NR 509 Final Exam| Advanced Physicali,- i,- i,- i,- i,- i,-
Assessment (NR-509) Bate's Interactive i,- i,- i,- i,-
Question Bank | 100 Questions with i,- i,- i,- i,- i,- i,-
Verified Answers | Latest 2025/2026 i,- i,- i,- i,- i,-
Update - Chamberlain. i,- i,-
A 48-year-old female psychologist presents to clinic with
i,- i,- i,- i,- i,- i,- i,- i,-
concerns about her breast cancer risk after an age-matched
i,- i,- i,- i,- i,- i,- i,- i,- i,-
cousin was recently diagnosed with this disease. This cousin is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
third family member on her father's side in as many years to be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
diagnosed with breast cancer, including the patient's own father,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
who had surgery and subsequent treatment 3 years ago for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breast cancer. The patient has little other knowledge of her family
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
history, only that her grandparents independently arrived from
i,- i,- i,- i,- i,- i,- i,- i,-
Eastern Europe near the end of World War II and were among
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
very few members of their family that survived the war. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient has read about testing for the breast cancer genes
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
(BRCA1 and BRCA2) and desires further information about
i,- i,- i,- i,- i,- i,- i,- i,-
whether this would be appropriate for her. Which of the following
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
is true about this patient's indications for BRCA testing?
i,- i,- i,- i,- i,- i,- i,- i,-
a. Her familial lineage is irrelevant to her risk of BRCA genes and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
d. This patient carries several risk factors that together justify
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
BRCA testing. i,-
,A 68-year-old former paleontologist presents to clinic with
i,- i,- i,- i,- i,- i,- i,- i,-
concerns about her breast cancer risk. Her mother developed the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
disease in her 50s and died from it in her 60s. A younger cousin
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
developed the disease a few years ago before the age of 50 years,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
but this individual was not tested for the BRCA1 and BRCA2
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
genes. In addition, the patient suffered from lymphoma in her 20s
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and had radiation to the chest. She did take hormone
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
replacement therapy for a few years before data emerged that i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this may contribute to breast cancer risk. She has had several
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abnormal mammograms in her 50s for persistently dense breasts
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with subtle findings, but follow-up biopsies never showed any
i,- i,- i,- i,- i,- i,- i,- i,- i,-
malignant pathology. Which of the following is true regarding
i,- i,- i,- i,- i,- i,- i,- i,- i,-
magnetic resonance imaging (MRI) screening of this patient?
i,- i,- i,- i,- i,- i,- i,-
a. No agency recommends breast MRI for a patient such as this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
one, who has moderately but not extraordinary risk factors for b
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
c. Regardless of recommendations, the high sensitivity of
i,- i,- i,- i,- i,- i,- i,- i,- i,-
breast MRI comes at the expense of markedly decreased
i,- i,- i,- i,- i,- i,- i,- i,- i,-
specificity (i.e., the ability to rule out disease in healthy breasts).
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A 66-year-old female museum curator presents for a routine
i,- i,- i,- i,- i,- i,- i,- i,- i,-
annual examination. On examination, a notably enlarged
i,- i,- i,- i,- i,- i,- i,-
supraclavicular lymph node is appreciated on the right side. The i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lymph node is nontender and feels firm and rubbery. She denies
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
any localized or systemic symptoms such as breast lumps, fevers,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
,or night sweats. She has been taking conjugated estrogen tablets
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
for 9 years since menopause, though she has not taken progestin
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
compounds since she had a hysterectomy for heavy bleeding at i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
age 45 years. Which of the following is true about this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
presentation of lymphadenopathy? i,- i,-
a. Breast cancer always presents with axillary lymphadenopathy
i,- i,- i,- i,- i,- i,- i,- i,-
because the lymphatics of the breast uniformly drain into the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
axilla.
b. Supraclavicular nodes are generally considered benign and
i,- i,- i,- i,- i,- i,- i,- i,-
require no further evaluation or follow-up.
