Chapter 8 Breast Pain
Multiple Choice
Identify the choice that best completes the statement or answers the question.
When examining the breasts of a 45-year-old female patient, you note nodularity throughout both breasts. There is no
1.
dominant mass, tenderness, nipple change, or skin change. Which of the following condition is most likely?
A. Multiple fibroadenomas
B. Fibrocystic breasts
C. Mastalgia
D. Mastitis
A 23-year-old female presents with episodic bilateral breast tenderness. Upon palpation, there are multiple areas of
2.
nodularity with no dominant breast mass and no tenderness, nipple, or skin changes. It is best to recommend:
A. Ultrasound of the breasts
B. Mammogram of the breasts
C. Fine needle aspiration of one nodule within a breast
D. Diary of menstrual cycle and breast symptoms
3.. A 34-year-old female who gave birth 2 weeks ago developed fever and pain in the right breast while nursing her baby.
The patient has tenderness, eythema, and swelling of the nipple on the right breast. Which of the following diagnostic studies
is indicated?
A. White blood cell (WBC) count
B. Breast milk culture
C. Ultrasound
D. Fine needle biopsy
4.. A 52-year-old female complains of discharge from one of her breasts. There is no pain, no mass, and no skin changes.
The physical examination is normal. When putting pressure on the affected breast, the nipple expresses a small amount of
thick, white discharge. These findings are consistent with:
A. Duct ectasia
B. Mastitis
C. Fibroadenoma
D. Fibrocystic breasts
Chapter 7. Breast Pain
Answer Section
MULTIPLE CHOICE
1. ANS: A
Breast tissue is normally glandular and may have a rather nodular consistency. The degree of nodularity tends to fluctuate
through the menstrual cycle in premenopausal women. A dominant breast mass is a mass that persists throughout a woman’s
hormonal cycles, is larger and firmer than any other irregularities, and differs from rest of the breast tissue. A fibroadenoma is
a soft discrete breast mass that is moveable, non-tender, and benign. Mastalgia is a condition of pain in the breast. Mastitis is
an infection that causes erythema, swelling, and discharge from the breast.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
When examining the breasts of a 45-year-old female patient, you note nodularity throughout both breasts. There is no
1.
dominant mass, tenderness, nipple change, or skin change. Which of the following condition is most likely?
A. Multiple fibroadenomas
B. Fibrocystic breasts
C. Mastalgia
D. Mastitis
A 23-year-old female presents with episodic bilateral breast tenderness. Upon palpation, there are multiple areas of
2.
nodularity with no dominant breast mass and no tenderness, nipple, or skin changes. It is best to recommend:
A. Ultrasound of the breasts
B. Mammogram of the breasts
C. Fine needle aspiration of one nodule within a breast
D. Diary of menstrual cycle and breast symptoms
3.. A 34-year-old female who gave birth 2 weeks ago developed fever and pain in the right breast while nursing her baby.
The patient has tenderness, eythema, and swelling of the nipple on the right breast. Which of the following diagnostic studies
is indicated?
A. White blood cell (WBC) count
B. Breast milk culture
C. Ultrasound
D. Fine needle biopsy
4.. A 52-year-old female complains of discharge from one of her breasts. There is no pain, no mass, and no skin changes.
The physical examination is normal. When putting pressure on the affected breast, the nipple expresses a small amount of
thick, white discharge. These findings are consistent with:
A. Duct ectasia
B. Mastitis
C. Fibroadenoma
D. Fibrocystic breasts
Chapter 7. Breast Pain
Answer Section
MULTIPLE CHOICE
1. ANS: A
Breast tissue is normally glandular and may have a rather nodular consistency. The degree of nodularity tends to fluctuate
through the menstrual cycle in premenopausal women. A dominant breast mass is a mass that persists throughout a woman’s
hormonal cycles, is larger and firmer than any other irregularities, and differs from rest of the breast tissue. A fibroadenoma is
a soft discrete breast mass that is moveable, non-tender, and benign. Mastalgia is a condition of pain in the breast. Mastitis is
an infection that causes erythema, swelling, and discharge from the breast.
