Dr Bruce 2 Boobies

Front 1

Breast enlargement during pregnancy is stimulated by_____

Back 1

progesterone

Front 2

The pituitary gland secretes _______ at time of the delivery, causing the production of milk

Back 2

prolactin

Front 3

________causes the milk ducts to contract and force milk to the nipples

Back 3

oxytocin

Front 4

Suction by the infant stimulates the breast tissue to produce more milk is called the ______-____ reflex

Back 4

let-down

Front 5

Full milk production takes _____ hours of breast feeding

Back 5

72

Front 6

________a thin yellow fluid, precedes milk production and is the infant’s first meal on earth

Back 6

colostrum

Front 7

mothers milk absorbs where in the infant

Back 7

directly from the stomach

Front 8

Breast-fed babies have fewer bacterial and viral infections, fewer allergic problems and they experience less diarrhea than non breast-fed babies due to _____ _____, and ______ in the milk

Back 8

white cells and antibodies

Front 9

does breast milk in fluence the intestinal flora of the baby?

Back 9

yes... it inhibits the growth of pathogenic bacteria

Front 10

Both _______ and ______ are okay for the mother to take while breast feeding. Post-partum thrombophlebitis is common, and these drugs may be needed, so it is lucky the mother can take either of them (or both), otherwise err on the side of caution as many drugs are passed to the baby via breast milk

Back 10

coumadin
heparin

Front 11

The production of breast milk in women and also men who are not breast feeding is?

Back 11

Galactorrhea

Front 12

Galactorrhea is due to excess _______ secretion by the pituitary

Back 12

prolactin

Front 13

This condition may result in amenorrhea and decreased libido in both men and women

Back 13

Galactorrhea

Front 14

Drugs which suppress body levels of _________ are the most common cause of prolactin hyper-secretion

Back 14

dopamine

Front 15

_______ and _______ stimulate prolactin secretion

Back 15

progesterone and HCG

Front 16

lactaion overrides ________

Back 16

lactaion overrides dopamine

Front 17

5 d's to look for in nipple exam?

Back 17

discharge
depression or inversion
discoloration
dermatological changes
deviation

Front 18

pagets is usually around the______
and is discolored what color?

Back 18

nipple
red flakey

Front 19

ducts that plug up

Back 19

tubercles

Front 20

inveverted nipples are not a concern when?

Back 20

not in childhood or adolesence

Front 21

when doing breast exam to check for discharge should you squeeze the nipple?

Back 21

no... it hurts... you support under with one hand and press down with other

Front 22

nipples do what after child birth?

Back 22

darken

Front 23

4 positions for breast exam...
slide 24

Back 23

1. arms on hips
2. arms above the head (how big are you? I'm this big)
3. reaching forward with both arms
4. palms press together in front of abdomin

Front 24

males and females have milk line all the way down to _____ _____

Back 24

the pubis

Front 25

do summary nipples have to be removed for health reasons?

Back 25

nope

Front 26

if nipple is squeezed alot by woman will it produce milk?

Back 26

yes if done regularly it will irritate the ducts and produce milk

Front 27

retracted nipple or dimpling signs of?

Back 27

cancer

Front 28

to palpate tail of spence where do you squeeze?

Back 28

upper inside quadrant of breast

Front 29

Screening for breast cancer:
Clinical breast exam by a professional:
Under 40: every ___-___ years
over 40 every?

Back 29

1-3

year

Front 30

yearly mamogram starting at what age?

Back 30

40

Front 31

Breast self exam:
Monthly, ____-____ days after menstrual period

Back 31

3-7

Front 32

fybrocystic disease lumps are painful and tender in breasts... are cancer cysts?

Back 32

no

Front 33

Do fibroyd cysts tend to regress when menses begins?

Back 33

yes

Front 34

breast self exam...
Stand before a mirror in three positions
hands at_______
hands over _________
hands pressed firmly on ______

Back 34

sides
head
hips

Front 35

fibroyd cysts are larger or smaller and more or less painful in the premenstrual period?

Back 35

larger and more painful

Front 36

fibroyd cysts most common in women of what ages?

Back 36

30-50

Front 37

women with fibrocystic disease should self examine how often and have a pro exam how often?

Back 37

self exam- 1 time a month
pro exam- 1 time every 6 months

Front 38

does fibrocystic disease cause an increase in occurance of breast cancer?

Back 38

no... unless there is atypical changes in ductal epithelium

Front 39

Fibrocystic disease:
Fluid-filled cystic lesions should be aspirated by a doctor(the fluid drawn off with a syringe and needle): biopsy is indicated if fluid is______?

Back 39

bloody

Front 40

what is a causative factor of fybroid cysts?

Back 40

estrogenic hormones
breast fibers in crossfire of stimulating and turn off hormones

Front 41

does giving up coffee have any effect on fibrocystic disease?

Back 41

yes... eliminating caffeine does have a positive effect

Front 42

xeno means?

Back 42

stranger

Front 43

assmetry because cancer is pulling breast _____?

Back 43

in

Front 44

women over 20 should do a self exam how many days after period?

Back 44

3-5

Front 45

fibrocystic disease--- stop wearing____ and cut out _______ can work wonders

Back 45

bra
caffiene

Front 46

If premenopausal with breast pain and tenderness, stop wearing a bra and discontinue coffee (studies showing ___-____% of women got over breast pain with these modifications).

Back 46

90-95%

Front 47

Consider taking natural progesterone (such as Progestelle®) for what?

Back 47

fibrocystic disease

Front 48

Round or oval, firm, rubbery solitary masses in young women, usually in 20’s or 30’s
The mass is movable and not fixed to surrounding tissue

Back 48

fibroadenomas

Front 49

Multiple fibroadenomas are found in ____% of patients who have them

Back 49

15

Front 50

if fibroadenomas are found by biopsy should anything else be done?

Back 50

nope... don't need to

Front 51

intraductile papilomas how many cancerous??

Back 51

1 of 3

Front 52

quadrants of breast cancer in quadrants

Back 52

65 upper outer quadrant
10% in all other 3
5% around nipple

Front 53

growns like a strawberry and bleeds

Back 53

introductal papiloma

Front 54

introductal carcinoma doesit spread outside the duct?

Back 54

nope

Front 55

false positive in fine needle technique is more or less probable

Back 55

more

Front 56

Small benign tumors of the breast
Grow in the milk ducts
May cause bleeding; thus masquerading as possible cancer
These should all be removed because they bleed and because they might possibly degenerate into cancer later on.

Back 56

intraductile papillomas

Front 57

which breast biopsy is easier for the pathologist to read fine needle or core needle biopsy?

Back 57

core needle is easier

Front 58

which is more common... false positive or false negative breast biopsies?

Back 58

false negatives

Front 59

new cases breast cancer a year?
deaths?
diagnosed carcinoma citu?

Back 59

211000
40000
56000

Front 60

one of___ women will develope breast cancer

Back 60

8

Front 61

braca defect gene means?

Back 61

breast cancer progressive in younger age

Front 62

False positive diagnoses uncommon but do occur in about ___%

Back 62

2%

Front 63

About ____% of suspicious breast lumps prove to be cancerous.

Back 63

40%

Front 64

Cure rates are above ____% with a small, mammographically-detected hormone receptor-positive tumor and no positive lymph nodes

Back 64

90%

Front 65

With axillary lymph nodes involved, 5 yr survival drops to ___% and 10 yr survival is ___% for breast cancer

Back 65

45%
25%