PAEA Surgery End Of Rotation (EOR) Practice Exam

In which positions should a breast exam be performed?

1. Supine, standing, sitting

2. Sitting, supine, leaning forward

3. Prone, supine, and standing

4. Sitting, standing, and prone

The correct answer is: Sitting, supine, leaning forward

The breast examination is best performed in multiple positions to ensure a comprehensive assessment of the breast tissue. Performing the exam while sitting allows the healthcare provider to observe the contour of the breasts and assess for any asymmetries or abnormalities. The supine position is crucial as it flattens the breast tissue against the chest wall, allowing for a thorough palpation and examination of the breast tissue and axilla area. Leaning forward can help to assess any abnormal contours that might not be visible when the patient is in a standard upright position. This combination of sitting, supine, and leaning forward positions allows for a systematic and effective evaluation, enhancing the examination process. Other options may lack certain aspects of the examination that are crucial for accurate detection of concerning findings, as not all include the supine position, which is vital for a thorough palpation of breast tissue. Therefore, the choice of positions in option B enables a complete and detailed breast examination.