NR509/ NR 509 FINAL EXAM NEWEST
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED ANSWERS
GRADED A | BRAND NEW!!!
Which of the following is true about the presentation of pain in
the older adult? - ✔✔✔ Correct Answer > The American
Geriatrics Society prefers the term "persistent pain" over the
term "chronic pain"
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? - ✔✔✔ Correct Answer > This patient was in
compliance with the US Preventive Services Task Force
,(USPSTF) recommendations for her age group and risk factors
prior to her current complaint
An 80-year-old woman who lives alone at home presents with
concerns about maintaining her independent living status. She
continues to drive and care for herself and her pet dog but
reports two falls over the past 4 months. During one fall, she
struck her head, causing a bruise over the right eye. She
attributes these episodes to environmental factors: Once she
tripped over a rug, and once she misjudged the depth of the
curb while crossing the street. Which of the following would be
the best approach to this patient? - ✔✔✔ Correct Answer >
Perform a comprehensive assessment of fall risk and plan
preventative interventions
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? - ✔✔✔ Correct Answer > Sensitivity of
,screening for breast cancer increases with breast MRI at the
expense of specificity
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? - ✔✔✔
Correct Answer > Prolactinoma
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? - ✔✔✔ Correct
, Answer > This patient is more likely to find a fibroadenoma
than a cancer on self-examination
A 48-year-old female psychologist presents to clinic with
concerns about her breast cancer risk after an age-matched
cousin was recently diagnosed with this disease. This cousin is
the third family member on her father's side in as many years
to be diagnosed with breast cancer, including the patient's own
father, who had surgery and subsequent treatment 3 years ago
for breast cancer. The patient has little other knowledge of her
family history, only that her grandparents independently
arrived from Eastern Europe near the end of World War II and
were among very few members of their family that survived the
war. The patient has read about testing for the breast cancer
genes (BRCA1 and BRCA2) and desires further information
about whether this would be appropriate for her. Which of the
following is true about this patient's indications for BRCA
testing? - ✔✔✔ Correct Answer > This patient carries several
risk factors that together justify BRCA testing
A 68-year-old former paleontologist presents to clinic with
concerns about her breast cancer risk. Her mother developed
the disease in her 50s and died from it in her 60s. A younger
cousin developed the disease a few years ago before the age of
50 years, but this individual was not tested for the BRCA1 and
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