Pathology EMQ template.

Name: Kylie Beale

Candidate number:

Theme: Breast pathology

 

OPTION LIST

 

A	Acute mastitis	I	Radial scar
B	Duct ectasia	J
C	Ductal carcinoma in situ	K
D	Fat necrosis	L
E	Fibroadenoma	M
F	Fibrocystic disease	N
G	Intraductal papilloma	O
H	Invasive breast carcinoma	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 50 year old woman presents with nipple discharge and pain in the left breast. Cytology of the discharge shows proteinaceous material.

 

 

2. A post-partum woman presents with a painful swollen right breast. Fine needle aspiration cytology shows an abundance of neutrophils.

 

 

3. A 25 year old woman presents with a firm, highly mobile lump in the left breast.

 

 

4. A 60 year old woman presents with a painless breast lump. On examination the lump is immobile, and core biopsy histology shows atypical epithelial cells with basement membrane infiltration.

 

 

5. A 65 year old woman is referred to clinic after screening mammography shows an area of microcalcification in the right breast. Histological analysis shows low grade nuclear atypia. 

 

 

 

ANSWERS

1. B

2. A

3. E

4. H

5. C