Today's Question's Sample!!!!!

[usmlepack]

A 23-year-old female graduate student comes to a student clinic. She recently had a physical examination for school enrollment, which was unremarkable. She is healthy, has never had surgery, and has never been pregnant. She bikes 10 miles 3 times a week, does not smoke cigarettes, and drinks approximately 5-6 beers per week. She tells you that she is concerned about a breast lump that she found 2 days ago while showering. She is very worried as her 53-year-old maternal aunt was diagnosed with breast cancer 2 years ago. On breast examination she points out to you an approximately 2 cm mobile nodule, which is slightly tender. You use an office ultrasound and determine that it is a cystic structure. You then insert a needle to the area and withdraw clear, straw-colored fluid. The cyst appears to be gone. The most appropriate next step in management is to

A. arrange for a breast biopsy under local anesthesia


B. obtain an official bilateral breast ultrasound


C. repeat the exam in 4-6 weeks


D. send the fluid for cytology


E. send the patient for a mammogram

FIND THE ANSWER AND MUCH MORE AT:
Mod edit - advertising removed. I've left the questions incase anyone wants to have a stab though.

[balbir]

D. send the fluid for cytology

[kizdxb]

send her home