Breast imaging: screening: 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: screening

Sample item

A woman with a BRCA1 mutation is being offered screening. Which additional modality is recommended alongside mammography because of its higher sensitivity?

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

The answer and the reasoning

B. Contrast-enhanced breast MRI

High-risk women (BRCA carriers, prior chest irradiation) are offered annual breast MRI from an early age, since it is more sensitive than mammography in dense breasts. Radiation exposure at a young age is a concern for mammography in BRCA carriers. Chest films and PET are not screening tools.

Option by option

  • A. PET scan

    PET is not a screening tool.

  • B. Contrast-enhanced breast MRI (correct)

    Correct. Annual MRI improves detection in high-risk women.

  • C. Chest radiograph

    A chest film does not screen for breast cancer.

  • D. Bone density scan

    DEXA assesses bone density.

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 B, Contrast-enhanced breast MRI. High-risk women (BRCA carriers, prior chest irradiation) are offered annual breast MRI from an early age, since it is more sensitive than mammography in dense breasts.

Why is "PET scan" not the answer?

PET is not a screening tool.

Why is "Chest radiograph" not the answer?

A chest film does not screen for breast cancer.

Why is "Bone density scan" not the answer?

DEXA assesses bone density.

What concept does this question test?

It tests Breast imaging: screening in Radiology. Radiation exposure at a young age is a concern for mammography in BRCA carriers. Chest films and PET are not screening tools.

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: screening?

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.