Accepted at 1:56 p.m. Apr, 24, 2025 by andrewmathias8
Author: roseee
Related Note: 1505856228141
Rationale for change

this is UW step 2 question 11970: A 25-year-old woman comes to the office due to "chest pain" that began 2 days ago. The pain is described as a constant soreness across the chest, and the patient is unable to sleep prone because of the pain. She is an avid runner and kickboxer and has been unable to maintain her normal exercise routine due to discomfort wearing a sports bra. The patient is sexually active with her husband and recently stopped taking oral contraceptives because the couple are trying to have a child. Her last menstrual period was 3 weeks ago; menses are regular, occur approximately every 28 days, and last for 6 days. The patient takes a daily folic acid supplement and no other medications. Vitals signs are normal. Palpation demonstrates bilateral, nonfocal chest tenderness and diffusely nodular, dense breasts. Which of the following is the most likely diagnosis in this patient?

answer is fibrocystic change

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#AK_Step2_v12::#UWorld::Step::11970
#AK_Step2_v12::#FirstAid::11_Gynecology::08_Benign_Breast_Disorders::01_Nonproliferative_Breast_Lesions #AK_Step2_v12::Original_decks::Zanki_Step_2::IM::Repro !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Surgery::3-DeVirgilio #AK_Step2_v12::#Resources_by_rotation::Surgery::nbme::form_6 #AK_Step2_v12::!Shelf::IM #AK_Step2_v12::#Resources_by_rotation::Surgery::devirgilio_dorian::breast #AK_Other::Card_Features::Needs_Histology_Image #AK_Step2_v12::Original_decks::Dorian::surg::devirgilio::breast #PANCE::REPRODUCTIVE::breast_disorders #PANCE::EOR::WOMENS_HEALTH #AK_Step2_v12::!FLAG_THESE_CARDS::Potential_duplicates #AK_Step1_v12::#SketchyPath::08_Repro_&_GU::04_Breast::01_Benign_Breast_Disorders #PANCE::EOR::Family_med #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::!Shelf::ObGyn #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::01_Gynecology::Breast::Fibrocystic_Change #AK_Step2_v12::#Resources_by_rotation::IM::uw::repro::repro_zanki #AK_Step2_v12::#OME::Clinical::Intern_Bootcamp::Intern_Bootcamp::Clinical_Reasoning:_The_Art_of_Clinical_Reasoning #AK_Step2_v12::#Resources_by_rotation::IM::uw::repro::repro_dorian #AK_Step2_v12::Original_decks::Dorian::im::uw::repro #AK_Step2_v12::#OME::06_Surgery::01_General::12_Benign_Breast_Diseases #AK_Other::Card_Features::Rapid_Diagnosis #AK_Step2_v12::#B&B::11_Obstetrics_and_Gynecology::03_Breast::01_Breast_Masses !AK_UpdateTags::step2PotentialDupes::Forrest::Combine_haveValue #AK_Step2_v12::!Shelf::Surgery #AK_Step2_v12::#AMBOSS::-EaDym