Repro

Question 1

First line investigation testicular lump?

Answer 1

USS

Question 2

Mobile, firm breast lump non tender in younger woman

Answer 2

Likely fibroadenoma, not usually required to do anything

Question 3

Suspect fibroadenoma what to do?

Answer 3

Refer still USS and mammography

Question 4

Imaging of choice, breast under 40?

Answer 4

USS

Question 5

Suspected breast cancer referral guidelines?

Answer 5

Aged ≥30 and have an unexplained breast lump with or without pain; or

Aged ≥50 with any of the following symptoms in one nipple only:
Discharge
Retraction
Other changes of concern

> 30 and lump in axilla

Question 6

Non urgent referral to breast clinic?

Answer 6

<30 and unexplained lump

Question 7

Fibrocystic Breast disease?

Answer 7

Usually cyclical lumpy breasts, should still be investigated cysts may be drained

Question 8

Breast abscess?

Answer 8

Lactational mastitis is common
Infection is usually with Staphylococcus aureus

On examination there is usually a tender fluctuant mass

Question 9

Aged 50+ green nipple discharge?

Answer 9

Duct ectasia

Question 10

Breast screening program?

Answer 10

50-70 years every 3 years

Question 11

Intracellular organism causing urethritis?

Answer 11

Chlamydia

Question 12

Abdo pain in female?

Answer 12

Always order pregnancy test

Question 13

Type 6 and 11 HPV generally causes?

Answer 13

Genital warts

Question 14

Genital herpes which strain?

Answer 14

HSV-2