NR 325 - FINAL EXAM STUDY GUIDE
QUESTIONS WITH CORRECT ANSWERS
BREAST |CANCER |SCREENING |GUIDELINES |- |CORRECT |ANSWER✔✔-regular |screening |
mammography |starting |at |age |45 |years.
Women |aged |45 |to |54 |years |should |be |screened |annually.
Women |55 |years |and |older |should |transition |to |biennial |screening |or |have |the |opportunity |to |
continue |screening |annually.
continue |screening |mammography |as |long |as |overall |health |is |good |and |life |expectancy |is |10 |
years |or |longer
THE |BREAST |SELF-EXAMINATION |- |CORRECT |ANSWER✔✔-lie |down |and |place |one |arm |behind |
the |head
use |finger |pads |of |three |middle |fingers |of |the |other |hand |to |feel |for |lumps
use |overlapping |dime-sized |circular |motions |to |feel |the |breast |tissue
use |three |different |levels |of |pressure
up-and-down |vertical |pattern |is |recommended
stand |in |a |front |a |mirror; |examine |breasts |for:
- shape
| |
,- size
| |
- redness/scaliness
| |
- dimpling |(skin/nipple)
| |
MASTITIS |- |CORRECT |ANSWER✔✔-inflammation |of |the |breast
occurs |in |up |to |10% |of |postpartum |lactating |mothers |2-4 |weeks |after |birth
MASTITIS |- |CLINICAL |MANIFESTATIONS |- |CORRECT |ANSWER✔✔-warm |to |touch
indurated/painful
often |unilateral
most |commonly |caused |by |staphylococcus |aureus
BEST |TIME |TO |PERFORM |SELF |BREAST |EXAM |(BSE) |- |CORRECT |ANSWER✔✔-Perform |BSE |at |
the |end |of |the |menstrual |period |
breast |tenderness |is |less |likely |to |occur
RISK |FACTORS |FOR |BREAST |CANCER |- |CORRECT |ANSWER✔✔-early |menarche
late |menopause
Age |- |at |or |older |than |50 |yrs
,hormone |use
Family |history/Genetics
History |of |cancer |(breast, |colon, |endometrial, |ovarian) |
First |full |term |pregnancy |after |age |30
nulliparity |(never |given |birth)
benign |breast |disease |(atypical |epithelial |hyperplasia)
weight |gain/obesity |after |menopause
exposure |to |ionizing |radiation
alcohol |consumption
ADVANTAGE |OF |FINE-NEEDLE |ASPIRATION |(FNA) |BIOPSY |- |CORRECT |ANSWER✔✔-FNA |is |
performed |in |outpatient |settings
results |are |available |within |24-48 |hours
no |incision |required
, BREAST |LUMPS |- |ASSESSMENT |- |CORRECT |ANSWER✔✔-*painless* |and |*fixed* |lumps |suggest |
breast |cancer/malignancy
HORMONE |THERAPY |(HT) |- |CORRECT |ANSWER✔✔-*HT |has |been |linked |to |increased |risk |for |
breast |cancer*; |patient |and |HCP |must |determine |whether |or |not |HT |therapy |is |appropriate
*Breast |cancer |incidence |is |increased |in |women |using |HT*, |independent |of |other |risk |factors
HT |increases |the |risk |for |both |non-BRCA-associated |cancer |and |BRCA-related |cancers
CLASSIFICATION |OF |BREAST |CANCER |- |CORRECT |ANSWER✔✔-based |on |tissue |type
based |on |invasiveness
based |on |hormone |receptor |and |genetic |status
CLASSIFICATION |OF |BREAST |CANCER |- |BASED |ON |ON |TISSUE |TYPE |- |CORRECT |ANSWER✔✔-
Ductal |carcinoma |(milk |ducts)
- Medullary
| |
- Tubular
| |
- Colloid |(mucinous)
| |
Lobular |carcinoma |(milk-producing |glands)
Other
- Inflammatory
| |
- Paget's |disease
| |
QUESTIONS WITH CORRECT ANSWERS
BREAST |CANCER |SCREENING |GUIDELINES |- |CORRECT |ANSWER✔✔-regular |screening |
mammography |starting |at |age |45 |years.