i,- i,- i,- i,- i,-
c. Supraclavicular nodes are found along the anterior edge of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
trapezius muscle in the neck. i,- i,- i,- i,-
d. Firm,
i,- e. Metastatic breast cancer cells may spread directly
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
into the infraclavicular and then supraclavicular nodes without
i,- i,- i,- i,- i,- i,- i,- i,-
first causing notable changes in the axillary nodes.
i,- i,- i,- i,- i,- i,- i,-
A 24-year-old graphic designer presents to clinic with a concern
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
for a breast mass. A rubbery, mobile, nontender mass is palpated
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in the right breast as described by the patient, which is consistent
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with a firbroadenoma. In describing the location of the mass, the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examiner notes that it is 3 cm proximal to and 3 cm to the left of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nipple. Which of the following would be the most appropriate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
way to report this finding?
i,- i,- i,- i,-
, a. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the 10:30 position from the nipple"
i,- i,- i,- i,- i,-
b. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the lower outer quadrant"
i,- i,- i,-
c. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the upper inner quadrant"
i,- i,- i,-
d. "Rubbery, mobile, nontender mass located in the left breast,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
upper outer quadrant" i,- i,-
e. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the 1:30 position from the nipple"
i,- a. "Rubbery, mobile,
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-
nontender mass located in right breast, in the 10:30 position from
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nipple"
i,-
A 54-year-old female dietician presents for a routine annual
i,- i,- i,- i,- i,- i,- i,- i,- i,-
examination. On review of systems, she reports that she has had i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
many breast findings over several years, including one biopsy
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with normal pathology. She feels that her breasts have become
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
far less lumpy since she underwent menopause 3 years ago.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Which of the following is true regarding changes in the breasts
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with menopause? i,-
a. Transformation of breasts to primarily fatty tissue with
i,- i,- i,- i,- i,- i,- i,- i,- i,-
menopause decreases the sensitivity and specificity of i,- i,- i,- i,- i,- i,- i,-
mammograms.
Assessment (NR-509) Bate's Interactive i,- i,- i,- i,-
Question Bank | 100 Questions with i,- i,- i,- i,- i,- i,-
Verified Answers | Latest 2025/2026 i,- i,- i,- i,- i,-
Update - Chamberlain. i,- i,-
A 48-year-old female psychologist presents to clinic with
i,- i,- i,- i,- i,- i,- i,- i,-
concerns about her breast cancer risk after an age-matched
i,- i,- i,- i,- i,- i,- i,- i,- i,-
cousin was recently diagnosed with this disease. This cousin is the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
third family member on her father's side in as many years to be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
diagnosed with breast cancer, including the patient's own father,
i,- i,- i,- i,- i,- i,- i,- i,- i,-
who had surgery and subsequent treatment 3 years ago for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breast cancer. The patient has little other knowledge of her family
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
history, only that her grandparents independently arrived from
i,- i,- i,- i,- i,- i,- i,- i,-
Eastern Europe near the end of World War II and were among
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
very few members of their family that survived the war. The
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient has read about testing for the breast cancer genes
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
(BRCA1 and BRCA2) and desires further information about
i,- i,- i,- i,- i,- i,- i,- i,-
whether this would be appropriate for her. Which of the following
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
is true about this patient's indications for BRCA testing?
i,- i,- i,- i,- i,- i,- i,- i,-
a. Her familial lineage is irrelevant to her risk of BRCA genes and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
d. This patient carries several risk factors that together justify
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
BRCA testing. i,-
,A 68-year-old former paleontologist presents to clinic with
i,- i,- i,- i,- i,- i,- i,- i,-
concerns about her breast cancer risk. Her mother developed the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
disease in her 50s and died from it in her 60s. A younger cousin
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
developed the disease a few years ago before the age of 50 years,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
but this individual was not tested for the BRCA1 and BRCA2
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
genes. In addition, the patient suffered from lymphoma in her 20s
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and had radiation to the chest. She did take hormone
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
replacement therapy for a few years before data emerged that i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this may contribute to breast cancer risk. She has had several
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abnormal mammograms in her 50s for persistently dense breasts
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with subtle findings, but follow-up biopsies never showed any
i,- i,- i,- i,- i,- i,- i,- i,- i,-
malignant pathology. Which of the following is true regarding
i,- i,- i,- i,- i,- i,- i,- i,- i,-
magnetic resonance imaging (MRI) screening of this patient?
