mastitis
D) Breast carcinoma
A 70-year-old woman has a hard, irregular mass fixed to the chest wall. What is the most concerning diagnosis?
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1 point
E) Galactocele
B) Invasive lobular carcinoma
C) Fibroadenoma
A) Lipoma
D) Hamartoma
A 40-year-old woman notices a greenish nipple discharge. What is the most likely cause?
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1 point
E) Mastitis
A) Mammary duct ectasia
C) Breast cancer
B) Intraductal papilloma
D) Fibrocystic change
A 55-year-old woman presents with a single, non-tender, firm breast lump. What is the most concerning diagnosis?
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1 point
D) Lipoma
A) Breast cyst
E) Phyllodes tumor
B) Fibroadenoma
C) Invasive ductal carcinoma
A 40-year-old woman presents with bloody nipple discharge. What is the most likely cause?
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1 point
C) Breast cancer
E) Trauma
D) Fibrocystic change
A) Mammary duct ectasia
B) Intraductal papilloma
A 70-year-old woman has a breast MRI showing non-mass enhancement. What is the most likely diagnosis?
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1 point
D) Phyllodes tumor
B) Invasive lobular carcinoma
C) Mastitis
E) Fibroadenoma
A) Ductal carcinoma in situ
A 25-year-old woman presents with a palpable, mobile mass in her right breast. What is the most likely diagnosis?
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1 point
E) Intraductal papilloma
B) Fibroadenoma
D) Fat necrosis
C) Breast abscess
A) Invasive ductal carcinoma
A 35-year-old woman has a mammogram that shows a well-circumscribed, dense mass. What is the most likely diagnosis?
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1 point
D) Phyllodes tumor
C) Lipoma
A) Invasive ductal carcinoma
B) Fibroadenoma
E) Breast cyst
A 65-year-old woman presents with eczematous changes to the nipple. What condition should be primarily suspected?
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1 point
C) Contact dermatitis
E) Mastitis
A) Eczema
B) Paget’s disease of the breast
D) Inflammatory breast cancer
A 30-year-old woman feels a lump in her breast that becomes more prominent premenstrually. What is the most likely diagnosis?
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1 point
A) Breast cancer
C) Phyllodes tumor
D) Breast cyst
E) Mastitis
B) Fibrocystic change
A 32-year-old woman presents with a painful, red, and swollen area on her breast. What is the most appropriate initial diagnosis?
*
1 point
E) Ductal carcinoma in situ
D) Paget’s disease of the breast
B) Mastitis
C) Breast abscess
A) Inflammatory breast cancer
A 55-year-old woman has a mammogram showing microcalcifications. What is the most likely diagnosis?
*
1 point
C) Mastitis
B) Fibroadenoma
A) Ductal carcinoma in situ
D) Phyllodes tumor
E) Fat necrosis
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