N400 Final Exam Questions & Answers
100% Verified!!
How to teach a patient to perform monthly BSE - ANSWER1. Patient should perform BSE monthly, 5-7
days after onset of menses.
2. The patient should lie supine with a pillow under the shoulder of the side she will be examining
with her arm above her head.
3. A vertical strip pattern is the recommended method, but more importantly, the patient should use
the same method every time.
4. Firm pressure with the first 3 fingerpads should be used in concentric circles, from the underarm
to the sternum and from the collar bone to the ribcage.
5. Patient should also inspect breasts by standing in front of a mirror with hands pressed firmly on
hips. Then, raise arm above the head slightly and palpate.
fibroadenoma - ANSWER-Occurs during reproductive years, usually 15-25 but up to 55
-benign breast tumor
-smooth, rubbery, very mobile, nontender
-round, disclike, or lobular
-usually singular, well delineated
-no signs of retraction
-no fluctuation with menstrual cycle
breast cyst - ANSWER-Occurs age 35-50 years and usually regresses after menopause (unless using
HRT)
-fluid or semi-solid filled nodule
-soft to firm, round, mobile, tender, elastic
-single or multiple, well delineated
-no signs of retraction
-increase in nodular size before onset of monthly menstruation
-caffeine can increase tenderness
,breast cancer - ANSWER-Age of onset 30-90, most common after 50
-uncontrolled growth of malignant cells
-irregular or stellate, firm or hard, nontender
-may be fixed to skin or underlying tissue
-not clearly delineated
-may have signs of retraction
-usually single but may coexist with other nodules
-often occurs in the tail of spence (upper outer quadrant of the axilla)
peau d'Orange - ANSWERthickened skin with enlarged pores due to edema, usually seen on the
lower portion of the breast or areola and is associated with malignancy
supranumerary nipple - ANSWERextra nipple located along the milk line; often mistaken for a
common mole. May have underlying glandular tissue. Is not pathologically significant
Structures located in RUQ abdomen - ANSWER-liver
-gallbladder
-duodenum
-aorta
-xiphoid
-head of pancreas
-lower pole of R kidney
-part of the ascending colon
- part of the transverse colon
Structures located in LUQ abdomen - ANSWER-spleen
-stomach
-body of pancreas
- L lobe of liver
-L adrenal
- upper pole of L kidney
, -part of transverse colon
Structures located in RLQ abdomen - ANSWER-appendix
-cecum
-part of ascending colon
-R fallopian tube
-R ureter
-R spermatic cord
Structures located in LLQ abdomen - ANSWER-sigmoid colon
-parts of transverse and descending colon
-lower pole of L kidney
-L fallopian tube
-L spermatic cord
-L ureter
-bladder
-sacral promontory
-S1 vertebra
Rovsing's sign - ANSWERdeep pressure to the LLQ with quick withdrawal that causes pain in the RLQ
is a positive sign for appendicitis
Psoas sign - ANSWERincreasing abdominal pain when either raising the thigh against your hand or
extending the right leg at the hip while lying on the left side is positive for appendicitis
Obturator sign - ANSWERRight hypogastric pain while flexing the right thigh at the hip and rotating
the leg internally at the hip is a positive sign for appendicitis
Murphy's sign - ANSWERSharp increase in abdominal pain when patient takes a deep breath with
fingers hooked at area of the liver/gallbladder is a positive sign of cholecystitis
Gray-Turner's sign - ANSWERbruising of the flank that may indicate a peritoneal bleed or
hemorrhagic pancreatitis
100% Verified!!
How to teach a patient to perform monthly BSE - ANSWER1. Patient should perform BSE monthly, 5-7
days after onset of menses.
2. The patient should lie supine with a pillow under the shoulder of the side she will be examining
with her arm above her head.
3. A vertical strip pattern is the recommended method, but more importantly, the patient should use
the same method every time.
4. Firm pressure with the first 3 fingerpads should be used in concentric circles, from the underarm
to the sternum and from the collar bone to the ribcage.
5. Patient should also inspect breasts by standing in front of a mirror with hands pressed firmly on
hips. Then, raise arm above the head slightly and palpate.
fibroadenoma - ANSWER-Occurs during reproductive years, usually 15-25 but up to 55
-benign breast tumor
-smooth, rubbery, very mobile, nontender
-round, disclike, or lobular
-usually singular, well delineated
-no signs of retraction
-no fluctuation with menstrual cycle
breast cyst - ANSWER-Occurs age 35-50 years and usually regresses after menopause (unless using
HRT)
-fluid or semi-solid filled nodule
-soft to firm, round, mobile, tender, elastic
-single or multiple, well delineated
-no signs of retraction
-increase in nodular size before onset of monthly menstruation
-caffeine can increase tenderness
,breast cancer - ANSWER-Age of onset 30-90, most common after 50
-uncontrolled growth of malignant cells
-irregular or stellate, firm or hard, nontender
-may be fixed to skin or underlying tissue
-not clearly delineated
-may have signs of retraction
-usually single but may coexist with other nodules
-often occurs in the tail of spence (upper outer quadrant of the axilla)
peau d'Orange - ANSWERthickened skin with enlarged pores due to edema, usually seen on the
lower portion of the breast or areola and is associated with malignancy
supranumerary nipple - ANSWERextra nipple located along the milk line; often mistaken for a
common mole. May have underlying glandular tissue. Is not pathologically significant
Structures located in RUQ abdomen - ANSWER-liver
-gallbladder
-duodenum
-aorta
-xiphoid
-head of pancreas
-lower pole of R kidney
-part of the ascending colon
- part of the transverse colon
Structures located in LUQ abdomen - ANSWER-spleen
-stomach
-body of pancreas
- L lobe of liver
-L adrenal
- upper pole of L kidney
, -part of transverse colon
Structures located in RLQ abdomen - ANSWER-appendix
-cecum
-part of ascending colon
-R fallopian tube
-R ureter
-R spermatic cord
Structures located in LLQ abdomen - ANSWER-sigmoid colon
-parts of transverse and descending colon
-lower pole of L kidney
-L fallopian tube
-L spermatic cord
-L ureter
-bladder
-sacral promontory
-S1 vertebra
Rovsing's sign - ANSWERdeep pressure to the LLQ with quick withdrawal that causes pain in the RLQ
is a positive sign for appendicitis
Psoas sign - ANSWERincreasing abdominal pain when either raising the thigh against your hand or
extending the right leg at the hip while lying on the left side is positive for appendicitis
Obturator sign - ANSWERRight hypogastric pain while flexing the right thigh at the hip and rotating
the leg internally at the hip is a positive sign for appendicitis
Murphy's sign - ANSWERSharp increase in abdominal pain when patient takes a deep breath with
fingers hooked at area of the liver/gallbladder is a positive sign of cholecystitis
Gray-Turner's sign - ANSWERbruising of the flank that may indicate a peritoneal bleed or
hemorrhagic pancreatitis
