Final Exam | Bates' Interactive Question Bank | Latest 2026
Practice Questions & Verified Answers with Detailed
Explanations | Chamberlain University
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, NR 509 Final Exam | Bates' Interactive Question
Bank | Latest 2026 Practice Questions & Verified
Answers with Detailed Explanations | Chamberlain
University
QUESTION 1
A 44-year-old female mathematician presents to clinic with a complaint of
a mass in the right breast. Her partner noticed this mass 2 days ago, and
the patient feels guilty because she has only had one mammogram and
does not engage in breast self-examination (BSE) on any regular basis. She
has no family history of breast cancer, and her prior mammogram was
ordered as a routine screening test at age 43 years after a brief discussion
with her primary care provider. After a thorough investigation reveals a
benign cyst, what advice should be given to this patient about screening
for breast cancer in her age group?
a. BSE is well evidenced, and all recommending agencies agree that it
should be taught and reinforced.
b. Clinical breast examination (CBE) is superior to BSE and should be a
routine part of annual examinations starting at age 30 years.
c. This patient was in compliance with the U.S. Preventive Services Task
Force (USPSTF) recommendations for her age group and risk factors prior
to her current complaint.
,d. Mammography is most sensitive and specific for women in their 40s,
when breast tissue is still dense enough to image accurately.
e. Breast cancer screening is extremely well studied, and no controversy
exists on the recommended norms for screening and follow-up.
Correct Answer: c. This patient was in compliance with the U.S.
Preventive Services Task Force (USPSTF) recommendations for her age
group and risk factors prior to her current complaint.
Rationale: The USPSTF recommends that women aged 40-49 make an
individual decision about mammography screening based on their values
and risk factors. This patient is 44, has no family history of breast cancer,
and had a mammogram at age 43, which is consistent with USPSTF
guidelines. Option a is incorrect because BSE is no longer routinely
recommended; option d is incorrect because mammography is more
difficult to interpret in dense breast tissue; option e is incorrect because
significant controversy exists.
QUESTION 2
A 42-year-old female website developer presents for an annual preventive
examination with questions about breast cancer screening. She is
concerned about the radiation exposure associated with mammography
and is interested in magnetic resonance imaging (MRI) as a possible
alternative for routine screening. She is otherwise healthy with no family
history of breast, ovarian, or colon cancer. Which of the following is true
, about MRI as a screening modality for breast cancer in the general
population?
a. Breast cancer screening by MRI has been well studied in the general
population.
b. Sensitivity of screening for breast cancer increases with breast MRI at the
expense of specificity.
c. This patient is an ideal candidate for screening via breast MRI based on
current evidence.
d. Women at low lifetime risk of breast cancer (<20%) are recommended to
undergo screening MRI.
e. Known BRCA1 or BRCA2 mutation is insufficient criteria to justify
screening with breast MRI.
Correct Answer: b. Sensitivity of screening for breast cancer increases
with breast MRI at the expense of specificity.
Rationale: MRI has higher sensitivity but lower specificity than
mammography, meaning it detects more cancers but also has more false
positives. Breast MRI is not recommended for the general population
(option a), only for high-risk women with >20% lifetime risk (option d).
BRCA mutations are a criterion for MRI screening (option e incorrect).
QUESTION 3
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