Breast Cancer Screening: ABFM practice questions

7 board-style questions on breast cancer screening 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 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 48-year-old woman presents to establish care. She had a normal screening mammogram at age 46 and is due for repeat imaging. She reports that her mother was diagnosed with breast cancer at age 62, but she has no other family history of breast or ovarian cancer. She has never undergone genetic testing. Her BMI is 31 kg/m2, and she began menarche at age 11. According to USPSTF guidelines, what is the most appropriate next step?

  1. Order screening mammography now and continue biennially
  2. Refer for BRCA genetic testing before ordering mammography
  3. Perform breast MRI in addition to mammography
  4. Recommend annual mammography due to her risk factors

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

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