A 40-year-old female, the overall texture of the breast is soft, with an uneven contour bilaterally. The NP informs the patient that:

Correct Answer: B

Rationale: Step-by-step rationale: 1. The patient is 40 years old, which is within the age range for routine screening mammograms. 2. The description of soft, uneven breasts is typical of normal breast tissue variations. 3. Given the patient's age and the benign characteristics described, no further investigation is needed. Summary of other choices: A: Warrants a mammogram - Not necessary as the breast characteristics described are normal for the patient's age. C: May be suggestive of fibroadenoma - Fibroadenomas typically present as firm, well-defined lumps, not soft and uneven breasts. D: May indicate cystic breast - Cystic breasts may feel lumpy or tender, but the overall texture is not described as soft and uneven.

Correct Answer: B

Rationale: The correct answer is B: Indistinct disk edge. Increased intracranial pressure causes papilledema, resulting in swelling and elevation of the optic disk. This leads to a blurred or indistinct disk edge. Pulsating veins (choice A) are seen in conditions like arteriovenous malformations, not specifically indicative of increased intracranial pressure. Clear disk edge (choice C) and normal retinal appearance (choice D) are not consistent with the findings associated with increased intracranial pressure.

Correct Answer: C

Rationale: The correct answer is C: Tension headache. The key features in the scenario are the bilateral location of the headache, duration of 5 days, absence of nausea and photophobia, and the patient's occupation as a computer programmer. Tension headaches are typically bilateral, mild to moderate in intensity, and often related to stress, posture, and prolonged screen time. The fact that over-the-counter medication only dulled the pain supports the diagnosis of tension headache. Summary of other choices: A: Cluster headaches typically have a unilateral location, severe intensity, and are associated with autonomic symptoms like tearing of the eye. B: Analgesic rebound headaches occur due to overuse of pain medications, leading to worsening of headaches when the medication wears off. D: Migraine headaches often present with unilateral throbbing pain, nausea, and sensitivity to light and sound, which are not present in this case.

Correct Answer: B

Rationale: The correct answer is B because knowing the age of the first period can give insight into the patient's reproductive health and potential risks. Early or late onset of menstruation can be indicators of hormonal imbalances, reproductive disorders, or potential fertility issues. This information is crucial for assessing the patient's overall gynecological health and guiding appropriate interventions. Choice A is incorrect because the age of the first period is not directly related to determining the patient's current level of physical fitness. Choice C is incorrect because the age of the first period does not indicate the patient's dietary habits. Choice D is incorrect because the age of the first period is relevant to sexual health assessments as it provides valuable information about the patient's reproductive health.

Correct Answer: B

Rationale: The correct answer is B: Wilhelm Conrad Roentgen in 1895. Roentgen discovered X-rays by accident while experimenting with cathode rays. He noticed a glow from a nearby screen even though it was covered, leading to the discovery of X-rays. Marie Curie is known for her work on radioactivity, not X-rays. Thomas Edison is famous for inventing the light bulb and phonograph, not X-rays. Albert Einstein is known for his work on the theory of relativity, not the discovery of X-rays.