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MCN 538 Exam 3 Actual Exam Newest 2026/2027
Complete Questions And Correct Detailed Answers
(Verified Answers) |Brand New Version!!
Because maternal plasma volume expands by 50%, ______ decreases, thus
causing higher levels of free metabolically active drugs -
ANSWER-Albumin
At what age do fibroadenomas typically occur? - SOLUTION=Adolescent girls
and women under 30
Fluid filled lesions in the terminal duct or lobule of the breast that forms from
obstruction, involution, or aging of the ducts. May be palpable, no palpable, simple
or complex - SOLUTION=Breast cyst
These breast lesions often fluctuate with the menstrual cycle and are more common
in the luteal phase. Peak incidence is in women 35-50. Postmenopausal women on
hormone therapy may have palpable ones. ones that persist and grow require
further eval. Ones that have a thick wall and are hyperechoic on US, have a 10 fold
increase of breast cancer. - SOLUTION=Breast cysts
Mixture of stroma and glandular tissue. Account for less than 1% of breast masses.
occur in women 30-50 - SOLUTION=Phyllodes tumor
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What is the management for a phyllodes tumor? - SOLUTION=Excisional biopsy
to eliminate risk of malignancy and to prevent reoccurrence
Nodular or glandular changes in breast that are typically bilateral and increase
during menstrual cycle. Most common benign breast condition -
SOLUTION=Fibrocystic breasts
What is the classic symptom of fibrocystic breasts? - SOLUTION=Cyclical
bilateral breast pain
What are some clinical symptoms of fibrocystic breasts? - SOLUTION=Increased
breast engorgement and density, excessive nodularity, fluctuation of cystic area
size, increased tenderness, and spontaneous nipple discharge (infrequent)
This is a spontaneous milky nipple discharge unrelated to pregnancy or nursing
that occurs 1 year after weaning infant - SOLUTION=Galactorrhea
What is the primary cause of galactorrhea? - SOLUTION=Hyperprolactinemia
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If galactorrhea is present, when is malignancy likely? - SOLUTION=When over
age 60, spontaneous, arises from single duct, is blood stained, unilateral, and
persistent.
What makes malignancy more common in galactorrhea? - SOLUTION=AGE
Underlying malignancy is present in 32% of women over the age of 60 and in only
3% of women under 40 when nipple discharge is the only presenting symptom, age
is important.
This broad based or pedunculated polyploid epithelial breast lesion is most
commonly diagnosed in perimenopausal women and often obstructs or distends the
involved duct - SOLUTION=Intraductal papilloma
What is the clinical presentation of a intraductal papilloma? -
SOLUTION=Intermittent but spontaneous watery, serous or bloody discharge from
1 nipple involving 1 or 2 ducts. The discharge can be watery, serous, or bloody,
and of variable volume.
Where are 75% of intraductal papillomas found? - SOLUTION=Under areola, are
small and soft, and are difficult to palpate
MCN 538 Exam 3 Actual Exam Newest 2026/2027
Complete Questions And Correct Detailed Answers
(Verified Answers) |Brand New Version!!
Because maternal plasma volume expands by 50%, ______ decreases, thus
causing higher levels of free metabolically active drugs -
ANSWER-Albumin
At what age do fibroadenomas typically occur? - SOLUTION=Adolescent girls
and women under 30
Fluid filled lesions in the terminal duct or lobule of the breast that forms from
obstruction, involution, or aging of the ducts. May be palpable, no palpable, simple
or complex - SOLUTION=Breast cyst
These breast lesions often fluctuate with the menstrual cycle and are more common
in the luteal phase. Peak incidence is in women 35-50. Postmenopausal women on
hormone therapy may have palpable ones. ones that persist and grow require
further eval. Ones that have a thick wall and are hyperechoic on US, have a 10 fold
increase of breast cancer. - SOLUTION=Breast cysts
Mixture of stroma and glandular tissue. Account for less than 1% of breast masses.
occur in women 30-50 - SOLUTION=Phyllodes tumor
,2 | Page
What is the management for a phyllodes tumor? - SOLUTION=Excisional biopsy
to eliminate risk of malignancy and to prevent reoccurrence
Nodular or glandular changes in breast that are typically bilateral and increase
during menstrual cycle. Most common benign breast condition -
SOLUTION=Fibrocystic breasts
What is the classic symptom of fibrocystic breasts? - SOLUTION=Cyclical
bilateral breast pain
What are some clinical symptoms of fibrocystic breasts? - SOLUTION=Increased
breast engorgement and density, excessive nodularity, fluctuation of cystic area
size, increased tenderness, and spontaneous nipple discharge (infrequent)
This is a spontaneous milky nipple discharge unrelated to pregnancy or nursing
that occurs 1 year after weaning infant - SOLUTION=Galactorrhea
What is the primary cause of galactorrhea? - SOLUTION=Hyperprolactinemia
, 3 | Page
If galactorrhea is present, when is malignancy likely? - SOLUTION=When over
age 60, spontaneous, arises from single duct, is blood stained, unilateral, and
persistent.
What makes malignancy more common in galactorrhea? - SOLUTION=AGE
Underlying malignancy is present in 32% of women over the age of 60 and in only
3% of women under 40 when nipple discharge is the only presenting symptom, age
is important.
This broad based or pedunculated polyploid epithelial breast lesion is most
commonly diagnosed in perimenopausal women and often obstructs or distends the
involved duct - SOLUTION=Intraductal papilloma
What is the clinical presentation of a intraductal papilloma? -
SOLUTION=Intermittent but spontaneous watery, serous or bloody discharge from
1 nipple involving 1 or 2 ducts. The discharge can be watery, serous, or bloody,
and of variable volume.
Where are 75% of intraductal papillomas found? - SOLUTION=Under areola, are
small and soft, and are difficult to palpate
