Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 17 Topic 2 Discussion

Medical Council of Canada MCCQE Part 1 Exam MCCQE Question # 17 Topic 2 Discussion

MCCQE Exam Topic 2 Question 17 Discussion:
Question #: 17
Topic #: 2

An otherwise healthy 43-year-old woman presents to your clinic for a left breast mass. Six months ago, she underwent a bilateral breast magnetic resonance imaging (MRI) after watching a television program on breast cancer prevention. An ultrasound-guided biopsy of a 1.5 cm massconfirmed, at the time, that she had fibroadenoma. The follow-up ultrasound now reveals a mass measuring 1.7 cm. Which one of the following is the best next step in the management of this patient?


A.

Repeat the biopsy to confirm the diagnosis.


B.

Proceed with needle-localized left lumpectomy.


C.

Order a MRI of both breasts to rule out anything else.


D.

Administer prophylactic tamoxifen to decrease the risk of cancer.


E.

Reassure the patient and reassess in 12 months.


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