Ipapburke Pe Test 3- Breast

Front 1

LOCATION OF BREAST

Back 1

EXTENDS FROM THE 2ND RIB TO THE 6TH RIB AND THE STERNUM TO MID AXILLARY LINE

Front 2

WHAT ARE THE INFRAMAMMARY RIDGES?

Back 2

BILATERAL THICKENINGS AT INFERIOR BORDER

Front 3

WHAT MUSCLES DOES THE BREAST OVERLIE?

Back 3

PECTORALIS MAJOR AND SERRATUS ANTERIOR

Front 4

WHERE DO LACTIFEROUS DUCTS DRAIN?

Back 4

INTO SINUSES AT THE NIPPLE- MILK IS STORED HERE UNTIL EXPRESSED

Front 5

BLOOD SUPPLY TO BREAST TISSUE

Back 5

INTERNAL MAMMARY ARTERY AND LATERAL THORACIC ARTERY

Front 6

HOW MANY LOBES DOES EACH BREAST HAVE? WHAT ARE THE LOBES MADE OF?

Back 6

EACH BREAST HAS 15-20 LOBES MADE UP OF LOBULES THAT DRAIN INTO LACTIFEROUS DUCTS

Front 7

THE PIGMENTED AREA AROUND THE NIPPLE

Back 7

AREOLA

Front 8

WHAT DOES THE AREOLA CONTAIN?

Back 8

SEBACEOUS GLANDS, SMOOTH MUSCLE, OCCASIONAL HAIR

Front 9

WHAT HAPPENS TO THE AREOLA DURING PREGNANCY?

Back 9

ENLARGE AND DARKEN

Front 10

DESCRIBE SYMMETRY OF AREOLA

Back 10

MAY BE ASYMMETRIC BUT LESS THAN 3 MM DIFFERENCE

Front 11

FUNCTION OF NIPPLE

Back 11

STORAGE AND DELIVERY OF MILK TO INFANT; LACTIFEROUS SINUSES AT THE BASE LEAD TO TERMINAL DUCTS TO THE EXTERIOR

Front 12

WHAT ARE THE CONTRACTILE SMOOTH MUSCLE FIBERS IN THE NIPPLE FOR?

Back 12

EXPRESSION OF MILK

Front 13

WHAT NODES DOES THE BREAST PRIMARILY DRAIN INTO?

Back 13

ANTERIOR AND CENTRAL AXILLARY NODES

Front 14

WHAT NODES DOES THE UPPER ARM DRAIN TO?

Back 14

LATERAL AXILLARY NODES

Front 15

WHAT NODES DOES THE RETRO AREOLAR AREA DRAIN TO?

Back 15

CENTRAL AXILLARY NODES

Front 16

IF LYMPHATIC DRAINAGE "GOES DEEP", WHAT NODES ARE INVOLVED?

Back 16

INTERNAL MAMMARY NODES AND THE SUPRACLAVICULAR NODES

Front 17

WHAT SYSTEM IS USED TO GRADE THE PHYSIOLOGIC CHANGES IN PUBERTY?

Back 17

TANNER STAGING

Front 18

WHAT TIME OF THE MONTH SHOULD SELF BREAST EXAM BE DONE?

Back 18

5-7 DAYS AFTER PERIOD STARTS OR ON THE SAME DAY EVERY MONTH

Front 19

HOW OFTEN SHOULD SELF BREAST EXAM BE DONE?

Back 19

MONTHLY AFTER AGE 20

Front 20

BEST TIME FOR CLINICAL BREAST EXAM

Back 20

5-7 DAYS AFTER ONSET OF MENSTRUATION

Front 21

INSPECTION OF THE BREAST WHILE PATIENT IS SITTING UP INCLUDES?

Back 21

SKIN CHANGES (COLOR AND THICKENING), SIZE AND SYMMETRY, CONTOUR (MASSES, DIMPLING OR FLATTENING), NIPPLE SIZE AND SHAPE, RETRACTION, RASHES, ULCERATION, OR DISCHARGE

Front 22

WHY DO YOU INSPECT BREASTS WITH ARMS OVER HEAD, PRESSED AGAINST HIPS, AND LEANING FORWARD?

Back 22

BRING OUT DIMPLING OR RETRACTION

Front 23

WHAT LYMPH NODES DO YOU PALPATE ON CBE?

Back 23

ANTERIOR, POSTERIOR, CENTRAL, AND LATERAL AXILLARY LYMPH NODES; ALSO SUPRACLAVICULAR

Front 24

WHAT ARE THE BOUNDARIES OF THE RECTANGULAR AREA PALPATED ON CBE?

Back 24

FROM CLAVICLE TO INFRAMAMMARY FOLD; FROM MIDSTERNAL LINE TO POSTERIOR AXILLARY LINE

Front 25

WHAT POSITION IS THE PATIENT IN WHEN PALPATION IS DONE ON CBE?

Back 25

SUPINE WITH ARM RAISED UP BEHIND HEAD

Front 26

WHAT PATTERNS ARE USED FOR CBE?

Back 26

CIRCULAR, WEDGE, OR VERTICAL STRIP PATTERN

Front 27

ON PALPATION DURING CBE, WHAT DO YOU CHECK FOR?

