NR509 / NR 509 FINAL EXAM TEST BANK | m m m m m m m m
COMPLETE 2025 ACTUAL EXAM WITH CORR m m m m m
ECT VERIFIED ANSWERS | m m m
GUARANTEED A+ EXAM Excellence m m m
A 64-year-
m
old retired architect presents to his primary care provider with a magaz
m m m m m m m m m m m
ine article about prostate cancer screening that states, "You should talk
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mto your doctor about the ups and downs of prostate cancer screening.
m m m m m m m m m m m
" The patient hands this to the clinician and states, "Tell me about the
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ups and down of prostate screening." Which of the following is true ab
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out prostate cancer screening?
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a. Regardless of sensitivity and specificity of testing modalities, sc
m m m m m m m m
reening for prostate cancer should always be ordered due to the
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malignant nature of the disease. m m m m
b. The prostate- m
specific antigen (PSA) effectively differentiates aggressively m
m m m m m m
alignant prostate tumors from indolent cases.
m m m m m
c. The prostate-specific antigen (PSA) cut-
m m m m
off of 4.0 ng/ml is virtually 100% specific for aggressive prostate ca
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ncer.
d. Setting normal cut-offs for prostate-
m m m m
specific antigen (PSA) testing relies on balancing the risk of overdiagn
m m m m m m m m m m
osis wi - ✔✔✔ Correct Answer
m m m m m
> d. Setting normal cut-offs for prostate-specific antigen (PSA) testing
m m m m m m m m m
,relies on balancing the risk of overdiagnosis with the risk of underdiag
m m m m m m m m m m m
nosis.
A 42-year-
m
old female website developer presents for an annual preventive exami
m m m m m m m m m
nation with questions about breast cancer screening. She is concerned
m m m m m m m m m
mabout the radiation exposure associated with mammography and is in
m m m m m m m m m
terested in magnetic resonance imaging (MRI) as a possible alternative
m m m m m m m m m
mfor routine screening. She is otherwise healthy with no family history
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of breast, ovarian, or colon cancer. Which of the following is true abou
m m m m m m m m m m m m
t MRI as a screening modality for breast cancer in the general populati
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on?
a. Breast cancer screening by MRI has been well studied in the genera
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l population.
m
b. Sensitivity of screening for breast cancer increases with breast MRI a
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t the expense of specificity.
m m m m
c. This patient is an ideal candidate for screening via breast MRI base
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d on current evidence
m m m
d. Women at low lifetime risk of breast cancer (<20%) ar
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e recommended to undergo screening MRI.
m m m m m
e. Known BRCA1 or BRCA2 mutation is insufficient cr -
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m✔✔✔ Correct Answer > b. Sensitivity of screening for breast cance
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r increases with breast MRI at the expense of specificity.
m m m m m m m m m
,A 22-year-
m
old G0P0 undergraduate student presents to clinic after finding a brea
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st mass on breast self-
m m m m
examination (BSE) at home. The mass is nontender without skin chang
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es, erythema, or overlying swelling. She has heard that most breast ca
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ncers are found by patients themselves, and she is very concerned tha
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t she may have breast cancer. Which of the following is true about BS
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E and self-detection of breast cancer?
m m m m m
a. Most masses that women find at home and bring to a provider'
m m m m m m m m m m m
s attention turn out to be malignant.
m m m m m m
b. This patient is more likely to find a fibroadenoma than a cancer o
m m m m m m m m m m m m
n self-examination.
m
c. The most likely breast mass this patient is likely to find in herself is a
m m m m m m m m m m m m m m
n abscess complicating underlying mastitis.
m m m m
d. Because of this patient's age, breast masses should not be pursue
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d with imaging and diagnosis because the risk of cancer is so low.
m m m m m m m m m m m m
e. BSE is universally recommended because of very high sensitivity -
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✔✔✔ Correct Answer > b. This patient is more likely to find a fibroad
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enoma than a cancer on self-examination.
m m m m m
A 66-year-
m
old female museum curator presents for a routine annual examination.
