The Correct Answer is B!

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A 55-year-old woman presents in the office after noticing a bloody stain on her nightgown from her left breast. She denies trauma to the area. She has no past medical history and is not taking any medications. She denies a family history of breast cancer. Clinical examination of the breast reveals no masses or skin changes, but manual expression reveals a drop of bright red blood from a solitary duct at the 2 o’clock position of the left breast. Breast imaging with mammogram and ultrasound were negative for worrisome lesions.

What is the most appropriate next step in her management?

  1. Repeat mammogram and ultrasound in 6 months
  2. Refer for surgical excision of the duct
  3. Reassurance, as the breast imaging was negative
  4. Perform cytology on nipple discharge

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1. Source: "Comparative Analysis of Pre/Post Assessments of Live/Didactic Course Attendees when compared to Mico-Learning/Online Course Users., "Knowledge to Practice, 2017.