Breast Cancer Screening: ABFM practice questions

7 board-style questions on breast cancer screening in the PulseMD family medicine question bank — physician-reviewed, 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 significant medical or family history presents for an annual wellness visit. She has never had a mammogram and asks about breast cancer screening. Her last menstrual period was 2 weeks ago, and her clinical breast exam is unremarkable. According to the 2024 USPSTF recommendations, what is the most appropriate screening recommendation?

  1. Order breast MRI as initial screening
  2. Defer screening mammography until age 50
  3. Begin biennial screening mammography now
  4. Perform annual screening mammography starting now

Sample question 2

A 42-year-old woman finds a painless lump in her left breast during self-examination. On clinical exam, there is a 2 cm firm, non-tender, mobile mass in the upper outer quadrant. She has no nipple discharge, skin changes, or axillary lymphadenopathy. She has no family history of breast or ovarian cancer. Mammogram shows a solid mass (BI-RADS 4). What is the most appropriate next step?

  1. Repeat mammogram in 6 months
  2. Core needle biopsy of the mass
  3. Excisional biopsy as first step
  4. Breast MRI to further characterize the mass

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

PulseMD is an independent educational resource and is not affiliated with, endorsed by, sponsored by, or approved by the American Board of Family Medicine.