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22-year-old woman presents with c/o a non-tender mass in her left breast that
does not change with her menstrual cycle. On examination, you note a freely
movable, 0.5 cm x 1 cm firm, rubbery non-tender mass. The most likely
diagnosis is:
Fibroadenoma
Potential causes for galactorrhea include all of the following EXCEPT:
Heavy tobacco use
A 50-year-old woman presents with complaint of a burning sensation behind
both nipples and a spontaneous greenish brown nipple discharge. On
examination you note bilateral multiduct sticky green nipple discharge with no
masses or breast skin changes. The most likely diagnosis is:
Mammary duct ectasia
Differential diagnoses for a woman who presents with red moist patches or one
or both breasts include eczema and Paget's disease of the nipple. Findings that
fit with Paget's disease of the nipple include which of the following:
, Nipple always involved, itching common
Rapid onset of diffuse erythema of the breast with fine dimpling (peau d'orange)
of the skin is indicative of:
Inflammatory breast cancer
A 54-year-old woman has a mammogram that is negative but shows that she
has dense breasts. Appropriate information for this woman would include:
Additional surveillance may be recommended depending on other breast cancer
risk factors.
Each offspring of an individual found to carry a BRCA mutation has a 50% chance
of inheriting the same mutation.
True
In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the
patient tells you she had the Tdap vaccination with her last pregnancy which
was 2 years ago. You would advise her she needs a:
Tdap vaccination in her third trimester
The screening test for group B streptococcus requires that a specimen be
obtained from the:
Vaginal introitus and rectum