NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
1. A 44-year-old female mathematician presents to clinic c. This patient
was
with a complaint of a mass in the right breast. Her part- in compliance with
ner noticed this mass 2 days ago, and the patient the U.S.
feels guilty because she has only had one Preven- tive
mammogram and does not engage in breast self- Services Task
examination (BSE) on any regular basis. She has no Force (USPSTF)
family history of recommendatio
ns
breast cancer, and her prior mammogram was ordered for her age group
as a routine screening test at age 43 years after a of the following
brief discussion with her primary care provider. is true about
After a thorough investigation reveals a benign cyst, MRI as a
what advice should be given to this patient about screening
screening for breast cancer in her age group? modality for
breast cancer i
a. BSE is well evidenced, and all recommending the general
agen- cies agree that it should be taught and population?
reinforced.
b. Clinical breast examination (CBE) is superior to a. Breast cance
BSE and should be a routine part of annual screening by
examina- tions starting at age 30 years. MRI has been
c.This patient was in compliance with the U.S. well stud-
Preven- tive 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
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 mam-
mography and is interested in magnetic resonance
imaging (MRI) as a possible alternative for routine
screening. She is otherwise healthy with no family
his- tory of breast, ovarian, or colon cancer. Which
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
and risk factors prior to her current complaint.
b.Sensitivity of screening for breast cancer
increases with breast MRI at the expense of
speci- ficity.
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
ied in the general population. with- out skin
b. Sensitivity of screening for breast cancer changes,
increases with breast MRI at the expense of erythema, or
specificity. overlying
c. This patient is an ideal candidate for screening swelling. She
via breast MRI based on current evidence has heard that
d. Women at low lifetime risk of breast cancer most breast
(<20%) are recommended to undergo screening cancers are
MRI. found by
e. Known BRCA1 or BRCA2 mutation is patients
insufficient criteria to justify screening with breast themselves,
MRI. and she is very
concerned tha
3. A 35-year-old G0P0 woman presents to clinic she may have
with a complaint of bilateral nipple discharge. breast cancer.
This dis- Which of the
charge started several weeks ago and has occurred following is
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-stimu- lating 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
4. A 22-year-old G0P0 undergraduate student presents
to clinic after finding a breast mass on breast self-
ex- amination (BSE) at home.The mass is nontender
, NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
e. Prolactinoma
b. This patient is more likely to
find a fibroadeno- ma than a can- cer on self-
exami- nation.
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
1. A 44-year-old female mathematician presents to clinic c. This patient
was
with a complaint of a mass in the right breast. Her part- in compliance with
ner noticed this mass 2 days ago, and the patient the U.S.
feels guilty because she has only had one Preven- tive
mammogram and does not engage in breast self- Services Task
examination (BSE) on any regular basis. She has no Force (USPSTF)
family history of recommendatio
ns
breast cancer, and her prior mammogram was ordered for her age group
as a routine screening test at age 43 years after a of the following
brief discussion with her primary care provider. is true about
After a thorough investigation reveals a benign cyst, MRI as a
what advice should be given to this patient about screening
screening for breast cancer in her age group? modality for
breast cancer i
a. BSE is well evidenced, and all recommending the general
agen- cies agree that it should be taught and population?
reinforced.
b. Clinical breast examination (CBE) is superior to a. Breast cance
BSE and should be a routine part of annual screening by
examina- tions starting at age 30 years. MRI has been
c.This patient was in compliance with the U.S. well stud-
Preven- tive 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
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 mam-
mography and is interested in magnetic resonance
imaging (MRI) as a possible alternative for routine
screening. She is otherwise healthy with no family
his- tory of breast, ovarian, or colon cancer. Which
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
and risk factors prior to her current complaint.
b.Sensitivity of screening for breast cancer
increases with breast MRI at the expense of
speci- ficity.
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
ied in the general population. with- out skin
b. Sensitivity of screening for breast cancer changes,
increases with breast MRI at the expense of erythema, or
specificity. overlying
c. This patient is an ideal candidate for screening swelling. She
via breast MRI based on current evidence has heard that
d. Women at low lifetime risk of breast cancer most breast
(<20%) are recommended to undergo screening cancers are
MRI. found by
e. Known BRCA1 or BRCA2 mutation is patients
insufficient criteria to justify screening with breast themselves,
MRI. and she is very
concerned tha
3. A 35-year-old G0P0 woman presents to clinic she may have
with a complaint of bilateral nipple discharge. breast cancer.
This dis- Which of the
charge started several weeks ago and has occurred following is
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-stimu- lating 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
4. A 22-year-old G0P0 undergraduate student presents
to clinic after finding a breast mass on breast self-
ex- amination (BSE) at home.The mass is nontender
, NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS
WITH DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
e. Prolactinoma
b. This patient is more likely to
find a fibroadeno- ma than a can- cer on self-
exami- nation.
