Test 1 Materials NURS 5432 UPDATED
ACTUAL Questions and CORRECT
Answers
PAP smear - CORRECT ANSWER - start at 25year per ACS, HPV every 5 years ,
cotesting every 5 years, cytology every 3 years
Breast cancer screening - CORRECT ANSWER - Average risk: if chest radiation therapy
before 30 year, genetic mutation of BRCA, family/pt history of CA
40-44yr: have option to start mammogram screening every year
45-54yr: SHOULD get mammogram every year
55 and up: can do every other year or q year until they are in good health to live 10 more years
high risk: Family history of breast cancer, non-BRCA1 or BRCA2 mutation, head radiation
therapy to chest, Li-Fraumeni Syndrome, Cowden Syndrome, Banayan-Riley Ruvalcoba
syndrome
Overdiagnosis - CORRECT ANSWER - finding cancer that wouldn't have been a problem
if you not found it
ACS recommend AGAINST MRI if cancer chance is <15%c
cervical dysplasia - CORRECT ANSWER - the growth of abnormal cells in the cervix
can be premalignant cervical disease called cervical intraepithelial neoplasia (CIN)
CIN 1: mild dysplasia with low grade lesion. Cellular change in lower 1/3rd of squamous
epithelium
CIN 2: moderate dysplasia with high grade lesion. Cellular change in lower 2/3 of squamous
epithelium
, CIN 3 or Carcinoma in situ: severe dysplasia with high grade lesion. Cellular change in full
thickness of squamous epithelium
-Squamous epithelium increase during pregnancy but reduces postpartum
-Endocervical curettage is contraindicated during pregnancy
-Unless cancer is identified/suspected treatment for CIN is contraindicated during pregnancy
Digital Breast Tomosynthesis - CORRECT ANSWER - provides 3D images from a
mammogram machine which rotates around the breast
Fibroadenoma - CORRECT ANSWER - a round, firm, rubbery mass that arises from
excess growth of glandular and connective tissue in the breast
Fluctuation in size with pregnancy or menstrual cycle
NO nipple discharge
lesions >5cm= giant fibroadenoma
Fibroadenoma Diagnosis and Treatment - CORRECT ANSWER - Diagnosis:
- Palpation
- Mammogram or MRI
- US to differentiate cyst from mass
- fine needle aspiration Bx
Treatment:
- Surgery
fibrocystic breast disease "nodular sensitivie breast" - CORRECT ANSWER - the
presence of single or multiple benign cysts in the breasts
ACTUAL Questions and CORRECT
Answers
PAP smear - CORRECT ANSWER - start at 25year per ACS, HPV every 5 years ,
cotesting every 5 years, cytology every 3 years
Breast cancer screening - CORRECT ANSWER - Average risk: if chest radiation therapy
before 30 year, genetic mutation of BRCA, family/pt history of CA
40-44yr: have option to start mammogram screening every year
45-54yr: SHOULD get mammogram every year
55 and up: can do every other year or q year until they are in good health to live 10 more years
high risk: Family history of breast cancer, non-BRCA1 or BRCA2 mutation, head radiation
therapy to chest, Li-Fraumeni Syndrome, Cowden Syndrome, Banayan-Riley Ruvalcoba
syndrome
Overdiagnosis - CORRECT ANSWER - finding cancer that wouldn't have been a problem
if you not found it
ACS recommend AGAINST MRI if cancer chance is <15%c
cervical dysplasia - CORRECT ANSWER - the growth of abnormal cells in the cervix
can be premalignant cervical disease called cervical intraepithelial neoplasia (CIN)
CIN 1: mild dysplasia with low grade lesion. Cellular change in lower 1/3rd of squamous
epithelium
CIN 2: moderate dysplasia with high grade lesion. Cellular change in lower 2/3 of squamous
epithelium
, CIN 3 or Carcinoma in situ: severe dysplasia with high grade lesion. Cellular change in full
thickness of squamous epithelium
-Squamous epithelium increase during pregnancy but reduces postpartum
-Endocervical curettage is contraindicated during pregnancy
-Unless cancer is identified/suspected treatment for CIN is contraindicated during pregnancy
Digital Breast Tomosynthesis - CORRECT ANSWER - provides 3D images from a
mammogram machine which rotates around the breast
Fibroadenoma - CORRECT ANSWER - a round, firm, rubbery mass that arises from
excess growth of glandular and connective tissue in the breast
Fluctuation in size with pregnancy or menstrual cycle
NO nipple discharge
lesions >5cm= giant fibroadenoma
Fibroadenoma Diagnosis and Treatment - CORRECT ANSWER - Diagnosis:
- Palpation
- Mammogram or MRI
- US to differentiate cyst from mass
- fine needle aspiration Bx
Treatment:
- Surgery
fibrocystic breast disease "nodular sensitivie breast" - CORRECT ANSWER - the
presence of single or multiple benign cysts in the breasts