m m m m m m m m m
mOn examination, a notably enlarged supraclavicular lymph node is appr
m m m m m m m m m
eciated on the right side. The lymph node is nontender and feels firm a
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nd rubbery. She denies any localized or systemic symptoms such as bre
m m m m m m m m m m m
ast lumps, fevers, or night sweats. She has been taking conjugated estr
m m m m m m m m m m m
ogen tablets for 9 years since menopause, though she
m m m m m m m m
, has not taken progestin compounds since she had a hysterectomy for
m m m m m m m m m m m
heavy bleeding at age 45 years. Which of the following is true about th
m m m m m m m m m m m m m
is presentation of lymphadenopathy?
m m m
a. Breast cancer always presents with axillary lymphadenopathy be
m m m m m m m
cause the lymphatics of the breast uniformly drain into the axilla.
m m m m m m m m m m
b. Supraclavicular nodes are generally considered benign and requir m m m m m m m
e no further evaluation or follow-up.
m m m m m
c. Supraclavicular nodes are found along the anterior edge of th m m m m m m m m m
e trapezius muscle in the neck.
m m m m m
d. Firm, - m
m✔✔✔ Correct Answer > e. Metastatic breast cancer cells may spread
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directly into the infraclavicular and then supraclavicular nodes witho
m m m m m m m m
ut first causing notable changes in the axillary nodes.
m m m m m m m m
A 35-year-
m
old G0P0 woman presents to clinic with a complaint of bilateral nipple
m m m m m m m m m m m m
discharge. This discharge started several weeks ago and has occurred a
m m m m m m m m m m
t irregular intervals since that time. She does not complain of local ten
m m m m m m m m m m m m
derness, redness, fever, or any other systemic symptoms aside from sli
m m m m m m m m m m
ghtly irregular periods over the last few months. On examination, she i
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s able to express a small amount of discharge, which is sent to the lab
m m m m m m m m m m m m m m
oratory and found to be consistent with breast milk but without any si
m m m m m m m m m m m m
gns of blood or pus. Screening laboratories are also sent, which reveal
m m m m m m m m m m m m
a normal blood count, metabolic panel, thyroid-
m m m m m m
stimulating hormone, and human chorionic m m m m
COMPLETE 2025 ACTUAL EXAM WITH CORR m m m m m
ECT VERIFIED ANSWERS | m m m
GUARANTEED A+ EXAM Excellence m m m
A 64-year-
m
old retired architect presents to his primary care provider with a magaz
m m m m m m m m m m m
ine article about prostate cancer screening that states, "You should talk
m m m m m m m m m m
mto your doctor about the ups and downs of prostate cancer screening.
m m m m m m m m m m m
" The patient hands this to the clinician and states, "Tell me about the
m m m m m m m m m m m m m m
ups and down of prostate screening." Which of the following is true ab
m m m m m m m m m m m m
out prostate cancer screening?
m m m
a. Regardless of sensitivity and specificity of testing modalities, sc
m m m m m m m m
reening for prostate cancer should always be ordered due to the
m m m m m m m m m m m
malignant nature of the disease. m m m m
b. The prostate- m
specific antigen (PSA) effectively differentiates aggressively m
m m m m m m
alignant prostate tumors from indolent cases.
m m m m m
c. The prostate-specific antigen (PSA) cut-
m m m m
off of 4.0 ng/ml is virtually 100% specific for aggressive prostate ca
m m m m m m m m m m m
ncer.
d. Setting normal cut-offs for prostate-
m m m m
specific antigen (PSA) testing relies on balancing the risk of overdiagn
m m m m m m m m m m
osis wi - ✔✔✔ Correct Answer
m m m m m
> d. Setting normal cut-offs for prostate-specific antigen (PSA) testing
m m m m m m m m m
,relies on balancing the risk of overdiagnosis with the risk of underdiag
m m m m m m m m m m m
nosis.
A 42-year-
m
old female website developer presents for an annual preventive exami
m m m m m m m m m
nation with questions about breast cancer screening. She is concerned
m m m m m m m m m
mabout the radiation exposure associated with mammography and is in
m m m m m m m m m
terested in magnetic resonance imaging (MRI) as a possible alternative
m m m m m m m m m
mfor routine screening. She is otherwise healthy with no family history
m m m m m m m m m m m
of breast, ovarian, or colon cancer. Which of the following is true abou
m m m m m m m m m m m m
t MRI as a screening modality for breast cancer in the general populati
m m m m m m m m m m m m
on?
a. Breast cancer screening by MRI has been well studied in the genera
m m m m m m m m m m m
l population.
m
b. Sensitivity of screening for breast cancer increases with breast MRI a
m m m m m m m m m m
t the expense of specificity.
