Eevy's Edelman OB GYN ARDMS study questions with verified detailed
answers, Exams of Magnetic Resonance Imaging (MRI)
breast abcess - ANSWERRare complication of progession of acute mastitis
Most common in lactating women secondary to nipple trauma, especially
primigravid women
Etiology: staph aures, streptococcus, candida albicans
presentation of breast abscess - ANSWERSymptoms of acute mastitis
Unilateral breast pain with
tenderness, warmth and swelling
May have purulent nipple discharge
Cracked nipples of visible fissures
,Induration and flatulence due to pus
dx of breast abscess - ANSWERClinical
order ultrasound if there is a question of cellulitis vs abscess
An ill defined mass with fluid collection is consistent with a breast abscess
management of breast abscess - ANSWERDrainage via needles aspiration or
I&D
Dicloxacillin 500 mg PO QID for 10-14 days
Fibroadenoma - ANSWERSecond most common benign tumor of breast
Painless and freely movable
Feel firm and rubbery with distinct margins
Do not change during the menstrual cycle and are slow growing
Can present in pregnancy
Benign solid tumor composed of glandular and fibrous tissue: hormone
dependent tumor
,Round firm an discrete mobile mass 1- 5 cm that is non tender but can
become tender prior to menstruation
Gradually grows over time but does NOT significantly change with menstrual
cycle
Fibroadenoma dx - ANSWERUltrasond: solid, well circumscribed, avascular
mass with benign features
Fine needle aspiration: definitive dx, fibrous tissue and collagen arranged in a
swirl
Fibroadenoma management - ANSWERConservative: observation,
reassurance and follow up.
Most small tumors resorb with time, can repeat U/S in 3-6 months
Local surgical excision
cryoablation
Fibrocystic breast condition - ANSWERMost common benign breast condition
Non cancerous fluid filled breasts due to exaggerated response to hormones
--also known as glandular hyperplasia
--duct dilation, breasts cyst and stromal fibrosis
, presentation of fibrocystic breast - ANSWERSymptoms are worse at the time
of menses
Pain, enlargement, multiple bilateral lesions
Diffuse pain that may radiate to the shoulders or upper arms
Multiple painful/painless mobile ill defined breasts masses that may increase
or decrease in size with hormonal changes- will occur or become worse in
pre-menstual phase of cycle.
Fluctuations in size and rapid appearance or disappearance of masses can
occur
There may be a non bloody, green or brown discharge from the nipple
Women age 30-50
--often will regress after menopause
PE of fibrocystic breast - ANSWERMultiple mobile, non tender, smooth round
or ovoid lumps in both presets of various sizes
These are often bilateral and not associated with axillary lymph node
involvement
answers, Exams of Magnetic Resonance Imaging (MRI)
breast abcess - ANSWERRare complication of progession of acute mastitis
Most common in lactating women secondary to nipple trauma, especially
primigravid women
Etiology: staph aures, streptococcus, candida albicans
presentation of breast abscess - ANSWERSymptoms of acute mastitis
Unilateral breast pain with
tenderness, warmth and swelling
May have purulent nipple discharge
Cracked nipples of visible fissures
,Induration and flatulence due to pus
dx of breast abscess - ANSWERClinical
order ultrasound if there is a question of cellulitis vs abscess
An ill defined mass with fluid collection is consistent with a breast abscess
management of breast abscess - ANSWERDrainage via needles aspiration or
I&D
Dicloxacillin 500 mg PO QID for 10-14 days
Fibroadenoma - ANSWERSecond most common benign tumor of breast
Painless and freely movable
Feel firm and rubbery with distinct margins
Do not change during the menstrual cycle and are slow growing
Can present in pregnancy
Benign solid tumor composed of glandular and fibrous tissue: hormone
dependent tumor
,Round firm an discrete mobile mass 1- 5 cm that is non tender but can
become tender prior to menstruation
Gradually grows over time but does NOT significantly change with menstrual
cycle
Fibroadenoma dx - ANSWERUltrasond: solid, well circumscribed, avascular
mass with benign features
Fine needle aspiration: definitive dx, fibrous tissue and collagen arranged in a
swirl
Fibroadenoma management - ANSWERConservative: observation,
reassurance and follow up.
Most small tumors resorb with time, can repeat U/S in 3-6 months
Local surgical excision
cryoablation
Fibrocystic breast condition - ANSWERMost common benign breast condition
Non cancerous fluid filled breasts due to exaggerated response to hormones
--also known as glandular hyperplasia
--duct dilation, breasts cyst and stromal fibrosis
, presentation of fibrocystic breast - ANSWERSymptoms are worse at the time
of menses
Pain, enlargement, multiple bilateral lesions
Diffuse pain that may radiate to the shoulders or upper arms
Multiple painful/painless mobile ill defined breasts masses that may increase
or decrease in size with hormonal changes- will occur or become worse in
pre-menstual phase of cycle.
Fluctuations in size and rapid appearance or disappearance of masses can
occur
There may be a non bloody, green or brown discharge from the nipple
Women age 30-50
--often will regress after menopause
PE of fibrocystic breast - ANSWERMultiple mobile, non tender, smooth round
or ovoid lumps in both presets of various sizes
These are often bilateral and not associated with axillary lymph node
involvement
