WGU D117 GIM3 - GYNECOLOGICAL PLAN
TEMPLATE - BREAST PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Nipple Discharge.
Answer: Fluid released from the nipple
◍ Pregnancy.
Answer: Consideration for hyperprolactinemia work up
◍ Normal lactation.
Answer: Nipple discharge related to breastfeeding
◍ PE of breast: male.
Answer: inspect: nippler and areola for nodules, swelling or
ulcerationpalpate areola and breast tissue: nodules- pt lies supine + vertical
strip pattern like female
◍ CA 125.
Answer: Tumor marker used to detect ovarian cancer
◍ Refer B-RADS 4-5 to:.
Answer: Surgeon
◍ special considerations: pregnant.
Answer: - sensations - fullness, tingling, tenderness- presence colostrum-
use of supportive bra- plans to breastfeed (experience + expectations)-
knowledge about breastfeeding
◍ Cyst.
Answer: Fluid-filled mass in the breast
, ◍ tanner staging of breasts.
Answer: 1: elevation nipple only 2: breast buds as small mound3: enlarge
breast + areola w/ no separation of their contours4: project areola + nipple,
2ndary mound above level of breast5: project of nipple only, mature
◍ documentation guidelines describing breast mass.
Answer: location - quadrant or clock, centimeters from the nippleSize- in
centimetersShape- round, cystic, disc-like, irregularConsistency- soft, firm,
hardDelimitation- well circumscribed or notTendernessMobility
◍ Intraductal papilloma.
Answer: Benign growth in the mammary duct causing clear or bloody
discharge
◍ Hyperprolactinemia.
Answer: Elevated levels of prolactin hormone, causing galactorrhea
◍ Ovarian Cancer.
Answer: Cancer of the ovaries, highest mortality rate among gynecologic
cancers
◍ Fibrocystic breast changes.
Answer: Cause of mastalgia, characterized by fibrocystic breast tissue
◍ Colposcopy.
Answer: Procedure to examine the cervix for abnormal cells
◍ PE of breast: post-mastectomy or breast reconstruction.
Answer: inspect: massess, nodularity, signs of inflam or infection,
lymphedemapalpation: along scar, breast tissue, incision lines bording breast
augmentation or reconstruction areas *special attention to upper outer
quadrant and axilla
◍ Mammary duct ectasia.
Answer: Dilation of mammary ducts with inflammation causing clear or
bloody discharge
◍ cancer characterisitics.
TEMPLATE - BREAST PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Nipple Discharge.
Answer: Fluid released from the nipple
◍ Pregnancy.
Answer: Consideration for hyperprolactinemia work up
◍ Normal lactation.
Answer: Nipple discharge related to breastfeeding
◍ PE of breast: male.
Answer: inspect: nippler and areola for nodules, swelling or
ulcerationpalpate areola and breast tissue: nodules- pt lies supine + vertical
strip pattern like female
◍ CA 125.
Answer: Tumor marker used to detect ovarian cancer
◍ Refer B-RADS 4-5 to:.
Answer: Surgeon
◍ special considerations: pregnant.
Answer: - sensations - fullness, tingling, tenderness- presence colostrum-
use of supportive bra- plans to breastfeed (experience + expectations)-
knowledge about breastfeeding
◍ Cyst.
Answer: Fluid-filled mass in the breast
, ◍ tanner staging of breasts.
Answer: 1: elevation nipple only 2: breast buds as small mound3: enlarge
breast + areola w/ no separation of their contours4: project areola + nipple,
2ndary mound above level of breast5: project of nipple only, mature
◍ documentation guidelines describing breast mass.
Answer: location - quadrant or clock, centimeters from the nippleSize- in
centimetersShape- round, cystic, disc-like, irregularConsistency- soft, firm,
hardDelimitation- well circumscribed or notTendernessMobility
◍ Intraductal papilloma.
Answer: Benign growth in the mammary duct causing clear or bloody
discharge
◍ Hyperprolactinemia.
Answer: Elevated levels of prolactin hormone, causing galactorrhea
◍ Ovarian Cancer.
Answer: Cancer of the ovaries, highest mortality rate among gynecologic
cancers
◍ Fibrocystic breast changes.
Answer: Cause of mastalgia, characterized by fibrocystic breast tissue
◍ Colposcopy.
Answer: Procedure to examine the cervix for abnormal cells
◍ PE of breast: post-mastectomy or breast reconstruction.
Answer: inspect: massess, nodularity, signs of inflam or infection,
lymphedemapalpation: along scar, breast tissue, incision lines bording breast
augmentation or reconstruction areas *special attention to upper outer
quadrant and axilla
◍ Mammary duct ectasia.
Answer: Dilation of mammary ducts with inflammation causing clear or
bloody discharge
◍ cancer characterisitics.
