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Mammography1

Patient Education and Assessment

QuestionAnswer
The biggest risk factor for breast disease is gender
One of the minor risk factors for breast cancer could include not breast-feeding
What is the approximate risk of developing breast cancer for a woman whose father's sister has the disease? higher than normal risk
Seventy-seven percent of breast cancers are discovered in women in which age group? above age 50
Symptoms of benign breast disease not seen mammographically can include nipple discharge
Symptoms of a malignant breast cancer can include -skin thickening -nipple discharge -calcifications
Skin thickening can be malignant but could also be caused by -a breast abscess -postradiation
The two main classifications of breast cancer are -ductal -lobular
MRI could be used -to image patients with breast implants to evaluate ruptures -to determine tumor margins and the extent of tumor spread
Chemotherapy involves the use of drugs to treat cancer that may have spread
The ACS recommends that -Woman above 40 should have a screening mammogram every year -new masses or lumps in the breast should be checked by a health-care provider.
A health-care provider should evaluate which of the following breast changes? -lumps or swellings -skin irritation or dimpling
A CBE should be performed every -year after age 40 - 3 years between ages 20 and 39
A CBE can be performed by which of the following? -the radiologist -a health-care professional
A BSE should be done regularly by the patient
All women above the age ___ should perform a BSE regularly. 20
The two-step method of BSE is to look and feel for changes in the breast
When visually inspecting the breast, the changes that should be recorded include -changes in size and shape -changes in texture or color -indentations
The patient's medical history and documentation will -provide the radiologist with information on the patient's risk factors for breast cancer -provide information about possible benign breast conditions of the patient
The importance of BSE and a CBE is stressed because -both will help in the detection of malignant breast conditions -a mammogram is not 100% effective
Which of the following are methods used in BSE? -using the pads of the three middle fingers to palpate the entire breast -palpating around the breast in a vertical pattern -using up varying degrees of pressure while palpation of the breast
For a menstruating woman, when is the best time of the month to perform a BSE? when the breast is least tender
Which of the following statements are true? -Breast CA death rates in US are going down. -BR CA is the leading cause of cancer death in women in US -The second leading cause of cancer death in women in US is BR CA -BR CA death rates in US are going down. -The second leading cause of CA death in women in US is BR CA
Postmenopausal obesity is associated with circulating estrogen that is produced in fat tissue
A process of removing tissue, muscle, and fat from the belly and transferring that tissue to reconstruct the breast is called? TRAM flap
Antiestrogen drugs such as tamoxifen can be used to -slow or stop the cancer's growth -prevent breast cancer in high-risk women -prevent the recurrence of breast cancer
In routine mammography, the radiation dose per projection is generally about 0.1-0.2 rad
Which age group is likely to get the most radiation dose from a mammogram? between 20 and 35
The 5-year old survival rate for a patient with a stage 0 breast cancer is about 100%
During a mammogram, which of the following will affect the average glandular dose per breast? -degree of breast compression -the half-value layer (HVL) of the x-ray beam -breast size and composition
In general, the optimal duration of tamoxifen treatment is 5 years
Lumpectomy describes the process of removal of the breast cancer tumor and surrounding margins of normal breast
Radiation therapy can be used -combined with other treatment options -to kill any remaining cancer cells in the breast, or chest wall area -to shrink the size of a tumor before surgery
Chemotherapy is a class of drugs that can be used to stop the spread of cancer to other parts of the body
Breast reconstruction can involve the placement of small fluid-filled sacs behind the pectoral muscle. Two common types of such implants are silicone or saline implants
With its high sensitivity, MRI is ideal as an adjunctive tool in detecting breast cancer
MRI imaging involves the use of magnetic properties plus radio waves to image the breast
Ultrasound uses high-frequency sound waves to image the breast
MRI can be used to -map the extent of a tumor -image patients with implants -evaluate patients with dense breast
Conventional ultrasound imaging of the breast is often used to verify that a lesion seen on the mammogram is solid of fluid filled
Created by: Raiderette209