and CORRECT DETAILED ANSWERS ALREADY
GRADED A+
Screening guidelines for Mammography - CORRECT ANSWER-Screening for the
early detection of breast cancer includes *yearly mammograms starting at age 45
years*.
Lactational Mastitis - CORRECT ANSWER-↑ risk of BRCA? No
lactating women - Bacteria gain access through cracked nipple.
Risk Factors:
- May also be due to clogged milk duct
- Previous mastitis
- Sore or cterm-9racked nipples
- Improper nursing techniques
- Overly tired or stressed
- Poor nutrition
- Smoking
,Reproductive system - CORRECT ANSWER-
5 P's of sexual health history - CORRECT ANSWER-- Partners
- Practices (Sexual)
- Past STDs
- Pregnancy (history, prevention/protection, and plans)
- Protection from STDs (contraception)
Screening guidelines for Pap smear test - CORRECT ANSWER-- Start at age 21
(to age 29), every 3 years (even if sexually active before then)
i. But need annual gyn exam
- Every 5 years starting at age 30- 65?
- After 65 = pap smear not needed
Fibrocystic Breast - CORRECT ANSWER-
Fibroadenomas
(Benign breast lumps) - CORRECT ANSWER-
,Intraductal Papilloma
(Benign, wartlike growth) - CORRECT ANSWER-↑ risk of BRCA? *Slight ↑ risk
of cancer*
Ductal Ectasia
(Duct dilation) - CORRECT ANSWER-
Gynecomastia
(Men) - CORRECT ANSWER-Transient, *non-inflammatory* enlargement of 1
or both breasts
- Men
- Temporary, benign
• Most common cause: disturbance of normal ratio of active androgen to
estrogen in plasma or the breast itself
• Can occur in puberty, due to imbalance of estrogen and testosterone
• Resolves often by age 18
• Treatment focuses on *reassurance* of the benign nature of this disease.
, • Can be a manifestation of other problems:
Testicular tumors, adrenal cancers, pituitary tumors, hyperthyroidism, liver
disease
• Side effect of certain drugs: Spironolactone, digitalis, tricyclic antidepressants
• Marijuana can cause it.
Breast Cancer
(Women) - CORRECT ANSWER-
Gerontologic Considerations - CORRECT ANSWER-- Pendulous breasts
Loss of subcutaneous fat
Loss of structural support
Atrophy of mammary glands
- ↓ Glandular Tissue density
- ↑ Incidence of breast cancer
> 50% of breast cancers diagnosed are in women aged 65 or older
Pt education
• Teach to wear well fitted bras w/ good support, this will improve overall
appearance & reduce pain in the upper back, shoulders, & neck.