AQUIFER FAMILY MEDICINE END OF CASE
EXAM QUESTIONS ACTUAL EXAM 170
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Save
Terms in this set (58)
,A 34-year-old woman The correct answer is B.
who has no past medical
problems nor is currently With a BMI of 32, obesity is the one risk factor for
taking any medications this patient based on the information given. Other
comes into your office risk factors for breast cancer include family history
because she noticed a of breast cancer in a first degree relative (mother or
tender lump in her left sister - not aunt), prolonged estrogen exposure
breast starting (menarche before age 12, menopause after 45,
approximately one advanced age at first pregnancy), genetic
month ago. She is predisposition (BRCA 1 or 2 mutation), advanced
worried because she has age (breast cancer risk increases with age, and this
an aunt who had breast patient is relatively young), female sex, increased
cancer that was BRCA breast density and certain exposures
positive, though her (diethylstilbestrol, hormone or radiation therapy,
mother is BRCA negative. heavy smoking).
Her periods have been
regular since they started
at the age of 13 and
occur every 32 days. She
is currently menstruating.
She has three children
aged 12, 9, and 4. On
exam, her BMI is 32, up
from 28 three years ago
and her other vital signs
are stable. On breast
exam, you note a mobile
rubbery mass of
approximately 1 x 1cm
and with regular borders
that is tender to
palpation. You appreciate
no axillary adenopathy.
The rest of her physical
exam is unremarkable. Of
the information provided,
which of the following
places this patient at
increased risk for breast
,cancer?
A. Age
B. Weight
C. Parity
, A 64-year-old woman The correct answer is E.
who is overweight with
well-controlled The patient experienced menopause at the age of
hypertension comes to 44, which shortens her time of estrogen exposure, a
your office complaining known risk factor for the development of breast
of a lump in her breast cancer. Factors associated with decreased breast
that she noticed while cancer risk include pregnancy at an early age, late
showering. She denies menarche, early menopause, high parity and
any pain, tenderness, or medications such as selective estrogen receptor
skin changes. A pertinent modulators along with NSAIDs and aspirin. Risk
review of systems is factors for breast cancer include family history of
negative. Menarche breast cancer in a first degree relative (mother or
began at the age of 10. sister), prolonged estrogen exposure (menarche
Her first child was born before age 12, menopause after 55, advanced age at
when she was 31 and she pregnancy, obesity after menopause), female sex,
had her second and last genetic predisposition (BRCA 1 or 2 mutation),
child at the age of 33. advanced age (breast cancer risk increases with
She experienced age), increased breast density and exposures
menopause at the age of (diethylstilbestrol, hormone or radiation therapy,
44. Her mother died of smoking).
colon cancer when she
was 65 and her father
passed away from
metastatic prostate
cancer at the age of 70.
She has no history of
tobacco use ever and
occasionally drinks a
glass of wine with dinner.
Her BMI is 34. Which of
the information provided
thus far puts the patient
at decreased risk for
breast cancer?
A. Age
B. Weight
C. Age at first birth
D. Age at menarche
E. Age at menopause
EXAM QUESTIONS ACTUAL EXAM 170
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
Save
Terms in this set (58)
,A 34-year-old woman The correct answer is B.
who has no past medical
problems nor is currently With a BMI of 32, obesity is the one risk factor for
taking any medications this patient based on the information given. Other
comes into your office risk factors for breast cancer include family history
because she noticed a of breast cancer in a first degree relative (mother or
tender lump in her left sister - not aunt), prolonged estrogen exposure
breast starting (menarche before age 12, menopause after 45,
approximately one advanced age at first pregnancy), genetic
month ago. She is predisposition (BRCA 1 or 2 mutation), advanced
worried because she has age (breast cancer risk increases with age, and this
an aunt who had breast patient is relatively young), female sex, increased
cancer that was BRCA breast density and certain exposures
positive, though her (diethylstilbestrol, hormone or radiation therapy,
mother is BRCA negative. heavy smoking).
Her periods have been
regular since they started
at the age of 13 and
occur every 32 days. She
is currently menstruating.
She has three children
aged 12, 9, and 4. On
exam, her BMI is 32, up
from 28 three years ago
and her other vital signs
are stable. On breast
exam, you note a mobile
rubbery mass of
approximately 1 x 1cm
and with regular borders
that is tender to
palpation. You appreciate
no axillary adenopathy.
The rest of her physical
exam is unremarkable. Of
the information provided,
which of the following
places this patient at
increased risk for breast
,cancer?
A. Age
B. Weight
C. Parity
, A 64-year-old woman The correct answer is E.
who is overweight with
well-controlled The patient experienced menopause at the age of
hypertension comes to 44, which shortens her time of estrogen exposure, a
your office complaining known risk factor for the development of breast
of a lump in her breast cancer. Factors associated with decreased breast
that she noticed while cancer risk include pregnancy at an early age, late
showering. She denies menarche, early menopause, high parity and
any pain, tenderness, or medications such as selective estrogen receptor
skin changes. A pertinent modulators along with NSAIDs and aspirin. Risk
review of systems is factors for breast cancer include family history of
negative. Menarche breast cancer in a first degree relative (mother or
began at the age of 10. sister), prolonged estrogen exposure (menarche
Her first child was born before age 12, menopause after 55, advanced age at
when she was 31 and she pregnancy, obesity after menopause), female sex,
had her second and last genetic predisposition (BRCA 1 or 2 mutation),
child at the age of 33. advanced age (breast cancer risk increases with
She experienced age), increased breast density and exposures
menopause at the age of (diethylstilbestrol, hormone or radiation therapy,
44. Her mother died of smoking).
colon cancer when she
was 65 and her father
passed away from
metastatic prostate
cancer at the age of 70.
She has no history of
tobacco use ever and
occasionally drinks a
glass of wine with dinner.
Her BMI is 34. Which of
the information provided
thus far puts the patient
at decreased risk for
breast cancer?
A. Age
B. Weight
C. Age at first birth
D. Age at menarche
E. Age at menopause
