A healthy 43-year-old woman has average breast-cancer risk and a normal examination. Her prior screening mammogram at age 41 was negative but

Question

A healthy 43-year-old woman has average breast-cancer risk and a normal examination. Her prior screening mammogram at age 41 was negative but reported heterogeneously dense breasts. She asks for annual MRI instead of another mammogram. Which recommendation best reflects current USPSTF guidance?

Accepted Answer

Continue biennial mammography and discuss the uncertain benefit of supplemental dense-breast imaging

Answer

Replace mammography with annual contrast-enhanced MRI and continue it through age 74

Answer

Defer further mammography until age 50 and reconsider supplemental imaging at that visit

Answer

Use annual whole-breast ultrasonography and discontinue routine mammographic screening through age 74

Answer

Add annual breast ultrasonography to biennial mammography and continue both through age 74

Breast cancer screening — USMLE Step 3 MCQ

A healthy 43-year-old woman has average breast-cancer risk and a normal examination. Her prior screening mammogram at age 41 was negative but reported heterogeneously dense breasts. She asks for annual MRI instead of another mammogram. Which recommendation best reflects current USPSTF guidance?