Assignment: Milky Secretions

Assignment: Milky Secretions

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2. A 36-year-old woman who had her last baby six years ago develops milky secretions from both her nipples. She is not pregnant and has no other health problems. Which of the following is the most likely diagnosis?

A. Pituitary tumor                B. Fibroadenoma                C. Intraductal papilloma      D. Breast cancer                               E. Duct ectasia

3. A 30-year-old woman is breast-feeding her newborn infant. One of her breasts becomes red, swollen and very tender, and she develops fever. Which of the following statements is most correct?

A. She has developed inflammatory breast cancer.

B. She should be treated with antibiotics.

C. She should discontinue breast feeding, and the changes will go away on their own.

D. She should consult a lactation specialist to help the baby latch on to the nipple better.

E. The condition will likely recur if she continues to breast feed.

4. A 45-year-old woman has a breast biopsy of a 2 cm in diameter lump. The pathologist makes a diagnosis of fibrocystic disease. The microscopic finding that predicts later development of cancer is

A. Ductal hyperplasia         B. Large cysts       C. Excessive adipose tissue        D. Larger than normal lobules        E. Lactational change.

5. A 27-year-old woman whose grandmother, mother, and older sister have all died of breast or ovarian carcinoma is contemplating starting a family. She should be advised that

A. she should have had bilateral mastectomy and oophorectomy at puberty to prevent the development of cancer in these tissues.

B. she should not have children because increased estrogen levels during pregnancy and lactation will stimulate the growth of cancer.

C. she should adopt, so that she doesn’t transmit her bad genes to the next generation.

D. testing for genes known to impart a greater risk for breast cancer is available, and knowing for sure that she is a carrier of the gene will help her with decision-making.

E. she does not need to start screening for breast cancer earlier than the general population because screening modalities are not effective in detecting breast cancer in young women.

6. Which of the following statements about breast cancer in men is correct?

A. The lifetime risk is the same as for women

B. It is usually lobular carcinoma

C. It can occur in familial cancer syndromes

D. It usually occurs at the same age as testicular cancer

E. It is more common than melanoma skin cancer

Chapter 19: Skin

1. A child presents to the clinic with chief complaint of flaccid bullae on her face that have ruptured and formed a crust.  The mother reports there are several children at the daycare with similar lesions.  Which of the following is a likely diagnosis?

a. Candidiasis                       b. Tinea                 c. Treponema pallidum                      d. Impetigo

2. A life-threatening skin infection caused by a severe drug reaction is:

a. Candidiasis                       b. Treponema pallidum                      c. Toxic epidermal necrolysis            d. Eruptive xanthoma

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