Breast

Question 1

A patient that presents with a hard lump at the site of a recent injury caused by a hard blow to that region is unlikely to be a matter of concern. True/False?

Answer 1

True. Lump most probably due to avascular necrosis of fat in the region where the injury is sustained.

Question 2

____ are lumps that occur at points of embryological fusion in the body.

Answer 2

Dermoids (specifically, external angular dermoid cyst)

Question 3

Ulcerated lumps are always associated with neoplasia. True/false?

Answer 3

False. Ulcerated lumps are commonly but not always associated with neoplasia.

Question 4

A patient presents with a red, shiny lump. Name one disease process that would be running through your mind on inspecting this patient.

Answer 4

Infection, inflammation or cancer

Question 5

On examination of a testicular lump, you find that it is transilluminant. What does this tell you about the nature of the lump?
It is serum-filled? Filled with solid substance? Blood-filled? Puss-filled?

Answer 5

Serum-filled. Most probably a hydrocele.

Question 6

On percussing a lump, match the sound that would be heard with the type of substance in the lump.

Fluid, gas, resonant, dull?

Answer 6

Fluid: dull
Gas: resonant

Question 7

On examination of a pulsatile lump you find that on placing a finger either side of the lump, with each pulse, your fingers move further apart.
Directly pulsatile?
Indirectly pulsatile?

Answer 7

Directly pulsatile.