Exam 2 - Breast cancer screening

Question 1

General breast cancer screening guidelines

Answer 1

Ages 40-44 years: choice to begin annual breast cancer screening with mammograms

Ages 45-54 years: annual mammogram

Ages 55+: choice to continue biannual mammograms or annually (as long as woman is in good health and expected to live 10 more years)

Question 2

What is the first step in breast cancer screening?

Answer 2

Evaluation of risk via health history

Question 3

What questions should the provider ask when assessing for breast cancer risk?

Answer 3

• Assess for any change in general apperance of breast
• Changes related to menstrual cycle
• Skin changes
• New nipple inversion
• Nipple discharge
• Cyclical or non-cyclical pain
• Masses

Question 4

True/false: risk for breast cancer decreases with age

Answer 4

False - risk for breast cancer increases with age

Question 5

Risk factors for breast cancer

Answer 5

• First degree relative with ovarian cancer
• Reproductive history with estrogen exposure
• Early menarche before age 12
• Nulliparity
• First birth before age 30
• Late onset menopause (55+ years old)
• Never breastfed