Nr 509 - Final Exam Bate's Interactive Question Bank Questions And Correct Verified Answers

NR 509 - FINAL EXAM BATE'S INTERACTIVE
QUESTION BANK QUESTIONS AND
CORRECT VERIFIED ANSWERS
AA244-year-
oldA2femaleA2mathematicianA2presentsA2toA2clinicA2withA2aA2complaintA2ofA2aA2massA2inA2t
heA2rightA2breast.A2HerA2partnerA2noticedA2thisA2massA22A2daysA2ago,A2andA2theA2patientA2
feelsA2guiltyA2becauseA2sheA2hasA2onlyA2hadA2oneA2mammogramA2andA2doesA2notA2enga
geA2inA2breastA2self-
examinationA2(BSE)A2onA2anyA2regularA2basis.A2SheA2hasA2noA2familyA2historyA2ofA2breast
A2cancer,A2andA2herA2priorA2mammogramA2wasA2orderedA2asA2aA2routineA2screeningA2test
A2atA2ageA243A2yearsA2afterA2aA2briefA2discussionA2withA2herA2primaryA2careA2provider.A2Aft
erA2aA2thoroughA2investigationA2revealsA2aA2benignA2cyst,A2whatA2adviceA2shouldA2beA2giv
enA2toA2thisA2patientA2aboutA2screeningA2forA2breastA2cancerA2inA2herA2ageA2group?

a.A2BSEA2isA2wellA2evidenced,A2andA2allA2recommendingA2agenciesA2agreeA2thatA2itA2shou
ldA2beA2taughtA2andA2reinforced.
b.A2ClinicalA2breastA2examinationA2(CBE)A2isA2superiorA2toA2BSEA2andA2shouldA2beA2aA2ro
utineA2partA2ofA2annualA2examinationsA2startingA2atA2ageA230A2years.
c.A2ThisA2patientA2wasA2inA2complianceA2withA2theA2U.S.A2PreventiveA2ServicesA2TaskA2FA
2-A2Ans--
c.A2ThisA2patientA2wasA2inA2complianceA2withA2theA2U.S.A2PreventiveA2ServicesA2TaskA2Fo
rceA2(USPSTF)A2recommendationsA2forA2herA2ageA2groupA2andA2riskA2factorsA2priorA2toA2h
erA2currentA2complaint.

AA242-year-
oldA2femaleA2websiteA2developerA2presentsA2forA2anA2annualA2preventiveA2examinationA2
withA2questionsA2aboutA2breastA2cancerA2screening.A2SheA2isA2concernedA2aboutA2theA2ra
diationA2exposureA2associatedA2withA2mammographyA2andA2isA2interestedA2inA2magneticA
2resonanceA2imagingA2(MRI)A2asA2aA2possibleA2alternativeA2forA2routineA2screening.A2She
A2isA2otherwiseA2healthyA2withA2noA2familyA2historyA2ofA2breast,A2ovarian,A2orA2colonA2canc
er.A2WhichA2ofA2theA2followingA2isA2trueA2aboutA2MRIA2asA2aA2screeningA2modalityA2forA2br
eastA2cancerA2inA2theA2generalA2population?

a.A2BreastA2cancerA2screeningA2byA2MRIA2hasA2beenA2wellA2studiedA2inA2theA2generalA2po
pulation.
b.A2SensitivityA2ofA2screeningA2forA2breastA2cancerA2increasesA2withA2breastA2MRIA2atA2the
A2expenseA2ofA2specificity.
c.A2ThisA2patientA2isA2anA2idealA2candidateA2forA2screeningA2viaA2breastA2MRIA2basedA2onA
2currentA2evidence.
d.A2WomenA2atA2lowA2lifetimeA2riskA2ofA2breastA2cancerA2(<20%)A2areA2recommendedA2toA
2undergoA2screeningA2MRI.

,e.A2KnownA2BRCA1A2orA2BRCA2A2mutationA2isA2insufficientA2cA2-A2Ans--
b.A2SensitivityA2ofA2screeningA2forA2breastA2cancerA2increasesA2withA2breastA2MRIA2atA2the
A2expenseA2ofA2specificity.


