Repeated USMLE Questions Step 2 CK- 337

A 62-year-old man visits his physician with a complaint of a breast lump. On examination, there is no fever and vital signs are within normal limits. There is a hard lump in his right breast and nipple retraction.

What is the most appropriate next step of action?

A-X-Ray of the chest

B-Ultrasound guided biopsy

C-Mammography

D-MRI of the chest

E-Whole body CT scan

Answer





This is most probably a case of ductal carcinoma. Ultrasound guided biopsy and pathology to find out more about the mass is mandatory to reach an early diagnosis. X-Ray of the chest, mammography and MRI do not add any information. Whole body CT scan would be appropriate if pathology confirm a breast cancer diagnosis.

The correct answer is B