Exam 3 Nur 6001
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1. When examining the breasts of a 45-year-old female patient, you note nodu-
larity throughout both breasts. There is no dominant mass, tenderness, nipple
change, or skin change. Which of the following condition is most likely?
A. Multiple fibroadenomas
B. Fibrocystic breasts
C. Mastalgia
D. Mastitis: A. Multiple Fibroadenomas
2. Your patient has a rubbery, firm, mobile breast mass. In order to completely
exclude the possibility
of cancer, the triple test is necessary, which includes:
A. CT scan
B. MRI
C. Biopsy
D. All of the above: C. Biopsy
3. A 23-year-old woman is concerned about a mass she found on palpation.
Upon examination of the patient, the mass feels cystic, round, and mobile with
discrete borders. The diagnostic study that is recommended is:
A. CT scan
B. Mammogram
C. Biopsy
D. Ultrasound: D. Ultrasound
4. Which of the following variables is not a component of the Gail Model?
A. Age at menarche
B. Number of breast biopsies
C. Age at first live birth
D. Number of live births: D. Number of live births
5. A 62-year-old female presents with a singular, hard, 1 cm, non-tender,
non-mobile mass in the right breast. There are no nipple or skin changes,
however, you palpate an enlarged right-sided supraclavicular lymph node. The
clinician should recognize these are signs of:
A. Fibroadenoma B. Breast cyst
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C. Malignancy
D. Paget's disease: C. Malignancy
6. A 45-year-old female patient presents in the emergency department due
to multiple chest injuries as a result of a motor vehicle accident. There is
a palpable, tender, irregular 3 cm soft mass located in the left breast, with
erythema and swelling of the breast. Which of the following is indicated?
A. Compression wrap for chest and breast trauma;
B. Mammogram
C. Re-evaluation following complete resolution of obvious injuries
D. Ultrasound: Mammogram
7. A 23-year-old female presents with episodic bilateral breast tenderness. Upon
palpation, there are multiple areas of nodularity with no dominant breast mass
and no tenderness, nipple, or skin changes. It is best to recommend:
A. Ultrasound of the breasts
B. Mammogram of the breasts
C. Fine needle aspiration of one nodule within a breast
D. Diary of menstrual cycle and breast symptoms: D. Diary of menstrual cycle and breast
symptoms
8. A 34-year-old female who gave birth 2 weeks ago developed fever and pain in
the right breast while nursing her baby. The patient has tenderness, eythema,
and swelling of the nipple on the right breast. Which of the following diagnostic
studies is indicated?
A. White blood cell (WBC) count
B. Breast milk culture
C. Ultrasound
D. Fine needle biopsy: A. White Blood Cell Count
9. Your patient is a 46-year-old woman suffering from psychosis complains
of milky discharge from both her breasts. Upon examination, there are no
significant findings and the patient is not pregnant, breastfeeding, or in the
postpartum period. You should:
A. Order CT scan of head to rule out pituitary tumor
B. Obtain a complete list of the patient's medications
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C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram: B obtain a complete list of patient's mediacations
10. Your patient is a 36-year-old woman who complains of milky discharge from
both her breasts, episodes of headache, and menstrual irregularity. The patient
is on no medications. Upon examination, there are no significant findings, and
the patient is not pregnant, breastfeeding, or in the postpartum period. It is
important to:
A. Order prolactin level
B. Obtain an MRI of head
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram: A. Order a prolactin level
11. Bloody breast discharge is associated with which of the following?
A. Bleeding disorder such as von Willebrand disease
B. Malignancy
C. Excessive non-steroidal anti-inflammatories
D. AandC: B. Malignancy
12. Your patient is a 64-year-old female who presents with complaints of a red,
scaly rash on her nipple and areola of one breast. It has been present for a few
months. There is no mass or nipple discharge. You should be suspicious of: A.
Contact dermatitis
B. Mastitis
C. Paget's disease
D. Eczema: C. Pagets Disease
13. A 12-year-old boy is brought into the clinic by his mother. The teen boy is
embarrassed because he has developed breast tissue and would like to know
if there is any treatment. The physical examination reveals early stages of
puberty, otherwise it is normal. This presentation is:
A. Associated with a high rate of malignancy
B. Most often due to altered hormonal levels in puberty
C. Commonly indicative of pituitary tumor triggered by puberty
D. Too dense for a mammogram and requires biopsy: B
Study online at https://quizlet.com/_hw1p1e
1. When examining the breasts of a 45-year-old female patient, you note nodu-
larity throughout both breasts. There is no dominant mass, tenderness, nipple
change, or skin change. Which of the following condition is most likely?
