Multiple Choice Questions (MCQ)

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Category: Medicine--->Hematology and Oncology
Page: 8

Question 36# Print Question

A 37-year-old woman presents for evaluation of a self-discovered breast mass. There is no family history of breast cancer; she is otherwise healthy. Examination reveals a 1.5-cm area of firmness in the right upper outer quadrant. No skin changes are noted. You attempt to aspirate the mass, but no fluid is obtained; a mammogram is ordered and is normal.

Which of the following is the most appropriate next step in management? 

A. Refer the patient for further evaluation to a surgeon or comprehensive breast radiologist
B. Reevaluate the patient in 6 months
C. Give oral contraceptives to decrease ovulation and help shrink the lesion
D. Recommend tamoxifen to decrease her chance of developing cancer
E. Reassure the patient

Question 37# Print Question

A 60-year-old woman develops deep venous thrombosis after a 14-hour plane flight from New Zealand. The diagnosis is confirmed by a venous Doppler. There is no evidence of pulmonary embolism, and she is started on subcutaneous low-molecular-weight heparin. She has no family history of venous thrombosis, and she is on no medications that would increase her risk of clotting. In addition to routine monitoring of coagulation parameters and a CBC,

what diagnostic tests should be ordered next? 

A. Functional test for factor V Leiden (activated protein C resistance)
B. Protein C, protein S, and antithrombin III levels
C. Antiphospholipid antibody test
D. Genetic testing for prothrombin G20210A gene mutation
E. No further testing

Category: Medicine--->Hematology and Oncology
Page: 8 of 8