1. ch 17 Compress the nipple and examine
A patient reports spontaneous discharge from with a magnifying glass.
her left nipple. How would you determine if the
discharge was from one or multiple ducts?
A. Order an ultrasound.
B. Order a mammogram.
C. Compress the nipple and examine with a
magnifying glass.
D. Depress the nipple into the well behind the
areola and observe discharge.
2. Mrs. Harris presents to your office with a com- The response to cortisone
plaint of a red rash on her breast suggestive
of either Paget disease or eczema. Which is a
distinguishing factor between these two prob-
lems?
A. The location of the lesion on the nipple.
B. The presence or absence of crust.
C. The response to cortisone
D. The pattern of fever
3. Mrs. Yates is a 58-year-old patient who pre- Breast cancer mortality is reduced
sents to your office for her yearly physical ex- with mammography screening
amination. She asks you if she really needs
to have mammograms. Which is a correct re-
sponse?
4. Mrs. Ulman is a 56-year-old patient who pre- If malignancy recurs, it may be at the
sents to your office for her routine follow-up scar site.
after having a mastectomy of the right breast
2 years ago. Which statement applies to your
,UTA 5220 Modules 3-4 Questions and Verified Complete Solutions
examination of this patient?
A. Swelling, thickening, and small lumps at the
mastectomy site are expected.
B. The mastectomy site is inspected but not
palpated because of pain.
C. If malignancy recurs, it may be at the scar
site.
D. There is no need to examine the mastecto-
my site.
5. Mrs. Yates is a 58-year-old patient who pre- "every year."
sents to your office for her yearly physical ex-
amination. She asks you how often a mammo-
gram is recommended. The best response by
the examiner is:
A. "every year."
B. "every 3 years."
C. "every 5 years."
D. "every year if you have a family history of
cancer."
6. Mrs. Venin brings her 18-year-old son in for Ask about illicit or prescription drug
a follow-up examination. You have examined use.
him before due to his enlarged breast tissue,
which has not resolved spontaneously. Which
action is most appropriate?
A. Refer him to a surgeon for removal.
B. Explain that it may still resolve sponta-
neously.
,UTA 5220 Modules 3-4 Questions and Verified Complete Solutions
C. Ask about history of sexual activity.
D. Ask about illicit or prescription drug use.
7. Mrs. Harold is a 37-year-old patient who "I feel lumps before my period."
presents for her yearly physical examina-
tion. Which statement made by Mrs. Harold
would make the examiner suspect fibrocystic
changes?
A. "I have a lump in my breast that is not ten-
der."
B. "My right breast is larger than the left
breast."
C. "My nipples are darker than before my baby
was born."
D. "I feel lumps before my period."
8. Mrs. Black brings her 12-year-old daughter in Explain that this is an expected find-
with a complaint of a breast mass. On ex- ing.
amination, you note unilateral breast enlarge-
ment with associated tenderness but no mass.
Which action do you take?
A. Refer for mammogram.
B. Refer for biopsy.
C. Ask the mother about her own breast devel-
opment.
D. Explain that this is an expected finding.
9. Mrs. Newer brings her young child in for a Renal anomalies
yearly physical examination. On examination,
you note a supernumerary nipple. For which
other finding do you need to be alert?
, UTA 5220 Modules 3-4 Questions and Verified Complete Solutions
A. Papillomatosis
B. Duct ectasia
C. Renal anomalies
D. Ambiguous sex organs
10. Mrs. Wolf is a 68-year-old patient who pre- Carcinoma
sents to your office with a complaint of breast
mass. On examination, you note an irregular
hard, fixed breast mass and an inverted nipple.
Which of the following would you suspect?
A. Fibroadenoma
B. Intraductal papilloma
C. Fat necrosis
D. Carcinoma
11. Mrs. Bower, a 56-year-old patient, presents for Supraclavicular fossa
a yearly physical examination. On examina-
tion, you note a fixed mass in the left breast.
Given this finding, which area would you pal-
pate for sentinel nodes?
A. Supraclavicular fossa
B. Inner aspect of the upper arm
C. Posterior chest wall along the border of the
scapula
D. Anterior chest wall along the pectoral mus-
cles
12. Mrs. Harmon brings her 16-year-old son in for Gynecomastia
a routine examination. On examination, you
observe enlarged breast tissue. Which term is