Age Groups
Red Flags
Investigations & Referrals
100

What is the most common benign breast lump in women <30?

Fibroadenoma

100
What is the name of the skin change that resembles an orange peel?

Peau d'orange

100

What referral pathway would be used for suspected breast cancer?

2WW

200

What is the age range that breast cysts are most common among?

30-50 y/o

200

What is the most concerning type of nipple discharge?

Bloody discharge

200
What is included within a triple assessment?

Clinical exam, imaging and biopsy

300

What is the minimum cut off age that requires an urgent referral for an unexplained breast lump?

>30 y/o

300

What specific breast lump characteristics would you most be worried about?

Hard, irregular and fixed

300

Which imaging modality is best at distinguishing solid from cystic breast lumps?

Ultrasound

400

What is the most appropriate first-line imaging for a breast lump in a 25 y/o?

Ultrasound

400

What lymph node group should you always examine in a breast assessment?

Axillary lymph nodes

400

What is the appropriate management for a simple, asymptomatic breast cyst within a primary care setting?

Reassurance and conservative management

500

Why does breast cancer risk increase with age?

Accumulation of genetic mutations and reduced hormonal protection

500

What unilateral symptom should never be ignored even if imaging is normal?

Persistent nipple retraction or skin changes

500

What do ALL GPs need to do as a form of protection for themselves and their patients?

Safety netting!