NR 509 / NR509 Advanced Physical Assessment
Final Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
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 st
ANS 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.
,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
population.
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.
ANS 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 tender-
ness, redness, fever, or any other systemic symptoms aside from slightly irreg-
ular 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
Final Exam
Questions with Verified Answers - Chamberlain
Consist of 100 multiple choices Questions with Answers
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 st
ANS 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.
,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
population.
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.
ANS 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 tender-
ness, redness, fever, or any other systemic symptoms aside from slightly irreg-
ular 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
