NR 509 - FINAL EXAM BATE'S
INTERACTIVE QUESTION
BANK WITH CORRECT
ANSWERS 2025 GRADED A+
A 44-year-old female mathematician presents to clinic
with a complaint of a mass in the right breast. Her
partner noticed this mass 2 days ago, and the patient
feels guilty because she has only had one mammogram
and does not engage in breast self-examination (BSE) on
any regular basis. She has no family history of breast
cancer, and her prior mammogram was ordered as a
routine screening test at age 43 years after a brief
discussion with her primary care provider. After a
thorough investigation reveals a benign cyst, what advice
should be given to this patient about screening for breast
cancer in her age group?
a. BSE is well evidenced, and all recommending agencies
agree that it should be taught and reinforced.
b. Clinical breast examination (CBE) is superior to BSE
and should be a routine part of annual examinations
starting at age 30 years.
GRADED A+
,c. This patient was in compliance with the U.S. Preventive
Services Task F correct answers >> c. This patient
was in compliance with the U.S. Preventive Services Task
Force (USPSTF) recommendations for her age group and
risk factors prior to her current complaint.
A 42-year-old female website developer presents for an
annual preventive examination with questions about
breast cancer screening. She is concerned about the
radiation exposure associated with mammography and is
interested in magnetic resonance imaging (MRI) as a
possible alternative for routine screening. She is
otherwise healthy with no family history of breast,
ovarian, or colon cancer. Which of the following is true
about MRI as a screening modality for breast cancer in
the general population?
a. Breast cancer screening by MRI has been well studied
in the general population.
b. Sensitivity of screening for breast cancer increases
with breast MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via
breast MRI based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%) are
recommended to undergo screening MRI.
e. Known BRCA1 or BRCA2 mutation is insufficient c
correct answers >> b. Sensitivity of screening for breast
cancer increases with breast MRI at the expense of
specificity.
GRADED A+
,A 35-year-old G0P0 woman presents to clinic with a
complaint of bilateral nipple discharge. This discharge
started several weeks ago and has occurred at irregular
intervals since that time. She does not complain of local
tenderness, redness, fever, or any other systemic
symptoms aside from slightly irregular periods over the
last few months. On examination, she is able to express a
small amount of discharge, which is sent to the laboratory
and found to be consistent with breast milk but without
any signs of blood or pus. Screening laboratories are also
sent, which reveal a normal blood count, metabolic panel,
thyroid-stimulating hormone, and human chorionic
gonadotropin (HCG) level. Further laboratories are still
pending. Which of the following is the most likely
diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma correct answers >> e. Prolactinoma
A 22-year-old G0P0 undergraduate student presents to
clinic after finding a breast mass on breast self-
examination (BSE) at home. The mass is nontender
without skin changes, erythema, or overlying swelling.
She has heard that most breast cancers are found by
GRADED A+
, patients themselves, and she is very concerned that she
may have breast cancer. Which of the following is true
about BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a
provider's attention turn out to be malignant.
b. This patient is more likely to find a fibroadenoma than
a cancer on self-examination.
c. The most likely breast mass this patient is likely to find
in herself is an abscess complicating underlying mastitis.
d. Because of this patient's age, breast masses should
not be pursued with imaging and diagnosis because the
risk of cancer is so low.
e. BSE is universally recommended because of very high
sensitivity correct answers >> b. This patient is more
likely to find a fibroadenoma than a cancer on self-
examination.
A 48-year-old female psychologist presents to clinic with
concerns about her breast cancer risk after an age-
matched cousin was recently diagnosed with this disease.
