NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS WIT
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 feels the U.S.
guilty because she has only had one mammogram Preven- tive
and does not engage in breast self-examination (BSE) Services Task
on any regular basis. She has no family history of Force (USPSTF)
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 for breast
brief discussion with her primary care provider. cancer in the
After a thorough investigation reveals a benign cyst, general
what advice should be given to this patient about population?
screening for breast cancer in her age group?
a. Breast cance
a. BSE is well evidenced, and all recommending agen- screening by
cies agree that it should be taught and reinforced. MRI has been
b. Clinical breast examination (CBE) is superior to well stud-
BSE and should be a routine part of annual
examina- tions starting at age 30 years.
c.This patient was in compliance with the U.S. 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 of the
following is true about MRI as a screening modality
1/
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS WIT
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.
2/
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS WIT
DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
ied in the general population. swelling. She
b. Sensitivity of screening for breast cancer increases has heard that
with breast MRI at the expense of specificity. most breast
c. This patient is an ideal candidate for screening cancers are
via breast MRI based on current evidence found by
d. Women at low lifetime risk of breast cancer patients
(<20%) are recommended to undergo screening themselves,
MRI. and she is very
e. Known BRCA1 or BRCA2 mutation is concerned tha
insufficient criteria to justify screening with breast she may have
MRI. breast cancer.
Which of the
3. A 35-year-old G0P0 woman presents to clinic following is
with a complaint of bilateral nipple discharge.
This dis-
charge 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-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
with- out skin changes, erythema, or overlying
3/
, NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS WIT
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.
4/
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 feels the U.S.
guilty because she has only had one mammogram Preven- tive
and does not engage in breast self-examination (BSE) Services Task
on any regular basis. She has no family history of Force (USPSTF)
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 for breast
brief discussion with her primary care provider. cancer in the
After a thorough investigation reveals a benign cyst, general
what advice should be given to this patient about population?
screening for breast cancer in her age group?
a. Breast cance
a. BSE is well evidenced, and all recommending agen- screening by
cies agree that it should be taught and reinforced. MRI has been
b. Clinical breast examination (CBE) is superior to well stud-
BSE and should be a routine part of annual
examina- tions starting at age 30 years.
c.This patient was in compliance with the U.S. 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 of the
following is true about MRI as a screening modality
1/
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS WIT
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.
2/
,NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS WIT
DETAILED VERIFIED SOLUTIONS /A+ GRAND ASSURED
ied in the general population. swelling. She
b. Sensitivity of screening for breast cancer increases has heard that
with breast MRI at the expense of specificity. most breast
c. This patient is an ideal candidate for screening cancers are
via breast MRI based on current evidence found by
d. Women at low lifetime risk of breast cancer patients
(<20%) are recommended to undergo screening themselves,
MRI. and she is very
e. Known BRCA1 or BRCA2 mutation is concerned tha
insufficient criteria to justify screening with breast she may have
MRI. breast cancer.
Which of the
3. A 35-year-old G0P0 woman presents to clinic following is
with a complaint of bilateral nipple discharge.
This dis-
charge 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-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
with- out skin changes, erythema, or overlying
3/
, NR 509 FINAL EXAM 2024 NEWEST 2 VERSIONS WITH 150 QUESTIONS WIT
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.
4/
