1|Page
NU 518 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A 14-year-old junior high school student is brought in by his
mother and father because he seems to be developing breasts.
The mother is upset because she read on the Internet that
smoking marijuana leads to breast enlargement in males. The
young man adamantly denies using any tobacco, alcohol, or
drugs. He has recently noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health. He has two
older brothers who never had this problem. On examination you
see a mildly overweight teenager with enlarged breast tissue that
is slightly tender on both sides. Otherwise his examination is
normal. He is agreeable to taking a drug test.What is the most
likely cause of his gynecomastia?
A) Breast cancer
B) Imbalance of hormones of puberty
C) Drug use - ANSWER-B) Imbalance of hormones of puberty
Approximately one third of teenage boys develop gynecomastia
during puberty. It is not surprising that the two older brothers did
not have this.
,2|Page
A patient is concerned about a dark skin lesion on her
anterolateral abdomen. It has not changed, and there is no
discharge or bleeding. On examination there is a medium brown
circular lesion on the anterolateral wall of the abdomen. It is soft,
has regular borders, is evenlypigmented, and is about 7 mm in
diameter. What is this lesion?A) MelanomaB) Dysplastic nevusC)
Supernumerary nippleD) Dermatofibroma - ANSWER-C)
Supernumerary nipple
This represents a supernumerary nipple. These occur along the
"milk line" and do not exhibit features of more concerning lesions.
A 30-year-old man notices a firm, 2-cm mass under his areola. He
has no other symptomsand no diagnosis of breast cancer in his
first-degree relatives. What is the most likely diagnosis?
A) Breast tissue
B) Fibrocystic disease
C) Breast cancer
D) Lymph node - ANSWER-A) Breast tissue
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Approximately one third of adult men will have palpable breast
tissue under the areola. While males can have breast cancer, this
is much less common. There are no lymph nodes in this area.
Which of the following lymph node groups is most commonly
involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central - ANSWER-D) Central
The central nodes at the apex of the axilla are most commonly
involved in breast cancer. The axilla can be viewed roughly as a
four-sided pyramid. An examination covering all sides and the
apex is unlikely to miss a significant node.
When should a woman conduct breast self-examination with
respect to her menses?
A) Five to seven days following her menses
B) Midcycle
C) Immediately prior to menses
, 4|Page
D) During her menses - ANSWER-A) Five to seven days following
her menses
The breast examination should be conducted during the time with
the least estrogen stimulation of the breast tissue. This
corresponds to five to seven days following menses.
Mrs. Patton, a 48-year-old woman, comes to your office with a
complaint of a breast mass. Without any other information, what is
the risk of this mass being cancerous?
A) About 10%
B) About 20%
C) About 30%
D) About 40% - ANSWER-A) About 10%
Eleven percent of women presenting with a breast mass will have
breast cancer. This statistic can be reassuring to a patient, but the
importance of further studies must be emphasized.
How often, according to American Cancer Society
recommendations, should a woman undergo a screening breast
examination by a skilled clinician?
NU 518 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A 14-year-old junior high school student is brought in by his
mother and father because he seems to be developing breasts.
The mother is upset because she read on the Internet that
smoking marijuana leads to breast enlargement in males. The
young man adamantly denies using any tobacco, alcohol, or
drugs. He has recently noticed changes in his penis, testicles, and
pubic hair pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health. He has two
older brothers who never had this problem. On examination you
see a mildly overweight teenager with enlarged breast tissue that
is slightly tender on both sides. Otherwise his examination is
normal. He is agreeable to taking a drug test.What is the most
likely cause of his gynecomastia?
A) Breast cancer
B) Imbalance of hormones of puberty
C) Drug use - ANSWER-B) Imbalance of hormones of puberty
Approximately one third of teenage boys develop gynecomastia
during puberty. It is not surprising that the two older brothers did
not have this.
,2|Page
A patient is concerned about a dark skin lesion on her
anterolateral abdomen. It has not changed, and there is no
discharge or bleeding. On examination there is a medium brown
circular lesion on the anterolateral wall of the abdomen. It is soft,
has regular borders, is evenlypigmented, and is about 7 mm in
diameter. What is this lesion?A) MelanomaB) Dysplastic nevusC)
Supernumerary nippleD) Dermatofibroma - ANSWER-C)
Supernumerary nipple
This represents a supernumerary nipple. These occur along the
"milk line" and do not exhibit features of more concerning lesions.
A 30-year-old man notices a firm, 2-cm mass under his areola. He
has no other symptomsand no diagnosis of breast cancer in his
first-degree relatives. What is the most likely diagnosis?
A) Breast tissue
B) Fibrocystic disease
C) Breast cancer
D) Lymph node - ANSWER-A) Breast tissue
,3|Page
Approximately one third of adult men will have palpable breast
tissue under the areola. While males can have breast cancer, this
is much less common. There are no lymph nodes in this area.
Which of the following lymph node groups is most commonly
involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central - ANSWER-D) Central
The central nodes at the apex of the axilla are most commonly
involved in breast cancer. The axilla can be viewed roughly as a
four-sided pyramid. An examination covering all sides and the
apex is unlikely to miss a significant node.
When should a woman conduct breast self-examination with
respect to her menses?
A) Five to seven days following her menses
B) Midcycle
C) Immediately prior to menses
, 4|Page
D) During her menses - ANSWER-A) Five to seven days following
her menses
The breast examination should be conducted during the time with
the least estrogen stimulation of the breast tissue. This
corresponds to five to seven days following menses.
Mrs. Patton, a 48-year-old woman, comes to your office with a
complaint of a breast mass. Without any other information, what is
the risk of this mass being cancerous?
A) About 10%
B) About 20%
C) About 30%
D) About 40% - ANSWER-A) About 10%
Eleven percent of women presenting with a breast mass will have
breast cancer. This statistic can be reassuring to a patient, but the
importance of further studies must be emphasized.
How often, according to American Cancer Society
recommendations, should a woman undergo a screening breast
examination by a skilled clinician?