AA235-year-
oldA2G0P0A2womanA2presentsA2toA2clinicA2withA2aA2complaintA2ofA2bilateralA2nippleA2disch
arge.A2ThisA2dischargeA2startedA2severalA2weeksA2agoA2andA2hasA2occurredA2atA2irregular
A2intervalsA2sinceA2thatA2time.A2SheA2doesA2notA2complainA2ofA2localA2tenderness,A2rednes
s,A2fever,A2orA2anyA2otherA2systemicA2symptomsA2asideA2fromA2slightlyA2irregularA2periods
A2overA2theA2lastA2fewA2months.A2OnA2examination,A2sheA2isA2ableA2toA2expressA2aA2smallA
2amountA2ofA2discharge,A2whichA2isA2sentA2toA2theA2laboratoryA2andA2foundA2toA2beA2consi
stentA2withA2breastA2milkA2butA2withoutA2anyA2signsA2ofA2bloodA2orA2pus.A2ScreeningA2labo
ratoriesA2areA2alsoA2sent,A2whichA2revealA2aA2normalA2bloodA2count,A2metabolicA2panel,A2t
hyroid-
stimulatingA2hormone,A2andA2humanA2chorionicA2gonadotropinA2(HCG)A2level.A2FurtherA2l
aboratoriesA2areA2stillA2pending.A2WhichA2ofA2theA2followingA2isA2theA2mostA2likelyA2diagno
sis?

a.A2Mastitis
b.A2DuctalA2carcinomaA2inA2situ
c.A2PagetA2diseaseA2ofA2theA2breast
d.A2OccultA2pregnancy
e.A2ProlactinomaA2-A2Ans--e.A2Prolactinoma

AA222-year-
oldA2G0P0A2undergraduateA2studentA2presentsA2toA2clinicA2afterA2findingA2aA2breastA2mas
sA2onA2breastA2self-
examinationA2(BSE)A2atA2home.A2TheA2massA2isA2nontenderA2withoutA2skinA2changes,A2er
ythema,A2orA2overlyingA2swelling.A2SheA2hasA2heardA2thatA2mostA2breastA2cancersA2areA2f
oundA2byA2patientsA2themselves,A2andA2sheA2isA2veryA2concernedA2thatA2sheA2mayA2haveA
2breastA2cancer.A2WhichA2ofA2theA2followingA2isA2trueA2aboutA2BSEA2andA2self-
detectionA2ofA2breastA2cancer?

a.A2MostA2massesA2thatA2womenA2findA2atA2homeA2andA2bringA2toA2aA2provider'sA2attention
A2turnA2outA2toA2beA2malignant.
b.A2ThisA2patientA2isA2moreA2likelyA2toA2findA2aA2fibroadenomaA2thanA2aA2cancerA2onA2self-
examination.
c.A2TheA2mostA2likelyA2breastA2massA2thisA2patientA2isA2likelyA2toA2findA2inA2herselfA2isA2anA
2abscessA2complicatingA2underlyingA2mastitis.
d.A2BecauseA2ofA2thisA2patient'sA2age,A2breastA2massesA2shouldA2notA2beA2pursuedA2withA
2imagingA2andA2diagnosisA2becauseA2theA2riskA2ofA2cancerA2isA2soA2low.
e.A2BSEA2isA2universallyA2recommendedA2becauseA2ofA2veryA2highA2sensitivityA2-A2Ans--
b.A2ThisA2patientA2isA2moreA2likelyA2toA2findA2aA2fibroadenomaA2thanA2aA2cancerA2onA2self-
examination.

