General Surgery — all quiz questions in one place
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A 50-year-old woman undergoes routine mammography. The radiologist identifies a well-defined, round lesion with a lucent center and a thin calcific rim. What is the most appropriate next step?
A 25-year-old woman presents with a mobile, non-tender, rubbery breast mass. Ultrasound shows a hypoechoic, well-defined, oval mass that is wider than tall with posterior acoustic enhancement. What is the most likely diagnosis?
A 60-year-old woman's screening mammogram shows fine, branching calcifications arranged in a linear-ductal distribution. She has no palpable mass. What is the most likely diagnosis and appropriate management?
A 35-year-old woman is found to have a breast lesion classified as BI-RADS 4A on mammography. What is the most appropriate next step in management?
Which of the following best describes the clinical significance of breast density?
A 30-year-old woman presents with a breast mass. Ultrasound shows a hypoechoic, irregular mass that is taller than wide with posterior acoustic shadowing. What is the most appropriate next step?
Which imaging finding on mammography is MOST indicative of DCIS?
What is the primary advantage of core needle biopsy (CNB) over fine needle aspiration (FNA) in diagnosing breast lesions?
A patient with nipple symptoms and areolar thickening has a normal mammogram and a normal ultrasound. What is the most appropriate next step?
Which of the following correctly describes fat necrosis of the breast?
Which screening modality is most accurate for detecting early-stage breast cancer in average-risk asymptomatic women?
A BI-RADS 3 lesion is detected on mammography. What is the initial management, and when should the category be upgraded to BI-RADS 4?
Which of the following is a valid indication for annual breast MRI screening according to the American Cancer Society?
In women under 40 with high breast density, which imaging modality is superior for breast cancer detection?
A 48-year-old woman's mammogram reveals a cluster of amorphous calcifications. The radiologist assigns BI-RADS 4B. What is the malignancy probability and appropriate management?
Which of the following is a characteristic feature of a breast fibroadenoma on ultrasound?
What is the sensitivity of combined mammography + MRI in BRCA mutation carriers?
DBT (Digital Breast Tomosynthesis) compared to standard 2D mammography — which statement is FALSE?
A 55-year-old woman's bilateral mammogram shows intramammary lymph nodes and bilateral coarse calcifications. What BI-RADS category should be assigned, and what is the management?
Which of the following correctly describes the role and limitations of breast ultrasound in cancer screening?
Which diagnostic test or modality is associated with the highest survival benefit in breast cancer screening in the general population?