Health Assessment Exam 2 (Ch 17, 18, 19, 20,
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22, 23) exam questions with answers
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What causes the breast grandular tissue to atrophy? - CORRECT
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ANSWERS ✔✔After menopause ovarian secretion of estrogen and
|/ |/ |/ |/ |/ |/ |/ |/
progesterone decreases-- causing boob to sag
|/ |/ |/ |/ |/ |/
Gynecomastia - CORRECT ANSWERS ✔✔man boobs- common in |/ |/ |/ |/ |/ |/ |/
adolescence. it is temporary
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Do White women or African-American women have a higher
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incidence of breast cancer starting at 45 years of age? -
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CORRECT ANSWERS ✔✔White Women
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Do White women or African-American women have a higher
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incidence of breast cancer before age 45? - CORRECT ANSWERS
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✔✔African-American
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Mastalgia - CORRECT ANSWERS ✔✔breast pain that occurs with
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trauma, inflammation, infection, and benign breast disease
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Galactorrhea - CORRECT ANSWERS ✔✔breast discharge not
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related to normal breast feeding milk-- bloody or blood-tinged
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discharge always is significant
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,What medications cause nipple discharge? - CORRECT ANSWERS
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✔✔oral contraceptives, phenothiazines, diuretics, digitalis,
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steroids, methyldopa, calcium channel blockers
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When should women have a clinical breast examination (CBE) ? -
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CORRECT ANSWERS ✔✔20-39 years of age, every 3 years
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Women after age 40 should get an annual CBE
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What is the best way to detect a person's risk for breast cancer?
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- CORRECT ANSWERS ✔✔By asking the right history questions
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What should the general appearance of a normal breast look like?
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- CORRECT ANSWERS ✔✔Symmetry of size and shape. It is
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
common to have a slight asymmetry in size; often the left breast
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
is slightly larger than the right
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What does retraction signs mean? - CORRECT ANSWERS ✔✔there
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are fibrosis in the breast tissue, usually caused by growing
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
neoplasms
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What is the best way to detect a breast mass? - CORRECT
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ANSWERS ✔✔Vertical strip pattern, start high by axilla and
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palpate down
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How should nulliparous women's breast feel like? - CORRECT
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ANSWERS ✔✔feels firm, smooth, and elastic
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,When is the best time to perform BSE? - CORRECT ANSWERS
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✔✔right after the menstrual period (day 4 to 7 of the cycle),
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when the breast are smallest and least congested
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What causes Gynecomastia? - CORRECT ANSWERS ✔✔occurs
|/ |/ |/ |/ |/ |/
with use of anabolic steroids, some medications, cirrhosis
|/ |/ |/ |/ |/ |/ |/ |/
Nipple Dimpling - CORRECT ANSWERS ✔✔Also called skin tether.
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Cancer causes fibrosis, which contracts the suspensory
|/ |/ |/ |/ |/ |/ |/
ligaments
|/
Edema (Peau d'Orange) - CORRECT ANSWERS ✔✔Lymphatic
|/ |/ |/ |/ |/ |/
obstruction produces edema. This thickens the skin and
|/ |/ |/ |/ |/ |/ |/ |/
exaggerates the hair follicles, giving a pigskin or orange-peel
|/ |/ |/ |/ |/ |/ |/ |/ |/
look. This condition suggests cancer
|/ |/ |/ |/ |/
Fixation - CORRECT ANSWERS ✔✔Asymmetry, distortion, or
|/ |/ |/ |/ |/ |/
decreased mobility with the elevated arm maneuver. As cancer
|/ |/ |/ |/ |/ |/ |/ |/ |/
becomes more invasive, the fibrosis fixes the breast to the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
underlying pectoral muscles
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Cancer - CORRECT ANSWERS ✔✔Solitary, unilateral, nontender
|/ |/ |/ |/ |/ |/
mass. Solid, hard, dense, and fixed to underlying tissues or skin
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
as cancer becomes invasive. Signs are skin dimpling, nipple
|/ |/ |/ |/ |/ |/ |/ |/ |/
retraction, and discharge
|/ |/ |/
Fibroadenoma - CORRECT ANSWERS ✔✔Benign tumors; most |/ |/ |/ |/ |/ |/
commonly present as self-detected in late adolescence. Solitary
|/ |/ |/ |/ |/ |/ |/ |/
, |/ nontender, solid, firm, rubbery and elastic. Usually no axillary
|/ |/ |/ |/ |/ |/ |/ |/
|/ lymphadenopathy
Intraductal Papilloma - CORRECT ANSWERS ✔✔These are discrete
|/ |/ |/ |/ |/ |/ |/
benign tumors that arise in a single or multiple papillary duct.
