NR 509 - Final Exam Bate's Interactive Questions
and Answers | TEST Bank| LATEST UPDATE
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Terms in this set (100)
,A 44-year-old female mathematician c. This patient was in compliance with the U.S.
presents to clinic with a complaint of Preventive Services Task Force (USPSTF)
a mass in the right breast. Her partner recommendations for her age group and risk
noticed this mass 2 days ago, and the factors prior to her current complaint.
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 F
,A 42-year-old female website b. Sensitivity of screening for breast cancer
developer presents for an annual increases with breast MRI at the expense of
preventive examination with specificity.
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 c
, A 35-year-old G0P0 woman presents e. Prolactinoma
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
and Answers | TEST Bank| LATEST UPDATE
Save
Terms in this set (100)
,A 44-year-old female mathematician c. This patient was in compliance with the U.S.
presents to clinic with a complaint of Preventive Services Task Force (USPSTF)
a mass in the right breast. Her partner recommendations for her age group and risk
noticed this mass 2 days ago, and the factors prior to her current complaint.
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 F
,A 42-year-old female website b. Sensitivity of screening for breast cancer
developer presents for an annual increases with breast MRI at the expense of
preventive examination with specificity.
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 c
, A 35-year-old G0P0 woman presents e. Prolactinoma
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
