Chapter 7 Breast Lumps and Nipple Discharge
Multiple Choice
Identify the choice that best completes the statement or answers the question.
Your patient has a rubbery, firm, mobile breast mass. In order to completely exclude the possibility of cancer, the triple
1.
test is necessary, which includes:
A. CT scan
B. MRI
C. Biopsy
D. All of the above
A 23-year-old woman is concerned about a mass she found on palpation. Upon examination of the patient, the mass
2.
feels cystic, round, and mobile with discrete borders. The diagnostic study that is recommended is:
A. CT scan
B. Mammogram
C. Biopsy
D. Ultrasound
Which of the following variables is not a component of the Gail Model?
3.
A. Age at menarche
B. Number of breast biopsies
C. Age at first live birth
D. Number of live births
A 62-year-old female presents with a singular, hard, 1 cm, non-tender, non-mobile mass in the right breast. There are
4.
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
C. Malignancy
D. Paget’s disease
A 45-year-old female patient presents in the emergency department due to multiple chest injuries as a result of a motor
5.
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
Your patient is a 46-year-old woman suffering from psychosis complains of milky discharge from both her breasts.
6.
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
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram
7.. 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
, Bloody breast discharge is associated with which of the following?
8.
A. Bleeding disorder such as von Willebrand disease
B. Malignancy
C. Excessive non-steroidal anti-inflammatories
D. A and C
Your patient is a 64-year-old female who presents with complaints of a red, scaly rash on her nipple and areola of one
9.
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
A 12-year-old boy is brought into the clinic by his mother. The teen boy is embarrassed because he has developed
10.
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:
Multiple Choice
Identify the choice that best completes the statement or answers the question.
Your patient has a rubbery, firm, mobile breast mass. In order to completely exclude the possibility of cancer, the triple
1.
test is necessary, which includes:
A. CT scan
B. MRI
C. Biopsy
D. All of the above
A 23-year-old woman is concerned about a mass she found on palpation. Upon examination of the patient, the mass
2.
feels cystic, round, and mobile with discrete borders. The diagnostic study that is recommended is:
A. CT scan
B. Mammogram
C. Biopsy
D. Ultrasound
Which of the following variables is not a component of the Gail Model?
3.
A. Age at menarche
B. Number of breast biopsies
C. Age at first live birth
D. Number of live births
A 62-year-old female presents with a singular, hard, 1 cm, non-tender, non-mobile mass in the right breast. There are
4.
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
C. Malignancy
D. Paget’s disease
A 45-year-old female patient presents in the emergency department due to multiple chest injuries as a result of a motor
5.
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
Your patient is a 46-year-old woman suffering from psychosis complains of milky discharge from both her breasts.
6.
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
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram
7.. 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
, Bloody breast discharge is associated with which of the following?
8.
A. Bleeding disorder such as von Willebrand disease
B. Malignancy
C. Excessive non-steroidal anti-inflammatories
D. A and C
Your patient is a 64-year-old female who presents with complaints of a red, scaly rash on her nipple and areola of one
9.
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
A 12-year-old boy is brought into the clinic by his mother. The teen boy is embarrassed because he has developed
10.
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:
