CMN 568 UNIT 6: Pre and Postnatal
Care with questionsand answers
written correctly.
Painful, often multiple, usually bilateral mobile masses that fluctuate in size in the breast.
a. Fibroadenoma
b. Fibrocystic breast changes
c. Breast Abscess
d. Carcinoma of the breast - correct answer <<<<<<<<<<<b. Fibrocystic changes
P. 122
The essentials of diagnosis for ________________, include:
- Painful, often multiple, usually bilateral mobile masses in the breast.
- Rapid fluctuation in the size of the masses is common
- Frequently, pain occurs or increases, as does size during the premenstrual phase of the cycle.
- Most common age is 30-50 years; occurrence is rare in postmenopausal women. - correct answer
<<<<<<<<<<<Fibrocystic Breast Changes
Which of the following would not be a clinical finding in fibrocystic breast changes?
a. Bilateral mobile mass in the breasts.
b. Non-bloody green discharge
c. Hard non-painful lump in breast
d. Breast pain worsened by caffeine ingestion. - correct answer <<<<<<<<<<<c. Hard non-painful lump in
breast.
- Pain, fluctuation in size, and multiplicity of lesions help to differentiate these lesions from carcinoma
and the benign entity of fibroadenoma.
- Final diagnosis rest on biopsy and pathologic determination.
,T/F: Single nonproliferative lesions like fibrocystic changes are associated with an increased risk of
Breast CA. - correct answer <<<<<<<<<<<False
- The presence of multiple nonproliferative lesions or proliferative lesions are associated with an
increased risk of subsequent breast CA.
A 20 year old black female presents with c/o a round, firm, discrete, relatively movable, non-tender
mass that measures 4 cm in diameter. These manifestations are consistent with a diagnosis of what?
a. Fibroadenoma
b. Fibrocystic breast changes
c. Breast Abscess
d. Carcinoma of the breast - correct answer <<<<<<<<<<<a. Fibroadenoma
- A common, benign neoplasm.
- Occurs usually within 20 years after puberty.
- More frequent and occurs earlier in age in black women.
- Typically present as well-defined solid masses with benign imaging features on u/s.
- Definitive diagnosis can only be confirmed with a core biopsy or excision.
- Rapid growth sometimes raises the suspicion for a phyllodes tumor.
- Treatment is by local excision with a margin of surrounding normal breast tissue.
A 50 year old woman presents with a c/o discharge from the right nipple only, it is serosanguinous,
emanating from a single duct. These manifestations are consistent with a diagnosis of what?
a. Galactorrhea
b. Intraductal papilloma
c. Subareolar abscess
d. All of the above - correct answer <<<<<<<<<<<b. Intraductal papilloma
- The most common cause of pathologic nipple d/c.
- The d/c is usually unilateral, emanating from a single duct, and can be serous, bloody, or
serosanguinous.
- Bloody d/c is more suggestive of CA, but is usually caused by a benign papilloma in the duct.
,A 55 year old woman with hypothyroidism presents with a c/o milky nipple d/c from both breasts. These
manifestations are consistent with a diagnosis of what?
a. Galactorrhea
b. Intraductal papilloma
c. Subareolar abscess
d. All of the above - correct answer <<<<<<<<<<<a. Galactorrhea
- Frequently due to hyperprolactinemia secondary to meds, endocrine tumors or endocrine
abnormalities such as hypothyroidism and pituitary or hypothalamic disease.
____________ ___________ involvement is the single most significant prognostic feature of Breast CA
and increases with increasing tumor size and aggressive histologic features such as pathologic grade. -
correct answer <<<<<<<<<<<Lymph Node
Most patients with palpable breast CAs present with what?
a. Painless breast masses
b. Breast pain
c. Itching of the nipple
d. Generalized enlargement of the breast. - correct answer <<<<<<<<<<<a. Painless breast mass
T/F: More than 90% of breast cancers are detected as a result of an abnormal mammogram. - correct
answer <<<<<<<<<<<True
On examination of the breast, a 1-2 mm erosion of the nipple epithelium may be the only manifestation
of what?
a. Inflammatory Carcinoma
b. Li-Fraumeni syndrome
c. Paget's Carcinoma
d. None of the above - correct answer <<<<<<<<<<<c. Paget's Carcinoma
, Naegele's Rule: The EDD may be estimated by adding ____ days to the first day of the LMP and
subtracting ____ months plus 1 ______. - correct answer <<<<<<<<<<<Naegele's Rule: The EDD may be
estimated by adding _7___ days to the first day of the LMP and subtracting __3__ months plus 1
__year__.
All of the following are dependable signs of pregnancy, except:
a. quickening
b. amenorhea
c. positive UPT
d. chadwicks sign - correct answer <<<<<<<<<<<a. quickening
FHTs are detectable by handheld Doppler after how many weeks gestation?
a. 10
b. 14
c. 18
d. 22 - correct answer <<<<<<<<<<<a. 10
- By fetoscope after 18-20 weeks gestation.
Which of the following would be considered a 'presumptive' sign of pregnancy?
a. quickening
b. Chadwick's sign
c. Hegar's sign
d. Braxton Hick's contractions - correct answer <<<<<<<<<<<b. Chadwicks sign
- Congestion of the pelvic vasculature causes bluish discoloration of the vagina and cervix.
The fetus can be palpated through the maternal abdominal wall after how many weeks gestation?
a. 16
b. 18
c. 20
d. 22 - correct answer <<<<<<<<<<<d. 22
Care with questionsand answers
written correctly.
