Breast, Gyn, Male GU

Question 1

When performing a routine breast exam, the NP considers:

Answer 1

A. Axillary lymph nodes do not need to be palpated unless the patient reports a breast symptom, or a mass identified on exam.
B. Breast pain is a common sign of breast cancer.
C. The greatest percentage of breast cancers are found in the upper outer quadrant of the breast.
D. Palpation of the breast tissue should be performed with the palms of the hands and in a way that allows serial progression from superficial to deeper tissues.

Question 2

Your patient was diagnosed with gynecomastia which is:

Answer 2

Typically caused by decreased testosterone, increased estrogen, and medication side effects.

Question 3

Your patient asks you if it’s time for her first screening mammogram. Which of the following statements is true?

Answer 3

All of the following are true:
A. Lifetime risk for developing invasive breast cancer in a female born in the United States is 1 in 5.
B. The Gail Model is a breast cancer risk assessment tool
C. Dense breast tissue on mammogram increases the risk for breast cancer.

Question 4

Your preceptor asks you about the risks for testicular cancer. You correctly advise:

Answer 4

All of the following are true:
A. Testicular cancer is rare and but the most commonly diagnosed cancer in white men from age 20 to 34 years.
B. Having an undescended testicle increases the risk for testicular cancer, even if the testicle has been surgically relocated to the scrotum.
C. Signs of testicular cancer include: a painless lump, swelling or enlargement in either testicle, pain or discomfort in a testicle or the scrotum, breast growth or soreness, a feeling of heaviness or dull ache in the lower abdomen or the groin.

Question 5

Internal vaginal exams should be performed:

Answer 5

To assess for causes of vaginal discharge, abnormal vaginal bleeding, or pain with intercourse.

Question 6

Current cervical cancer screening guidelines in the US recommend:

Answer 6

No screening before age 21.

Question 7

Recommendations for prostate cancer screening include:

Answer 7

Shared decision making between the NP and the patient.

Question 8

Genital warts (condylomata acuminata)

Answer 8

Are most often caused by HPV subtypes 6 and 11.

Question 9

During a male genital exam, you palpate a nodular, chord-like structure on the posterior surface of each testicle. You tell the patient:

Answer 9

These structures represent the epididymis of each testicle.

Question 10

When doing a Pap smear on a 30 year old woman, you notice the following:

Answer 10

A parous cervix with ectropian.