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NR 509 Final Exam 2023 /67 Questions And Answers (A+)
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NR 509 Final Exam 2023 /67 Questions And Answers(A+)
Quiz :Suspicious breast mass - √Answer :-A mobile mass that becomes fixed
when the arm relaxes is attached to the ribs and intercostal muscles; if fixed
when the hand is pressed against the hip, it is attached to the pectoral fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying
tissues, strongly suggest cancer
Quiz :Risk for Breast cancer - √Answer :--*Age*
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of unopposed
estrogen exposure related to early menarche
-age of first full-term pregnancy
- late menopause.
, - breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Quiz :Characteristics of a breast cyst - √Answer :Soft to firm, round, mobile,
often tender.
Quiz :The best way to examine the lateral portion of the breast - √Answer :-
Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
-palpate in the axilla, moving in a straight line down to the bra line, then move
the fingers medially and palpate in a vertical strip up the chest to the clavicle.
Continue in vertical overlapping strips until you reach the nipple
Quiz :Bacterial Vaginosis (BV) - √Answer :-Caused by overgrowth of anaerobic
bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats the vaginal
walls, usually not profuse, may be minimal
- Fishy/musty genital odor
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with stippled borders);
sniff for fishy odor after applying KOH ("whiff test"); test the vaginal secretions
for pH > 4.5
Quiz :Candidal Vaginitis - √Answer :-Cause: Candida albicans, a yeast (normal
overgrowth of vaginal flora); many factors predispose, including antibiotic
therapy
-Discharge: white and curdy, may be thin but usually thick, not as profuse as
trichomonal infection, not malodorous
- vaginal soreness, pruritus, pain on urination, dyspareunia (painful
intercourse)
-The vulva and surrounding skin are inflamed and sometimes swollen to a
variable extent; the vaginal mucosa is reddened, with white tenacious patches
of discharge; the mucosa may bleed when these patches are scraped off; in
mild cases, the mucosa looks normal
-Scan potassium hydroxide (KOH) preparation for the branching hyphae of
Candida
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