Prepping for USMLE Step 2? Here ’s a commonly missed question

The United States Medical Licensing Examination ® (USMLE®) Step 2 is a formidable test, soAMA Wire® is providing frequent expert insights to help you prepare for it. Take a few minutes here to work through another of the most-missed USMLE Step 2 test prep questions and view an expert video explanation of the answer from Kaplan Medical. Once you ’ve got this question under your belt, be sure to test your knowledge with other posts in this series. Ready. Set. Go.This month ’s question that stumped most students: A 27-year-old immigrant from El Salvador has a 14 x 12 x 9-cm mass in her left breast. It has been present for seven years and has slowly grown to its present size. Her grandmother has breast cancer and her father has prostate cancer. Physical examination shows that the mass is firm, nontender, rubbery and completely movable, and it is not attached to the overlying skin or the chest wall. There are no palpable axillary nodes or skin ulceration. Which of the following is the most likely diagnosis? A. Chronic cystic mastitis B. Cystosarcoma phyllodes C. Inflammatory breast cancer D. Intraductal papilloma E. Mammary duct ectasia   The correct answer is B.  Kaplan says, here ’s why: Cystosarcoma phyllodes occurs in young women and grows to a huge size over many years, and yet spares the skin, the nodes and the underlying chest wall. There is no particular connection with Central America, but often these tumors are seen in immigrants of limited financ...
Source: AMA Wire - Category: Journals (General) Authors: Source Type: news