office for her routine follow-up after having a mastectomy
of the right breast 2 years ago. Which statement applies to
your examination of this patient?
Swelling, thickening, and small lumps at the mastectomy
site are expected.
The mastectomy site is inspected but not palpated
because of pain.
If malignancy recurs, it may be at the scar site.
There is no need to examine the mastectomy site.
If malignancy recurs, it may be at the scar site.
,Mrs. Yates is a 58-year-old patient who presents to your
office for her yearly physical examination. She asks you
how often a mammogram is recommended. The best
response by the examiner is:
"every year."
"every 3 years."
"every 5 years."
"every year if you have a family history of cancer."
"every year."
,Mrs. Venin brings her 18-year-old son in for a follow-up
examination. You have examined him before due to his
enlarged breast tissue, which has not resolved
spontaneously. Which action is most appropriate?
Refer him to a surgeon for removal.
Explain that it may still resolve spontaneously.
Ask about history of sexual activity.
Ask about illicit or prescription drug use.
Ask about illicit or prescription drug use.
, Mrs. Harold is a 37-year-old patient who presents for her
yearly physical examination. Which statement made by
Mrs. Harold would make the examiner suspect fibrocystic
changes?
"I have a lump in my breast that is not tender."
"My right breast is larger than the left breast."
"My nipples are darker than before my baby was born."
"I feel lumps before my period."
"I feel lumps before my period."