A. Multiple fibroadenomas
B. Fibrocystic breasts
C. Mastalgia
D. Mastitis: A. Multiple Fibroadenomas
2. Your patient has a rubbery, firm, mobile breast mass. In order to completely
exclude the possibility
of cancer, the triple test is necessary, which includes:
A. CT scan
B. MRI
C. Biopsy
D. All of the above: C. Biopsy
3. A 23-year-old woman is concerned about a mass she found on palpation.
Upon examination of the patient, the mass feels cystic, round, and mobile with
discrete borders. The diagnostic study that is recommended is:
A. CT scan
B. Mammogram
C. Biopsy
D. Ultrasound: D. Ultrasound
4. Which of the following variables is not a component of the Gail Model?
A. Age at menarche
B. Number of breast biopsies
C. Age at first live birth
D. Number of live births: D. Number of live births
5. A 62-year-old female presents with a singular, hard, 1 cm, non-tender,
non-mobile mass in the right breast. There are no nipple or skin changes,
however, you palpate an enlarged right-sided supraclavicular lymph node. The
clinician should recognize these are signs of:
A. Fibroadenoma B. Breast cyst
, Exam 3 Nur 6001
Study online at https://quizlet.com/_hw1p1e
C. Malignancy
D. Paget's disease: C. Malignancy
6. A 45-year-old female patient presents in the emergency department due
to multiple chest injuries as a result of a motor vehicle accident. There is
a palpable, tender, irregular 3 cm soft mass located in the left breast, with
erythema and swelling of the breast. Which of the following is indicated?
A. Compression wrap for chest and breast trauma;
B. Mammogram
C. Re-evaluation following complete resolution of obvious injuries
D. Ultrasound: Mammogram
7. A 23-year-old female presents with episodic bilateral breast tenderness. Upon
palpation, there are multiple areas of nodularity with no dominant breast mass
and no tenderness, nipple, or skin changes. It is best to recommend:
A. Ultrasound of the breasts
B. Mammogram of the breasts
C. Fine needle aspiration of one nodule within a breast
D. Diary of menstrual cycle and breast symptoms: D. Diary of menstrual cycle and breast
symptoms
8. A 34-year-old female who gave birth 2 weeks ago developed fever and pain in
the right breast while nursing her baby. The patient has tenderness, eythema,
and swelling of the nipple on the right breast. Which of the following diagnostic
studies is indicated?
A. White blood cell (WBC) count
B. Breast milk culture
C. Ultrasound
D. Fine needle biopsy: A. White Blood Cell Count
9. Your patient is a 46-year-old woman suffering from psychosis complains
of milky discharge from both her breasts. Upon examination, there are no
significant findings and the patient is not pregnant, breastfeeding, or in the
postpartum period. You should:
A. Order CT scan of head to rule out pituitary tumor
B. Obtain a complete list of the patient's medications
, Exam 3 Nur 6001
Study online at https://quizlet.com/_hw1p1e
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram: B obtain a complete list of patient's mediacations
10. Your patient is a 36-year-old woman who complains of milky discharge from
both her breasts, episodes of headache, and menstrual irregularity. The patient
is on no medications. Upon examination, there are no significant findings, and
the patient is not pregnant, breastfeeding, or in the postpartum period. It is
important to:
A. Order prolactin level
B. Obtain an MRI of head
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram: A. Order a prolactin level
11. Bloody breast discharge is associated with which of the following?
A. Bleeding disorder such as von Willebrand disease
B. Malignancy
C. Excessive non-steroidal anti-inflammatories
D. AandC: B. Malignancy
12. Your patient is a 64-year-old female who presents with complaints of a red,
scaly rash on her nipple and areola of one breast. It has been present for a few
months. There is no mass or nipple discharge. You should be suspicious of: A.
Contact dermatitis
B. Mastitis
C. Paget's disease
D. Eczema: C. Pagets Disease
13. A 12-year-old boy is brought into the clinic by his mother. The teen boy is
embarrassed because he has developed breast tissue and would like to know
if there is any treatment. The physical examination reveals early stages of
puberty, otherwise it is normal. This presentation is:
A. Associated with a high rate of malignancy
B. Most often due to altered hormonal levels in puberty
C. Commonly indicative of pituitary tumor triggered by puberty
D. Too dense for a mammogram and requires biopsy: B