,AA248-year-
oldA2femaleA2psychologistA2presentsA2toA2clinicA2withA2concernsA2aboutA2herA2breastA2can
cerA2riskA2afterA2anA2age-
matchedA2cousinA2wasA2recentlyA2diagnosedA2withA2thisA2disease.A2ThisA2cousinA2isA2theA
2thirdA2familyA2memberA2onA2herA2father'sA2sideA2inA2asA2manyA2yearsA2toA2beA2diagnosed
A2withA2breastA2cancer,A2includingA2theA2patient'sA2ownA2father,A2whoA2hadA2surgeryA2andA
2subsequentA2treatmentA23A2yearsA2agoA2forA2breastA2cancer.A2TheA2patientA2hasA2littleA2o
therA2knowledgeA2ofA2herA2familyA2history,A2onlyA2thatA2herA2grandparentsA2independently
A2arrivedA2fromA2EasternA2EuropeA2nearA2theA2endA2ofA2WorldA2WarA2IIA2andA2wereA2amon
gA2veryA2fewA2membersA2ofA2theirA2familyA2thatA2survivedA2theA2war.A2TheA2patientA2hasA2r
eadA2aboutA2testingA2forA2theA2breastA2cancerA2genesA2(BRCA1A2andA2BRCA2)A2andA2de
siresA2furtherA2informationA2aboutA2whetherA2thisA2wouldA2beA2appropriateA2forA2her.A2Whi
chA2ofA2theA2followingA2isA2trueA2aboutA2thisA2patient'sA2indicationsA2forA2BRCAA2testing?

a.A2HerA2familialA2lineageA2isA2irrelevantA2toA2herA2riskA2ofA2BRCAA2genesA2andA2-A2Ans--
d.A2ThisA2patientA2carriesA2severalA2riskA2factorsA2thatA2togetherA2justifyA2BRCAA2testing.

AA268-year-
oldA2formerA2paleontologistA2presentsA2toA2clinicA2withA2concernsA2aboutA2herA2breastA2ca
ncerA2risk.A2HerA2motherA2developedA2theA2diseaseA2inA2herA250sA2andA2diedA2fromA2itA2in
A2herA260s.A2AA2youngerA2cousinA2developedA2theA2diseaseA2aA2fewA2yearsA2agoA2beforeA
2theA2ageA2ofA250A2years,A2butA2thisA2individualA2wasA2notA2testedA2forA2theA2BRCA1A2and
A2BRCA2A2genes.A2InA2addition,A2theA2patientA2sufferedA2fromA2lymphomaA2inA2herA220sA2
andA2hadA2radiationA2toA2theA2chest.A2SheA2didA2takeA2hormoneA2replacementA2therapyA2f
orA2aA2fewA2yearsA2beforeA2dataA2emergedA2thatA2thisA2mayA2contributeA2toA2breastA2canc
erA2risk.A2SheA2hasA2hadA2severalA2abnormalA2mammogramsA2inA2herA250sA2forA2persiste
ntlyA2denseA2breastsA2withA2subtleA2findings,A2butA2follow-
upA2biopsiesA2neverA2showedA2anyA2malignantA2pathology.A2WhichA2ofA2theA2followingA2is
A2trueA2regardingA2magneticA2resonanceA2imagingA2(MRI)A2screeningA2ofA2thisA2patient?


a.A2NoA2agencyA2recommendsA2breastA2MRIA2forA2aA2patientA2suchA2asA2thisA2one,A2whoA2
hasA2moderatelyA2butA2notA2extraordinaryA2riskA2factorsA2forA2bA2-A2Ans--
c.A2RegardlessA2ofA2recommendations,A2theA2highA2sensitivityA2ofA2breastA2MRIA2comesA2
atA2theA2expenseA2ofA2markedlyA2decreasedA2specificityA2(i.e.,A2theA2abilityA2toA2ruleA2outA2
diseaseA2inA2healthyA2breasts).

AA266-year-
oldA2femaleA2museumA2curatorA2presentsA2forA2aA2routineA2annualA2examination.A2OnA2ex
amination,A2aA2notablyA2enlargedA2supraclavicularA2lymphA2nodeA2isA2appreciatedA2onA2th
eA2rightA2side.A2TheA2lymphA2nodeA2isA2nontenderA2andA2feelsA2firmA2andA2rubbery.A2SheA
2deniesA2anyA2localizedA2orA2systemicA2symptomsA2suchA2asA2breastA2lumps,A2fevers,A2or
A2nightA2sweats.A2SheA2hasA2beenA2takingA2conjugatedA2estrogenA2tabletsA2forA29A2yearsA
2sinceA2menopause,A2thoughA2sheA2hasA2notA2takenA2progestinA2compoundsA2sinceA2she
A2hadA2aA2hysterectomyA2forA2heavyA2bleedingA2atA2ageA245A2years.A2WhichA2ofA2theA2follo
wingA2isA2trueA2aboutA2thisA2presentationA2ofA2lymphadenopathy?

