NR509 FINAL Bates Questions Study Set
Study online at https://quizlet.com/_dx0xst
1. 44 year old female mathematician c/o mass to right this patient was in com-
breast. no family history of breast cancer. benign cyst pliance with the U.S.
shown. what advice should be given about screening? Preventative Services Task
Force (USPSTF) recom-
mendations for her age
group and risk factors pri-
or to her current com-
plaint.
2. 42 year old female website developer. has questions sensitivity screening for
about breast cancer screening. concerned about radi- breast cancer increases
ation exposure. which of the following is true about with breast MRI at the ex-
MRI as a screening modality for breast cancer in the pense of specificity.
general population?
3. A 35-year-old G0P0 woman presents to clinic with a Prolactinoma
complaint of bilateral nipple discharge. This discharge
started several weeks ago and has occurred at irregu-
lar 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. Fur-
ther laboratories are still pending. Which of the follow-
ing is the most likely diagnosis?
4.
, NR509 FINAL Bates Questions Study Set
Study online at https://quizlet.com/_dx0xst
A 22-year-old G0P0 undergraduate student presents This patient is more like-
to clinic after finding a breast mass on breast self-ex- ly to find a fibroadenoma
amination (BSE) at home. The mass is nontender with- than a cancer on self-ex-
out skin changes, erythema, or overlying swelling. She amination
has heard that most breast cancers are found by pa-
tients 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?
5. 48 year old psychologist concerns about breast can- this patient carries sever-
cer risk after an age-marched cousin recently diag- al risk factors that together
nosed. patient read about testing for breast cancer justify BRCA testing.
genes (BRCA1 and BRCA2) and desires further infor-
mation about whether this would be appropriate for
her. Which of the following is true about this patient's
indications for BRCA testing?
6. A 68-year-old former paleontologist presents to clinic Regardless of recommen-
with concerns about her breast cancer risk. Her moth- dations, the high sensitivi-
er developed the disease in her 50s and died from it in ty of breast MRI comes at
her 60s. A younger cousin developed the disease a few the expense of markedly
years ago before the age of 50 years, but this individual decreased specificity (i.e.
was not tested for the BRCA1 and BRCA2 genes. In the ability to rule out dis-
addition, the patient suffered from lymphoma in her ease in healthy breasts).
20s and had radiation to the chest. She did take hor-
mone replacement therapy for a few years before data
emerged that this may contribute to breast cancer risk.
She has had several abnormal mammograms in her
50s for persistently dense breasts with subtle findings,
but follow-up biopsies never showed any malignant
pathology. Which of the following is true regarding
, NR509 FINAL Bates Questions Study Set
Study online at https://quizlet.com/_dx0xst
magnetic resonance imaging (MRI) screening of this
patient?
7. 66 year old female museum curator presents for a rou- Metastatic breast cancer
tine annual examination. on examination, a notably cells may spread directly
enlarged supraclavicular lymph node is appreciated on into the infraclavicular and
the right side. non tender and feels firm and rubbery. then supraclavicular nodes
denies any localized or systemic symptoms. has been without first causing no-
taking estrogen for 9 years since menopause. Which table changes in the axil-
of the following is true about this presentation of lym- lary nodes.
phadenopathy?
8. 24 year old graphic designer presents to the clinic with "Rubbery, mobile, non-
a concern for a breast mass. rubbery, mobile, non- tender mass located in the
tender mass is palpated in the right breast, which is right breast, in the 10:30
consistent with a fibroadenoma. examiner notes a 3cm position from the nipple"
mass proximal to and 3cm left of the nipple. Which of
the following would be the most appropriate way to
report this finding?
9. 54 year old female dietician presents for a routine Glandular tissue of
examination. reports has had many breast findings breast atrophies with
over several years, including one biopsy with normal menopause, primarily due
pathology. She feels that her breasts have become far to decrease in the number
less lumpy since she underwent menopause 3 years of lobules.
ago. Which of the following is true regarding changes
in the breasts with menopause?
