NR 509 BATES ACTUAL TESTBANK PERFECT FOR
BOTH MIDTERM AND FINAL EXAM 2026 LATEST
EDITION
1. A 44-year-old female mathematician presents to clinic with a complaint of a mass in the right
breast. Her partner noticed this mass 2 days ago, and
the patient feels guilty because she has only had one mammogram and does not engage in breast self-
examination (BSE) on any regular basis. She has no family history of breast cancer, and her prior
mammogram was ordered as a routine screening test at age 43 years after a brief discussion with her
primary care provider. After a thorough investigation reveals a benign cyst, what advice should be given
to this patient about screening for breast cancer in her age group?
a. BSE is well evidenced, and all recommending agencies agree that it should be taught and
reinforced.
b. Clinical breast examination (CBE) is superior to BSE and should be a routine part of annual
examinations starting at age 30 years.
c. This patient was in compliance with the U.S. Preventive Services Task Force (USPSTF)
,recommendations for her age group and risk factors prior to her current complaint.
d. Mammography is most sensitive and specific for women in their 40s, when breast tissue is still
dense enough to image accurately.
e. Breast cancer screening is extremely well studied, and no controversy exists on the recommended
norms for screening and follow-up.
Answer>> c. This patient was in compli- ance with the U.S. Preventive Services Task Force (USPSTF) recommendations for her age group and risk
factors prior to her current complaint.
2. A 42-year-old female website developer presents for an annual preventive examination with questions
about breast cancer screening. She is concerned about the radiation exposure associated with
mammography and is interested in magnetic resonance imaging (MRI) as a possible alternative for
routine screening. She is otherwise healthy with no family history of breast, ovarian, or colon cancer.
Which of the following is true about MRI as a screening modality for breast cancer in the general
population?
a. Breast cancer screening by MRI has been well studied in the general popu-
,lation.
b. Sensitivity of screening for breast cancer increases with breast MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via breast MRI based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%) are recommended to undergo screening
MRI.
e. Known BRCA1 or BRCA2 mutation is insufficient criteria to justify screening with breast MRI.
Answer>> b. Sensitivity of screening for breast cancer increases with breast MRI at the expense of specificity.
3. A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple discharge. This
discharge started several weeks ago and has occurred at irregular intervals since that time. She does not
complain of local tenderness, redness, fever, or any other systemic symptoms aside from slightly
irregular periods over the last few months. On examination, she is able to express a small amount of
discharge, which is sent to the laboratory and found to be consistent with breast milk but without any
signs of blood or pus. Screening laboratories are also sent, which reveal a normal blood count,
metabolic panel, thyroid-stimulating hormone, and human chorionic gonadotropin (HCG) level. Further
laboratories are still pending. Which of the following is the most likely diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma
, Answer>>e. Prolactinoma
4. A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast mass on breast self-
examination (BSE) at home. The mass is nontender without skin changes, erythema, or overlying swelling.
She has heard that most breast cancers are found by patients themselves, and she is very concerned
that she may have breast cancer. Which of the following is true about BSE and
BOTH MIDTERM AND FINAL EXAM 2026 LATEST
EDITION
1. A 44-year-old female mathematician presents to clinic with a complaint of a mass in the right
breast. Her partner noticed this mass 2 days ago, and
the patient feels guilty because she has only had one mammogram and does not engage in breast self-
examination (BSE) on any regular basis. She has no family history of breast cancer, and her prior
mammogram was ordered as a routine screening test at age 43 years after a brief discussion with her
primary care provider. After a thorough investigation reveals a benign cyst, what advice should be given
to this patient about screening for breast cancer in her age group?
a. BSE is well evidenced, and all recommending agencies agree that it should be taught and
reinforced.
b. Clinical breast examination (CBE) is superior to BSE and should be a routine part of annual
examinations starting at age 30 years.
c. This patient was in compliance with the U.S. Preventive Services Task Force (USPSTF)
,recommendations for her age group and risk factors prior to her current complaint.
d. Mammography is most sensitive and specific for women in their 40s, when breast tissue is still
dense enough to image accurately.
e. Breast cancer screening is extremely well studied, and no controversy exists on the recommended
norms for screening and follow-up.
Answer>> c. This patient was in compli- ance with the U.S. Preventive Services Task Force (USPSTF) recommendations for her age group and risk
factors prior to her current complaint.
2. A 42-year-old female website developer presents for an annual preventive examination with questions
about breast cancer screening. She is concerned about the radiation exposure associated with
mammography and is interested in magnetic resonance imaging (MRI) as a possible alternative for
routine screening. She is otherwise healthy with no family history of breast, ovarian, or colon cancer.
Which of the following is true about MRI as a screening modality for breast cancer in the general
population?
a. Breast cancer screening by MRI has been well studied in the general popu-
,lation.
b. Sensitivity of screening for breast cancer increases with breast MRI at the expense of specificity.
c. This patient is an ideal candidate for screening via breast MRI based on current evidence.
d. Women at low lifetime risk of breast cancer (<20%) are recommended to undergo screening
MRI.
e. Known BRCA1 or BRCA2 mutation is insufficient criteria to justify screening with breast MRI.
Answer>> b. Sensitivity of screening for breast cancer increases with breast MRI at the expense of specificity.
3. A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple discharge. This
discharge started several weeks ago and has occurred at irregular intervals since that time. She does not
complain of local tenderness, redness, fever, or any other systemic symptoms aside from slightly
irregular periods over the last few months. On examination, she is able to express a small amount of
discharge, which is sent to the laboratory and found to be consistent with breast milk but without any
signs of blood or pus. Screening laboratories are also sent, which reveal a normal blood count,
metabolic panel, thyroid-stimulating hormone, and human chorionic gonadotropin (HCG) level. Further
laboratories are still pending. Which of the following is the most likely diagnosis?
a. Mastitis
b. Ductal carcinoma in situ
c. Paget disease of the breast
d. Occult pregnancy
e. Prolactinoma
, Answer>>e. Prolactinoma
4. A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast mass on breast self-
examination (BSE) at home. The mass is nontender without skin changes, erythema, or overlying swelling.
She has heard that most breast cancers are found by patients themselves, and she is very concerned
that she may have breast cancer. Which of the following is true about BSE and
