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Nursing Skills
Test 5 - BSE/TSE
| Question | Answer |
|---|---|
| What is the most common form of no skin cancer in women? | Breast cancer |
| USA has the highest ____ of breast cancer in 5 continents. | Incidence |
| ___ % or ____ in ____ women will be dx with breast cancer in her lifetime. | 12%, 1/8 |
| What percent of women die from breast cancer? | 3% |
| How many people die from breast cancer a year | 40,000 |
| What eight factors put you at risk for breast cancer? | Gender, Age - the older you are the greater risk, Family history , Never having born a child, Having first child past age 30, Early menarche / late menopause, History of benign breast disease, Previous personal history of breast cancer |
| What is the most common location for a breast tumor? | In the upper, outer quadrant, including the Tail of Spence |
| What is the second most common location for a breast tumor? | In the area behind the nipple |
| When do you do a breast exam? | At end of menstrual period |
| If breast feeding, when do you do a breast exam? | When breasts are empty |
| If you are post-menopausal, when do you do a breast exam? | Same time each month |
| Do men need to do a BSE? | Yes |
| How often should you see your HCP for a breast exam if in 20s and 30s? What about after 40? | Every three years if in 20’s and 30’s, yearly after age 40 |
| At what age should you start getting mammograms? | Yearly at age 40 |
| What are signs/symptoms of breast cancer? (7) | Abnormal Nipple discharge / Nipple inversion, Pain , Unusual lump, Cancerous lesions, Breast Skin changes , Lymph node involvement |
| Benign lesions generally have what four qualities? | Smaller, rubbery, well circumscribed & mobile |
| Cancerous lesions generally have what four qualities? | Irregular borders, fixed to chest wall, firm, enlarged |
| What three breast skin changes should be noted? | Dimpling, edema or “peau d’orange, scaling |
| A sign of breast cancer is lymph node involvement along the ____ or _____ | Clavicle, axilla |
| What two positions should you be in for visual inspection of breasts? | Stand in front of mirror with hands on hips, press down on hips.Repeat inspection with arms raised above head. |
| What two positions can be used for palpation of breasts? | May be done in shower or lying position with towel under shoulder. Raise arm above head. |
| What fingers do you use for BSE? | Pads of first three fingers |
| What is recommended pattern for BSE? | Zigzag |
| What two other patterns can also be used for BSE so long as the entire breast is covered? | Circular, wedge |
| During what portion of the exam should the lymph nodes be assessed? | During the standing portion |
| Should you normally be able to palpate lymph nodes? | No |
| Lymph nodes can be enlarged by a cancerous or non-cancerous process. True/False | TRUE |
| What two things do you to examine the nipple? What three things should be noted? | Squeeze the nipple and check for any discharge. Push the nipple deep into the hollow beneath it. Note any unusual resistance, hardness or lump beneath the nipple |
| Breast enlargement and white nipple discharge is normal in a newborn up until what age | 2 weeks |
| At what age does breast growth begin | 10 |
| Temporary enlargement of one or both breast in pubescent boys | Gynecomastia |
| What happens to the breast of an older adult? | More granular and pendulous |
| Estimated that ____ new cases of testicular cancer will be diagnosed in one year with ___men dying of this disease. | 7000, 300 |
| What is the cure rate for testicular cancer? | 90% |
| Testicular cancer is most common in young men aged ___ to _____ | 15, 34 |
| What is the prognosis if testicular cancer is found and diagnosed early | Very good |
| What are five risk factors for testicular cancer? | Undescended testes, Personal hx of testicular CA, Family hx of testicular CA, Klinefelter’s syndrome (genetic disorder) , Race – more common in white men |
| What are signs/symptoms of testicular cancer? | Painless lump or swelling in either testicle ,Change in how testicle feels, Dull ache in the lower abdomen or groin, sudden accumulation of fluid in scrotum, Pain or discomfort in testicle or scrotum, Enlarged or tender breasts |
| What is the most common sign of testicular cancer? | Painless lump or swelling in either testicle |
| When is a screening for testicular cancer done? | As a part of general physical with md |
| When should a man perform a TSE? | Same time each month |
| It is best if the man_____ before the TSE. | Takes a warm shower to relax the scrotal skin |
| When doing the TSE the man should stand _____ and look for ______ | In front of a mirror, swelling on the skin of the scrotum |
| How should the man hold his testicles when examining? | Place thumbs on top of testicle. Put index and middle fingers under testicle |
| The man should roll the testicle between his ___ and _____. | Thumb and fingers |
| Testicular cancer almost always occurs in only one testicle & is usually a pea-sized, painless lump. True/False | TRUE |
Created by:
anastasia158
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