A 38-year-old woman comes for preventive care. Her mother had ovarian cancer at 46 and her maternal aunt had breast cancer at 39. She has no breast

Question

A 38-year-old woman comes for preventive care. Her mother had ovarian cancer at 46 and her maternal aunt had breast cancer at 39. She has no breast symptoms and has not had genetic testing. She asks what screening or risk assessment is appropriate now. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Refer for genetic counseling and BRCA-related risk assessment

Answer

Screening breast MRI without risk assessment

Answer

Routine CA-125 testing every 6 months

Answer

Annual pelvic ultrasound as the preferred strategy

Answer

Reassurance because she is younger than 40

Hereditary breast and ovarian cancer risk assessment — USMLE Step 3 MCQ