This cousin is the third family member on her father's
side in as many years to be diagnosed with breast
cancer, including the patient's own father, who had
surgery and subsequent treatment 3 years ago for breast
cancer. The patient has little other knowledge of her
family history, only that her grandparents independently
arrived from Eastern Europe near the end of World War II
and were among very few members of their family that
GRADED A+
INTERACTIVE QUESTION
BANK WITH CORRECT
ANSWERS 2025 GRADED A+
A 44-year-old female mathematician presents to clinic
with a complaint of a mass in the right breast. Her
partner noticed this mass 2 days ago, and the patient
feels guilty because she has only had one mammogram
and does not engage in breast self-examination (BSE) on
any regular basis. She has no family history of breast
cancer, and her prior mammogram was ordered as a
routine screening test at age 43 years after a brief
discussion with her primary care provider. After a
thorough investigation reveals a benign cyst, what advice
should be given to this patient about screening for breast
cancer in her age group?
a. BSE is well evidenced, and all recommending agencies
agree that it should be taught and reinforced.
b. Clinical breast examination (CBE) is superior to BSE
and should be a routine part of annual examinations
starting at age 30 years.
GRADED A+
,c. This patient was in compliance with the U.S. Preventive
Services Task F correct answers >> c. This patient
was in compliance with the U.S. Preventive Services Task
Force (USPSTF) recommendations for her age group and
risk factors prior to her current complaint.
A 42-year-old female website developer presents for an
annual preventive examination with questions about
breast cancer screening. She is concerned about the
radiation exposure associated with mammography and is
interested in magnetic resonance imaging (MRI) as a
possible alternative for routine screening. She is
otherwise healthy with no family history of breast,
ovarian, or colon cancer. Which of the following is true
about MRI as a screening modality for breast cancer in
the general population?
a. Breast cancer screening by MRI has been well studied
in the general population.
b. Sensitivity of screening for breast cancer increases
with breast MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via
breast MRI based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%) are
recommended to undergo screening MRI.
e. Known BRCA1 or BRCA2 mutation is insufficient c
correct answers >> b. Sensitivity of screening for breast
cancer increases with breast MRI at the expense of
specificity.
GRADED A+
,A 35-year-old G0P0 woman presents to clinic with a
complaint of bilateral nipple discharge. This discharge
started several weeks ago and has occurred at irregular
intervals since that time. She does not complain of local
tenderness, redness, fever, or any other systemic
symptoms aside from slightly irregular periods over the
last few months. On examination, she is able to express a
small amount of discharge, which is sent to the laboratory
and found to be consistent with breast milk but without
any signs of blood or pus. Screening laboratories are also
sent, which reveal a normal blood count, metabolic panel,
thyroid-stimulating hormone, and human chorionic
gonadotropin (HCG) level. Further laboratories are still
pending. Which of the following is the most likely
diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma correct answers >> e. Prolactinoma
A 22-year-old G0P0 undergraduate student presents to
clinic after finding a breast mass on breast self-
examination (BSE) at home. The mass is nontender
without skin changes, erythema, or overlying swelling.
She has heard that most breast cancers are found by
GRADED A+
, patients themselves, and she is very concerned that she
may have breast cancer. Which of the following is true
about BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a
provider's attention turn out to be malignant.
b. This patient is more likely to find a fibroadenoma than
a cancer on self-examination.
c. The most likely breast mass this patient is likely to find
in herself is an abscess complicating underlying mastitis.
d. Because of this patient's age, breast masses should
not be pursued with imaging and diagnosis because the
risk of cancer is so low.
e. BSE is universally recommended because of very high
sensitivity correct answers >> b. This patient is more
likely to find a fibroadenoma than a cancer on self-
examination.
A 48-year-old female psychologist presents to clinic with
concerns about her breast cancer risk after an age-
matched cousin was recently diagnosed with this disease.
This cousin is the third family member on her father's
side in as many years to be diagnosed with breast
cancer, including the patient's own father, who had
surgery and subsequent treatment 3 years ago for breast
cancer. The patient has little other knowledge of her
family history, only that her grandparents independently
arrived from Eastern Europe near the end of World War II
and were among very few members of their family that
GRADED A+
