Podcast
Questions and Answers
What is the most common breast problem encountered in primary care and surgical practices?
What is the most common breast problem encountered in primary care and surgical practices?
Which condition is characterized by inflammation of the breast tissue?
Which condition is characterized by inflammation of the breast tissue?
What screening method is regarded as the best for breast cancer detection among average-risk patients?
What screening method is regarded as the best for breast cancer detection among average-risk patients?
Which of the following is NOT considered a risk factor for breast disease?
Which of the following is NOT considered a risk factor for breast disease?
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What is the purpose of chemoprevention in the context of breast disease?
What is the purpose of chemoprevention in the context of breast disease?
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Which type of breast mass accounts for approximately ninety percent of breast masses identified?
Which type of breast mass accounts for approximately ninety percent of breast masses identified?
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What clinical manifestation is typical of Paget’s disease of the breast?
What clinical manifestation is typical of Paget’s disease of the breast?
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What is a common diagnostic method for evaluating breast complaints?
What is a common diagnostic method for evaluating breast complaints?
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Which risk group is NOT included in the evaluation of breast disease risk factors?
Which risk group is NOT included in the evaluation of breast disease risk factors?
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What is a common condition associated with galactorrhea?
What is a common condition associated with galactorrhea?
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Which of the following methods is recommended for ongoing surveillance of breast disorders?
Which of the following methods is recommended for ongoing surveillance of breast disorders?
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How is puerperal mastitis typically characterized in terms of its onset during lactation?
How is puerperal mastitis typically characterized in terms of its onset during lactation?
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What is the clinical appearance of Paget’s disease of the breast?
What is the clinical appearance of Paget’s disease of the breast?
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In what age range does the US Preventive Services Task Force recommend routine mammography for women?
In what age range does the US Preventive Services Task Force recommend routine mammography for women?
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What type of intervention might be included in the management of breast disorders?
What type of intervention might be included in the management of breast disorders?
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What is the primary type of pharmacotherapy used in the management of mastitis?
What is the primary type of pharmacotherapy used in the management of mastitis?
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Which of the following factors is significant in evaluating risk for breast disease?
Which of the following factors is significant in evaluating risk for breast disease?
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How often does the US Preventive Services Task Force recommend routine mammography for women aged 50 to 74?
How often does the US Preventive Services Task Force recommend routine mammography for women aged 50 to 74?
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What condition is characterized by fevers and chills in the context of breast disorders?
What condition is characterized by fevers and chills in the context of breast disorders?
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In which demographic is mammography considered most beneficial according to available evidence?
In which demographic is mammography considered most beneficial according to available evidence?
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What is a common clinical manifestation of galactorrhea?
What is a common clinical manifestation of galactorrhea?
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Which of the following interventions is included in managing breast disorders?
Which of the following interventions is included in managing breast disorders?
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What phsyical examination method is commonly used for evaluating breast complaints?
What phsyical examination method is commonly used for evaluating breast complaints?
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Which benign breast condition includes fibrocystic changes?
Which benign breast condition includes fibrocystic changes?
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What is the primary goal of risk reduction strategies in breast health management?
What is the primary goal of risk reduction strategies in breast health management?
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Which factor is considered when individualizing screening recommendations for women aged 40 to 49?
Which factor is considered when individualizing screening recommendations for women aged 40 to 49?
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What is the most common cause of breast masses?
What is the most common cause of breast masses?
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What is a clinical feature of puerperal mastitis?
What is a clinical feature of puerperal mastitis?
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What is an essential aspect of the physical exam for breast complaints?
What is an essential aspect of the physical exam for breast complaints?
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Which statement about screening mammography in women over 75 is true?
Which statement about screening mammography in women over 75 is true?
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Which of the following is NOT a common presentation of Paget's disease of the breast?
Which of the following is NOT a common presentation of Paget's disease of the breast?
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What role does serum prolactin play in breast diagnostics?
What role does serum prolactin play in breast diagnostics?
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Study Notes
Breast Disorders
- Breast complaints are common, including breast pain, breast masses, and nipple discharge.
- Evaluation should include risk factors for breast disease.
- Risk groups include family history/genetics, reproductive/hormonal factors, proliferative benign breast disease, and mammographic density.
- Risk reduction strategies include prophylactic mastectomy and chemoprevention.
Screening Recommendations
- In 2015, the USPSTF recommended screening mammography for women aged 50 to 74.
- Evidence to continue screening women after age 75 was inconclusive.
- USPSTF screening recommendations for women aged 40-49 are individualized based on risks and benefits.
- Mammography is most useful in women aged 50-65 and remains the best method for average-risk patient breast cancer screening.
- Breast Self-Examination (BSE) is an individualized decision.
Definition
- Breast pain (mastalgia/mastodynia) is the most common breast problem in primary care.
- Mastitis is inflammation of breast tissue.
- Galactorrhea (milky discharge) is associated with pituitary adenomas or hypothyroidism.
- Ninety percent of breast masses are caused by benign lesions (cysts, fibroadenomas, fibrocystic changes).
Clinical Presentation
- Puerperal mastitis is typically unilateral and occurs during lactation.
- It may include fevers and chills.
- Paget's disease presents as a unilateral, well-demarcated, erythematous, scaly plaque on the nipple, spreading to the areola.
- Palpable masses may be reported.
Physical Exam and Diagnostics
- Evaluation includes history, physical exam, family history, surgical history, medications, breast exam, and skin exam.
- Diagnostics include mammogram, ultrasound, and serum prolactin levels.
Management
- Management depends on the underlying condition, and may involve pharmacotherapy (e.g., antibiotics for mastitis), lifestyle changes (e.g., dietary), surgical intervention, and ongoing surveillance.
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Description
This quiz covers various breast disorders, including common complaints such as breast pain and masses. It also discusses screening recommendations by the USPSTF, focusing on age-specific guidelines and risk assessment for breast cancer. Understand the importance of regular evaluations and risk reduction strategies for better health outcomes.
