Exam 3 Nur 6001
When examining the breasts of a 45-year-old female patient, you note nodularity
throughout both breasts. There is no dominant mass, tenderness, nipple change, or skin
change. Which of the following condition is most likely?
A. Multiple fibro adenomas
B. Fibrocystic breasts
C. Mastalgia
D. Mastitis - answerA. Multiple Fibro adenomas
Your patient has a rubbery, firm, mobile breast mass. In order to completely exclude the
possibility
of cancer, the triple test is necessary, which includes:
A. CT scan
B. MRI
C. Biopsy
D. All of the above - answerC. Biopsy
A 23-year-old woman is concerned about a mass she found on palpation. Upon
examination of the patient, the mass feels cystic, round, and mobile with discrete
borders. The diagnostic study that is recommended is:
A. CT scan
B. Mammogram
C. Biopsy
D. Ultrasound - answerD. Ultrasound
Which of the following variables is not a component of the Gail Model?
A. Age at menarche
B. Number of breast biopsies
C. Age at first live birth
D. Number of live births - answerD. Number of live births
A 62-year-old female presents with a singular, hard, 1 cm, non-tender, non-mobile mass
in the right breast. There are no nipple or skin changes, however, you palpate an
enlarged right-sided supraclavicular lymph node. The clinician should recognize these
are signs of:
A. Fibroadenoma B. Breast cyst
C. Malignancy
D. Paget's disease - answerC. Malignancy
A 45-year-old female patient presents in the emergency department due to multiple
chest injuries as a result of a motor vehicle accident. There is a palpable, tender,
,irregular 3 cm soft mass located in the left breast, with erythema and swelling of the
breast. Which of the following is indicated?
A. Compression wrap for chest and breast trauma;
B. Mammogram
C. Re-evaluation following complete resolution of obvious injuries
D. Ultrasound - answerMammogram
A 23-year-old female presents with episodic bilateral breast tenderness. Upon
palpation, there are multiple areas of nodularity with no dominant breast mass and no
tenderness, nipple, or skin changes. It is best to recommend:
A. Ultrasound of the breasts
B. Mammogram of the breasts
C. Fine needle aspiration of one nodule within a breast
D. Diary of menstrual cycle and breast symptoms - answerD. Diary of menstrual cycle
and breast symptoms
A 34-year-old female who gave birth 2 weeks ago developed fever and pain in the right
breast while nursing her baby. The patient has tenderness, eythema, and swelling of the
nipple on the right breast. Which of the following diagnostic studies is indicated?
A. White blood cell (WBC) count
B. Breast milk culture
C. Ultrasound
D. Fine needle biopsy - answerA. White Blood Cell Count
Your patient is a 46-year-old woman suffering from psychosis complains of milky
discharge from both her breasts. Upon examination, there are no significant findings
and the patient is not pregnant, breastfeeding, or in the postpartum period. You should:
A. Order CT scan of head to rule out pituitary tumor
B. Obtain a complete list of the patient's medications
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram - answerB obtain a complete list of patient's
mediacations
Your patient is a 36-year-old woman who complains of milky discharge from both her
breasts, episodes of headache, and menstrual irregularity. The patient is on no
medications. Upon examination, there are no significant findings, and the patient is not
pregnant, breastfeeding, or in the postpartum period. It is important to:
A. Order prolactin level
B. Obtain an MRI of head
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram - answerA. Order a prolactin level
Bloody breast discharge is associated with which of the following?
A. Bleeding disorder such as von Willebrand disease
B. Malignancy
C. Excessive non-steroidal anti-inflammatories
, D. AandC - answerB. Malignancy
Your patient is a 64-year-old female who presents with complaints of a red, scaly rash
on her nipple and areola of one breast. It has been present for a few months. There is
no mass or nipple discharge. You should be suspicious of:
A. Contact dermatitis
B. Mastitis
C. Paget's disease
D. Eczema - answerC. Pagets Disease
A 12-year-old boy is brought into the clinic by his mother. The teen boy is embarrassed
because he has developed breast tissue and would like to know if there is any
treatment. The physical examination reveals early stages of puberty, otherwise it is
normal. This presentation is:
A. Associated with a high rate of malignancy
B. Most often due to altered hormonal levels in puberty
C. Commonly indicative of pituitary tumor triggered by puberty
D. Too dense for a mammogram and requires biopsy - answerB
A condition that increases risk of breast cancer in a male is:
A. Pseudogynecomastia
B. BRCA1 and 2
C. Klinefelter's syndrome
D. BandC - answerC. Klinefelter's syndrome
A 52-year-old female complains of discharge from one of her breasts. There is no pain,
no mass, and no skin changes. The physical examination is normal. When putting
pressure on the affected breast, the nipple expresses a small amount of thick, white
discharge. These findings are consistent with:
A. Duct ectasia
B. Mastitis
C. Fibroadenoma
D. Fibrocystic breasts - answerA. Duct ectasia
When performing a dipstick test on a patient's urine sample, a positive leukocyte
esterase and
nitrite is indicative of:
A. Microscopic hematuria
B. Urinary tract infection
C. Calculi in the urine
D. Possible bladder tumor - answerB. Urinary Tract Infection
An intravenous pyelogram should not be performed if serum creatinine is:
A. Less than 1.5
B. Greater than 1.0
C. Greater than 1.6
When examining the breasts of a 45-year-old female patient, you note nodularity
throughout both breasts. There is no dominant mass, tenderness, nipple change, or skin
change. Which of the following condition is most likely?
