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Practice questions › Adult health: surgery › Breast lumps and nipple discharge

Breast lumps and nipple discharge

A practice question in the style of the AMC Part 1 MCQ exam. Choose your answer to see the explanation.

A 34-year-old woman has milky discharge from both nipples for 2 months. She started risperidone 4 months ago. Her pregnancy test is negative. What is the most likely cause?

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The answer is A: Raised prolactin from the antipsychotic.

Bilateral milky discharge points to a hormonal cause, and antipsychotics such as risperidone raise prolactin.

This question comes from Week 11 of AM Vault: Breast, skin and vessels. That week has 132 more exam-style questions like it, 5 short lessons and 150 flashcards. The course starts free with Week 1 and reaches this topic in week 11, as part of a six-month plan with full mock exams along the way.

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