i,- i,- i,- i,- i,- i,- i,-
a. No agency recommends breast MRI for a patient such as this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
one, who has moderately but not extraordinary risk factors for b
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
c. Regardless of recommendations, the high sensitivity of
i,- i,- i,- i,- i,- i,- i,- i,- i,-
breast MRI comes at the expense of markedly decreased
i,- i,- i,- i,- i,- i,- i,- i,- i,-
specificity (i.e., the ability to rule out disease in healthy breasts).
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A 66-year-old female museum curator presents for a routine
i,- i,- i,- i,- i,- i,- i,- i,- i,-
annual examination. On examination, a notably enlarged
i,- i,- i,- i,- i,- i,- i,-
supraclavicular lymph node is appreciated on the right side. The i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lymph node is nontender and feels firm and rubbery. She denies
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
any localized or systemic symptoms such as breast lumps, fevers,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
,or night sweats. She has been taking conjugated estrogen tablets
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
for 9 years since menopause, though she has not taken progestin
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
compounds since she had a hysterectomy for heavy bleeding at i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
age 45 years. Which of the following is true about this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
presentation of lymphadenopathy? i,- i,-
a. Breast cancer always presents with axillary lymphadenopathy
i,- i,- i,- i,- i,- i,- i,- i,-
because the lymphatics of the breast uniformly drain into the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
axilla.
b. Supraclavicular nodes are generally considered benign and
i,- i,- i,- i,- i,- i,- i,- i,-
require no further evaluation or follow-up.
i,- i,- i,- i,- i,-
c. Supraclavicular nodes are found along the anterior edge of the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
trapezius muscle in the neck. i,- i,- i,- i,-
d. Firm,
i,- e. Metastatic breast cancer cells may spread directly
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
into the infraclavicular and then supraclavicular nodes without
i,- i,- i,- i,- i,- i,- i,- i,-
first causing notable changes in the axillary nodes.
i,- i,- i,- i,- i,- i,- i,-
A 24-year-old graphic designer presents to clinic with a concern
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
for a breast mass. A rubbery, mobile, nontender mass is palpated
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
in the right breast as described by the patient, which is consistent
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with a firbroadenoma. In describing the location of the mass, the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
examiner notes that it is 3 cm proximal to and 3 cm to the left of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nipple. Which of the following would be the most appropriate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
way to report this finding?
i,- i,- i,- i,-
, a. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the 10:30 position from the nipple"
i,- i,- i,- i,- i,-
b. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the lower outer quadrant"
i,- i,- i,-
c. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the upper inner quadrant"
i,- i,- i,-
d. "Rubbery, mobile, nontender mass located in the left breast,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
upper outer quadrant" i,- i,-
e. "Rubbery, mobile, nontender mass located in right breast, in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the 1:30 position from the nipple"
i,- a. "Rubbery, mobile,
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,-
nontender mass located in right breast, in the 10:30 position from
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the nipple"
i,-
A 54-year-old female dietician presents for a routine annual
i,- i,- i,- i,- i,- i,- i,- i,- i,-
examination. On review of systems, she reports that she has had i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
many breast findings over several years, including one biopsy
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with normal pathology. She feels that her breasts have become
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
far less lumpy since she underwent menopause 3 years ago.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Which of the following is true regarding changes in the breasts
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
with menopause? i,-
a. Transformation of breasts to primarily fatty tissue with
i,- i,- i,- i,- i,- i,- i,- i,- i,-
menopause decreases the sensitivity and specificity of i,- i,- i,- i,- i,- i,- i,-
mammograms.
