Breast Cancer: ABFM practice questions

4 board-style questions on breast cancer in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 42-year-old woman with no family history of breast cancer and no known genetic mutations presents for a well-woman visit. She has never had a mammogram and asks when she should begin routine breast cancer screening. She has no prior breast biopsies or chest radiation exposure. According to current USPSTF recommendations, what is the most appropriate screening plan for this patient?

1. Begin biennial screening mammography now at age 42
2. Begin biennial screening mammography at age 40
3. Begin annual screening mammography at age 45
4. Defer screening mammography until age 50

Sample question 2

A 35-year-old Ashkenazi Jewish woman presents for a routine visit. Her mother was diagnosed with breast cancer at age 44, and her maternal aunt had ovarian cancer at age 52. The patient has no personal history of cancer. She asks about genetic testing for hereditary breast and ovarian cancer. According to USPSTF recommendations, what is the most appropriate next step?

1. Reassure her that genetic testing is not recommended until age 40
2. Order BRCA1/BRCA2 genetic testing immediately
3. Begin annual mammography and MRI now without genetic testing
4. Refer for genetic counseling to assess whether BRCA testing is indicated

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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