m m m m
c. This patient is an ideal candidate for screening via breast MRI base
m m m m m m m m m m m
d on current evidence
m m m
d. Women at low lifetime risk of breast cancer (<20%) ar
m m m m m m m m m
e recommended to undergo screening MRI.
m m m m m
e. Known BRCA1 or BRCA2 mutation is insufficient cr -
m m m m m m m m
m✔✔✔ Correct Answer > b. Sensitivity of screening for breast cance
m m m m m m m m m m
r increases with breast MRI at the expense of specificity.
m m m m m m m m m
,A 22-year-
m
old G0P0 undergraduate student presents to clinic after finding a brea
m m m m m m m m m m
st mass on breast self-
m m m m
examination (BSE) at home. The mass is nontender without skin chang
m m m m m m m m m m
es, erythema, or overlying swelling. She has heard that most breast ca
m m m m m m m m m m m
ncers are found by patients themselves, and she is very concerned tha
m m m m m m m m m m m
t she may have breast cancer. Which of the following is true about BS
m m m m m m m m m m m m m
E and self-detection of breast cancer?
m m m m m
a. Most masses that women find at home and bring to a provider'
m m m m m m m m m m m
s attention turn out to be malignant.
m m m m m m
b. This patient is more likely to find a fibroadenoma than a cancer o
m m m m m m m m m m m m
n self-examination.
m
c. The most likely breast mass this patient is likely to find in herself is a
m m m m m m m m m m m m m m
n abscess complicating underlying mastitis.
m m m m
d. Because of this patient's age, breast masses should not be pursue
m m m m m m m m m m
d with imaging and diagnosis because the risk of cancer is so low.
m m m m m m m m m m m m
e. BSE is universally recommended because of very high sensitivity -
m m m m m m m m m
✔✔✔ Correct Answer > b. This patient is more likely to find a fibroad
m m m m m m m m m m m m m
enoma than a cancer on self-examination.
m m m m m
A 66-year-
m
old female museum curator presents for a routine annual examination.
m m m m m m m m m
mOn examination, a notably enlarged supraclavicular lymph node is appr
m m m m m m m m m
eciated on the right side. The lymph node is nontender and feels firm a
m m m m m m m m m m m m m
nd rubbery. She denies any localized or systemic symptoms such as bre
m m m m m m m m m m m
ast lumps, fevers, or night sweats. She has been taking conjugated estr
m m m m m m m m m m m
ogen tablets for 9 years since menopause, though she
m m m m m m m m
, has not taken progestin compounds since she had a hysterectomy for
m m m m m m m m m m m
heavy bleeding at age 45 years. Which of the following is true about th
m m m m m m m m m m m m m
is presentation of lymphadenopathy?
m m m
a. Breast cancer always presents with axillary lymphadenopathy be
m m m m m m m
cause the lymphatics of the breast uniformly drain into the axilla.
m m m m m m m m m m
b. Supraclavicular nodes are generally considered benign and requir m m m m m m m
e no further evaluation or follow-up.
m m m m m
c. Supraclavicular nodes are found along the anterior edge of th m m m m m m m m m
e trapezius muscle in the neck.
m m m m m
d. Firm, - m
m✔✔✔ Correct Answer > e. Metastatic breast cancer cells may spread
m m m m m m m m m m m
directly into the infraclavicular and then supraclavicular nodes witho
m m m m m m m m
ut first causing notable changes in the axillary nodes.
m m m m m m m m
A 35-year-
m
old G0P0 woman presents to clinic with a complaint of bilateral nipple
m m m m m m m m m m m m
discharge. This discharge started several weeks ago and has occurred a
m m m m m m m m m m
t irregular intervals since that time. She does not complain of local ten
m m m m m m m m m m m m
derness, redness, fever, or any other systemic symptoms aside from sli
m m m m m m m m m m
ghtly irregular periods over the last few months. On examination, she i
m m m m m m m m m m m
s able to express a small amount of discharge, which is sent to the lab
m m m m m m m m m m m m m m
oratory and found to be consistent with breast milk but without any si
m m m m m m m m m m m m
gns of blood or pus. Screening laboratories are also sent, which reveal
m m m m m m m m m m m m
a normal blood count, metabolic panel, thyroid-
m m m m m m
stimulating hormone, and human chorionic m m m m
