Final: DSA-Intro to Sensitive Exams PPT

Question 1

What positions is a breast exam done in?

Answer 1

Both seated and supine

-can see the breast dimpling while upright and palpate both ways

Question 2

What should you do when exposing one breast to examine?

Answer 2

Cover the contralateral one

Question 3

When do you move the drape when examining the patient?

Answer 3

Ony when examining to maintain as much modesty as possible

Question 4

How is a male genital exam done?

Answer 4

While the pt is standing, doc sitting

Gown covers the pts chest and abdomen

Question 5

What tanner stage do secondary breast buds appear?

Answer 5

Tanner stage 2

–around puberty

Question 6

How does a patient’s breast change during pregnancy?

Answer 6

The breast enlarges 2-3x more and areolae diameter increases

Question 7

What exogenous substances can make breasts tender?

Answer 7

Caffeine and alcohol

Question 8

What areas should you include when looking at the breast, besides just breast tissue?

Answer 8

The tail of spence and lymphatic drainage

Question 9

For a male breast exam, what should you look at?

Answer 9

inspect the nipple and areola for nodules, swelling, ulceration
-palpate the areola and breast tissue

Question 10

What cause of nipple discharge is common in post menopausal women and is greenish-brown in color?

Answer 10

Duct ectasia

Question 11

Elevated prolactin levels and laction in a non-childbearing woman?

Answer 11

Galactorrhea

Question 12

What is paraphimosis?

Answer 12

Retraction of a tight prepuce behind the glans

Question 13

What is phimosis?

Answer 13

inability to reduce foreskin over the glans