Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ENR Biweekly 2 > Hunter- patient w/ lump in her breast > Flashcards

Hunter- patient w/ lump in her breast Flashcards

1
Q

____ exposure increases patient’s risk for breast cancer

A

hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

protective against breast cancer

A

breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

primary or secondary relatives matter for breast cancer

A

primary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

for breast exam, examine patient in what two positions

A

sitting and supine with hands by their side or overhead

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

lymph node basins to examine when doing breast exam

A

cervical
supraclavicular
axillary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
A

signs and symptoms of breast cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when to start getting screening mammograms

A

40 years old and above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

used to evaluate a specific sign/symptom of effected side

A

diagnostic mammogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Mammograms are not the best for ______ patients b/c they have denser breasts and makes it difficult to see small early cancers

A

younger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ideal for patients with really dense breasts (think like CT scan of breasts, taking smaller cuts)

A

3D mammogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

defined borders; well-circumscribed

A

cysts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

irregular and fixed

A

cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what’s concerning is when ______ that are usually not of concern start taking on an abnormal appearance——pleomorphic or linear

A

calcifications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
A

breast cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A

fibroademona

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
A

simple breast cyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Can be used as an adjunct for screening in high-risk patients; helps identify size of mass

A

MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

used to stage patients; IV contrast

A

CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

staging imaging (after CT); cancer cells with higher metabolic rate will take up the radioactive tracers

A

PET scan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

used for patient presenting with nipple discharge and unable to find specific duct its coming from on other imaging modalities

A

Galactogram/Ductography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

how to manage pt who is BIRADS 1 (normal)

A

routine screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how to manage pt who is BIRADS 2 (benign)

A

routine screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

how to manage pt who is BIRADS 3 (probably benign)

A

repeat imaging in 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

how to manage pt who is BIRADS 4 (suspicious)

A

biopsy considered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

how to manage pt who is BIRADS 5 (highly suggestive of malignancy)

A

refer to surgeon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

biopsy proven malignancy is BIRADS ___

A

6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

done in clinic but really just getting cells; aspirate cysts (biopsy)

A

Fine needle aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what is usually recommended for biopsy

A

core needle biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

taking part of it out

A

incisional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

taking the whole thing out

A

excisional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

well defined, mobile breast mass

A

benign

32
Q

hard, irregular, fixed breast mass

A

malignant

33
Q

imaging for breast mass in patient < 30 yrs old

A

ultrasound

34
Q

imaging for breast mass in patient > 30 yrs old

A

mammogram and US

35
Q

type of biopsy if cyst is symptomatic or contains debris

A

fine needle aspiration

36
Q

type of biopsy if mass is suspicious

A

core needle biopsy

37
Q

benign tumor containing glandular and fibrous tissue

A

fibroadenoma

38
Q

uncommon fibroepithelial breast tumor w/ leaf-like papillary projections; spreads hematogenously

A

Phyllodes tumor

39
Q

varying amounts of glandular, adipose, and fibrous tissue; normal cells in abnormal configuration

A

hamartoma

40
Q

fatty tumor; soft; well-circumscribed

A

lipoma

41
Q

benign lesion with vascular component

A

PASH (pseudoangiomatous stromal hyperplasia)

42
Q

redness and pain

A

mastitis

43
Q
A

abscess

44
Q
A

necrosis

45
Q

red, crusty, irritation to nipple

A

Paget’s

46
Q

if you see Paget’s, what else do you need to think

A

underlying invasive carcinoma

47
Q

_____% of breast cancers occur in women with no family history of breast cancer

A

85

48
Q

Family history of breast cancer
Increased age
Obesity
Alcohol
Smoking
Exposure to Estrogen

A

risk factors for breast cancer

49
Q

how is obesity risk factor for breast cancer

A

adipose tissue helps make estrogen

50
Q

Most common genetic mutation associated with increased risk of breast cancer is linked to mutation in ___ and ____ genes

A

BRCA1 and BRCA2

51
Q

mutation linked to breast and ovarian cancer

A

BRCA1

52
Q

type of breast cancer that does not spread to lymph nodes and does not metastasize

A

non-invasive (DCIS and LCIS)

53
Q

breast cancer that has the potential to metastasize

A

invasive

54
Q

most common breast cancer

A

ductal

55
Q

invasive w/ sudden onset, edema, peua d’ orange

A

inflammatory breast cancer

56
Q

different receptors of breast cancer

A

ER
PR
HER2

57
Q

to treat ER+, PR+

A

hormonal therapy

58
Q

to treat ER-, PR-

A

chemo

59
Q

to treat HER2+

A

Trastuzumab (Herceptin)

60
Q

axillary lymph node dissection is removal of what nodes

A

level I and II

61
Q

in a mastectomy, what are the borders you excise to

A

medially to sternum
superiorly to clavicle
laterally to latissimus dorsi
posteriorly to pectoralis m

62
Q

Diabetes, smokers will not do well with
______ mastectomy due to increased risk of complications

A

nipple sparing

63
Q

____prevents local recurrence

A

radiation

64
Q

breast lymphatic drainage 97% to what nodes

A

axillary

65
Q

breast lymphatics:

A

axillary
parasternal
supraclavicular

66
Q

first set of lymph nodes to receive lymphatic drainage

A

sentinel lymph nodes

67
Q

dye to visually inspect nodes when removing to biopsy

A

methylene blue

68
Q

level of axillary node lateral to pec minor muscle

A

level I

69
Q

level of axillary node posterior to pec minor muscle

A

level II

70
Q

level of axillary node medial to pec minor node (dont use this level anymore)

A

level III

71
Q

hormonal therapy for breast cancer in premenopausal women

A

Tamoxifen

72
Q

hormonal therapy for breast cancer in postmenopausal women

A

Letrozole

73
Q

SE of hormonal therapy

A

menopausal symptoms

74
Q

chemo is used for what two types of breast cancer

A

invasive
triple -

75
Q
A

patients who don’t get chemo

76
Q

postop surveillance for breast cancer

A

seen every 3-6 months for clinical exam for 5 years; annual mammogram

77
Q

patients who have undergone _____ dont need mammogram

A

mastectomy

ENR Biweekly 2 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions