NURSING HEALTH ASS APEA TB 2 Exam Questions and Answers 100%correct/verified Rated A+ new update 2023
NURSING HEALTH ASS APEA TB 2 Exam Questions and Answers 100%correct/verified Rated A+ new update 2023 Question: What is the recommendation of American Cancer Society for initial screening of an African-American malefor prostate cancer? Digital rectal exam starting at age 40 yearsPSA starting at age 45 yearsDiscussions starting at age 40-45 years CorrectHe should be screened starting at age 50 years. Explanation: American Cancer Society guidelines recommend beginning screening discussion at age 40-45 years for males at high risk for developing prostate cancer (e.g. a first degree relative with prostate cancer before age65 or African American race). The reason for “screening discussions” is to keep males involved in individual decision making. The PSA threshold is 4.0 ng/mL. Testing is discouraged for males with less than a 10 year expected survival. US Preventive Services Task Force does not recommend screening. Question: What is American Cancer Society’s recommendation for prostate screening in a 70 year-old male? He should be screened annually with PSA only.He should be screened annually with PSA and DRE.He should be screened until he has a life expectancy of less than 10 years. CorrectScreening can stop at age 75years. Explanation: Prostate cancer screening at age 70 years includes both prostate specific antigen measurement (PSA) and digital rectal exam (DRE). Prostate cancer is typically a slow growing tumor, thus if life expectancy is < 10years, screening is not cost-effective. Question: A 70 year-old male presents to your clinic with a lump in his breast. How should this be evaluated? Palpation and ultrasound IncorrectMammogram and ultrasound CorrectUltrasound onlyMammogram only Explanation: This patient has a lump identified in the breast. Since males can develop breast cancer, it must be evaluatedin the same means that a female breast lump would be evaluated. He should have a clinical breast exam to identify the position of the lump, and any other abnormal findings such as nodes or other lumps. Then, he should have mammogram and ultrasound to help evaluate the lump. If
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