Exam (elaborations)
NSG 6430 WEEK 1 QUESTIONS AND ANSWERS
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NSG 6430 WEEK 1 QUESTIONS AND ANSWERS
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Name: Score:173 Multiple choice questions
Definition 1 of 173
Every breast mass that feels benign should be confirmed with imaging and biopsy.
Mammography is of low yield in adolescents and young women, as the breast density of these
patients obscures pathology. Management seeks to establish a diagnosis with a minimally
invasive breast biopsy, FNA or core needle, without surgical excision, saves patients with
benign lesions an unnecessary operation.
Juvenile Papillomatosis.
Varicella
Work-up of a Breast Mass
Breast Hypoplasia.
Definition 2 of 173
The incidence is rare in adolescents, with 18 cases in a 25-year review of one tertiary care
center and 5 primary adenocarcinomas of 1,791 adolescent breast excisions in another large
review. Types have included primary breast cancer: rhabdomyosarcoma, angiosarcoma,
cystosarcoma phyllodes, lymphoma, and metastatic breast cancer. Risk factors have included
history of chest wall irradiation and familial genetic risk factors. Treatment depends on the
underlying pathology.
Breast Malignancy.
Breast Hypoplasia.
Mammary Duct Ectasia.
Fibrocystic Disease.
,Definition 3 of 173
This is failure of regression of the primordial milk crest and includes
(1) polythelia, or accessory nipple (the most common congenital breast anomaly),
(2) polymastia, or the presence of accessory breast tissue along the milk line, and
(3) supernumerary breast, or the presence of an accessory nipple and underlying breast tissue.
Cystosarcoma Phyllodes.
Aberrant Breast Tissue.
Diphtheria, Tetanus, Pertussis
Work-up of a Breast Mass
Definition 4 of 173
These visits should address both biomedical and psychosocial aspects.
b. Complete physical examinations should be done during three of these preventive visits, one
each during early (11-14 years), middle (15-17 years), and late (18-21 years) adolescence.
Standards for Geriatric Assessments (sga) for Ages 65 and older
Recommendations for adult health screenings (rahs) for ages 22-30
Guidelines for pediatric care (gpc) for ages 0-10
Guidelines for Adolescent Preventive Services (GAPS) Recommendations for ages 11-21
Definition 5 of 173
The American Medical Association's GAPS program has published a series of carefully
constructed and updated questionnaires for both adolescents and their parents; it is available
at http://www.ama-assn.org/ama/pub/category/1981.html
Body Image Concerns in Middle Adolescents
Questionnaires and Other Health Screening Tools
Parent Education for Infants and Toddlers
What are other Signs of Male Puberty?
,Definition 6 of 173
Thelarche and pubarche (pubic hair) may both be preceded by about 1 year by the growth
spurt; thus the growth curve is an essential tool in the evaluation of precocious puberty.
Gynecomastia.
Menarche
Gray Matter Growth
Growth Spurt
Definition 7 of 173
The prevalence is about 2% to 6% of females. The condition usually presents with a soft tissue
mass along the primordial milk line.
Aberrant breast tissue prevelence
Testosterone.
How does hormonal control effect bone mass?
Tuberous breast deformity
Definition 8 of 173
Parents should openly express their opinions concerning the appropriate time for their child to
become sexually active, discuss rules about dating and curfews, and review contraception and
disease prevention. Sexual values should be taught along with other values. Sexually
responsible behavior is part of the overall assumption of adult responsibility.
Identity Development in late adolescence
Parent education teenagers
Pelvic Examination (Female).
Cystosarcoma Phyllodes.
, Definition 9 of 173
A leukocyte esterase test on the first 15 mL of a random urine sample is recommended to
screen for chlamydial infection. However, there is concern about the sensitivity and specificity
of this test. In high-risk populations, annual urethral screening for gonorrhea and chlamydial
infection by culture or nonculture test can be encouraged. Syphilis serology should be
considered in high-risk populations or where syphilis is prevalent.
What serves as the "bone bank" for the remainder of life?
What is the typical Identity Development in early adolescents
What should be done before performing a teen breast exam?
What testing should sexually active adolescent males have?
Definition 10 of 173
Absence of breast tissue related to an iatrogenic cause (removal of breast bud usually in
evaluation of a pseudomass in a pediatric breast) or congenital etiology (Poland syndrome).
Poland syndrome typically presents with unilateral amastia, ipsilateral rib anomalies, webbed
fingers, and radial nerve palsies. Treatment usually involves plastic surgery.
Polythelia.
Amastia.
Polymastia.
Estrogen.
Definition 11 of 173
"Annual" pelvic examination and PAP screening are now recommended beginning 3 years after
coitarche or age 21, whichever comes earlier. Annual screening for STDs is clearly
recommended for sexually active female patients
Pelvic Examination (Female).
Parent education for infants and toddlers
Parent education of preteens
ADOLESCENT SEXUAL DEVELOPMENT in Middle adolescents
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