1. A 58-year-old male patient presents with a painless, firm, and slowly
enlarging mass in the left side of his neck. Biopsy results show an
encapsulated mass with spindle-shaped cells that do not invade
surrounding tissues. Which of the following is the most likely diagnosis?
A. Malignant melanoma
B. Squamous cell carcinoma
C. Fibroadenoma
D. Lipoma
Answer: D. Lipoma
Rationale: The characteristics of the mass suggest a benign tumor, which
is consistent with a lipoma, a benign neoplasm of adipose tissue.
2. A 35-year-old female patient has been diagnosed with a 2 cm solitary
nodule in her right breast. Mammography shows well-defined margins
without calcifications. The patient has no family history of breast cancer.
What is the next best step in management?
A. Immediate mastectomy
B. Fine-needle aspiration biopsy
C. Observation and follow-up in six months
D. Chemotherapy
Answer: B. Fine-needle aspiration biopsy
Rationale: Given the size, appearance, and lack of family history, a fineneedle aspiration biopsy is appropriate to determine the nature of the
nodule before deciding on further treatment.
3. During a routine health check-up, a 50-year-old male patient is found to
have elevated prostate-specific antigen (PSA) levels. Digital rectal
examination reveals a hard nodule on the prostate. Which of the following
is the most likely diagnosis?
A. Benign prostatic hyperplasia
B. Prostate adenocarcinoma
C. Prostatitis
D. Urethral stone
Answer: B. Prostate adenocarcinoma
Rationale: The presence of a hard nodule and elevated PSA levels are
concerning for prostate adenocarcinoma, a malignant neoplasm of the
prostate.
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