Page |1
TEST 1 MATERIALS NURS 5432 QUESTIONS
WITH COMPLETE SOLUTIONS
Breast cancer screening - correct-answer-Average risk: if chest radiation therapy
before 30 year, genetic mutation of BRCA, family/pt history of CA
40-44yr: have option to start mammogram screening every year
45-54yr: SHOULD get mammogram every year
55 and up: can do every other year or q year until they are in good health to live
10 more years
high risk: Family history of breast cancer, non-BRCA1 or BRCA2 mutation, head
radiation therapy to chest, Li-Fraumeni Syndrome, Cowden Syndrome, Banayan-
Riley Ruvalcoba syndrome
Overdiagnosis - correct-answer-finding cancer that wouldn't have been a problem
if you not found it
ACS recommend AGAINST MRI if cancer chance is <15%c
cervical dysplasia - correct-answer-the growth of abnormal cells in the cervix
can be premalignant cervical disease called cervical intraepithelial neoplasia (CIN)
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CIN 1: mild dysplasia with low grade lesion. Cellular change in lower 1/3rd of
squamous epithelium
CIN 2: moderate dysplasia with high grade lesion. Cellular change in lower 2/3 of
squamous epithelium
CIN 3 or Carcinoma in situ: severe dysplasia with high grade lesion. Cellular
change in full thickness of squamous epithelium
-Squamous epithelium increase during pregnancy but reduces postpartum
-Endocervical curettage is contraindicated during pregnancy
-Unless cancer is identified/suspected treatment for CIN is contraindicated during
pregnancy
Digital Breast Tomosynthesis - correct-answer-provides 3D images from a
mammogram machine which rotates around the breast
Fibroadenoma - correct-answer-a round, firm, rubbery mass that arises from
excess growth of glandular and connective tissue in the breast
Fluctuation in size with pregnancy or menstrual cycle
NO nipple discharge
lesions >5cm= giant fibroadenoma
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Fibroadenoma Diagnosis and Treatment - correct-answer-Diagnosis:
- Palpation
- Mammogram or MRI
- US to differentiate cyst from mass
- fine needle aspiration Bx
Treatment:
- Surgery
fibrocystic breast disease "nodular sensitivie breast" - correct-answer-the
presence of single or multiple benign cysts in the breasts
mastoplasia - correct-answer-thickening of breast tissue in a ropelike manner that
predominate during menstrual cycle
Non pharm management for fibrocystic BD - correct-answer-Cold compress,
supportive bra 24 hours a day,
sodium restriction 10 days before onset of menstruation, decrease or eliminate
caffeine,
reduce dietary fat
TEST 1 MATERIALS NURS 5432 QUESTIONS
WITH COMPLETE SOLUTIONS
Breast cancer screening - correct-answer-Average risk: if chest radiation therapy
before 30 year, genetic mutation of BRCA, family/pt history of CA
40-44yr: have option to start mammogram screening every year
45-54yr: SHOULD get mammogram every year
55 and up: can do every other year or q year until they are in good health to live
10 more years
high risk: Family history of breast cancer, non-BRCA1 or BRCA2 mutation, head
radiation therapy to chest, Li-Fraumeni Syndrome, Cowden Syndrome, Banayan-
Riley Ruvalcoba syndrome
Overdiagnosis - correct-answer-finding cancer that wouldn't have been a problem
if you not found it
ACS recommend AGAINST MRI if cancer chance is <15%c
cervical dysplasia - correct-answer-the growth of abnormal cells in the cervix
can be premalignant cervical disease called cervical intraepithelial neoplasia (CIN)
, Page |2
CIN 1: mild dysplasia with low grade lesion. Cellular change in lower 1/3rd of
squamous epithelium
CIN 2: moderate dysplasia with high grade lesion. Cellular change in lower 2/3 of
squamous epithelium
CIN 3 or Carcinoma in situ: severe dysplasia with high grade lesion. Cellular
change in full thickness of squamous epithelium
-Squamous epithelium increase during pregnancy but reduces postpartum
-Endocervical curettage is contraindicated during pregnancy
-Unless cancer is identified/suspected treatment for CIN is contraindicated during
pregnancy
Digital Breast Tomosynthesis - correct-answer-provides 3D images from a
mammogram machine which rotates around the breast
Fibroadenoma - correct-answer-a round, firm, rubbery mass that arises from
excess growth of glandular and connective tissue in the breast
Fluctuation in size with pregnancy or menstrual cycle
NO nipple discharge
lesions >5cm= giant fibroadenoma
, Page |3
Fibroadenoma Diagnosis and Treatment - correct-answer-Diagnosis:
- Palpation
- Mammogram or MRI
- US to differentiate cyst from mass
- fine needle aspiration Bx
Treatment:
- Surgery
fibrocystic breast disease "nodular sensitivie breast" - correct-answer-the
presence of single or multiple benign cysts in the breasts
mastoplasia - correct-answer-thickening of breast tissue in a ropelike manner that
predominate during menstrual cycle
Non pharm management for fibrocystic BD - correct-answer-Cold compress,
supportive bra 24 hours a day,
sodium restriction 10 days before onset of menstruation, decrease or eliminate
caffeine,
reduce dietary fat