Back 27

CONSISTENCY, TENDERNESS, NODULES

Front 28

WHAT TYPE OF NODULES SUGGEST CANCER?

Back 28

HARD, IRREGULAR, POORLY CIRCUMSCRIBED NODULES, FIXED TO THE SKIN OR TISSUES

Front 29

A MOBILE MASS THAT BECOMES FIXED WHEN THE ARM RELAXES IS PROBABLY ATTACHED TO WHAT?

Back 29

THE RIBS AND INTERCOSTAL MUSCLES

Front 30

A NODULE THAT IS FIXED WHEN HAND IS PRESSED AGAINST HIP IS PROBABLY ATTACHED WHERE?

Back 30

PECTORAL FASCIA

Front 31

3 MAJOR CAUSES OF UNILATERAL BLOODY DISCHARGE FROM 1-2 DUCTS

Back 31

INTRADUCTAL PAPILLOMA, DUCTAL CARCINOMA IN SITU, PAGET'S DISEASE OF THE BREAST

Front 32

WHY DO YOU INSPECT THE SCAR AND AXILLA CAREFULLY IN PATIENTS WITH PRIOR MASTECTOMY?

Back 32

TO IDENTIFY CHANGE IN COLOR, INFLAMMATION, OR NODE ENLARGEMENT THAT MIGHT SIGNIFY RECURRENCE

Front 33

SPECIFIC CHANGES TO THE BREAST DUE TO AGING

Back 33

DECREASED GLANDULAR AND LOBULAR TISSUE (REPLACED BY FATTY TISSUE), ATROPHY AND MORE PROMINENT INFRAMAMMARY RIDGE, NIPPLE SMALLER AND FLATTER

Front 34

BREAST CANCER RISK FACTORS

Back 34

FEMALE, AGE, FAM HX, PMHX OF BREAST CANCER, HISTORY OF RADIATION TO CHEST, EARLY MENARCHE BEFORE 12, LATE MENOPAUSE AFTER 55, NULLIPARITY OR LATE FIRST CHILD BIRTH, LONG TERM USE OF HRT, OBESITY

Front 35

WHAT ARE BRCA1 AND BRCA2 MUTATIONS?

Back 35

GENETIC DEFECTS THAT PREDISPOSE WOMEN TO DEVELOP BREAST CANCER

Front 36

MOST COMMON QUADRANT FOR BREAST CANCER

Back 36

RIGHT UPPER BREAST, FOLLOWED BY AREOLA, LEFT UPPER, RIGHT LOWER, AND LEFT LOWER

Front 37

THIS IS A BENIGN TUMOR TYPICALLY FOUND IN 15-25 Y/O THAT IS USUALLY SINGLE, FIRM, VERY MOBILE, NONTENDER, AND ROUND OR DISCLIKE

Back 37

FIBROADENOMA

Front 38

THESE ARE BENIGN FINDINGS IN FEMALES 30-50 YEARS OLD THAT ARE TENDER AND HAVE SIMILAR SIGNS TO FIBROADENOMAS

Back 38

CYSTS

Front 39

WHAT IS PEAU D'ORANGE?

Back 39

CUTANEOUS EDEMA OF BREAST INDICATED BY SKIN THAT IS INDENTED DEPPLY WITH HOLES (ACCENTUATED ORIFICES OF SWEAT GLANDS)

Front 40

WHEN SHOULD GYNECOMASTIA BE INVESTIGATED?

Back 40

IF PAINFUL, RAPID BREAST ENLARGEMENT, ECCENTRIC, OR HARD IRREGULAR BREAST MASS, OR HAS A TESTICULAR MASS

Front 41

HOW OFTEN SHOULD WOMEN 40-50 YEARS OLD GET A MAMMOGRAM?

Back 41

EVERY 1-2 YRS

Front 42

HOW OFTEN SHOULD WOMEN OVER 50 GET A MAMMOGRAM?

Back 42

ANNUALLY

Front 43

HOW OFTEN SHOULD WOMEN 20-240 GET A CLINICAL BREAST EXAM?

Back 43

EVERY 3 YEARS

Front 44

HOW OFTEN SHOULD WOMEN OVER 40 GET A CBE?

Back 44

EVERY YEAR

Front 45

WHEN IS A MRI RECOMMENDED IN BREAST CANCER SCREENING?

Back 45

IF HIGH LIFETIME RISK OR RISK OF 20% OR MORE

Front 46

WHAT IS A FNA?

Back 46

FINE NEEDLE BIOPSY- USED TO DRAW A SAMPLE FLUID AND TISSUE FROM A BREAST LUMP TO BE STUDIED.

Front 47

WHAT IS ULTRASOUND IMAGING OF THE BREAST USED FOR?

Back 47

TO DISTINGUISH BETWEEN SOLID TUMORS AND FLUID FILLED CYSTS

Front 48

WHY IS MRI INAPPROPRIATE FOR BREAST CANCER SCREENING IN THE GENERAL POPULATION?

Back 48

BECAUSE OF HIGH RATE OF FALSE POSITIVES