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NURS 5432 Test 1 Materials Questions And Answers
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NURS 5432 Test 1 Materials Questions And Answers
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NURS 5432 Test 1 Materials Questions And AnswersPAP smear ANS start at 25year per ACS, HPV every 5 years , cotesting every 5 years, cytology
every 3 years
Breast cancer screening ANS Average risk: if chest radiation therapy before 30 year, genetic
mutation of BRCA, family/pt history of CA
40-44yr: have option to start mammogram screening every year
45-54yr: SHOULD get mammogram every year
55 and up: can do every other year or q year until they are in good health to live 10 more years
high risk: Family history of breast cancer, non-BRCA1 or BRCA2 mutation, head radiation therapy
to chest, Li-Fraumeni Syndrome, Cowden Syndrome, Banayan-Riley Ruvalcoba syndrome
Overdiagnosis ANS finding cancer that wouldn't have been a problem if you not found it
ACS recommend AGAINST MRI if cancer chance is <15%c
cervical dysplasia ANS the growth of abnormal cells in the cervix
can be premalignant cervical disease called cervical intraepithelial neoplasia (CIN)
CIN 1: mild dysplasia with low grade lesion. Cellular change in lower 1/3rd of squamous epithelium
CIN 2: moderate dysplasia with high grade lesion. Cellular change in lower 2/3 of squamous
epithelium
CIN 3 or Carcinoma in situ: severe dysplasia with high grade lesion. Cellular change in full thickness
of squamous epithelium
-Squamous epithelium increase during pregnancy but reduces postpartum
-Endocervical curettage is contraindicated during pregnancy
-Unless cancer is identified/suspected treatment for CIN is contraindicated during pregnancy
, Digital Breast Tomosynthesis ANS provides 3D images from a mammogram machine which
rotates around the breast
Fibroadenoma ANS a round, firm, rubbery mass that arises from excess growth of glandular and
connective tissue in the breast
Fluctuation in size with pregnancy or menstrual cycle
NO nipple discharge
lesions >5cm= giant fibroadenoma
Fibroadenoma Diagnosis and Treatment ANS Diagnosis:
- Palpation
- Mammogram or MRI
- US to differentiate cyst from mass
- fine needle aspiration Bx
Treatment:
- Surgery
fibrocystic breast disease "nodular sensitivie breast" ANS the presence of single or multiple
benign cysts in the breasts
mastoplasia ANS thickening of breast tissue in a ropelike manner that predominate during
menstrual cycle
Non pharm management for fibrocystic BD ANS Cold compress,
supportive bra 24 hours a day,
sodium restriction 10 days before onset of menstruation, decrease or eliminate caffeine,
reduce dietary fat
pharm management for fibrocystic BD ANS vitaminD 2000 IU day
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