skip to main content

Candidal nipple and oral thrush — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardPostnatalCandidal nipple and oral thrushDRCOG

A breastfeeding woman has fever and a painful breast mass that remains fluctuant after 48 hours of antibiotic treatment for mastitis. What should be arranged?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Urgent breast ultrasound and drainage assessment

The best answer is “Urgent breast ultrasound and drainage assessment”. Persistent fever and a fluctuant mass despite antibiotics suggest breast abscess. Ultrasound confirms a drainable collection and guides needle aspiration or surgical drainage. Breastfeeding or expressing usually continues with feeding support unless the drainage site or clinical circumstances prevent it.

Reference: NICE NG194: Postnatal care: https://www.nice.org.uk/guidance/ng194/chapter/recommendations