UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
ch 17
A patient reports spontaneous discharge from her left nipple. How would you determine
if the discharge was from one or multiple ducts?
A. Order an ultrasound.
B. Order a mammogram.
C. Compress the nipple and examine with a magnifying glass.
D. Depress the nipple into the well behind the areola and observe discharge. -
ANSWER Compress the nipple and examine with a magnifying glass.
Mrs. Harris presents to your office with a complaint of a red rash on her breast
suggestive of either Paget disease or eczema. Which is a distinguishing factor between
these two problems?
A. The location of the lesion on the nipple.
B. The presence or absence of crust.
C. The response to cortisone
D. The pattern of fever - ANSWER The response to cortisone
Mrs. Yates is a 58-year-old patient who presents to your office for her yearly physical
examination. She asks you if she really needs to have mammograms. Which is a
correct response? - ANSWER Breast cancer mortality is reduced with mammography
screening
Mrs. Ulman is a 56-year-old patient who presents to your office for her routine follow-up
after having a mastectomy of the right breast 2 years ago. Which statement applies to
your examination of this patient?
A. Swelling, thickening, and small lumps at the mastectomy site are expected.
B. The mastectomy site is inspected but not palpated because of pain.
C. If malignancy recurs, it may be at the scar site.
D. There is no need to examine the mastectomy site. - ANSWER If malignancy recurs,
it may be at the scar site.
Mrs. Yates is a 58-year-old patient who presents to your office for her yearly physical
examination. She asks you how often a mammogram is recommended. The best
response by the examiner is:
A. "every year."
,UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
B. "every 3 years."
C. "every 5 years."
D. "every year if you have a family history of cancer." - ANSWER "every year."
Mrs. Venin brings her 18-year-old son in for a follow-up examination. You have
examined him before due to his enlarged breast tissue, which has not resolved
spontaneously. Which action is most appropriate?
A. Refer him to a surgeon for removal.
B. Explain that it may still resolve spontaneously.
C. Ask about history of sexual activity.
D. Ask about illicit or prescription drug use. - ANSWER Ask about illicit or prescription
drug use.
Mrs. Harold is a 37-year-old patient who presents for her yearly physical examination.
Which statement made by Mrs. Harold would make the examiner suspect fibrocystic
changes?
A. "I have a lump in my breast that is not tender."
B. "My right breast is larger than the left breast."
C. "My nipples are darker than before my baby was born."
D. "I feel lumps before my period." - ANSWER "I feel lumps before my period."
Mrs. Black brings her 12-year-old daughter in with a complaint of a breast mass. On
examination, you note unilateral breast enlargement with associated tenderness but no
mass. Which action do you take?
A. Refer for mammogram.
B. Refer for biopsy.
C. Ask the mother about her own breast development.
D. Explain that this is an expected finding. - ANSWER Explain that this is an expected
finding.
Mrs. Newer brings her young child in for a yearly physical examination. On examination,
you note a supernumerary nipple. For which other finding do you need to be alert?
A. Papillomatosis
B. Duct ectasia
C. Renal anomalies
D. Ambiguous sex organs - ANSWER Renal anomalies
Mrs. Wolf is a 68-year-old patient who presents to your office with a complaint of breast
mass. On examination, you note an irregular hard, fixed breast mass and an inverted
nipple. Which of the following would you suspect?
,UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
A. Fibroadenoma
B. Intraductal papilloma
C. Fat necrosis
D. Carcinoma - ANSWER Carcinoma
Mrs. Bower, a 56-year-old patient, presents for a yearly physical examination. On
examination, you note a fixed mass in the left breast. Given this finding, which area
would you palpate for sentinel nodes?
A. Supraclavicular fossa
B. Inner aspect of the upper arm
C. Posterior chest wall along the border of the scapula
D. Anterior chest wall along the pectoral muscles - ANSWER Supraclavicular fossa
Mrs. Harmon brings her 16-year-old son in for a routine examination. On examination,
you observe enlarged breast tissue. Which term is used to describe this finding?
