Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email info@bettercare.co.za or call +27 76 657 0353.

Printed books

Learning is easiest with printed books. To order printed books, email info@bettercare.co.za or call +27 76 657 0353.

Visit bettercare.co.za for information.

Test 1: The normal breast

  1. What is the breast line?
    • A line from the armpit to the groin where breasts can develop
    • A blue line which is commonly seen around the areola in young girls
    • A line between the two nipples which indicates where to apply heart massage in infants who do not breathe by themselves after delivery
    • A line to assess whether breasts are drooping in older women
  2. What are breasts like in most normal infants at birth?
    • Usually the breasts are very small and any breast development is abnormal
    • The breasts cannot develop as newborn infants do not produce sex hormones
    • Only female infants may develop swollen breasts after birth
    • A small lump (a breast bud) can usually be felt under the nipple
  3. During puberty:
    • The rate of breast development is always the same in both breasts so that both breasts are the same size
    • One breast larger than the other (asymmetrical breasts) is common
    • The right breast always starts to develop first
    • One breast larger than the other (asymmetrical breast development) is abnormal
  4. The nipple-areola complex (NAC):
    • Is normal and consists of the nipple and surrounding areola
    • Is a common emotional problem in adolescent girls
    • Is a form of eczema which needs treatment
    • Is an early sign of breast malignancy
  5. What is the function of the lobes in the breast?
    • They produce estrogen
    • They produce milk
    • They determine the size and shape of the breast during puberty
    • They attach the breast to the chest wall
  6. The size of the breasts in a woman who is not breastfeeding is mostly dependent on:
    • The size of the muscles under the breasts
    • The size of the lobes
    • The number of the lobes
    • The amount of supportive and fatty tissue
  7. Where do most breast lymphatic’s drain to?
    • The neck
    • The abdomen
    • The armpit (axilla)
    • The chest
  8. During the menstrual cycle:
    • If a woman has normal lumpy breasts these lumps increase in size before the start of the period
    • The lumps get bigger during the period
    • The lumps get bigger during the week after the period
    • The size of the lumps do not change with the menstrual cycle
  9. What breast changes occur during pregnancy?
    • There are very few changes in women who have small breasts
    • Breast tenderness is common early in pregnancy
    • Colostrum is only produced after delivery
    • Breast changes occur earlier if the fetus is female
  10. How do breasts change in older women?
    • They become smaller because the ducts disappear
    • They become harder as fatty tissue is lost
    • They become softer with an increase in fatty tissue
    • They only change and hang down more if the woman had breastfed her infants
  11. What are aberrations of normal development and involution (ANDI)?
    • Early signs of breast cancer
    • Common variations of normal which may result in the formation of lumps
    • Common problems seen during childhood
    • They are not common and of no clinical importance
  12. What breast changes are common in women between 15 and 25 years of age?
    • Cyst formation
    • Bleeding from one or both nipples
    • Fibroadenomas
    • Duct ectasia
  13. What is a sign of a fibroadenoma?
    • Painful breast lump
    • Painless breast lump
    • Nipple discharge
    • Nipple inversion
  14. Fibroadenomas are due to:
    • The use of oral contraceptives
    • Use of hormone replacement therapy (HRT)
    • Excessive lobe development
    • Pregnancy
  15. Inverted nipples are:
    • Common
    • Part of the normal breast changes during pregnancy
    • Only important if they are present at puberty
    • Only important if they develop in men
  16. What breast problem is common during the mature reproductive years?
    • Bloody nipple discharge
    • Breast pain in the days before a period
    • Breasts which continue to decrease in size as the women gets older
    • Loss of pigment from the nipple and areola
  17. What breast changes are common in women between 35 and 55 years of age?
    • Cyst formation
    • Fibroadenomas
    • Pigmentation changes in the nipple-areola complex
    • Both nipples become inverted
  18. The typical clinical finding of a breast cyst is:
    • A watery nipple discharge
    • Nipple inversion
    • Redness of the overlying skin
    • A palpable smooth mass
  19. Ductal ectasia is:
    • Common during puberty
    • Common after menopause
    • Only seen in older men
    • Usually a problem during pregnancy
  20. What is a sign of duct ectasia?
    • Non-bloody nipple discharge
    • Breast lumps
    • Painful breasts
    • Enlarged nipples