Breast imaging: BI-RADS: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Breast imaging: BI-RADS

Sample item

On screening mammography, a radiologist assigns BI-RADS category 4. What is the recommended management?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Tissue diagnosis (biopsy)

BI-RADS 4 means suspicious abnormality with a 2 to 94 percent likelihood of malignancy, requiring biopsy. BI-RADS 3 (probably benign) is followed at short intervals, 0 needs additional imaging, 5 is highly suggestive of malignancy, and 6 is known malignancy. Category 1 and 2 return to routine screening.

Option by option

  • A. Short-interval follow-up at 6 months

    Six-month follow-up applies to category 3.

  • B. Immediate definitive treatment without a biopsy

    Treatment needs histological confirmation.

  • C. Routine annual screening

    Routine screening applies to categories 1 and 2.

  • D. Tissue diagnosis (biopsy) (correct)

    Correct. Category 4 needs a biopsy.

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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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is D, Tissue diagnosis (biopsy). BI-RADS 4 means suspicious abnormality with a 2 to 94 percent likelihood of malignancy, requiring biopsy.

Why is "Short-interval follow-up at 6 months" not the answer?

Six-month follow-up applies to category 3.

Why is "Immediate definitive treatment without a biopsy" not the answer?

Treatment needs histological confirmation.

Why is "Routine annual screening" not the answer?

Routine screening applies to categories 1 and 2.

What concept does this question test?

It tests Breast imaging: BI-RADS in Radiology. BI-RADS 3 (probably benign) is followed at short intervals, 0 needs additional imaging, 5 is highly suggestive of malignancy, and 6 is known malignancy. Category 1 and 2 return to routine screening.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Breast imaging: BI-RADS?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.