A. Ballottement
B. Gynecomastia
C. Peritonitis
D. Phimosis - ANSWER Gynecomastia
Mrs. Jones brings her newborn infant daughter in for a routine office visit. On
examination, you express a clear to milky white fluid from the breast bud. Which term is
used to describe this fluid?
A. Witch's milk
B. Witch hazel
C. Infant's milk
D. Neonate excretion - ANSWER Witch's milk
What is the cause of a Peau d'orange appearance to the skin of the breast?
A. Vascular stasis
B. Destruction of stromal tissue
C. Infiltration with immune cells
D. Edema from blocked lymph drainage - ANSWER Edema from blocked lymph
drainage
Which is a similarity between fibroadenoma and fibrocystic disease?
A. Both involve fluid-filled cysts.
B. Both are usually tender to touch.
, UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
C. Both are nonmalignant breast problems.
D. Both fluctuate with the menstrual cycle. - ANSWER Both are nonmalignant breast
problems.
When examining a 34-year-old mother of two who is a new patient in for a routine
physical, you notice that the right nipple is inverted. Which question would you
immediately ask?
A. "Did you breast feed your children?"
B. "How long has your right nipple been inverted?"
C. "Is there any history of breast cancer in your family?"
D. "When was your last mammogram?" - ANSWER "How long has your right nipple
been inverted?"
Which are risk factors for breast cancer for a 43-year-old woman?
1. Mother died of breast cancer
2. Menarche at age 11
3. Early onset of menopause
4. 50-year-old sister currently has breast cancer
5. History of alcoholism
6. One child, a 7-year-old son
A. 1 and 4
B. 2, 3, and 6
C. 1, 2 and 3
D. All but 3 - ANSWER All but 3
The anterior axillary nodes are located:
along the lower border of the pectoralis major.
along the upper humerus.
high in the axilla.
outside the lateral axillary fold. - ANSWER along the lower border of the pectoralis
major.
The midaxillary nodes are:
A. easy to feel along the upper humerus.
B. along the lateral border of the scapula.
C. low in the axilla.
D. superficial and easy to palpate. - ANSWER superficial and easy to palpate.
solutions verified and approved.
UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
ch 17
A patient reports spontaneous discharge from her left nipple. How would you determine
if the discharge was from one or multiple ducts?
A. Order an ultrasound.
B. Order a mammogram.
C. Compress the nipple and examine with a magnifying glass.
D. Depress the nipple into the well behind the areola and observe discharge. -
ANSWER Compress the nipple and examine with a magnifying glass.
Mrs. Harris presents to your office with a complaint of a red rash on her breast
suggestive of either Paget disease or eczema. Which is a distinguishing factor between
these two problems?
A. The location of the lesion on the nipple.
B. The presence or absence of crust.
C. The response to cortisone
D. The pattern of fever - ANSWER The response to cortisone
Mrs. Yates is a 58-year-old patient who presents to your office for her yearly physical
examination. She asks you if she really needs to have mammograms. Which is a
correct response? - ANSWER Breast cancer mortality is reduced with mammography
screening
Mrs. Ulman is a 56-year-old patient who presents to your office for her routine follow-up
after having a mastectomy of the right breast 2 years ago. Which statement applies to
your examination of this patient?
A. Swelling, thickening, and small lumps at the mastectomy site are expected.
B. The mastectomy site is inspected but not palpated because of pain.
C. If malignancy recurs, it may be at the scar site.
D. There is no need to examine the mastectomy site. - ANSWER If malignancy recurs,
it may be at the scar site.
Mrs. Yates is a 58-year-old patient who presents to your office for her yearly physical
examination. She asks you how often a mammogram is recommended. The best
response by the examiner is:
A. "every year."
,UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
B. "every 3 years."
C. "every 5 years."
D. "every year if you have a family history of cancer." - ANSWER "every year."
Mrs. Venin brings her 18-year-old son in for a follow-up examination. You have
examined him before due to his enlarged breast tissue, which has not resolved
spontaneously. Which action is most appropriate?
A. Refer him to a surgeon for removal.
B. Explain that it may still resolve spontaneously.
C. Ask about history of sexual activity.
D. Ask about illicit or prescription drug use. - ANSWER Ask about illicit or prescription
drug use.
