NR509 FINAL Bates Questions Study
Set UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
44 year old female mathematician c/o mass to right breast. no
family history of breast cancer. benign cyst shown. what advice
should be given about screening? - Answer: this patient was in
compliance with the U.S. Preventative Services Task Force
(USPSTF) recommendations for her age group and risk factors
prior to her current complaint.
42 year old female website developer. has questions about
breast cancer screening. concerned about radiation exposure.
which of the following is true about MRI as a screening modality
for breast cancer in the general population? - Answer:
sensitivity screening for breast cancer increases with breast MRI
at the expense of specificity.
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? - Answer:
Prolactinoma
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? - Answer: This
patient is more likely to find a fibroadenoma than a cancer on
self-examination
48 year old psychologist concerns about breast cancer risk after
an age-marched cousin recently diagnosed. patient read about
testing for breast cancer genes (BRCA1 and BRCA2) and desires
further information about whether this would be appropriate
for her. Which of the following is true about this patient's
indications for BRCA testing? - Answer: this patient carries
several risk factors that together justify BRCA testing.
A 68-year-old former paleontologist presents to clinic with
, concerns about her breast cancer risk. Her mother developed
the disease in her 50s and died from it in her 60s. A younger
cousin developed the disease a few years ago before the age of
50 years, but this individual was not tested for the BRCA1 and
BRCA2 genes. In addition, the patient suffered from lymphoma
in her 20s and had radiation to the chest. She did take hormone
replacement therapy for a few years before data emerged that
this may contribute to breast cancer risk. She has had several
abnormal mammograms in her 50s for persistently dense
breasts with subtle findings, but follow-up biopsies never
showed any malignant pathology. Which of the following is true
regarding magnetic resonance imaging (MRI) screening of this
patient? - Answer: Regardless of recommendations, the high
sensitivity of breast MRI comes at the expense of markedly
decreased specificity (i.e. the ability to rule out disease in
healthy breasts).
66 year old female museum curator presents for a routine
annual examination. on examination, a notably enlarged
supraclavicular lymph node is appreciated on the right side. non
tender and feels firm and rubbery. denies any localized or
systemic symptoms. has been taking estrogen for 9 years since
menopause. Which of the following is true about this
presentation of lymphadenopathy? - Answer: Metastatic breast
cancer cells may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable changes in
the axillary nodes.
24 year old graphic designer presents to the clinic with a
Set UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
44 year old female mathematician c/o mass to right breast. no
family history of breast cancer. benign cyst shown. what advice
should be given about screening? - Answer: this patient was in
compliance with the U.S. Preventative Services Task Force
(USPSTF) recommendations for her age group and risk factors
prior to her current complaint.
42 year old female website developer. has questions about
breast cancer screening. concerned about radiation exposure.
which of the following is true about MRI as a screening modality
for breast cancer in the general population? - Answer:
sensitivity screening for breast cancer increases with breast MRI
at the expense of specificity.
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? - Answer:
Prolactinoma
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? - Answer: This
patient is more likely to find a fibroadenoma than a cancer on
self-examination
48 year old psychologist concerns about breast cancer risk after
an age-marched cousin recently diagnosed. patient read about
testing for breast cancer genes (BRCA1 and BRCA2) and desires
further information about whether this would be appropriate
for her. Which of the following is true about this patient's
indications for BRCA testing? - Answer: this patient carries
several risk factors that together justify BRCA testing.
A 68-year-old former paleontologist presents to clinic with
, concerns about her breast cancer risk. Her mother developed
the disease in her 50s and died from it in her 60s. A younger
cousin developed the disease a few years ago before the age of
50 years, but this individual was not tested for the BRCA1 and
BRCA2 genes. In addition, the patient suffered from lymphoma
in her 20s and had radiation to the chest. She did take hormone
replacement therapy for a few years before data emerged that
this may contribute to breast cancer risk. She has had several
abnormal mammograms in her 50s for persistently dense
breasts with subtle findings, but follow-up biopsies never
showed any malignant pathology. Which of the following is true
regarding magnetic resonance imaging (MRI) screening of this
patient? - Answer: Regardless of recommendations, the high
sensitivity of breast MRI comes at the expense of markedly
decreased specificity (i.e. the ability to rule out disease in
healthy breasts).
66 year old female museum curator presents for a routine
annual examination. on examination, a notably enlarged
supraclavicular lymph node is appreciated on the right side. non
tender and feels firm and rubbery. denies any localized or
systemic symptoms. has been taking estrogen for 9 years since
menopause. Which of the following is true about this
presentation of lymphadenopathy? - Answer: Metastatic breast
cancer cells may spread directly into the infraclavicular and then
supraclavicular nodes without first causing notable changes in
the axillary nodes.
24 year old graphic designer presents to the clinic with a
