NR 509: FINAL EXAM PRACTICE QUESTIONS &
ANSWERS 100% CORRECT (FULLY SOLVED
CHAPTER 18: Breasts & Axillae
A 22-year-old G0P0 undergraduate student presents to clinic
after finding a breast mass on breast self-examination (BSE) at
home. The mass is nontender without skin changes, erythema,
or overlying swelling. She has heard that most breast cancers are
found by patients themselves, and she is very concerned that
she may have breast cancer. Which of the following is true about
BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a
provider's attention turn out to be malignant.
b. This patient is more likely to find a fibroadenoma than a
cancer on self-examination.
c. The most likely breast mass this patient is likely to find in
herself is an abscess complicating underlying mastitis.
d. Because of this patient's age, breast masses should not be
pursued with imaging and diagnosis because the risk of cancer is
so low.
,e. BSE is universally recommended b - correct answer-
b. This patient is more likely to find a fibroadenoma than a
cancer on self-examination.
CHAPTER 18: Breasts & Axillae
A 24-year-old graphic designer presents to clinic with a concern
for a breast mass. A rubbery, mobile, nontender mass is
palpated in the right breast as described by the patient, which is
consistent with a firbroadenoma. In describing the location of
the mass, the examiner notes that it is 3 cm proximal to and 3
cm to the left of the nipple. Which of the following would be the
most appropriate way to report this finding?
a. "Rubbery, mobile, nontender mass located in right breast, in
the 10:30 position from the nipple"
b. "Rubbery, mobile, nontender mass located in right breast, in
the lower outer quadrant"
c. "Rubbery, mobile, nontender mass located in right breast, in
the upper inner quadrant"
d. "Rubbery, mobile, nontender mass located in the left breast,
upper outer quadrant"
e. "Rubbery, mobile, nontender mass located in right breast, in
the 1:30 position from the nipple" - correct answer-
,a. "Rubbery, mobile, nontender mass located in right breast, in
the 10:30 position from the nipple"
CHAPTER 18: Breasts & Axillae
A 35-year-old G0P0 woman presents to clinic with a complaint of
bilateral nipple discharge. This discharge started several weeks
ago and has occurred at irregular intervals since that time. She
does not complain of local tenderness, redness, fever, or any
other systemic symptoms aside from slightly irregular periods
over the last few months. On examination, she is able to express
a small amount of discharge, which is sent to the laboratory and
found to be consistent with breast milk but without any signs of
blood or pus. Screening laboratories are also sent, which reveal
a normal blood count, metabolic panel, thyroid-stimulating
hormone, and human chorionic gonadotropin (HCG) level.
Further laboratories are still pending. Which of the following is
the most likely diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma - correct answer- e. Prolactinoma
, CHAPTER 18: Breasts & Axillae
A 42-year-old female website developer presents for an annual
preventive examination with questions about breast cancer
screening. She is concerned about the radiation exposure
associated with mammography and is interested in magnetic
resonance imaging (MRI) as a possible alternative for routine
screening. She is otherwise healthy with no family history of
breast, ovarian, or colon cancer. Which of the following is true
about MRI as a screening modality for breast cancer in the
general population?
a. Breast cancer screening by MRI has been well studied in the
general population.
b. Sensitivity of screening for breast cancer increases with breast
MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via breast MRI
based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%) are
recommended to undergo screening MRI.
e. Known BRCA1 or B - correct answer- b.
Sensitivity of screening for breast cancer increases with breast
MRI at the expense of specificity.
ANSWERS 100% CORRECT (FULLY SOLVED
CHAPTER 18: Breasts & Axillae
A 22-year-old G0P0 undergraduate student presents to clinic
after finding a breast mass on breast self-examination (BSE) at
home. The mass is nontender without skin changes, erythema,
or overlying swelling. She has heard that most breast cancers are
found by patients themselves, and she is very concerned that
she may have breast cancer. Which of the following is true about
BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a
provider's attention turn out to be malignant.
b. This patient is more likely to find a fibroadenoma than a
cancer on self-examination.
c. The most likely breast mass this patient is likely to find in
herself is an abscess complicating underlying mastitis.
d. Because of this patient's age, breast masses should not be
pursued with imaging and diagnosis because the risk of cancer is
so low.
,e. BSE is universally recommended b - correct answer-
b. This patient is more likely to find a fibroadenoma than a
cancer on self-examination.
CHAPTER 18: Breasts & Axillae
A 24-year-old graphic designer presents to clinic with a concern
for a breast mass. A rubbery, mobile, nontender mass is
palpated in the right breast as described by the patient, which is
consistent with a firbroadenoma. In describing the location of
the mass, the examiner notes that it is 3 cm proximal to and 3
cm to the left of the nipple. Which of the following would be the
most appropriate way to report this finding?
a. "Rubbery, mobile, nontender mass located in right breast, in
the 10:30 position from the nipple"
b. "Rubbery, mobile, nontender mass located in right breast, in
the lower outer quadrant"
c. "Rubbery, mobile, nontender mass located in right breast, in
the upper inner quadrant"
d. "Rubbery, mobile, nontender mass located in the left breast,
upper outer quadrant"
e. "Rubbery, mobile, nontender mass located in right breast, in
the 1:30 position from the nipple" - correct answer-
,a. "Rubbery, mobile, nontender mass located in right breast, in
the 10:30 position from the nipple"
CHAPTER 18: Breasts & Axillae
A 35-year-old G0P0 woman presents to clinic with a complaint of
bilateral nipple discharge. This discharge started several weeks
ago and has occurred at irregular intervals since that time. She
does not complain of local tenderness, redness, fever, or any
other systemic symptoms aside from slightly irregular periods
over the last few months. On examination, she is able to express
a small amount of discharge, which is sent to the laboratory and
found to be consistent with breast milk but without any signs of
blood or pus. Screening laboratories are also sent, which reveal
a normal blood count, metabolic panel, thyroid-stimulating
hormone, and human chorionic gonadotropin (HCG) level.
Further laboratories are still pending. Which of the following is
the most likely diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma - correct answer- e. Prolactinoma
, CHAPTER 18: Breasts & Axillae
A 42-year-old female website developer presents for an annual
preventive examination with questions about breast cancer
screening. She is concerned about the radiation exposure
associated with mammography and is interested in magnetic
resonance imaging (MRI) as a possible alternative for routine
screening. She is otherwise healthy with no family history of
breast, ovarian, or colon cancer. Which of the following is true
about MRI as a screening modality for breast cancer in the
general population?
a. Breast cancer screening by MRI has been well studied in the
general population.
b. Sensitivity of screening for breast cancer increases with breast
MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via breast MRI
based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%) are
recommended to undergo screening MRI.
e. Known BRCA1 or B - correct answer- b.
Sensitivity of screening for breast cancer increases with breast
MRI at the expense of specificity.
