Accepted
at 4:11 a.m. Mar, 01, 2025
by
Ahmed7
Bulk Suggestion
Bulk ID:
cardamomo/01.30.25-05:56AM
Author:
cardamomo
Rationale for change
I've gone through the entirety of NBME CCSSA Form 9 for Step 2 and added a #NBME::Form09 tag for nearly every question in the exam where applicable. This is the first time doing such a project, so please let me know if there is a better way of doing it.
the added tag is:
tag:#AK\_Step2\_v12::NBME::Form09
No changes in fields
Text
What is the initial test/imaging study for a woman age < 30 with a palpable breast mass?
{{c1::Ultrasound ± mammogram}}
Extra
Per UWorld:
- Suspected fibroadenoma in adolescents (< 18) can be managed with reassurance and reevaluation after another menstrual cycle
- However, adults (> 18) with a palpable breast mass (even if benign conditions like fibroadenoma are suspected) require imaging
< 30 y/o → ultrasound ± mammogram
30-39 y/o → use above or below algorithm
≥ 40 y/o → Mammogram ± ultrasound
Per AMBOSS:
- A soft, well-defined, mobile mass in a patient < 35 years old is indicative of a fibroadenoma or other benign breast lump, and therefore can be managed with reassurance and follow-up in 2 months
- If the mass in a < 30 year-old female is firm, rigid, and/or nontender, a breast ultrasound is indicated
- Mammogram has poor accuracy in < 30 due to dense breast tissue
- After age 30, mammogram can be used

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