Patient Assessment Female 1

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Patient Assessment Female 1
2013-11-29 12:25:17
Patient Assessment Female
Patient Assessment Female 1
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  1. Describe Fibrocystic Breast changes:
    Glands, fat and fibrous tissue of the breast respond to hormonal changes
  2. Biopsies of about ¼ of fibrocystic breast change patients show what alteration to the tissue?
    Normal epithelial hyperplasia
  3. A biopsies showing ___________ and ____________ in fibrocystic breast changes implies a higher risk of breast cancer.
    Hyperplasia and atypia
  4. Do fibrocystic breast changes increase cancer risk?
  5. Are fibrocystic breast changes a disease?
  6. Describe the signs of fibrocystic breast changes:
    Bilateral, easily movable, poorly defined tender mass
  7. Describe the symptoms of fibrocystic breast changes:
    Lumpy tender (dull aching) changes in breast
  8. When do fibrocystic breast changes usually occur?
    Near the time of menstruation
  9. What is the number 1 form of cancer in women?
    Breast Cancer
  10. What is the second leading cause of cancer related death among women?
    Breast cancer
  11. What is the leading cause of cancer related death in women?
    Lung Cancer
  12. What type of breast cancer occurs in most cases?
  13. What is adenocarcinoma?
    Glandular tissue (ductal or lobular)
  14. What are the risk factors for breast cancer in women?
    Older age, BRCA1/BRCA2, FH, Caucasian, previous radiation, Menstruation <12 yrs, Menopause >50 yrs, no child, 1st child after 30, alcohol, obesity
  15. (True/False) Alcohol consumption increases across the board despite the amount.
    False, increases with the amount
  16. At what rate should a clinical breast exam be performed in women according to the American cancer society?
    20-30 q3years, >40 q1year
  17. When should mammograms begin to be used and how often should they be performed?
    Yearly starting at 40 (increase with certain breast changes or FH)
  18. Are there risks to Self-Breast Exam?
  19. Should everyone perform a breast self-breast exam starting in their 20’s?
    No, optional, risks associated
  20. (True/False) The United States Preventative Service Task Force recommends mammograms in women 40-49 years.
    Not unless you are at high risk
  21. (True/False) The United States Preventative Service Task Force recommends mammograms in women 50-74 years every 2 years.
  22. (True/False) The United States Preventative Service Task Force recommends women use Breast Self-Exams.
  23. (True/False) Breast self-Exams have been shown to decrease Brest cancer mortality.
  24. Why are breast self-exams no longer recommended?
    To reduce harm from anxiety and overtreatment
  25. Mammograms can miss up to what percent of breast cancers at the time of screening?
  26. What percent of false positives are found during mammogram screening?
  27. What issues lead to inaccuracy of Mammograms?
    Sensitivity, Specificity, Prediction (can’t tell which progress)
  28. (True/False) Ductal Carcinoma in Situ is an invasive and dangerous form of cancer.
    False, it is a non-invasive cancer in the milk ducts that can develop into an invasive form
  29. What positions are required for Monthly Breast Self-Exam?
    Lying and Standing
  30. What part of the hand should be used to perform a monthly Beast Self-Exam?
    Middle three fingers of the opposite hand
  31. What lumps found during a breast self-exam should be referred to a physician?
    Hard or persistant
  32. How should the hand be moved during a breast self-exam?
    Circular motion around nipple, Up and down the breast and from the outer rim to the nipple
  33. What are the signs and symptoms of breast cancer?
    New, hard painless lump with irregular edges, swelling of part of the breast, skin irritation or dimpling, redness of scaling of breast skin, nipple pain or retraction, nipple discharge, enlarged auxiliary lymph nodes
  34. Treatments for breast cancer are based on what?
    Stage at diagnosis
  35. What are the treatment options for breast cancer?
    Radiation, Chemotherapy, Surgery and Hormonal or Immuno therapy
  36. Is breast cancer very treatable?
    Yes, if caught early
  37. What is Mastitis?
    Breast infection usually caused by Staph Aureus