NR509 final
NR509 final Exam Questions Containing
75 Terms with Definitive Solutions 2024
Risk factors for breast cancer - Answer: 1) age 2) BRCA status 3) breast density on
mammo 4) Hx of breast CA 5) Family Hx 6) reproductive factors affecting duration
of uninterrupted estrogen exposure
Best time to do self-breast exam - Answer: 5-7 days after menses
Mammary duct ectasia - Answer: tendon cords- dilated ducts with surrounding
inflammation and masses. Benign
, NR509 final
Documenting breast nodules - Answer: 1) location 2) size-cm 3) shape- round,
cystic, disclike, irregular contour 4) consistency 5) delimitation- well circumscribed
or not 6) tenderness 7) mobility in relation to skin, fascia, chest wall (check by
moving breast near the mass and watch for dimpling)
A mobile breast mass that becomes fixed when the arm relaxes is attached to
what? - Answer: ribs and intercostal muscles
hard, irregular, poorly circumscribed nodules fixed to the skin or underlying
tissues suggests what? - Answer: Breast Cancer
when hand is pressed against hip and mass becomes fixed it is attached to what? -
Answer: pectoral fascia
nonpuerperal galactorrhea - Answer: milky discharge unrelated to a prior
pregnancy and lactation.
Causes include hypothyroidism, pituitary prolactinoma, and drugs that are
dopamine agonists, including many psychotropic agents and phenothiazines
unilateral bloody nipple discharge from 1-2 ducts indicate - Answer: intraductal
papilloma, ductal CA in situ, Paget's Disease
Benign ductal discharge include - Answer: clear, serous, black, or nonblood
discharge multiductal
, NR509 final
Hidradenitis suppurativa - Answer: sweat gland infection from follicular occlusion
acanthosis nigricans - Answer: deeply pigmented and velvety axilla d/t obesity,
DM, PCOS, malignant paraneoplastic disorder (rare)
enlarged lymph nodes indicate - Answer: infection of the hand/arm, recent
immunizations/skin test, generalized lymphadenopathy
Check epitrochlear nodes medial to the elbow and other groups of nodes
Nodes that suggest malignancy - Answer: larger than 1-2cm firm and hard, matted
or fixed to the skin
pectoral nodes- palpate inside the border of the pectoral muscle
lateral nodes- high in axilla, upper humerus
subscapular- stand behind pt and feel inside the muscle of the post axillary fold
infra/supraclavicular
visible signs of breast cancer - Answer: -Retraction signs: abnormal contours, skin
dimpling, nipple retraction and deviation
-Skin edema (Peau d'orange sign)
NR509 final Exam Questions Containing
75 Terms with Definitive Solutions 2024
Risk factors for breast cancer - Answer: 1) age 2) BRCA status 3) breast density on
mammo 4) Hx of breast CA 5) Family Hx 6) reproductive factors affecting duration
of uninterrupted estrogen exposure
Best time to do self-breast exam - Answer: 5-7 days after menses
Mammary duct ectasia - Answer: tendon cords- dilated ducts with surrounding
inflammation and masses. Benign
, NR509 final
Documenting breast nodules - Answer: 1) location 2) size-cm 3) shape- round,
cystic, disclike, irregular contour 4) consistency 5) delimitation- well circumscribed
or not 6) tenderness 7) mobility in relation to skin, fascia, chest wall (check by
moving breast near the mass and watch for dimpling)
A mobile breast mass that becomes fixed when the arm relaxes is attached to
what? - Answer: ribs and intercostal muscles
hard, irregular, poorly circumscribed nodules fixed to the skin or underlying
tissues suggests what? - Answer: Breast Cancer
when hand is pressed against hip and mass becomes fixed it is attached to what? -
Answer: pectoral fascia
nonpuerperal galactorrhea - Answer: milky discharge unrelated to a prior
pregnancy and lactation.
Causes include hypothyroidism, pituitary prolactinoma, and drugs that are
dopamine agonists, including many psychotropic agents and phenothiazines
unilateral bloody nipple discharge from 1-2 ducts indicate - Answer: intraductal
papilloma, ductal CA in situ, Paget's Disease
Benign ductal discharge include - Answer: clear, serous, black, or nonblood
discharge multiductal
, NR509 final
Hidradenitis suppurativa - Answer: sweat gland infection from follicular occlusion
acanthosis nigricans - Answer: deeply pigmented and velvety axilla d/t obesity,
DM, PCOS, malignant paraneoplastic disorder (rare)
enlarged lymph nodes indicate - Answer: infection of the hand/arm, recent
immunizations/skin test, generalized lymphadenopathy
Check epitrochlear nodes medial to the elbow and other groups of nodes
Nodes that suggest malignancy - Answer: larger than 1-2cm firm and hard, matted
or fixed to the skin
pectoral nodes- palpate inside the border of the pectoral muscle
lateral nodes- high in axilla, upper humerus
subscapular- stand behind pt and feel inside the muscle of the post axillary fold
infra/supraclavicular
visible signs of breast cancer - Answer: -Retraction signs: abnormal contours, skin
dimpling, nipple retraction and deviation
-Skin edema (Peau d'orange sign)
