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Test 2: Clinical assessment of the breast

  1. Clinical assessment of a woman’s breasts consists of:
    • Taking a good history only
    • Taking a history and asking important questions
    • Taking a history, asking important questions and performing a clinical examination
    • Taking a history, asking important questions, performing a clinical examination and requesting special investigations
  2. When taking a history from a woman with a breast complaint:
    • A present history of main complaints will be adequate
    • A past, present and family history is needed
    • A past history is not needed in a young woman
    • The family history is only important if the woman has a past history of cancer
  3. The risk of breast cancer:
    • Increases with age
    • Decreases with age
    • Is more common in both younger and older women
    • Is not related to age
  4. The lifetime risk of breast cancer is approximately:
    • 1 in 10
    • 1 in 20
    • 1 in 50
    • 1 in 100
  5. What is the most important factor if there is a family history of breast cancer?
    • Whether the relative died of breast cancer
    • The age of death from breast cancer
    • The age of presentation of breast cancer
    • The type of treatment given for breast cancer
  6. The family history of breast cancer is important:
    • Only if it affects the woman’s mother or her family
    • Only if it affects the woman’s sisters or female cousins
    • Only if 2 or more family members had breast cancer
    • Any family history of breast cancer is important
  7. The risk of developing breast cancer:
    • Is increased if there is a family history of lung cancer
    • Is increased if there is a family history of ovarian cancer
    • Is decreased if there is a family history of prostate cancer
    • Is not influenced by the family history of cancers other than breast cancer
  8. What important questions should be asked regarding the past history?
    • At what age did her periods start
    • Has she had breast cancer before
    • Was she breastfed as an infant
    • Has she taken oral contraceptives in the past
  9. What is a common breast complaint?
    • Rashes especially pimples
    • Bruising
    • Itching
    • Pain
  10. What important question should be asked about a breast lump?
    • When was it first noticed
    • Did it become painful only after it was discovered
    • Was it found by the woman or her husband
    • Does the lump feel hard or soft
  11. How should you prepare a woman for a breast examination?
    • She should get completely undressed
    • She should get undressed to her waist
    • If she is embarrassed she can be examined through a vest or T-shirt
    • An adequate examination can be done without her undressing
  12. Breasts should always be examined with the woman:
    • Standing up with her arms extended in front of her
    • Sitting with her arms held out to the side then above her head
    • Sitting with her arms relaxed at her sides and then raised above her head
    • Lying down with her arms across her abdomen
  13. When palpating a woman’s breasts:
    • It is easier to examine the breasts with the woman lying flat on her back as this will flatten the breasts
    • Lying down makes the examination more difficult as the muscles tend to tense up
    • It is best to examine a breast with the woman lying on her side
    • There is no need to ask the woman to lie down as breasts need only be examined in the sitting position
  14. Examination of the armpits:
    • Is an essential part of all breast examinations
    • Is only needed if a breast lump is found
    • Is only needed if an infection of the breast is present
    • Is not part of a routine breast examination
  15. The armpits should be examined:
    • With the woman lying down
    • With the woman pressing her hands against her hips
    • With the woman sitting up with her arms resting on the examiner’s shoulders
    • With the woman standing with her arms held above her head
  16. The term peau d’orange means:
    • The woman’s breasts are the size of an orange
    • The breasts are jaundiced
    • The woman has a yellow discharge from a nipple
    • The breast has skin changes that suggests an underlying cancer
  17. What is important to look for when examining a woman’s nipples?
    • Whether they are large or small
    • Whether they are pigmented or not
    • Whether there are changes to the skin over the nipples
    • Whether they are the same size
  18. Thickening of a breast:
    • Is not important because it is very common
    • Is best described as a hard lump with easily felt margins
    • Is an area where the breast feels firmer
    • Is easy to find as it is always tender
  19. It is best to examine a woman’s breasts:
    • During her period
    • Immediately after her period
    • Just before her period
    • Between days 6 and 14 of her menstrual cycle
  20. How should a man’s breasts be examined?
    • The same way as a woman’s breasts
    • It is only important to feel for lumps
    • It is only important to inspect the breasts for any changes
    • There is no need to examine a man’s breasts as men do not get breast cancer