CMN 568 UNIT 6: Pre and Postnatal Care
Questions with Detailed Verified Answers
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 Ans: 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.
Ans: 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. Ans: 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. Ans: 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 Ans: a. Fibroadenoma
- A common, benign neoplasm.
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,- 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 Ans: 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.
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, 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 Ans: 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. Ans: 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. Ans: a. Painless breast mass
T/F: More than 90% of breast cancers are detected as a result of an abnormal
mammogram. Ans: True
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Questions with Detailed Verified Answers
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 Ans: 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.
Ans: 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. Ans: 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. Ans: 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 Ans: a. Fibroadenoma
- A common, benign neoplasm.
© Get it right 2025 Getaway - Stuvia US All rights reserved
,- 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 Ans: 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.
© Get it right 2025 Getaway - Stuvia US All rights reserved
, 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 Ans: 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. Ans: 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. Ans: a. Painless breast mass
T/F: More than 90% of breast cancers are detected as a result of an abnormal
mammogram. Ans: True
© Get it right 2025 Getaway - Stuvia US All rights reserved
