Breast

Question 1

What meds can cause nipple discharge?

Answer 1

OCP, hormones, phenothiazine, digitalis, diuretics, steroids

Question 2

What are important gene infor>

Answer 2

BRCA 1 or BRCA 2

Question 3

Inflammation and infection of the breast tissue

Answer 3

Mastitis

Question 4

Benign tumors of the subareolar ducts that produce nipple discharge

Answer 4

Intraductal Papillomas and Papillomatosis

Question 5

Benign condition of the subareolar ducts that produces nipple discharge

Answer 5

Duct ectasia

Question 6

Lactation not associated with childbearing

Answer 6

galactorrhea

Question 7

What is paget disease?

Answer 7

surface manifestations of underlying ductal carcinoma

Question 8

Benign breast lump occurs as inflammatory response to local injury

Answer 8

fat necrosis

Question 9

What do you need to document on breast masses?

Answer 9

Location: clock positions and distance from nipple
Size (in centimeters): length, width, thickness
Shape: round, discoid, lobular, stellate, regular or irregular
Consistency: firm, soft, hard
Tenderness
Mobility: movable (in what directions) or fixed to overlying skin or subadjacent fascia
Borders: discrete or poorly defined
Retraction: presence or absence of dimpling; altered contour

Question 10

Benign fluid-filled cyst formation caused by ductal enlargement

Answer 10

fibrocystic changes

Question 11

Benign tumors composed of stromal and epithelial elements that represent a hyperplastic or proliferative process in a single terminal ductal unit

Answer 11

fibroadenoma

Question 12

20-49 yo

Answer 12

fibrocystic

Question 13

15-55 yo

Answer 13

fibroadenoma

Question 14

30-80 yo

Answer 14

cancer

Question 15

What is the occurance of fibroadenoma?

Answer 15

bilat

Question 16

What is the occurance of fibrocystic?

Answer 16

bilat

Question 17

What is the occurence of cancer?

Answer 17

unilat

Question 18

What is mobile and what is immobile?

Answer 18

mobile - FC, FA

nonmobile - CA

Question 19

What mass varies with menses?

Answer 19

fibrocystic

Question 20

What one is single and one multiple?

Answer 20

sing or mulp - FC
single, may mulp - FA
single - CA

Question 21

Which mass is tender?

Answer 21

Fibrocystic

Question 22

After menopause, the tumors often regress.

Answer 22

fibroadenoma

Question 23

How do you do a mastectomy exam?

Answer 23

Palpate the surgical scar with two fingers, using small, circular motions to assess for swelling, lumps, thickening, or tenderness.

Question 24

What does unilateral nipple inversion mean?

Answer 24

malignancy

Question 25

What is thelarche?

Answer 25

first signs of puberty in girls

Question 26

What is staging for sex maturation?

Answer 26

tanner

Question 27

What is the interval from breast buds to menarche?

Answer 27

2 years

Question 28

What are nonmodifiable risk factors for breast cancer?

Answer 28

``` increase age female BRCA1 or BRCA2 personal hx of breast cancer fx of breast cancer previous breast biopsy race - white women previous breast radiation menarch before 12 menopause after 55 DES therapty ```

Question 29

What are modifiable risk factors of breast CA?

Answer 29

``` childbirth - nulli or >30 yo Hormone therapy after meno ETOH obestity and high fat lack of physical activity ```

Question 30

Who gets a CBE?

Answer 30

40 - annually

Question 31

Who gets a mammogram?

Answer 31

>40 annually 50-74 yo biennial >75 yo NA

Question 32

Who gets MRI?

Answer 32

Known BRCA mutation or untested but have a first-degree relative with a BRCA mutation Greater than 20% lifetime risk based primarily on family history Prior mantle radiation also gets mammogram every year

Question 33

75% of women are menstrating by which tanner stage?

Answer 33

4

Question 34

How do you observe males in PE?

Answer 34

arms hanging at sides

Question 35

What can cause breast enlargement in men?

Answer 35

testicular cancer, klinefelter, hyperthyroidism

Question 36

When is menopause and what is the definition?

Answer 36

50-52, 1 yr with out a period