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Q12026FinalPediatric SurgeryAnterior Abdominal Wall Defects & Congenital Malrotation

When comparing an exomphalos (omphalocele) and gastroschisis, which of the following is correct?

ABoth conditions may be diagnosed prenatally with a maternal ultrasound.

BGastroschisis is more commonly associated with major extra-intestinal congenital abnormalities.

CBoth conditions strictly require early delivery by elective caesarean section.

DA gastroschisis typically presents with an intact amniotic sac.

Q22026FinalBreastBreast Imaging and BI-RADS

Which of the following is a characteristic feature of a Breast Fibroadenoma?

AFixed and painful mass

BHypoechoic lesion on Ultrasound

CIll-defined margins

DUsually occurs in women over 60

Q32026mednavigator question bankBreastBreast and Axilla: Anatomy, Development, and Physiology

After a mastectomy, a patient experienced numbness under the arm. Which nerve was likely affected?

AAxillary nerve

BLong thoracic nerve

CMedian nerve

DIntercostobrachial nerve

Q42026mednavigator question bankBreastBreast and Axilla: Anatomy, Development, and Physiology

Following a modified radical mastectomy, a 52-year-old female notices that the medial border of her scapula becomes prominent (winged) when pushing against a wall. Which nerve was injured?

AIntercostobrachial nerve

BThoracodorsal nerve

CLong thoracic nerve

DUlnar nerve

Q52026mednavigator question bankBreastBreast and Axilla: Anatomy, Development, and Physiology

Which of the following is NOT a content of the axilla?

AAxillary artery

BAxillary vein

CBrachial plexus

DLong thoracic nerve

Q62026mednavigator question bankBreastBreast and Axilla: Anatomy, Development, and Physiology

Following an axillary lymph node dissection, a patient complains of numbness and paresthesia on the medial (inner) aspect of the upper arm. Which nerve was likely injured?

ALong Thoracic Nerve

BThoracodorsal Nerve

CIntercostobrachial Nerve

DMedial Pectoral Nerve

Q72025FinalBreastBreast Imaging and BI-RADS

A 25-year-old woman presents with a new palpable, mobile breast mass. She has no skin changes, nipple discharge, or axillary lymphadenopathy. What is the most appropriate initial diagnostic step?

AMammography.

BBreast ultrasound.

CCore needle biopsy.

DBreast MRI.

Q82025FinalBreastBreast Imaging and BI-RADS

A 48-year-old woman undergoes mammography, which reveals a lesion categorized as BI-RADS 4A. What is the most appropriate next step in management?

AFine-needle aspiration.

BCore needle biopsy.

CBreast MRI.

DSurgical excision.

Q92025FinalBreastBreast Imaging and BI-RADS

Which screening modality is most accurate for detecting early-stage breast cancer in average-risk asymptomatic women?

AClinical breast examination.

BScreening mammography.

CBreast ultrasound.

DBreast MRI.

Q102025FinalBreastBreast Imaging and BI-RADS

A 30-year-old patient presents with a breast mass showing a malignant pattern on ultrasound. What is the next step?

ACore needle biopsy.

BScreening mammogram.

CRepeat ultrasound in 6 months.

DReassurance.

Q112025FinalBreastBreast Imaging and BI-RADS

Most indicative of imaging in DCIS:

APleomorphic Microcalcifications.

BPalpable mass.

CNipple discharge.

DSkin tethering.

Q122025FinalBreastBreast Imaging and BI-RADS

In women under 40 with high breast density, which imaging is often superior for visualization?

ABreast MRI.

BMammogram.

CPlain X-ray.

DPET scan.

Q132024FinalBreastBreast Imaging and BI-RADS

Which of the following is a true statement regarding Fat Necrosis of the breast?

AIt is considered a premalignant lesion

BIt only occurs in lactating women

CIt can present as an irregular spiculated mass on mammography

DIt requires mastectomy for treatment

Q142024FinalBreastBreast Imaging and BI-RADS

Patient with a normal ultrasound and mammogram, but with nipple symptoms and areolar thickening, what is the next step in management?

AMRI

BBiopsy

CWedge nipple biopsy

DClinical observation and follow-up

Q152023FinalBreastBreast Imaging and BI-RADS

Which diagnostic test is associated with the highest survival rate in breast cancer screening?

ACT.

BMRI.

CMammogram of the breast.

DUltrasound.

Q162022FinalBreastBreast Imaging and BI-RADS

Which of the following best describes the clinical significance of breast density?

AHigh breast density protects against the development of breast carcinoma.

BWomen with high breast density are at an increased risk for breast carcinoma.

CDense breasts are exclusively found in premenopausal women.

DBreast density generally increases after menopause without hormone replacement.

Q172022FinalBreastBreast Imaging and BI-RADS

Which of the following is correct regarding fat necrosis of the breast?

AIt often appears as an ill-defined, irregular mass with spiculation on a mammogram, mimicking cancer.

BIt always presents with a clear, memorable history of severe breast trauma.

CIt significantly increases the future risk of developing breast carcinoma.

DIt requires mandatory radical surgical excision once confirmed by biopsy.

Q182022FinalBreastBreast Imaging and BI-RADS

What is a primary clinical advantage of a core needle biopsy over a fine-needle aspiration (FNA) in diagnosing breast lesions?

AIt is significantly less painful for the patient.

BIt preserves tissue architecture, allowing for accurate testing of biological markers and receptor status.

CIt completely eliminates the risk of a post-procedural hematoma.

DIt does not require any local anesthesia.

Q192022FinalBreastBreast Imaging and BI-RADS

Regarding breast cancer screening, which of the following is true?

AAll women should start their breast cancer screening at the age of 40.

BWomen younger than 35 years are primarily screened using breast MRI.

CBreast density has no impact on the sensitivity of mammographic screening.

DBreast cancer screening improves breast cancer survival.

Q202022FinalBreastBreast Imaging and BI-RADS

Which of the following statements best describes breast density in the context of screening?

AWomen between 50–75 years old exclusively have fibroglandular breasts.

BWomen with high breast density are at an increased risk for breast carcinoma.

COnly young women under 30 are considered to have dense breasts.

DBreast density is not affected by hormonal replacement therapy.