Pathology EMQ template.

Name: Basel Chamali

Theme: Breast Pathology

OPTION LIST

A	Duct papilloma	I	Lipoma
B	Mammary fistula	J	Fibrocystic change
C	Fat necrosis	K	Mastitis
D	Breast abscess	L
E	Mammary duct ectasia	M
F	Fibroadenoma	N
G	Duct ectasia	O
H	Carcinoma of the breast	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. 25 year old woman presents 2 weeks after the birth of her child with pain in her left breast. On examination, she has a large 5 cm diameter tender swelling adjacent to the nipple

2. 50 year old woman presents with discharge of thick, creamy fluid from her right nipple. On examination, there is a poorly defined sub-areolar mass. Cytology shows macrophages and debris while the ultrasound identified dilated sub-areolar ducts.

3. 47 year old woman presents with 4 week history of blood stained discharge from her left nipple. Examination is unremarkable and no lumps are palpable

4. 21 year old woman presents with a 2cm mobile lump. Ultrasound identifies a solid lump that is well defined. Cytology shows benign cells

5. 36 year old woman presents with an ill-defined lump in the right breast. The lump enlarges and becomes tender in the second half of the menstrual cycle.

ANSWERS

1. D

2. G

3. A

4. F

5. J