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
May have serous or serosanguineous discharge
|/ |/ |/ |/ |/ |/
Carcinoma - CORRECT ANSWERS ✔✔Bloody discharge that is
|/ |/ |/ |/ |/ |/ |/
unilateral and from a single duct requires further investigation
|/ |/ |/ |/ |/ |/ |/ |/ |/
Gynecomastia (in older adult) - CORRECT ANSWERS ✔✔Benign |/ |/ |/ |/ |/ |/ |/
enlargement of male breast that occurs when estrogen
|/ |/ |/ |/ |/ |/ |/ |/
concentration exceeds testosterone levels
|/ |/ |/ |/
Where does the right upper lobe extend from? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔The apex of the axilla down to the horizontal
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
fissure at the 5th rib
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Where does the right middle lobe extend? - CORRECT ANSWERS
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✔✔From the horizontal fissure down and forward to the 6th rib at
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
the midclavicular line
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Where does the right lower lobe extend? - CORRECT ANSWERS
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✔✔Continues from 5th rib to the 8th rib in the midaxillary line
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Where does the left upper lobe extend? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔from the apex of the axilla down to the 5th rib at the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
midaxillary line
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22, 23) exam questions with answers
|/ |/ |/ |/ |/ |/
What causes the breast grandular tissue to atrophy? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔After menopause ovarian secretion of estrogen and
|/ |/ |/ |/ |/ |/ |/ |/
progesterone decreases-- causing boob to sag
|/ |/ |/ |/ |/ |/
Gynecomastia - CORRECT ANSWERS ✔✔man boobs- common in |/ |/ |/ |/ |/ |/ |/
adolescence. it is temporary
|/ |/ |/ |/
Do White women or African-American women have a higher
|/ |/ |/ |/ |/ |/ |/ |/
incidence of breast cancer starting at 45 years of age? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔White Women
|/ |/ |/ |/
Do White women or African-American women have a higher
|/ |/ |/ |/ |/ |/ |/ |/
incidence of breast cancer before age 45? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔African-American
|/
Mastalgia - CORRECT ANSWERS ✔✔breast pain that occurs with
|/ |/ |/ |/ |/ |/ |/ |/
trauma, inflammation, infection, and benign breast disease
|/ |/ |/ |/ |/ |/ |/
Galactorrhea - CORRECT ANSWERS ✔✔breast discharge not
|/ |/ |/ |/ |/ |/
related to normal breast feeding milk-- bloody or blood-tinged
|/ |/ |/ |/ |/ |/ |/ |/ |/
discharge always is significant
|/ |/ |/ |/
,What medications cause nipple discharge? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/
✔✔oral contraceptives, phenothiazines, diuretics, digitalis,
|/ |/ |/ |/ |/
steroids, methyldopa, calcium channel blockers
|/ |/ |/ |/ |/
When should women have a clinical breast examination (CBE) ? -
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔20-39 years of age, every 3 years
|/ |/ |/ |/ |/ |/ |/ |/ |/
Women after age 40 should get an annual CBE
|/ |/ |/ |/ |/ |/ |/ |/
What is the best way to detect a person's risk for breast cancer?
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
- CORRECT ANSWERS ✔✔By asking the right history questions
|/ |/ |/ |/ |/ |/ |/ |/ |/
What should the general appearance of a normal breast look like?