A. Multiple fibro adenomas
B. Fibrocystic breasts
C. Mastalgia
D. Mastitis - answerA. Multiple Fibro adenomas
Your patient has a rubbery, firm, mobile breast mass. In order to completely exclude the
possibility
of cancer, the triple test is necessary, which includes:
A. CT scan
B. MRI
C. Biopsy
D. All of the above - answerC. Biopsy
A 23-year-old woman is concerned about a mass she found on palpation. Upon
examination of the patient, the mass feels cystic, round, and mobile with discrete
borders. The diagnostic study that is recommended is:
A. CT scan
B. Mammogram
C. Biopsy
D. Ultrasound - answerD. Ultrasound
Which of the following variables is not a component of the Gail Model?
A. Age at menarche
B. Number of breast biopsies
C. Age at first live birth
D. Number of live births - answerD. Number of live births
A 62-year-old female presents with a singular, hard, 1 cm, non-tender, non-mobile mass
in the right breast. There are no nipple or skin changes, however, you palpate an
enlarged right-sided supraclavicular lymph node. The clinician should recognize these
are signs of:
A. Fibroadenoma B. Breast cyst
C. Malignancy
D. Paget's disease - answerC. Malignancy
A 45-year-old female patient presents in the emergency department due to multiple
chest injuries as a result of a motor vehicle accident. There is a palpable, tender,
,irregular 3 cm soft mass located in the left breast, with erythema and swelling of the
breast. Which of the following is indicated?
A. Compression wrap for chest and breast trauma;
B. Mammogram
C. Re-evaluation following complete resolution of obvious injuries
D. Ultrasound - answerMammogram
A 23-year-old female presents with episodic bilateral breast tenderness. Upon
palpation, there are multiple areas of nodularity with no dominant breast mass and no
tenderness, nipple, or skin changes. It is best to recommend:
A. Ultrasound of the breasts
B. Mammogram of the breasts
C. Fine needle aspiration of one nodule within a breast
D. Diary of menstrual cycle and breast symptoms - answerD. Diary of menstrual cycle
and breast symptoms
A 34-year-old female who gave birth 2 weeks ago developed fever and pain in the right
breast while nursing her baby. The patient has tenderness, eythema, and swelling of the
nipple on the right breast. Which of the following diagnostic studies is indicated?
A. White blood cell (WBC) count
B. Breast milk culture
C. Ultrasound
D. Fine needle biopsy - answerA. White Blood Cell Count
Your patient is a 46-year-old woman suffering from psychosis complains of milky
discharge from both her breasts. Upon examination, there are no significant findings
and the patient is not pregnant, breastfeeding, or in the postpartum period. You should:
A. Order CT scan of head to rule out pituitary tumor
B. Obtain a complete list of the patient's medications
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram - answerB obtain a complete list of patient's
mediacations
Your patient is a 36-year-old woman who complains of milky discharge from both her
breasts, episodes of headache, and menstrual irregularity. The patient is on no
medications. Upon examination, there are no significant findings, and the patient is not
pregnant, breastfeeding, or in the postpartum period. It is important to:
A. Order prolactin level
B. Obtain an MRI of head
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram - answerA. Order a prolactin level
Bloody breast discharge is associated with which of the following?
A. Bleeding disorder such as von Willebrand disease
B. Malignancy
C. Excessive non-steroidal anti-inflammatories
, D. AandC - answerB. Malignancy
Your patient is a 64-year-old female who presents with complaints of a red, scaly rash
on her nipple and areola of one breast. It has been present for a few months. There is
no mass or nipple discharge. You should be suspicious of:
A. Contact dermatitis
B. Mastitis
C. Paget's disease
D. Eczema - answerC. Pagets Disease
A 12-year-old boy is brought into the clinic by his mother. The teen boy is embarrassed
because he has developed breast tissue and would like to know if there is any
treatment. The physical examination reveals early stages of puberty, otherwise it is
normal. This presentation is:
A. Associated with a high rate of malignancy
B. Most often due to altered hormonal levels in puberty
C. Commonly indicative of pituitary tumor triggered by puberty
D. Too dense for a mammogram and requires biopsy - answerB
A condition that increases risk of breast cancer in a male is:
A. Pseudogynecomastia
B. BRCA1 and 2
C. Klinefelter's syndrome
D. BandC - answerC. Klinefelter's syndrome
A 52-year-old female complains of discharge from one of her breasts. There is no pain,
no mass, and no skin changes. The physical examination is normal. When putting
pressure on the affected breast, the nipple expresses a small amount of thick, white
discharge. These findings are consistent with:
A. Duct ectasia
B. Mastitis
C. Fibroadenoma
D. Fibrocystic breasts - answerA. Duct ectasia
When performing a dipstick test on a patient's urine sample, a positive leukocyte
esterase and
nitrite is indicative of:
A. Microscopic hematuria
B. Urinary tract infection
C. Calculi in the urine
D. Possible bladder tumor - answerB. Urinary Tract Infection
An intravenous pyelogram should not be performed if serum creatinine is:
A. Less than 1.5
B. Greater than 1.0
C. Greater than 1.6