, a.A2BreastA2cancerA2alwaysA2presentsA2withA2axillaryA2lymphadenopathyA2becauseA2theA2l
ymphaticsA2ofA2theA2breastA2uniformlyA2drainA2intoA2theA2axilla.
b.A2SupraclavicularA2nodesA2areA2generallyA2consideredA2benignA2andA2requireA2noA2furth
erA2evaluationA2orA2follow-up.
c.A2SupraclavicularA2nodesA2areA2foundA2alongA2theA2anteriorA2edgeA2ofA2theA2trapeziusA2
muscleA2inA2theA2neck.
d.A2Firm,A2-A2Ans--
e.A2MetastaticA2breastA2cancerA2cellsA2mayA2spreadA2directlyA2intoA2theA2infraclavicularA2a
ndA2thenA2supraclavicularA2nodesA2withoutA2firstA2causingA2notableA2changesA2inA2theA2ax
illaryA2nodes.

AA224-year-
oldA2graphicA2designerA2presentsA2toA2clinicA2withA2aA2concernA2forA2aA2breastA2mass.A2AA
2rubbery,A2mobile,A2nontenderA2massA2isA2palpatedA2inA2theA2rightA2breastA2asA2described
A2byA2theA2patient,A2whichA2isA2consistentA2withA2aA2firbroadenoma.A2InA2describingA2theA2l
ocationA2ofA2theA2mass,A2theA2examinerA2notesA2thatA2itA2isA23A2cmA2proximalA2toA2andA23A
2cmA2toA2theA2leftA2ofA2theA2nipple.A2WhichA2ofA2theA2followingA2wouldA2beA2theA2mostA2app
ropriateA2wayA2toA2reportA2thisA2finding?

a.A2"Rubbery,A2mobile,A2nontenderA2massA2locatedA2inA2rightA2breast,A2inA2theA210:30A2po
sitionA2fromA2theA2nipple"
b.A2"Rubbery,A2mobile,A2nontenderA2massA2locatedA2inA2rightA2breast,A2inA2theA2lowerA2out
erA2quadrant"
c.A2"Rubbery,A2mobile,A2nontenderA2massA2locatedA2inA2rightA2breast,A2inA2theA2upperA2inn
erA2quadrant"
d.A2"Rubbery,A2mobile,A2nontenderA2massA2locatedA2inA2theA2leftA2breast,A2upperA2outerA2
quadrant"
e.A2"Rubbery,A2mobile,A2nontenderA2massA2locatedA2inA2rightA2breast,A2inA2theA21:30A2posi
tionA2fromA2theA2nipple"A2-A2Ans--
a.A2"Rubbery,A2mobile,A2nontenderA2massA2locatedA2inA2rightA2breast,A2inA2theA210:30A2po
sitionA2fromA2theA2nipple"

AA254-year-
oldA2femaleA2dieticianA2presentsA2forA2aA2routineA2annualA2examination.A2OnA2reviewA2ofA2
systems,A2sheA2reportsA2thatA2sheA2hasA2hadA2manyA2breastA2findingsA2overA2severalA2ye
ars,A2includingA2oneA2biopsyA2withA2normalA2pathology.A2SheA2feelsA2thatA2herA2breastsA2
haveA2becomeA2farA2lessA2lumpyA2sinceA2sheA2underwentA2menopauseA23A2yearsA2ago.A2
WhichA2ofA2theA2followingA2isA2trueA2regardingA2changesA2inA2theA2breastsA2withA2menopa
use?

a.A2TransformationA2ofA2breastsA2toA2primarilyA2fattyA2tissueA2withA2menopauseA2decreas
esA2theA2sensitivityA2andA2specificityA2ofA2mammograms.
b.A2EstrogenA2inA2hormoneA2replacementA2therapyA2(HRT)A2hasA2noA2effectA2onA2breastA2
densityA2afterA2menopause.
c.A2GlandularA2tissueA2ofA2theA2breastA2atrophiesA2withA2menopause,A2primarilyA2dueA2toA2
decreaseA2inA2theA2numberA2ofA2lobules.