NR509 Final Exam Questions With Accurate
Answers 2025\2026 A+ Grade
Risk factors for breast cancer
- accurate answers-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
- accurate answers-5-7 days after menses
Mammary duct ectasia
- accurate answers-tendor cords- dilated ducts with surrounding
inflammation and masses. Benign
Documenting breast nodules
- accurate answers-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?
- accurate answers-ribs and intercostal muscles
hard, irregular, poorly circumscribed nodules fixed to the skin or underlying
tissues suggests what?
- accurate answers-Breast Cancer
when hand is pressed against hip and mass becomes fixed it is attatched to
what?
- accurate answers-pectoral fascia
nonpuerperal galactorrhea
- accurate answers-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
- accurate answers-intraductal papilloma, ductal CA in situ, Paget's Disease
Benign ductal discharge include
- accurate answers-clear, serous, black, or nonbloody discharge multiductal
Hidradenitis suppurativa
- accurate answers-sweat gland infection from follicular occlusion
ancanthosis nigricans
- accurate answers-deeply pigmented and velvety axilla d/t obesity, DM, PCOS,
malignant paraneoplastic disorder (rare)
enlarged lymph nodes indicate
- accurate answers-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
- accurate answers-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
- accurate answers--Retraction signs: abnormal contours, skin dimpling,
nipple retraction and deviation
-Skin edema (Peau d'orange sign)
-Paget's Disease of the Nipple (eczema-like lesion on nipple
Answers 2025\2026 A+ Grade
Risk factors for breast cancer
- accurate answers-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
- accurate answers-5-7 days after menses
Mammary duct ectasia
- accurate answers-tendor cords- dilated ducts with surrounding
inflammation and masses. Benign
Documenting breast nodules
- accurate answers-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?
- accurate answers-ribs and intercostal muscles
hard, irregular, poorly circumscribed nodules fixed to the skin or underlying
tissues suggests what?
- accurate answers-Breast Cancer
when hand is pressed against hip and mass becomes fixed it is attatched to
what?
- accurate answers-pectoral fascia
nonpuerperal galactorrhea
- accurate answers-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
- accurate answers-intraductal papilloma, ductal CA in situ, Paget's Disease
Benign ductal discharge include
- accurate answers-clear, serous, black, or nonbloody discharge multiductal
Hidradenitis suppurativa
- accurate answers-sweat gland infection from follicular occlusion
ancanthosis nigricans
- accurate answers-deeply pigmented and velvety axilla d/t obesity, DM, PCOS,
malignant paraneoplastic disorder (rare)
enlarged lymph nodes indicate
- accurate answers-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
- accurate answers-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
- accurate answers--Retraction signs: abnormal contours, skin dimpling,
nipple retraction and deviation
-Skin edema (Peau d'orange sign)
-Paget's Disease of the Nipple (eczema-like lesion on nipple
