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OBG · Postpartum care: lactational mastitis
Sample itemA breastfeeding patient has focal painful breast erythema, fever, and flu-like symptoms. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Lactational mastitis
Lactational mastitis is breast inflammation, often with bacterial infection, causing focal pain, erythema, fever, and malaise. Effective milk drainage and appropriate treatment are important; nonresolving cases require reassessment.
Option by option
A. Lactational mastitis (correct)
Correct. This is the typical acute lactational presentation.
B. Galactorrhea from prolactinoma
Prolactinoma causes milk secretion rather than focal hot erythema.
C. Fibroadenoma
Fibroadenoma is a benign discrete mass.
D. Inflammatory breast cancer in every case
Cancer is considered if symptoms do not resolve, but acute lactation-associated fever favors mastitis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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