Mrs. Harold is a 37-year-old patient who presents for her yearly physical examination.
Which statement made by Mrs. Harold would make the examiner suspect fibrocystic
changes?
A. "I have a lump in my breast that is not tender."
B. "My right breast is larger than the left breast."
C. "My nipples are darker than before my baby was born."
D. "I feel lumps before my period." - ANSWER "I feel lumps before my period."
Mrs. Black brings her 12-year-old daughter in with a complaint of a breast mass. On
examination, you note unilateral breast enlargement with associated tenderness but no
mass. Which action do you take?
A. Refer for mammogram.
B. Refer for biopsy.
C. Ask the mother about her own breast development.
D. Explain that this is an expected finding. - ANSWER Explain that this is an expected
finding.
Mrs. Newer brings her young child in for a yearly physical examination. On examination,
you note a supernumerary nipple. For which other finding do you need to be alert?
A. Papillomatosis
B. Duct ectasia
C. Renal anomalies
D. Ambiguous sex organs - ANSWER Renal anomalies
Mrs. Wolf is a 68-year-old patient who presents to your office with a complaint of breast
mass. On examination, you note an irregular hard, fixed breast mass and an inverted
nipple. Which of the following would you suspect?
,UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
A. Fibroadenoma
B. Intraductal papilloma
C. Fat necrosis
D. Carcinoma - ANSWER Carcinoma
Mrs. Bower, a 56-year-old patient, presents for a yearly physical examination. On
examination, you note a fixed mass in the left breast. Given this finding, which area
would you palpate for sentinel nodes?
A. Supraclavicular fossa
B. Inner aspect of the upper arm
C. Posterior chest wall along the border of the scapula
D. Anterior chest wall along the pectoral muscles - ANSWER Supraclavicular fossa
Mrs. Harmon brings her 16-year-old son in for a routine examination. On examination,
you observe enlarged breast tissue. Which term is used to describe this finding?
A. Ballottement
B. Gynecomastia
C. Peritonitis
D. Phimosis - ANSWER Gynecomastia
Mrs. Jones brings her newborn infant daughter in for a routine office visit. On
examination, you express a clear to milky white fluid from the breast bud. Which term is
used to describe this fluid?
A. Witch's milk
B. Witch hazel
C. Infant's milk
D. Neonate excretion - ANSWER Witch's milk
What is the cause of a Peau d'orange appearance to the skin of the breast?
A. Vascular stasis
B. Destruction of stromal tissue
C. Infiltration with immune cells
D. Edema from blocked lymph drainage - ANSWER Edema from blocked lymph
drainage
Which is a similarity between fibroadenoma and fibrocystic disease?
A. Both involve fluid-filled cysts.
B. Both are usually tender to touch.
, UTA 5220 Modules 3-4 with 456 complete
solutions verified and approved.
C. Both are nonmalignant breast problems.
D. Both fluctuate with the menstrual cycle. - ANSWER Both are nonmalignant breast
problems.
When examining a 34-year-old mother of two who is a new patient in for a routine
physical, you notice that the right nipple is inverted. Which question would you
immediately ask?
A. "Did you breast feed your children?"
B. "How long has your right nipple been inverted?"
C. "Is there any history of breast cancer in your family?"
D. "When was your last mammogram?" - ANSWER "How long has your right nipple
been inverted?"
Which are risk factors for breast cancer for a 43-year-old woman?
1. Mother died of breast cancer
2. Menarche at age 11
3. Early onset of menopause
4. 50-year-old sister currently has breast cancer
5. History of alcoholism
6. One child, a 7-year-old son
A. 1 and 4
B. 2, 3, and 6
C. 1, 2 and 3
D. All but 3 - ANSWER All but 3
The anterior axillary nodes are located:
along the lower border of the pectoralis major.
along the upper humerus.
high in the axilla.
outside the lateral axillary fold. - ANSWER along the lower border of the pectoralis
major.
The midaxillary nodes are:
A. easy to feel along the upper humerus.
B. along the lateral border of the scapula.
C. low in the axilla.
D. superficial and easy to palpate. - ANSWER superficial and easy to palpate.
