NURS 682 EXAM 1 LATEST SPRING EXAM
GRADED A+ WITH ANSWERS 1005
ACCURATE – ADVANCED PRACTICE
NURSING FAMILY HEALTH 1
What is the recommended screening tool for breast
cancer?
Mammography
Modifiable risk factors for breast cancer:
Overweight
Low physical activity
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Poor nutrition
Tobacco use
Non-Modifiable risk factors for breast cancer:
Family history
Breast tissue density
Proliferative lesions w atypic on breast biopsy
Early menarche
Age of 1st full-term pregnancy
Late menopause
Age of female
For women over 20 years of age, clinical breast exams
(CBE's) should be carried out: Every 1-3 years
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For women over 40 years of age, CBE's should be carried
out:
Annually (40-49 years of age)
*Most OB-Gyn's follow this rule*
For women under the age of 40 y/o and over 75 y/o, the
following risk factors would warrant further testing than
normal:
BRCA 1, BRCA 2 (Would suggest a mammogram for
women <40 y/o and >75 y/o)
For women between 50 and 74 years of age, CBE's should
be carried out:
Bi-annually WITH mammography.
If the guidelines are carried out differently, this decision
will be made by:
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The physician AND the patient.
Self-breast exams
Are no longer indicated. HOWEVER, 15% of masses are
missed by mammography. This is where SBE's can fill the
gap and should still be recommended and educated to
the patient.
Cervical cancer screenings (PAP Smears), in women
younger than 21 y/o:
Are not necessary. UNLESS female is
immunocompromised (HIV infection, receiving chemo,
ect.)
Cervical cancer screenings (PAP Smears), in women
between 21 and 29 y/o:
Screen every 3 years with cytology ALONE.
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