NR 546: WEEK 7: REPRODUCTIVE: FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
1) What are the five 5 P's -- Answer ✔✔ partners, practices, past history of STI,
protection, prevention of pregnancy (and pleasure)
2) What is of great importance in the spread of carcinoma, and about three-quarters
of it is to the axillary nodes -- Answer ✔✔ lymphatic drainage of the breast
3) Gynecomastia -- Answer ✔✔ proliferation of palpable glandular tissue generally
defined as more than 2 cm
4) Causes of gynecomastia -- Answer ✔✔ increased estrogen, decreased
testosterone, and medication side effects
5) Medications associated with breast pain include hormone replacement therapy --
Answer ✔✔ SSRI, haloperidol, spironolactone, dig
,6) Redness of breast suggests -- Answer ✔✔ local infection or inflammatory
carcinoma
7) Thickening and prominent pores (peau d'orange) suggest -- Answer ✔✔ breast
cancer
8) Flattening of the normally convex breast suggests -- Answer ✔✔ cancer
9) Asymmetry due to change in nipple direction suggests -- Answer ✔✔ underlying
cancer
10) Eczematous changes with rash, scaling, or ulceration on the nipple extending to
the areola occurs in -- Answer ✔✔ Paget disease of the breast- underlying ductal
or lobular carcinoma
11) A nipple pulled inward, tethered by underlying ducts signals nipple retraction
suggests -- Answer ✔✔ cancer
12) Signs of breast cancer -- Answer ✔✔ breast dimpling or retractions, hard,
irregular, poorly circumscribed nodules, fixed to the skin or underlying tissues,
thickening of nipple, loss of elasticity, nodes that are greater than 1-2cm
13) Best technique for detecting breast masses -- Answer ✔✔ vertical strip pattern
14) A thorough breast exam takes how long? -- Answer ✔✔ 3 min
15) Tender subareolar cords suggest -- Answer ✔✔ mammary duct ectasia, a benign
but sometimes painful condition of dilated ducts with surrounding inflammation
and, at times, with associated masses.
, 16) Milky discharge unrelated to a prior pregnancy and lactation is -- Answer ✔✔
nonpuerperal galactorrhea
17) Causes of nonpuerperal galactorrhea -- Answer ✔✔ hyperthyroidism, pituitary
prolactinoma, dopamine antagonists (psychotropics and phenothiazines)
18) Spontaneous unilateral bloody discharge from one or two ducts -- Answer ✔✔
intraductal papilloma, ductal carcinoma in situ, or Paget disease
19) Deeply pigmented velvety axillary skin suggests -- Answer ✔✔ Acanthosis
nigricans
20) Causes of acanthosis nigricans -- Answer ✔✔ diabetes, obesity, PCOS, rarely
malignant paraneoplastic disorders
21) Masses, nodularity, and change in color or inflammation, especially in the incision
line in mastectomy, suggest -- Answer ✔✔ cancer
22) If the peritoneal lining remains an open channel to the scrotum -- Answer ✔✔
indirect inginual hernia
23) The parietal and visceral layers form a potential space for the abnormal fluid
accumulation of a -- Answer ✔✔ hydrocele
24) Protrude at this location and are more likely to present as emergencies with
bowel incarceration or strangulation -- Answer ✔✔ femoral hernias
COMPLETE SOLUTIONS
1) What are the five 5 P's -- Answer ✔✔ partners, practices, past history of STI,
protection, prevention of pregnancy (and pleasure)
2) What is of great importance in the spread of carcinoma, and about three-quarters
of it is to the axillary nodes -- Answer ✔✔ lymphatic drainage of the breast
3) Gynecomastia -- Answer ✔✔ proliferation of palpable glandular tissue generally
defined as more than 2 cm
4) Causes of gynecomastia -- Answer ✔✔ increased estrogen, decreased
testosterone, and medication side effects
5) Medications associated with breast pain include hormone replacement therapy --
Answer ✔✔ SSRI, haloperidol, spironolactone, dig
,6) Redness of breast suggests -- Answer ✔✔ local infection or inflammatory
carcinoma
7) Thickening and prominent pores (peau d'orange) suggest -- Answer ✔✔ breast
cancer
8) Flattening of the normally convex breast suggests -- Answer ✔✔ cancer
9) Asymmetry due to change in nipple direction suggests -- Answer ✔✔ underlying
cancer
10) Eczematous changes with rash, scaling, or ulceration on the nipple extending to
the areola occurs in -- Answer ✔✔ Paget disease of the breast- underlying ductal
or lobular carcinoma
11) A nipple pulled inward, tethered by underlying ducts signals nipple retraction
suggests -- Answer ✔✔ cancer
12) Signs of breast cancer -- Answer ✔✔ breast dimpling or retractions, hard,
irregular, poorly circumscribed nodules, fixed to the skin or underlying tissues,
thickening of nipple, loss of elasticity, nodes that are greater than 1-2cm
13) Best technique for detecting breast masses -- Answer ✔✔ vertical strip pattern
14) A thorough breast exam takes how long? -- Answer ✔✔ 3 min
15) Tender subareolar cords suggest -- Answer ✔✔ mammary duct ectasia, a benign
but sometimes painful condition of dilated ducts with surrounding inflammation
and, at times, with associated masses.
, 16) Milky discharge unrelated to a prior pregnancy and lactation is -- Answer ✔✔
nonpuerperal galactorrhea
17) Causes of nonpuerperal galactorrhea -- Answer ✔✔ hyperthyroidism, pituitary
prolactinoma, dopamine antagonists (psychotropics and phenothiazines)
18) Spontaneous unilateral bloody discharge from one or two ducts -- Answer ✔✔
intraductal papilloma, ductal carcinoma in situ, or Paget disease
19) Deeply pigmented velvety axillary skin suggests -- Answer ✔✔ Acanthosis
nigricans
20) Causes of acanthosis nigricans -- Answer ✔✔ diabetes, obesity, PCOS, rarely
malignant paraneoplastic disorders
21) Masses, nodularity, and change in color or inflammation, especially in the incision
line in mastectomy, suggest -- Answer ✔✔ cancer
22) If the peritoneal lining remains an open channel to the scrotum -- Answer ✔✔
indirect inginual hernia
23) The parietal and visceral layers form a potential space for the abnormal fluid
accumulation of a -- Answer ✔✔ hydrocele
24) Protrude at this location and are more likely to present as emergencies with
bowel incarceration or strangulation -- Answer ✔✔ femoral hernias
