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1.5 CE Test Hours

Breast Cancer Screening

A Review of Current Guidelines

Contrada, Emily

AJN The American Journal of Nursing: July 2018 - Volume 118 - Issue 7 - p 42,43
doi: 10.1097/01.NAJ.0000541436.68498.ab
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Breast Cancer Screening: A Review of Current Guidelines


To provide information about current breast cancer screening guidelines.

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After completing this continuing education activity, you should be able to

  • outline the current guidelines and the rationales supporting them.
  • identify controversies surrounding these guidelines.
  • discuss the benefits and risks of breast cancer screening.
  1. Breast cancer affects about what percentage of U.S. women during their lifetimes?
    1. 5%
    2. 12%
    3. 19%
  2. Which of the following is one of the 2 most significant risk factors for breast cancer?
    1. advancing age
    2. breast density
    3. early menarche
  3. Tomosynthesis is
    1. contrast-enhanced digital mammography.
    2. a new ultrasonic imagery technique.
    3. three-dimensional mammography.
  4. Women are considered to be at moderate risk for breast cancer if their lifetime risk is
    1. 10% to 15%.
    2. 15% to 20%.
    3. 20% to 25%.
  5. The ability of mammography to correctly identify people who do not have breast cancer is called
    1. specificity.
    2. sensitivity.
    3. susceptibility.
  6. False-positive mammogram results are common, particularly among women in their
    1. 40s.
    2. 50s.
    3. 60s.
  7. The only breast cancer screening method proven to reduce mortality is
    1. magnetic resonance imaging (MRI).
    2. ultrasonography.
    3. mammography.
  8. A randomized controlled trial found that the introduction of patient education and emotional support reduced patient anxiety prior to mammography by what percentage?
    1. 50%
    2. 60%
    3. 70%
  9. The American Cancer Society (ACS) strongly recommends that women at average risk for developing breast cancer begin regular screening mammography at age
    1. 35.
    2. 40.
    3. 45.
  10. Qualified recommendations from the ACS include
    1. annual screening for women ages 40 to 49.
    2. biennial or annual screening for women ages 55 and older.
    3. the opportunity to begin annual screening at age 35.
  11. In 2016, the U.S. Preventive Services Task Force (USPSTF) determined that the net benefit of mammography screening in women ages 40 to 49 was
    1. large.
    2. nonexistent.
    3. small.
  12. To provide the best overall balance of benefits versus harms, the USPSTF concluded that biennial mammography screening is appropriate for most women ages 50 to
    1. 64.
    2. 74.
    3. 84.
  13. The USPSTF concluded there was insufficient evidence that adding imaging modalities to mammography screening provided additional benefits in women at average risk who have
    1. dense breasts.
    2. had previous breast biopsies.
    3. a family history of breast cancer.
  14. Current National Comprehensive Cancer Network (NCCN) guidelines recommend that women at average risk for developing breast cancer begin screening mammography at age
    1. 35.
    2. 40.
    3. 45.
  15. Mammography can detect a breast lesion how long before a clinical breast examination can?
    1. 6 months
    2. 1 year
    3. 2 years
  16. Both the ACS and the NCCN recommend yearly mammography and MRI for women at high risk, generally starting at age
    1. 30.
    2. 35.
    3. 40.
  17. The Tyrer–Cuzick model for quantifying breast cancer risk bases its estimate on several factors, one of which is
    1. onset of menarche.
    2. history of breast biopsies.
    3. the presence of BRCA gene mutations.
  18. Which of the following statements about men at high risk for breast cancer is inaccurate?
    1. These men should have a yearly clinical breast examination.
    2. These men should have breast imaging annually.
    3. These men should also follow prostate screening guidelines.
  19. According to the NCCN, how often should women 25 to 39 years of age have a clinical breast examination?
    1. every year
    2. every 1 to 3 years
    3. every 3 to 5 years
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