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The possibility of cancer is associated with mastalgia when the pain
A. occurs in perimenopausal women who are receiving HT.
B. is accompanied by skin changes or palpable abnormality.
C. is felt in both breasts equally and is related to a cyclic pattern.
D. is reproducible with palpation of the chest wall. - ANSWER-B. is
accompanied by skin changes or palpable abnormality.
Effective for 85% of women who have mild or moderate symptoms of
mastalgia, the first line of treatment is
A. reassurance.
B. reduction mammoplasty.
C. isoflavones, or naturally occurring phytoestrogens.
D. 2% lidocaine injection and 40 mg of methyl prednisone. - ANSWER-A.
Reassurance.
Mammary duct ectasia
A. is one of the most common causes of milky nipple discharge.
B. like intraductal papilloma, is typically unilateral and uniductal.
C. usually occurs in women 20 to 35 years of age.
,D. discharge may be green, brown, or black in color. - ANSWER-D. discharge
may be green, brown, or black in color.
If a woman is complaining of bilateral, milky nipple discharge, the clinician is
to first
A. perform a pregnancy test.
B. perform a mammogram and an ultrasound of the breasts.
C. assess the sella turcica with magnetic resonance imaging (MRI).
D. obtain a serum prolactin level and a thyroid-stimulating hormone (TSH)
measurement. - ANSWER-A. perform a pregnancy test.
The most common benign breast masses are
A. galactoceles.
B. hamartomas.
C. fibroadenomas and cysts.
D. lipomas and phyllodestumors. - ANSWER-C. fibroadenomas and cysts.
Which breast tissue sampling procedure is best to use when density or
calcification is seen on a mammogram in a location that cannot be effectively
assessed with a core biopsy?
A. Fine-needle aspiration
B. MRI-guided needle biopsy
C. Needle-localized breast biopsy
D. Excisional breast biopsy - ANSWER-C. Needle-localized breast biopsy
A major contributor to pelvic stability is
A. the coccyx.
,B the pubis.
C the ilium and its ligaments.
D the sacrum. - ANSWER-C. the ilium and ligaments
The sheet made up of dense fibrous tissue that spans the opening of the anterior
pelvic outlet is/are the
A. sphinter muscles.
B. deep perineal space.
C. perineal membrane.
D. distal vagina. - ANSWER-A. Sphincter muscles
How many different fiber sections subdivide the levator ani muscular sheet?
A. 2
B. 3
C. 4
D. 6 - ANSWER-C. 4
What is the function of the Bartholin's gland?
A. To help prevent infection of the introitus
B. To secrete lubricating mucus into the introitus during sexual excitement
C. To assist in keeping the vaginal introitus closed
D. To secrete estrogen and regulate its levels - ANSWER-A. To help prevent
infection of the introitus
A 6-month-old infant has a retractile testis that was noted at the 2-month well
baby exam. What will the NP do to manage this condition?
A. Reassure the parent that the testis will most likely descend into place on its
own
B. Refer the infant to a pediatric urologist or surgeon for possible orchiopexy
, C. Teach the parent to manipulate the testis into the scrotum during diaper
changes
D. Tell the parent that hormonal therapy may be needed to correct the condition
- ANSWER-B. Refer the infant to a pediatric urologist or surgeon for possible
orchiopexy
A 9-month-old infant is brought to the clinic with scrotal swelling and fussiness.
The NP notes a tender mass in the affected scrotum that is difficult to reduce.
What is the correct action?
A. obtain an abdominal radiograph
B. refer immediately to a pediatric surgeon
C. Schedule an apt w/a pediatric urologist
D. Teach the parents signs of incarceration - ANSWER-B. refer immediately to
a pediatric surgeon
The mother of a 12-month-old uncircumcised male infant reports that the child
seems to have pain associated with voiding. A PE reveals a tight, pinpoint
opening of the foreskin, which thickened and inflamed. What will the NP do?
A. attempt to retract the foreskin to visualize the penis
B. Order corticosteroid cream TIDx4 wks
C. Refer the child to a pediatric urologist
D. Tach the mother gently stretch the foreskin with cleaning - ANSWER-C.
Refer the child to a pediatric urologist
An adolescent male comes to the clinic reporting unilateral scrotal pain, N/V,
that began that morning. The NP palpates a painful, swollen testis and elicits inc
pain w/slight elevation of the testis (a neg Phren's sign) What will the NP do?
A. Admin IM ceftriaxone and prescribe doxy BIDx10days
B. Encourage bed rest, scrotal support, and ice packs to the scrotum as tol
C. Prescribe NSAIDs, limited activities, and warm compress to the scrotum