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NR 509: Final Exam Practice Questions with 100% Correct Answers

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NR 509: Final Exam Practice Questions with 100% Correct Answers NR 509: Final Exam Practice Questions with 100% Correct Answers CHAPTER 18: Breasts & Axillae A 44-year-old female mathematician presents to clinic with a complaint of a mass in the right breast. Her partner noticed this mass 2 d...

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  • August 15, 2024
  • 79
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 509
  • NR 509
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OliviaWest
©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Thursday, August 1, 2024 11:09 AM




NR 509: Final Exam Practice Questions
with 100% Correct Answers

CHAPTER 18: Breasts & Axillae




A 44-year-old female mathematician presents to clinic with a complaint of a mass in the

right breast. Her partner noticed this mass 2 days ago, and the patient feels guilty

because she has only had one mammogram and does not engage in breast self-

examination (BSE) on any regular basis. She has no family history of breast cancer,

and her prior mammogram was ordered as a routine screening test at age 43 years

after a brief discussion with her primary care provider. After a thorough investigation

reveals a benign cyst, what advice should be given to this patient about screening for

breast cancer in her age group?




a. BSE is well evidenced, and all recommending agencies agree that it should be taught

and reinforced.


b. Clinical breast examination (CBE) is superior to BSE and should be a routine part of

annual examinations starting at age 30 years.




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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Thursday, August 1, 2024 11:09 AM



c. This patient was in compliance with the - ✔️✔️c. This patient was in compliance with

the U.S. Preventive Services Task Force (USPSTF)


recommendations for her age group and risk factors prior to her current complaint.


CHAPTER 18: Breasts & Axillae




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 mammography and is interested in magnetic resonance

imaging (MRI) as a possible alternative for routine screening. She is otherwise healthy

with no family history of breast, ovarian, or colon cancer. Which of the following is true

about MRI as a screening modality for breast cancer in the general population?




a. Breast cancer screening by MRI has been well studied in the general population.


b. Sensitivity of screening for breast cancer increases with breast MRI at the expense of

specificity.


c. This patient is an ideal candidate for screening via breast MRI based on current

evidence.


d. Women at low lifetime risk of breast cancer (<20%) are recommended to undergo

screening MRI.




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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Thursday, August 1, 2024 11:09 AM



e. Known BRCA1 or B - ✔️✔️b. Sensitivity of screening for breast cancer increases with

breast MRI at the expense of specificity.


CHAPTER 18: Breasts & Axillae




A 35-year-old G0P0 woman presents to clinic with a complaint of bilateral nipple

discharge. This discharge 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-stimulating 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 - ✔️✔️e. Prolactinoma




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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Thursday, August 1, 2024 11:09 AM


CHAPTER 18: Breasts & Axillae




A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast mass

on breast self-examination (BSE) at home. The mass is nontender without skin

changes, erythema, or overlying swelling. She has heard that most breast cancers are

found by patients themselves, and she is very concerned that she may have breast

cancer. Which of the following is true about BSE and self-detection of breast cancer?




a. Most masses that women find at home and bring to a provider's attention turn out to

be malignant.


b. This patient is more likely to find a fibroadenoma than a cancer on self-examination.


c. The most likely breast mass this patient is likely to find in herself is an abscess

complicating underlying mastitis.


d. Because of this patient's age, breast masses should not be pursued with imaging and

diagnosis because the risk of cancer is so low.


e. BSE is universally recommended b - ✔️✔️b. This patient is more likely to find a

fibroadenoma than a cancer on self-examination.


CHAPTER 18: Breasts & Axillae




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