NR509 final Questions With Complete Solutions

Risk factors for breast cancer correct answer: 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 correct answer: 5-7 days after menses Mammary duct ectasia correct answer: tendor cords- dilated ducts with surrounding inflammation and masses. Benign Documenting breast nodules correct answer: 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? correct answer: ribs and intercostal muscles hard, irregular, poorly circumscribed nodules fixed to the skin or underlying tissues suggests what? correct answer: Breast Cancer when hand is pressed against hip and mass becomes fixed it is attatched to what? correct answer: pectoral fascia nonpuerperal galactorrhea correct answer: 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 duc