C HAPTER 17: B REASTS AND A XILLAE
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. Montgomery tubercles are most prominent in the breasts of:
a. adult males.
b. patients with lung disease.
c. pregnant women.
d. pubertal females.
ANS: C
Montgomery tubercles undergo hypertrophy and become more prominent in
the breasts of pregnant and lactating women.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Reduction of Risk
Potential
2. Most women with breast cancer:
a. possess the BRCA1 or BRCA2 gene.
b. risk increases with aging.
c. have a mother who had breast cancer.
d. continue to menstruate after age 52.
ANS: B
, Of all breast cancers, 77% occur in women older than 50 years. Most women
with breast cancer do not possess the BRCA1 or BRCA2 gene. Only 5% to
10% of women with breast cancer are known to have either gene. Most
women with breast cancer do not have a mother who had breast cancer.
Familial breast cancers occur in 10% to 20% of breast cancer populations.
Most women with breast cancer do not continue to menstruate after age 52.
Having a later start of menopause does not overshadow the 77% of all breast
cancers that occur in women older than 50 years.
DIF: Cognitive Level: Analyzing (Analysis) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. A 50-year-old woman presents as a new patient. Which finding in her personal
and social history would increase her risk profile for developing breast cancer?
a. Drinking three glasses of wine per week
b. Early menopause
c. Nulliparity
d. Late menarche
ANS: C
Nulliparity, or late age at the birth of the first child (after 30 years old), is a
risk factor for breast cancer. Other risk factors include late menopause, early
menarche, and drinking more than one alcoholic drink daily.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Reduction of Risk Potential
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. Montgomery tubercles are most prominent in the breasts of:
a. adult males.
b. patients with lung disease.
c. pregnant women.
d. pubertal females.
ANS: C
Montgomery tubercles undergo hypertrophy and become more prominent in
the breasts of pregnant and lactating women.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Reduction of Risk
Potential
2. Most women with breast cancer:
a. possess the BRCA1 or BRCA2 gene.
b. risk increases with aging.
c. have a mother who had breast cancer.
d. continue to menstruate after age 52.
ANS: B
, Of all breast cancers, 77% occur in women older than 50 years. Most women
with breast cancer do not possess the BRCA1 or BRCA2 gene. Only 5% to
10% of women with breast cancer are known to have either gene. Most
women with breast cancer do not have a mother who had breast cancer.
Familial breast cancers occur in 10% to 20% of breast cancer populations.
Most women with breast cancer do not continue to menstruate after age 52.
Having a later start of menopause does not overshadow the 77% of all breast
cancers that occur in women older than 50 years.
DIF: Cognitive Level: Analyzing (Analysis) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. A 50-year-old woman presents as a new patient. Which finding in her personal
and social history would increase her risk profile for developing breast cancer?
a. Drinking three glasses of wine per week
b. Early menopause
c. Nulliparity
d. Late menarche
ANS: C
Nulliparity, or late age at the birth of the first child (after 30 years old), is a
risk factor for breast cancer. Other risk factors include late menopause, early
menarche, and drinking more than one alcoholic drink daily.
DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—
assessment MSC: Physiologic Integrity: Reduction of Risk Potential
