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1. 
the orange peel appearance caused by breast cancer is caused by
A.
changes to the mammilary tissue
B.
tugging on the skin by the suspensory ligaments
C.
cancer infiltrating the skin of the breast
D.
necrotic changes in the basement membrane
2. 
the boundaries of a benign tumor tend to be
A.
clearly demarkated
B.
diffuse
C.
cotton ball-like
D.
serrated
3. 
digital pressure illiciting no pain over a suspected tumor indicates that a ___tumor is most likely
A.
cancerous
B.
benign
C.
infection
4. 
bloody discharge from the organ affected by a tumor indicates that the tumor is most liklely....
A.
anaplastic
B.
benign
5. 
prostate cancer often metastasizes to the lumbar spine by way of the
A.
seminal vessicle
B.
great veins of batson
C.
hemi-azygous vein
6. 
a boggy feel upon performance of a digital rectal exam, with pain indicates
A.
prostatitis
B.
benign hypertrophy
C.
prostate cancer
7. 
nodular texture is felt during digital rectal exam, and you suspect
A.
prostatitis
B.
benign hypertrophy
C.
prostate cancer
8. 
enlargement of the posterior lobe of the prostate most commonly occurs with
A.
cancer
B.
benign hypertrophy
C.
prostatitis
D.
local inflammation
9. 
lateral lobe enlargement in the prostate would signal the practitioner to order
A.
cancer
B.
benign hypertrophy
C.
prostatitis
D.
local inflammation
10. 
A patient with diagnosed prostate cancer would like an adjustment. It would be vital for the chiropractor to:
A.
obtain plain film xrays to rule out metastasis to the lumbar spine
B.
obtain and MRI to ensure that no lumbar mets present
C.
perform a through exam and ensure proper lumbar function prior
D.
refer the patient to a different provider