Breast & Lymphatic

Question 1

T/F One breast may be larger than the other naturally.

Answer 1

TRUE

Question 2

When visually inspecting the breasts, what are 3 abnormal findings?

Answer 2

1. Recent increase in size of one
2. Skin texture has ‘orange peel’ appearance
   3- Inflammation

Question 3

T/F Some breasts have visible horizontal or longitudinal veins.

Answer 3

TRUE

Question 4

In what case would surface venous patterns be considered abnormal?

Answer 4

Veins are asymmetric, or prominent

Question 5

Areolas range in color from

Answer 5

Dark Pink-Dark Brown

Question 6

Abnormal Areolar findings include: (2)

Answer 6

1. Orange Peel texture

2. Red, scaly, crusty skin

Question 7

Nipples can be everted, inverted or flat. T/F?

Answer 7

True

Question 8

Abnormal nipple findings include: (2)

Answer 8

1. Recently retracted nipple, that was previously everted.

2, Discharge

Question 9

What three positions do we ask a client to take while examining the breasts?

Answer 9

1. Both arms overhead
2. Hands against hips
3. Hands together in front

Question 10

In said positions, what might we find that would suggest a tumor?

Answer 10

Dimpling or puckering of one area

Question 11

When leaning forward the breasts…

Answer 11

Should hang freely & symmetrically

Question 12

What might be considered abnormal when leaning forward? (3)

Answer 12

1. Restricted movement of a breast
2. One doesn’t hang equally
3. Retraction of nipple or dimpling

Question 13

When palpating for masses the client should:

Answer 13

Lie supine with arms overhead

Question 14

What are the 3 patterns for palpating breasts?

Answer 14

1. Circular from nipple outward
2. In a spoke-on-wheel pattern from the nipple outward
3. In a vertical pattern up & down from one side to another.

Question 15

What pressures should we use in palpating breasts?

Answer 15

Light, medium & firm.

Question 16

Normal breast tissue is:

Answer 16

Smooth, firm & elastic.

Question 17

Premenstrual breasts are:

Answer 17

Engorged, tender & have a non-generalized nodularity

Question 18

These tumors are often found in the UPPER OUTER QUADRANT.

Answer 18

Malignant

Question 19

T/F Malignant tumors are usually unilateral.

Answer 19

TRUE

Question 20

Malignant tumors have __________ & ________ borders.

Answer 20

Irregular, Poorly delineated

Question 21

Malignant tumors are hard & usually non-tender. T/F?

Answer 21

TRUE

Question 22

Malignant tumors are not fixed to underlying tissues. T/F?

Answer 22

FALSE They are usually fixed to underlying tissues.

Question 23

These tumors are usually round or oval. 1-5 cm & non-tender.

Answer 23

Benign Tumors

Question 24

Benign tumors are also known as

Answer 24

Fibroadenomas

Question 25

T/F Fibroadenomas can be single, multiple and in one or more breasts.

Answer 25

TRUE

Question 26

If masses are multiple & bilateral, we may have:

Answer 26

Fibrocysitc Disease

Question 27

Firbocystic disease may feel like:

Answer 27

Small Marbles

Question 28

In menstruation, women with fibrocystic diseases experience:

Answer 28

Painful just before mens & resolves @ end.

Question 29

When palpating nipples we:

Answer 29

Wear gloves, and gently compress nipple between thumb and forefinger.

Question 30

Clear or whitish discharge is...?

Answer 30

Normal

Question 31

T/F Some medications may produce lactation.

Answer 31

TRUE

Question 32

Discharge that is bloody, purulent, yellowish or green is:

Answer 32

Abnormal

Question 33

In the case of abnormal discharge we should:

Answer 33

Refer to cytology.

Question 34

To palpate axillary lymph nodes we:

Answer 34

Hold up clients arm, and palpate deep in axilla along ribcage.

Question 35

There are three sets of nodes:

Answer 35

1. Central - center line of axilla 2. Posterior - back line of axilla 3. Anterior - front line of axilla

Question 36

Along with the three above, we should palpate the nodes on the:

Answer 36

Inner aspect of upper arm

Question 37

Normal findings in lymph nodes are:

Answer 37

None palpable, if palpable are free moving & discrete

Question 38

Abnormal may be:

Answer 38

Firm & fixed to skin (malignant) OR | Enlarged & tender (infexn)