MCN 538 EXAM 3| MCN 538 EXAM 2| MCN 538 EXAM1 ALL COMBINED VERSIONS WITH QUESTIONS AND VERIFIED SOLUTIONS GRADED A+ TESTED AND APPROVED

MCN 538 EXAM 3| MCN 538 EXAM 2| MCN 538
EXAM1 ALL COMBINED VERSIONS WITH
QUESTIONS AND VERIFIED SOLUTIONS
GRADED A+ TESTED AND APPROVED


MCN 538 EXAM 3



Nodular or glandular changes in breast that are typically bilateral and
increase during menstrual cycle. Most common benign breast
condition --ANSWER--Fibrocystic breasts



What is the classic symptom of fibrocystic breasts? --ANSWER--
Cyclical bilateral breast pain



What are some clinical symptoms of fibrocystic breasts? --ANSWER-
-Increased breast engorgement and density, excessive nodularity,
fluctuation of cystic area size, increased tenderness, and spontaneous
nipple discharge (infrequent)




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,This is a spontaneous milky nipple discharge unrelated to pregnancy
or nursing that occurs 1 year after weaning infant --ANSWER--
Galactorrhea



What is the primary cause of galactorrhea? --ANSWER--
Hyperprolactinemia



If galactorrhea is present, when is malignancy likely? --ANSWER--
When over age 60, spontaneous, arises from single duct, is blood
stained, unilateral, and persistent.



What makes malignancy more common in galactorrhea? --ANSWER-
-AGE

Underlying malignancy is present in 32% of women over the age of
60 and in only 3% of women under 40 when nipple discharge is the
only presenting symptom, age is important.



This broad based or pedunculated polyploid epithelial breast lesion is
most commonly diagnosed in perimenopausal women and often
obstructs or distends the involved duct --ANSWER--Intraductal
papilloma



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,What is the clinical presentation of a intraductal papilloma? --
ANSWER--Intermittent but spontaneous watery, serous or bloody
discharge from 1 nipple involving 1 or 2 ducts. The discharge can be
watery, serous, or bloody, and of variable volume.



Where are 75% of intraductal papillomas found? --ANSWER--Under
areola, are small and soft, and are difficult to palpate



What is the management for an intraductal papilloma? --ANSWER--
Careful surveillance in 3-4 month intervals with possible excision to
rule out malignancy



Solid non-cancerous breast tumors that are firm, soft mobile lesions.
Most common benign breast neoplasm --ANSWER--Fibroadenoma



What is the protocol to evaluate a fibroadenoma? --ANSWER--
Monitor through an entire menstrual cycle to confirm persistence



At what age do fibroadenomas typically occur? --ANSWER--
Adolescent girls and women under 30




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, Fluid filled lesions in the terminal duct or lobule of the breast that
forms from obstruction, involution, or aging of the ducts. May be
palpable, no palpable, simple or complex --ANSWER--Breast cyst



These breast lesions often fluctuate with the menstrual cycle and are
more common in the luteal phase. Peak incidence is in women 35-50.
Postmenopausal women on hormone therapy may have palpable ones.
ones that persist and grow require further eval. Ones that have a thick
wall and are hyperechoic on US, have a 10 fold increase of breast
cancer. --ANSWER--Breast cysts



Mixture of stroma and glandular tissue. Account for less than 1% of
breast masses. occur in women 30-50 --ANSWER--Phyllodes tumor



What is the management for a phyllodes tumor? --ANSWER--
Excisional biopsy to eliminate risk of malignancy and to prevent
reoccurrence




When should breast cancer screening occur according to ACS? --
ANSWER--Age 40-44 optional

Age 45-54 every year

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