Painful, often multiple, usually bilateral mobile masses that fluctuate in size in the breast.
a. Fibroadenoma
b. Fibrocystic breast changes
c. Breast Abscess
d. Carcinoma of the breast - correct answer <<<<<<<<<<<b. Fibrocystic changes
P. 122
The essentials of diagnosis for ________________, include:
- Painful, often multiple, usually bilateral mobile masses in the breast.
- Rapid fluctuation in the size of the masses is common
- Frequently, pain occurs or increases, as does size during the premenstrual phase of the cycle.
- Most common age is 30-50 years; occurrence is rare in postmenopausal women. - correct answer
<<<<<<<<<<<Fibrocystic Breast Changes
Which of the following would not be a clinical finding in fibrocystic breast changes?
a. Bilateral mobile mass in the breasts.
b. Non-bloody green discharge
c. Hard non-painful lump in breast
d. Breast pain worsened by caffeine ingestion. - correct answer <<<<<<<<<<<c. Hard non-painful lump in
breast.
- Pain, fluctuation in size, and multiplicity of lesions help to differentiate these lesions from carcinoma
and the benign entity of fibroadenoma.
- Final diagnosis rest on biopsy and pathologic determination.
,T/F: Single nonproliferative lesions like fibrocystic changes are associated with an increased risk of
Breast CA. - correct answer <<<<<<<<<<<False
- The presence of multiple nonproliferative lesions or proliferative lesions are associated with an
increased risk of subsequent breast CA.
A 20 year old black female presents with c/o a round, firm, discrete, relatively movable, non-tender
mass that measures 4 cm in diameter. These manifestations are consistent with a diagnosis of what?
a. Fibroadenoma
b. Fibrocystic breast changes
c. Breast Abscess
d. Carcinoma of the breast - correct answer <<<<<<<<<<<a. Fibroadenoma
- A common, benign neoplasm.
- Occurs usually within 20 years after puberty.
- More frequent and occurs earlier in age in black women.
- Typically present as well-defined solid masses with benign imaging features on u/s.
- Definitive diagnosis can only be confirmed with a core biopsy or excision.
- Rapid growth sometimes raises the suspicion for a phyllodes tumor.
- Treatment is by local excision with a margin of surrounding normal breast tissue.
A 50 year old woman presents with a c/o discharge from the right nipple only, it is serosanguinous,
emanating from a single duct. These manifestations are consistent with a diagnosis of what?
a. Galactorrhea
b. Intraductal papilloma
c. Subareolar abscess
d. All of the above - correct answer <<<<<<<<<<<b. Intraductal papilloma
- The most common cause of pathologic nipple d/c.
- The d/c is usually unilateral, emanating from a single duct, and can be serous, bloody, or
serosanguinous.
- Bloody d/c is more suggestive of CA, but is usually caused by a benign papilloma in the duct.
,A 55 year old woman with hypothyroidism presents with a c/o milky nipple d/c from both breasts. These
manifestations are consistent with a diagnosis of what?
a. Galactorrhea
b. Intraductal papilloma
c. Subareolar abscess
d. All of the above - correct answer <<<<<<<<<<<a. Galactorrhea
- Frequently due to hyperprolactinemia secondary to meds, endocrine tumors or endocrine
abnormalities such as hypothyroidism and pituitary or hypothalamic disease.
____________ ___________ involvement is the single most significant prognostic feature of Breast CA
and increases with increasing tumor size and aggressive histologic features such as pathologic grade. -
correct answer <<<<<<<<<<<Lymph Node
Most patients with palpable breast CAs present with what?
a. Painless breast masses
b. Breast pain
c. Itching of the nipple
d. Generalized enlargement of the breast. - correct answer <<<<<<<<<<<a. Painless breast mass
T/F: More than 90% of breast cancers are detected as a result of an abnormal mammogram. - correct
answer <<<<<<<<<<<True
On examination of the breast, a 1-2 mm erosion of the nipple epithelium may be the only manifestation
of what?
a. Inflammatory Carcinoma
b. Li-Fraumeni syndrome
c. Paget's Carcinoma
d. None of the above - correct answer <<<<<<<<<<<c. Paget's Carcinoma
, Naegele's Rule: The EDD may be estimated by adding ____ days to the first day of the LMP and
subtracting ____ months plus 1 ______. - correct answer <<<<<<<<<<<Naegele's Rule: The EDD may be
estimated by adding _7___ days to the first day of the LMP and subtracting __3__ months plus 1
__year__.
All of the following are dependable signs of pregnancy, except:
a. quickening
b. amenorhea
c. positive UPT
d. chadwicks sign - correct answer <<<<<<<<<<<a. quickening
FHTs are detectable by handheld Doppler after how many weeks gestation?
a. 10
b. 14
c. 18
d. 22 - correct answer <<<<<<<<<<<a. 10
- By fetoscope after 18-20 weeks gestation.
Which of the following would be considered a 'presumptive' sign of pregnancy?
a. quickening
b. Chadwick's sign
c. Hegar's sign
d. Braxton Hick's contractions - correct answer <<<<<<<<<<<b. Chadwicks sign
- Congestion of the pelvic vasculature causes bluish discoloration of the vagina and cervix.
The fetus can be palpated through the maternal abdominal wall after how many weeks gestation?
a. 16
b. 18
c. 20
d. 22 - correct answer <<<<<<<<<<<d. 22