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
- CORRECT ANSWERS ✔✔Symmetry of size and shape. It is
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
common to have a slight asymmetry in size; often the left breast
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
is slightly larger than the right
|/ |/ |/ |/ |/ |/
What does retraction signs mean? - CORRECT ANSWERS ✔✔there
|/ |/ |/ |/ |/ |/ |/ |/
are fibrosis in the breast tissue, usually caused by growing
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
neoplasms
|/
What is the best way to detect a breast mass? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔Vertical strip pattern, start high by axilla and
|/ |/ |/ |/ |/ |/ |/ |/ |/
palpate down
|/ |/
How should nulliparous women's breast feel like? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔feels firm, smooth, and elastic
|/ |/ |/ |/ |/ |/
,When is the best time to perform BSE? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔right after the menstrual period (day 4 to 7 of the cycle),
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
when the breast are smallest and least congested
|/ |/ |/ |/ |/ |/ |/ |/
What causes Gynecomastia? - CORRECT ANSWERS ✔✔occurs
|/ |/ |/ |/ |/ |/
with use of anabolic steroids, some medications, cirrhosis
|/ |/ |/ |/ |/ |/ |/ |/
Nipple Dimpling - CORRECT ANSWERS ✔✔Also called skin tether.
|/ |/ |/ |/ |/ |/ |/ |/
Cancer causes fibrosis, which contracts the suspensory
|/ |/ |/ |/ |/ |/ |/
ligaments
|/
Edema (Peau d'Orange) - CORRECT ANSWERS ✔✔Lymphatic
|/ |/ |/ |/ |/ |/
obstruction produces edema. This thickens the skin and
|/ |/ |/ |/ |/ |/ |/ |/
exaggerates the hair follicles, giving a pigskin or orange-peel
|/ |/ |/ |/ |/ |/ |/ |/ |/
look. This condition suggests cancer
|/ |/ |/ |/ |/
Fixation - CORRECT ANSWERS ✔✔Asymmetry, distortion, or
|/ |/ |/ |/ |/ |/
decreased mobility with the elevated arm maneuver. As cancer
|/ |/ |/ |/ |/ |/ |/ |/ |/
becomes more invasive, the fibrosis fixes the breast to the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
underlying pectoral muscles
|/ |/ |/
Cancer - CORRECT ANSWERS ✔✔Solitary, unilateral, nontender
|/ |/ |/ |/ |/ |/
mass. Solid, hard, dense, and fixed to underlying tissues or skin
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
as cancer becomes invasive. Signs are skin dimpling, nipple
|/ |/ |/ |/ |/ |/ |/ |/ |/
retraction, and discharge
|/ |/ |/
Fibroadenoma - CORRECT ANSWERS ✔✔Benign tumors; most |/ |/ |/ |/ |/ |/
commonly present as self-detected in late adolescence. Solitary
|/ |/ |/ |/ |/ |/ |/ |/
, |/ nontender, solid, firm, rubbery and elastic. Usually no axillary
|/ |/ |/ |/ |/ |/ |/ |/
|/ lymphadenopathy
Intraductal Papilloma - CORRECT ANSWERS ✔✔These are discrete
|/ |/ |/ |/ |/ |/ |/
benign tumors that arise in a single or multiple papillary duct.
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
May have serous or serosanguineous discharge
|/ |/ |/ |/ |/ |/
Carcinoma - CORRECT ANSWERS ✔✔Bloody discharge that is
|/ |/ |/ |/ |/ |/ |/
unilateral and from a single duct requires further investigation
|/ |/ |/ |/ |/ |/ |/ |/ |/
Gynecomastia (in older adult) - CORRECT ANSWERS ✔✔Benign |/ |/ |/ |/ |/ |/ |/
enlargement of male breast that occurs when estrogen
|/ |/ |/ |/ |/ |/ |/ |/
concentration exceeds testosterone levels
|/ |/ |/ |/
Where does the right upper lobe extend from? - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔The apex of the axilla down to the horizontal
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
fissure at the 5th rib
|/ |/ |/ |/ |/
Where does the right middle lobe extend? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔From the horizontal fissure down and forward to the 6th rib at
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
the midclavicular line
|/ |/ |/
Where does the right lower lobe extend? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔Continues from 5th rib to the 8th rib in the midaxillary line
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Where does the left upper lobe extend? - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔from the apex of the axilla down to the 5th rib at the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
midaxillary line
|/ |/
