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Test 1 Materials NURS 5432 Questions With Complete Solutions

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  • NURS 5432

Test 1 Materials NURS 5432 Questions With Complete Solutions PAP smear - -start at 25year per ACS, HPV every 5 years , cotesting every 5 years, cytology every 3 years Breast cancer screening - -Average risk: if chest radiation therapy before 30 year, genetic mutation of BRCA, family/pt history...

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  • November 10, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 5432
  • NURS 5432
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Test 1 Materials NURS 5432 Questions With Complete
Solutions
PAP smear - -start at 25year per ACS, HPV every 5 years , cotesting every 5 years,
cytology every 3 years

Breast cancer screening - -Average risk: if chest radiation therapy before 30 year,
genetic mutation of BRCA, family/pt history of CA

40-44yr: have option to start mammogram screening every year

45-54yr: SHOULD get mammogram every year

55 and up: can do every other year or q year until they are in good health to live 10 more
years



high risk: Family history of breast cancer, non-BRCA1 or BRCA2 mutation, head radiation
therapy to chest, Li-Fraumeni Syndrome, Cowden Syndrome, Banayan-Riley Ruvalcoba
syndrome

Overdiagnosis - -finding cancer that wouldn't have been a problem if you not found it




ACS recommend AGAINST MRI if cancer chance is <15%c

cervical dysplasia - -the growth of abnormal cells in the cervix

can be premalignant cervical disease called cervical intraepithelial neoplasia (CIN)




CIN 1: mild dysplasia with low grade lesion. Cellular change in lower 1/3rd of squamous
epithelium

CIN 2: moderate dysplasia with high grade lesion. Cellular change in lower 2/3 of
squamous epithelium

,Test 1 Materials NURS 5432 Questions With Complete
Solutions
CIN 3 or Carcinoma in situ: severe dysplasia with high grade lesion. Cellular change in full
thickness of squamous epithelium




-Squamous epithelium increase during pregnancy but reduces postpartum

-Endocervical curettage is contraindicated during pregnancy

-Unless cancer is identified/suspected treatment for CIN is contraindicated during
pregnancy

Digital Breast Tomosynthesis - -provides 3D images from a mammogram machine
which rotates around the breast

Fibroadenoma - -a round, firm, rubbery mass that arises from excess growth of
glandular and connective tissue in the breast

Fluctuation in size with pregnancy or menstrual cycle

NO nipple discharge

lesions >5cm= giant fibroadenoma

Fibroadenoma Diagnosis and Treatment - -Diagnosis:

- Palpation

- Mammogram or MRI

- US to differentiate cyst from mass

- fine needle aspiration Bx




Treatment:

- Surgery

, Test 1 Materials NURS 5432 Questions With Complete
Solutions
fibrocystic breast disease "nodular sensitivie breast" - -the presence of single or
multiple benign cysts in the breasts

mastoplasia - -thickening of breast tissue in a ropelike manner that predominate
during menstrual cycle

Non pharm management for fibrocystic BD - -Cold compress,

supportive bra 24 hours a day,

sodium restriction 10 days before onset of menstruation, decrease or eliminate caffeine,

reduce dietary fat

pharm management for fibrocystic BD - -vitaminD 2000 IU day

spironolactone for swelling (25-200mg PO daily; start with 100 IU daily)

vitamin E 200 IU twice daily or 500 IU daily

evening primrose oil 2-4g daily

oral contraceptives

Intraductal papilloma (IDP) - -Benign tumor within the ductile system (ductal
epithelium and myoepithelial cells) of the breast that may occur alone or as multiple
tumors. Most common in women ages 35 to 50 years. Ductal ectasia is often associated
with IDP

For bilateral nipple discharge - -Check for TSH (hypothyroid), prolactin (pituitary
tumor)

-medications: spironolactone, antihypertensives, antidepressants, antidopaminergics,
estrogen OCPs, opioids, marijuana, methyldopa, H2 receptor antagonist

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