Breast

Question 1

symptom mass:

Answer 1

how long, skin changes, pain, mobility, previous masses, change in cycle

Question 2

what supplies blood to the breast?

Answer 2

internal mammary artery and lateral thoracic artery

Question 2

amastia

Answer 2

absence of breast tissue

Question 2

Everted nipple

Answer 2

point outward

Question 2

what week of pregnancy are hormones produced to stimulate growth of milk duct system?

Answer 2

24th week

Question 3

what is the name for the sebaceous glands around the nipple?

Answer 3

Montgomery tubercles

Question 4

What is the composition of a breast?

Answer 4

glandular and fibrous tissue and subcutaneous and retromammary fat

Question 4

what tissue is better for a mammogram; glandular or fat?

Answer 4

fat

Question 5

what is the tail of the breast mostly composed of?

Answer 5

mammary tissue

Question 6

where does 75% of lymphatic drain into?

Answer 6

axillary nodes

Question 7

where is the largest amount of glandular tissue found?

Answer 7

upper outer quadrant

Question 8

which ribs define the border of the breast?

Answer 8

2nd-3rd to the 6th-7th

Question 9

9 things to note during inspection

Answer 9

size, symmetry, contour, retraction/dimple, skin color and texture, edema, venous patterns, lesions, supernumerary nipples

Question 11

everted nipple point ______, inverted nipple point ______

Answer 11

out, in

Question 12

what are 5 positions the patient can be in for inspection

Answer 12

seated w/arms at side, arms over head, hands pressed on hips, seated and leaning over, recumbent

Question 13

polymastia

Answer 13

The condition of having more than two breasts

Question 14

inverted nipple

Answer 14

retracted/tucked inward

Question 14

symptom pain (mastalgia) :

Answer 14

how long, 1 or both breast, change with cycle, birth control pills, injury or trauma, fever, caffine

Question 16

on average, how many lobules does each breast contain?

Answer 16

15-25

Question 17

function of fibrous tissue?

Answer 17

support

Question 17

where is prolactin produced? What triggers it’s release?

Answer 17

anterior pituitary gland produces and suckling by infant triggers release

Question 17

where can supernumarary nipples be found?

Answer 17

Located along the “milk line” - from the axilla to the groin

Question 19

symptom nipple discharge:

Answer 19

how long, 1 or both breast, color/consistency, stimulation, change with cycle, birth control pills, post partum, headaches,

Question 19

peau d’orange:

Answer 19

severe dimpling, sking of orange

Question 21

what effect does progesterone have on the development of breasts?

Answer 21

growth of lobules, budding alveoli, secretion

Question 23

which lymph nodes are important to exam and note?

Answer 23

infraclavicular and supraclavicular

Question 24

what are 3 accommodations that should be made when performing a CBE?

Answer 24

chaperone, private and warm room, opening of gown in back

Question 25

What is the function on the lobules?

Answer 25

drain milk -> ducts -> nipple

Question 26

function of glandular tissue?

Answer 26

produce milk

Question 27

what part of the brain inhibits the production of prolactin?

Answer 27

hypothalamus

Question 28

lactation

Answer 28

production and release of milk by mammary glands

Question 29

what are the two hormones needed for milk production?

Answer 29

prolactin (production) and oxytocin (secretion)

Question 30

galactorrhea

Answer 30

lactation not associated with childbearing

Question 32

where is oxytocin produced? What triggers it’s release?

Answer 32

posterior pituitary gland produces and suckling and condition triggers release

Question 33

what is the name for suspensory ligaments that provide support to the breast?

Answer 33

ligaments of Cooper

Question 34

mastalgia

Answer 34

pain in the breast

Question 36

what is the breast mostly composed of?

Answer 36

fat

Question 38

when is the most appropriate time to before a breast exam?

Answer 38

one week after menses

Question 39

gynecomastia

Answer 39

enlargement of breast tissue in males

Question 40

The lymphatic network drains breast_______ and ______ to underlying lymphatics

Answer 40

radially and deep

Question 41

retraction:

Answer 41

dimpling, pulling by inflammatory or malignant tissue

Question 42

supernumerary nipple

Answer 42

congenital accessory breast tissue, that may or may not contain glandular tissue

Question 43

montgomery’s tubercles

Answer 43

sebaceous glands in the areola that produce oily secretions to lubricate and protect the nipple