A 45-year-old woman comes in for her annual check-up and reports noticing some changes in her breast tissue. She undergoes a mammogram and a biopsy, which reveals various changes in the breast tissue. Her physician is concerned about her risk of developing breast cancer and reviews the pathology report to determine her level of risk. … Read more

A 45-year-old woman presents to the breast clinic with a complaint of unilateral bloody nipple discharge from her right breast. The discharge is spontaneous and originates from a single duct orifice. She has no palpable breast masses, skin changes, or associated pain. Mammography and ultrasound show no evidence of masses or other abnormalities. A duct … Read more

A 52-year-old woman has been diagnosed with breast cancer following a biopsy and imaging studies. She is being evaluated for breast-conserving therapy, which involves lumpectomy followed by radiation therapy. The medical team is considering various pathological findings to determine the best treatment approach for her condition. Which of the following pathologic findings is the strongest … Read more

A 45-year-old woman undergoes a mammogram, which reveals a suspicious lesion in her breast. A biopsy is performed, and the pathology report indicates a noninvasive malignancy. The medical team discusses the diagnosis with her and plans the next steps for her treatment. Which of the following breast lesions are considered noninvasive malignancies? A. Intraductal carcinoma … Read more

A 30-year-old male presents to the emergency department following a motor vehicle accident. He has sustained a blunt injury to his abdomen and is experiencing severe pain in the left flank region. Imaging studies suggest a renal injury. The medical team is deciding on the appropriate management steps for his condition. Which of the following … Read more

A 40-year-old farmer presents to his primary care physician with complaints of dull pain and swelling in his left leg. He notes that the swelling decreases when he elevates his limb. On physical examination, the swelling is found to pit on pressure, and there is a positive Stemmer’s sign (inability to pinch the skin on … Read more

A 47-year-old woman presents to a lymphedema clinic with chronic swelling in her left calf, which has progressively worsened over the past five years despite conservative treatments such as compression therapy and manual lymphatic drainage. She experiences significant discomfort and mobility issues due to the swelling. After a thorough evaluation, her vascular surgeon recommends a … Read more

A 60-year-old woman presents to the gynecology clinic with abdominal distension and discomfort. She has a history of mucinous tumors and recent imaging shows extensive mucinous ascites. Further investigation reveals a gelatinous material filling her peritoneal cavity. The clinical team suspects pseudomyxoma peritonei and proceeds with additional diagnostic procedures to identify the primary source of … Read more

A 55-year-old man presents to his primary care physician with chronic abdominal pain, unexplained weight loss, and episodes of gastrointestinal bleeding. He undergoes a series of diagnostic tests, including imaging and endoscopy, which reveal a mass in the small intestine. A biopsy is performed to determine the nature of the tumor. Which of the following … Read more