NEET Exam 2024 – Breast mass (5) 13/03/24
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1) A 42-year-old gravida 5, para 4 woman presents at 33 weeks' gestation with a painless breast mass. She breastfed her last child until she found out she was 12 weeks pregnant. She has no personal or family history of breast cancer. On examination, she has a firm, mobile, 2-cm mass in the right breast at the 6 o'clock position. There are no overlying skin changes and no axillary lymphadenopathy. What is the most appropriate initial step in evaluation for this patient? *
1 point
2) A 25-year-old woman presents with a lump in the right breast, noted 2 weeks ago on self-examination. Physical examination findings include a lump in the upper-outer quadrant of the right breast, which is freely mobile, 2×1 cm in size, rubbery in consistency, and with smooth margins. There was no inversion of the nipple, redness, or retraction of the skin, or change in the contour of either breast. What is the diagnostic investigation of choice?
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1 point
3) A 45-year-old woman presents with a painless mass in her right breast found while taking a shower a week ago. She denies other palpable lumps or any systemic symptoms. She is sexually active and uses condoms for contraception. Her history is significant for bilateral breast augmentation surgery 4 years ago. The surgery was successful, and she experienced no adverse effects postoperatively. She drinks 4 to 5 glasses of alcohol per week. Physical examination of the breast reveals a 3 cm x 3 cm lump in her right breast. The mass is hard in consistency and is tightly fixed to the underlying breast tissue. What is the next best step for establishing a diagnosis?
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1 point
4)  A 36-year-old woman presents for a routine check-up. She takes levothyroxine for hypothyroidism. Physical examination reveals a 2.5 cm x 2 cm palpable round mass in her right breast. The mass is irregularly shaped, hard in consistency, and fixed to the underlying tissue but does not elicit pain on palpation. What is the best next investigation?   *
1 point
5) A 17-year-old female presents with a round mass in her right breast. She detected the mass two weeks ago while taking a shower. It is painless and has not increased or decreased in size. She is worried that she might have breast cancer. Her family history is positive for HER2-negative breast cancer in a maternal aunt. On examination, the mass is mobile, soft, and rubbery. What is the best next step in the management of this patient?
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1 point
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