Ch 48

Front 1

______ signs include skin dimpling, creasing, or changes in the contour of the breast or nipple secondary to fibrosis or scar tissue formation in the breast.

Back 1

Retraction

Hint 1

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 2

______ signs may appear only with position changes or with breast palpation.

Back 2

Retraction

Hint 2

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 3

______ ______ mass usually occurs as a single mass (lump) in one breast. Usually nontender Irregular shape. Firm, hard, embedded in surrounding tissue. Referral and biopsy indicated for definitive diagnosis

Back 3

Breast Cancer (Malignant Tumor)

Hint 3

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 4

______ ______ occur as single or multiple lumps in one or both breasts. Usually tender (omitting caffeine reduces tenderness); tender -ness increases during pre -menstrual period. Round shape
Soft or firm, mobile. Referral and biopsy indicated for definitive diagnosis, especially for first mass; later masses may be evaluated over time by a specialist.

Back 4

Breast Cyst (Benign Mass)

Hint 4

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 5

______ usually occurs as a single mass in women aged 15–35 years. Usually non -tender. May be round or lobular. Firm, mobile, and not fixed to breast tissue or chest wall. No premenstrual changes. Referral and biopsy indicated for definitive diagnosis.

Back 5

Fibroadenoma (Benign Breast Lump)

Hint 5

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 6

Increased ______ prominence. Associated with breast cancer if unilateral.
Unilateral localized increase in venous pattern associated with malignant tumors. Normal with breast enlargement associated with pregnancy and lactation if bilateral and bilateral symmetry.

Back 6

Venous

Hint 6

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 7

______ ______ Associated with breast cancer. Caused by interference with lymphatic drainage. Breast skin has orange peel appearance. Skin pores enlarge. May be noted on the areola. Skin becomes thick, hard, immobile. Skin discoloration may occur.

Back 7

Peau d'Orange (Edema)

Hint 7

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 8

______ ______ considered normal if long-standing. Associated with fibrosis and malignancy if recent development.

Back 8

Nipple Inversion

Hint 8

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 9

______ ______ associated with lactation but may occur at any age. Nipple cracks or abrasions noted. Breast skin reddened and warm to touch.
Tenderness. Systemic signs include fever and increased pulse.

Back 9

Acute Mastitis (Inflammation of the Breasts)

Hint 9

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 10

______ ______ early signs: erythema of nipple and areola.
Late signs: thickening, scaling, and erosion of the nipple and areola

Back 10

Paget Disease (Malignancy of Mammary Ducts)

Hint 10

Chart 48-2 Assessing the Breasts
Retraction Signs

Front 11

Patients should be instructed about optimal timing for BSE (___ to ___ days after menses begin for premenopausal women and once monthly for postmenopausal women).

Back 11

5 to 7

Front 12

______ is a breast-imaging technique that has been shown to reduce breast cancer mortality rates. It can detect nonpalpable lesions and assist in diagnosing palpable masses. The procedure takes about 15 minutes and can be performed in a hospital radiology department or independent imaging center.

Back 12

Mammography

Front 13

Patients scheduled for a mammogram may voice concern about exposure to radiation. The radiation exposure is equivalent to about ___ hour of exposure to sunlight

Back 13

1

Front 14

______ ______ records x-ray images on a computer instead of on film, thus allowing the radiologist to adjust the contrast and focus on an image without having to take additional x-rays.

Back 14

Digital mammography

Front 15

___ programs are designed to assist radiologists in the identification of suspicious areas on a mammogram.

Back 15

computer-assisted detection (CAD)

Front 16

______ are done in multiple places e.g., laying down, standing up, looking at yourself in the mirror

Back 16

BSEs

Hint 16

Breast Self Exam

Front 17

While doing a BSE remember to check ______ ______.

Back 17

lymph nodes (axillary and supraclavicular nodes)

Hint 17

Breast Self Exam

Front 18

Even if the patient has had a masectomy she still needs to do a ___ on that side of the chest

Back 18

BSE

Front 19

The course of the disease most frequently occurs in the upper outer quadrant of the breast known as the ______ ___ ______, becoming attached to chest wall or overlying skin.

Back 19

Tail of spence

Hint 19

Breast Cancer; Assessment

Front 20

90% of breast lumps are ______.

Back 20

benign (fibroadenoma)

Hint 20

Breast Cancer; Teaching

Front 21

Treatment is removal of tumor. Cure rate of ___% if tumor is confined to the breast. Cure rate of ___% with axilla node involvement. The degree of surgery will depend on cliniccal classification.

Back 21

70; 40

Hint 21

Breast Cancer; Surgical management

Front 22

An ALND is ______ ______ ______ ______.

Back 22

axillary lymph node dissection

Hint 22

Breast Cancer; Surgical management

Front 23

A SLNB is _____ ______ ______ ______. A node is removed and viewed in the lab while the pt is in surgery to see if additional surgical removal is indicated.

Back 23

sentinel lymph node biopsy

Hint 23

Breast Cancer; Surgical management

Front 24

______ (Halsted) is removal of entire breast, both underlying chest muscles on affected side, lymph nodes under arm, and sometimes affected ribs. This procedure is no longer done.

Back 24

Radical

Hint 24

Mestectomy

Front 25

A drug indicated for hormonal therapy is ______.

Back 25

tamoxifen (nolvadex)

Hint 25

Breast Cancer; Treatment

Front 26

______ is indicated to increase appetite and for hormonal therapy for pt with breast cancer that is hormone dependent

Back 26

megace

Hint 26

Breast Cancer; Treatment

Front 27

No BP, blood drawn, IV's after ______ lymph node dissection.

Back 27

axillary

Hint 27

Mastectomy; Postoperative care/teaching

Front 28

After axillary lymph node dissection there needs to be ______-______ care taken for that arm by avoiding trauma, cuts, bruising, and burning.

Back 28

life-time

Hint 28

Mastectomy; Postoperative care/teaching

Front 29

The best time of the month to do breast self-exam are after she finishes her ______ cycle.

Back 29

menstural

Hint 29

Mastectomy; Postoperative care/teaching

Front 30

Drugs that can cause breast enlargement in the male include ______, ______, and ______.

Back 30

digitalis, tagamet; dilantin

Hint 30

Breast reconstruction; Conditions of the male breast