topbar.asp
 Nursing continuing education $3/hr

Exam & Evaluation (Breast Duct Carcinoma in-situ: DCIS)
 
Questions: Please respond to following statements.

1 Carcinoma in situ refers to the proliferation of abnormal cells confined to the tissue of origin.
True     False
2 DCIS is often detected by manual breast examination.
True     False
3 Which set of factors are associated with an increased risk of DCIS?
  Alcohol consumption, obesity, fatty breasts
  Lower socio-economic status, age >70 years, long term asprin use
  Alcohol consumption, fatty breasts, early menarche
  Age, Urban residence, first birth after 20 years of age
4 How is the diagnosis of DCIS confirmed?
  Lumpectomy
  Biopsy
  Response to radiation
  Blood test
5 Which of the following morphologic descriptions is most associated with progression to invasive breast cancer?
  Comedo
  Papillary
  Cribiform
  Solid
6 When changes are seen on mammogram, but no breast lump can be felt, which kind of biopsy is most likely to be used?
  surgical biopsy
  needle biopsy
  localized biopsy
  image-guided biopsy
7 Which woman would have the lowest VNPI score?
  39 years, Grade 3, 1mm margins, 41mm lesion
  65 years, Grade 1, 10mm margins, 15mm lesion
  72 years, Grade 2, 1 mm margins, 15mm lesion
8 Select the most accurate answer regarding reconstructive surgery following mastectomy.
  Insurance companies will only cover reconstructive surgery after a bilateral mastectomy.
  If an insurance company covers mastectomy, they are usually required to cover reconstruction.
  Reconstructive surgery is cosmetic and not generally covered by insurance companies.
9 The overall prognosis for a woman diagnosed with DCIS is:
  Excellent - with early and appropriate treatment .
  Poor - invasive breast cancer occurs frequently.
  Good - except for older women.
10 The standard treatment for ER(+) DCIS and invasive breast cancer include the following:
  surgery
  radiation
  Selective Estrogen Receptor Modulators (SERM)
  all of the above
11 Which statements is true of the drug Tamoxifen?
  Tamoxifen blocks estrogen action on breast cell receptors
  Tamoxifen decreases the risk of endometrial cancer.
  Tamoxifen is an aromatase inhibitor
12 Which statement is true about aromatase inhibitors such as anastrozole and exemestane?
  They can only be given to premenopausal women
  They increase the risk of endometrial cancers
  One study found a 65% decline in invasive breast cancer.
  All of the above
13 Ms. Jones, age 37, says her doctor recommends a lumpectomy with radiation because her DCIS is localized comedo type.  She wants to wait another year and have another mammogram to see if the DCIS is still there.  You say.....
  Most doctors now recommend waiting to see if the DCIS changes.
  Comedo architecture increases the risk of developing invasive carcinoma.
  Mastectomy is the current standard of care.
  Chemotherapy for DCIS with comedo architecture may be an option.
Please Evaluate the course. Choose the appropriate button to rate the following.

A The relationship of objectives to the overall purpose/goal of this interactive independent study activity.
Excellent   Very Good   Good   Fair   Poor  
C Rate the effectiveness of the teaching/learning resources used (i.e. text, graphics, animated graphics, video clips, Internet links, Instant Feedback).
Excellent   Very Good   Good   Fair   Poor  
D You are required to spend a total of 180 minutes studying this course, internet links, exam and evaluation. Please confirm by entering the number "180" in this box.
E Please tell us if you required MORE than 180 minutes to complete this course.  If so, how much TOTAL time did you spend?
F Please use this space for comments, or to report technical issues, etc. You can also email us (rnceus@rnceus.com).
G Where did you hear about the RnCeus.com website?
Word of mouth
Search engine
Link from another website
Other: