Chapter·SurgeryBreast Surgery

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Sample Questions

1

During a surgical procedure to repair an abdominal aortic aneurysm, the surgeon must be careful to avoid injury to which of the following arterial structures that originates near the level of the renal vessels?

ALeft renal artery

BCeliac trunk

CRight renal artery

DSuperior mesenteric artery

2

A 36-year-old woman comes to the physician because of progressively worsening painful swelling of both breasts for the past 24 hours. Three days ago, she vaginally delivered a healthy 2690-g (5-lb 15-oz) girl. The patient says that breastfeeding her newborn daughter is very painful. She reports exhaustion and moodiness. She has no history of serious illness. Medications include folic acid and a multivitamin. Her temperature is 37.4°C (99.3°F). Examination shows tenderness, firmness, and fullness of both breasts. The nipples appear cracked and the areolas are swollen bilaterally. Which of the following is the most appropriate next step in management?

AOral antibiotics

BCold compresses and analgesia

COral contraceptives

DMammography

EIncision and drainage

3

A 49-year-old woman presents to her primary care physician for a general check up. She has not seen a primary care physician for the past 20 years but states she has been healthy during this time frame. She had breast implants placed when she was 29 years old but otherwise has not had any surgeries. She is concerned about her risk for breast cancer given her friend was recently diagnosed. Her temperature is 97.0°F (36.1°C), blood pressure is 114/64 mmHg, pulse is 70/min, respirations are 12/min, and oxygen saturation is 98% on room air. Physical exam is unremarkable. Which of the following is the most appropriate workup for breast cancer for this patient?

ANo intervention indicated at this time

BSentinel node biopsy

CBRCA genetic testing

DMammography

EUltrasound

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