Quiz 6 Flashcards

1
Q

What what are Montgomery glands in their function?

A

Sebaceous glands
Promote a bacteriostatic environment on the breast and nipple

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2
Q

What is the best position for inspecting/palpating breasts?

A

Inspection: sitting
Palpation: supine

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3
Q

When starting a breast examination, where should one start?

A

At the tail of Spence

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4
Q

What do you educate about self breast exams?

A

Gently press on the entire surface of the breast with the three finger pad, using circular motion

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5
Q

Which two lymph nodes will a provider check during a breast examination?

A

Central axiliary nodes
Interior pectoral nodes

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6
Q

What are the two methods for palpating a breast?

A

Vertical strip method
Concentric circle pattern

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7
Q

What is the clinical term for swollen/enlarged nymph nodes?

A

Lymphadenopathy

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8
Q

How often should a self examination of the breast be done?

A

Once a month

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9
Q

What are examples of abnormal findings of the breast?

A

Intraductal papilloma
Mammary duct ectasia
Mastitis
Breast cancer/carcinoma

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10
Q

What are the definitive signs of carcinoma of the breast?

A

Nipple retraction
Pray d’orange (orange peel)

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11
Q

Describe pagets disease of the breast

A

tumor steals blood flow
center will ulcerate
rare form of breast cancer

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12
Q

What is the difference between fibrocystic breast disease and fibroadenoma of the breast?

A

Fibrocystic breast disease - all around multiple cysts

Fibroadenoma of the breast - single benign tumor

Cancer doesn’t change in size, fibroadenoma will change in size

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13
Q

Describe intraductal papilloma

A

Tumor in the milk ducts

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14
Q

Describe mammary duct ectasia

A

Enlarged ducts

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15
Q

Why should males that begin producing/expressing breastmilk be assessed with an MRI scan of the brain?

A

To check the anterior pituitary gland because that produces prolactin

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16
Q

What does it mean when a patient has central axillary lymphadenopathy?

A

Patient has palpable lymph nodes underneath the armpit

17
Q

What indicates that a patient has difficulty adjusting the loss of her breast status post mastectomy?

A

Refusing to look at the dressing or the surgical incision

18
Q

How do you promote comfort for new breast cancer diagnosis

A

Allow the client to make decisions regarding care

19
Q

NGN
Left axillary lymphadenopathy tenderness

A

Retracted nipple palpation reveals a hard anchored lump directly behind the nipple

Patient reports bright red blood discharge from the left breast

History includes alcohol consumption, and no physical activity

Provider orders breast imaging and prepares to speak to patient about multi disciplinary consults for her care