A traditional NPA (some of them still have that option) has a step down procedure. In this case you level off and continue to the MAP, where you decide to go around or not. In this case you would not loose ALT, so you won't go below your MDA. With these CDAs of nowadays it gives you the possibility to shoot a NPA faster, easier and with less noise. Only problem is, that you will not level of towards the MAP. When you initiate the go around you will indeed go below the MDA.
As it stands for MINIMUM DECENT ALT, you can not bust it unless you continue with the approach. The 50' is a safe buffer.