MDC 3 Exam 1
1. Breast Cancer Testing for Men
Usually presents as hard, painless, subareolar mass "lump" behind nipple
2. MI can cause*****
Acute Kidney Injury (AKI)
3. Gardasil protects against
HPV 6, 11, 16, 18
4. What drug would be given to someone that has BPH and HTN?
Doxazosin
5. Breast Cancer Testing for Women
Teach to use multiple methods for early detection
- Mammography
- Breast self-awareness/self-examination
- Clinical breast examination
6. Breast cancer Physical assessment
- Location, shape, size, consistency, mobility of mass
- Skin changes
- Lymph nodes
7. Breast cancer Psychosocial assessment
- Fear, shock, disbelief
- Previous history of mental illness, age, and life circumstances can increase
distress
- Encourage expression
- Refer to support group
- Assess for concerns related to sexuality
,8. Breast cancer Laboratory assessment
- Pathologic study of breast mass tissue and lymph nodes
- Liver enzymes, serum calcium, alkaline phosphatase
9. Breast cancer Imaging assessment
- Mammography
- Tomosynthesis
- Ultrasonography
- MRI
- Chest x-ray, CT for metastasis
10. Breast cancer Risks for Men
· Family history (M or F) of breast cancer
· BRCA 1/2 mutation
· Elevated estrogen levels
· Exposure to radiation
· Diabetes
· Gynecomastia
· Testicular disorders
· Obesity
11. Breast cancer risk for Women
· Often genetic, form is usually more aggressive
· Increased age
· Family history
· Early menarche, nulliparity, late menopause
· Lack of breastfeeding
· Postmenopausal obesity
· Use of postmenopausal HRT
· Alcohol consumption
· Mutations in BRCA1 and BRCA2
12. Nonsurgical management for Risk for metastasize (Health maintenance)
Complementary and integrative health
, 13. Surgical management for Risk for metastasize (Health maintenance)
• Preoperative care
• Operative procedures
• Postoperative care
14. Adjuvant therapy for Risk for metastasizing (Health maintenance)
• Radiation, chemotherapy, or combination
• Drug therapy
• Stem cell transplantation
15. What multiple methods for early detections of breast cancer do you use?
o Mammography
o Breast self-awareness/self-examination
o Clinical breast examination
16. Endometrial Cancer S/s
• Post-menopausal bleeding is most common s/s
• Lower back, pelvic, and abdominal pain
• Watery, bloody vaginal discharge
17. Endometrial Cancer Exams and testing
- Pelvic examination may reveal palpable uterine mass
- CA-125 tumor marker; alpha-fetoprotein (AFP) both elevated; hCG to rule out
pregnancy before treatment
- Transvaginal ultrasound
- Endometrial biopsy
- Chest x-ray
- IVP
- Abdominal US
- CT of pelvis; MRI of abdomen and pelvis
- Liver, bone scans
18. Pt teaching post-op (total hysterectomy with bilateral salpingectomy)
-
- Goal is 5 years without reoccurrence