10. An overweight 26-year-old public servant presents ruptured tubal (or ectopic)
to the Emergency Department with 12 hours of in- pregnancy
tense abdominal pain, light-headedness, and a faint-
ing episode that finally prompted her to seek medical
attention. She has a strong family history of gallstones
Study online at https://quizlet.com/_dx0xst
1. 44 year old female mathematician c/o mass to right this patient was in com-
breast. no family history of breast cancer. benign cyst pliance with the U.S.
shown. what advice should be given about screening? Preventative Services Task
Force (USPSTF) recom-
mendations for her age
group and risk factors pri-
or to her current com-
plaint.
2. 42 year old female website developer. has questions sensitivity screening for
about breast cancer screening. concerned about radi- breast cancer increases
ation exposure. which of the following is true about with breast MRI at the ex-
MRI as a screening modality for breast cancer in the pense of specificity.
general population?
3. A 35-year-old G0P0 woman presents to clinic with a Prolactinoma
complaint of bilateral nipple discharge. This discharge
started several weeks ago and has occurred at irregu-
lar 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. Fur-
ther laboratories are still pending. Which of the follow-
ing is the most likely diagnosis?
4.
, NR509 FINAL Bates Questions Study Set
Study online at https://quizlet.com/_dx0xst
A 22-year-old G0P0 undergraduate student presents This patient is more like-
to clinic after finding a breast mass on breast self-ex- ly to find a fibroadenoma
amination (BSE) at home. The mass is nontender with- than a cancer on self-ex-
out skin changes, erythema, or overlying swelling. She amination
has heard that most breast cancers are found by pa-
tients 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?
5. 48 year old psychologist concerns about breast can- this patient carries sever-
cer risk after an age-marched cousin recently diag- al risk factors that together
nosed. patient read about testing for breast cancer justify BRCA testing.
genes (BRCA1 and BRCA2) and desires further infor-
mation about whether this would be appropriate for
her. Which of the following is true about this patient's
indications for BRCA testing?
6. A 68-year-old former paleontologist presents to clinic Regardless of recommen-
with concerns about her breast cancer risk. Her moth- dations, the high sensitivi-
er developed the disease in her 50s and died from it in ty of breast MRI comes at
her 60s. A younger cousin developed the disease a few the expense of markedly
years ago before the age of 50 years, but this individual decreased specificity (i.e.
was not tested for the BRCA1 and BRCA2 genes. In the ability to rule out dis-
addition, the patient suffered from lymphoma in her ease in healthy breasts).
20s and had radiation to the chest. She did take hor-
mone replacement therapy for a few years before data
emerged that this may contribute to breast cancer risk.
She has had several abnormal mammograms in her
50s for persistently dense breasts with subtle findings,
but follow-up biopsies never showed any malignant
pathology. Which of the following is true regarding
, NR509 FINAL Bates Questions Study Set
Study online at https://quizlet.com/_dx0xst
magnetic resonance imaging (MRI) screening of this
patient?
7. 66 year old female museum curator presents for a rou- Metastatic breast cancer
tine annual examination. on examination, a notably cells may spread directly
enlarged supraclavicular lymph node is appreciated on into the infraclavicular and
the right side. non tender and feels firm and rubbery. then supraclavicular nodes
denies any localized or systemic symptoms. has been without first causing no-
taking estrogen for 9 years since menopause. Which table changes in the axil-
of the following is true about this presentation of lym- lary nodes.
phadenopathy?
8. 24 year old graphic designer presents to the clinic with "Rubbery, mobile, non-
a concern for a breast mass. rubbery, mobile, non- tender mass located in the
tender mass is palpated in the right breast, which is right breast, in the 10:30
consistent with a fibroadenoma. examiner notes a 3cm position from the nipple"
mass proximal to and 3cm left of the nipple. Which of
the following would be the most appropriate way to
report this finding?
9. 54 year old female dietician presents for a routine Glandular tissue of
examination. reports has had many breast findings breast atrophies with
over several years, including one biopsy with normal menopause, primarily due
pathology. She feels that her breasts have become far to decrease in the number
less lumpy since she underwent menopause 3 years of lobules.
ago. Which of the following is true regarding changes
in the breasts with menopause?
10. An overweight 26-year-old public servant presents ruptured tubal (or ectopic)
to the Emergency Department with 12 hours of in- pregnancy
tense abdominal pain, light-headedness, and a faint-
ing episode that finally prompted her to seek medical
attention. She has a strong family history of gallstones