Women |aged |45 |to |54 |years |should |be |screened |annually.
Women |55 |years |and |older |should |transition |to |biennial |screening |or |have |the |opportunity |to |
continue |screening |annually.
continue |screening |mammography |as |long |as |overall |health |is |good |and |life |expectancy |is |10 |
years |or |longer
THE |BREAST |SELF-EXAMINATION |- |CORRECT |ANSWER✔✔-lie |down |and |place |one |arm |behind |
the |head
use |finger |pads |of |three |middle |fingers |of |the |other |hand |to |feel |for |lumps
use |overlapping |dime-sized |circular |motions |to |feel |the |breast |tissue
use |three |different |levels |of |pressure
up-and-down |vertical |pattern |is |recommended
stand |in |a |front |a |mirror; |examine |breasts |for:
- shape
| |
,- size
| |
- redness/scaliness
| |
- dimpling |(skin/nipple)
| |
MASTITIS |- |CORRECT |ANSWER✔✔-inflammation |of |the |breast
occurs |in |up |to |10% |of |postpartum |lactating |mothers |2-4 |weeks |after |birth
MASTITIS |- |CLINICAL |MANIFESTATIONS |- |CORRECT |ANSWER✔✔-warm |to |touch
indurated/painful
often |unilateral
most |commonly |caused |by |staphylococcus |aureus
BEST |TIME |TO |PERFORM |SELF |BREAST |EXAM |(BSE) |- |CORRECT |ANSWER✔✔-Perform |BSE |at |
the |end |of |the |menstrual |period |
breast |tenderness |is |less |likely |to |occur
RISK |FACTORS |FOR |BREAST |CANCER |- |CORRECT |ANSWER✔✔-early |menarche
late |menopause
Age |- |at |or |older |than |50 |yrs
,hormone |use
Family |history/Genetics
History |of |cancer |(breast, |colon, |endometrial, |ovarian) |
First |full |term |pregnancy |after |age |30
nulliparity |(never |given |birth)
benign |breast |disease |(atypical |epithelial |hyperplasia)
weight |gain/obesity |after |menopause
exposure |to |ionizing |radiation
alcohol |consumption
ADVANTAGE |OF |FINE-NEEDLE |ASPIRATION |(FNA) |BIOPSY |- |CORRECT |ANSWER✔✔-FNA |is |
performed |in |outpatient |settings
results |are |available |within |24-48 |hours
no |incision |required
, BREAST |LUMPS |- |ASSESSMENT |- |CORRECT |ANSWER✔✔-*painless* |and |*fixed* |lumps |suggest |
breast |cancer/malignancy
HORMONE |THERAPY |(HT) |- |CORRECT |ANSWER✔✔-*HT |has |been |linked |to |increased |risk |for |
breast |cancer*; |patient |and |HCP |must |determine |whether |or |not |HT |therapy |is |appropriate
*Breast |cancer |incidence |is |increased |in |women |using |HT*, |independent |of |other |risk |factors
HT |increases |the |risk |for |both |non-BRCA-associated |cancer |and |BRCA-related |cancers
CLASSIFICATION |OF |BREAST |CANCER |- |CORRECT |ANSWER✔✔-based |on |tissue |type
based |on |invasiveness
based |on |hormone |receptor |and |genetic |status
CLASSIFICATION |OF |BREAST |CANCER |- |BASED |ON |ON |TISSUE |TYPE |- |CORRECT |ANSWER✔✔-
Ductal |carcinoma |(milk |ducts)
- Medullary
| |
- Tubular
| |
- Colloid |(mucinous)
| |
Lobular |carcinoma |(milk-producing |glands)
Other
- Inflammatory
| |
- Paget's |disease
| |
