SS breast test
DCIS is cancer of stage?
0
Invasive lobular carcinoma accounts for what percentage of all breast cancers?
10
Which of the following transducers is most appropriate for breast imaging?
10 to 13 MHz linear
A lesion found in the upper outer quadrant of the left breast corresponds with: 12 o'clock 2 o'clock 5 o'clock 11 o'clock
2 o'clock
What is the most common age for cysts to develop in the breast?
35-50
If a lesion in the right breast appears to be in the lower portion of the mammographic view MLO and on the upper portion of the mammographic view CC, where is the MOST likely location of this lesion? 1:00 o'clock 11:00 o'clock 4:00 o'clock 8:00 o'clock
8:00 o'clock
Which statement is FALSE? A common breast cancer that develops within the ducts without invasion of the basement is DCIS A breast cancer that originates and fills the entire lobule with extension beyond the lobule best describes invasive lobular carcinoma A postmenopausal, slow growing breast cancer composed of gelatinous substance is likely tubular carcinoma Breast cancer risk increases due to late menopause
A postmenopausal, slow growing breast cancer composed of gelatinous substance is likely tubular carcinoma
Which biopsy device uses stereotactic mammography for localization? incisional surgical biopsy exceisional surgical biopsy ABBI FNA
ABBI
Which of the following biopsy techniques offers the most accurate diagnosis:
ABBI
Which of the following females is more likely to develop a fibroadenoma?
African-American
BIRADS means:
Breast Imaging Reporting and Data System
Documentation of a cyst changing shape with transducer pressure describes:
Compression
The most common type of non-invasive cancer is:
DCIS
Which of the following is NOT seen as a water density on mammography? Cyst Fibroadenoma Cancer Fat
Fat
What type of tumor is benign, solid, and may have hormone influence?Fibroadenoma phyllodes papilloma lipoma
Fibroadenoma
Which of the following statement is TRUE? Fibroadenomas and medullary cell carcinomas have very similar sonographic appearances Lactating breasts are easy to examine with ultrasound because of milk-filled ducts A breast hematoma is usually the result of an obstructed duct Breast malignancies are always well circumscribed and demonstrate posterior enhancement
Fibroadenomas and medullary cell carcinomas have very similar sonographic appearances
What percutaneous biopsy procedure has a greater chance of undersampling cancer cells?
Fine needle aspiration
Which of the following breast cancer is more likely to have suspicious irregular borders? medullary carcinoma colloid carcinoma mucinous carcinoma IDC
IDC
The most common malignant breast tumor in the United States is:
Infiltrating ductal carcinoma
The breast cancer most frequently missed by mammographic and sonographic evaluation is:
Invasive lobular carcinoma
The mammographic view that shows the pectoralis muscle is: MLO CC Eklund Spot Compression
MLO
Thrombophlebitis occurring of a superficial vein in the breast is also known as:
Mondor's disease
Which most likely causes redness, skin flaking, and a crusty nipple?
Paget's disease
Nearly all breast pathology originates in:
Terminal duct lobular unit (TDLU)
TRAM stands for:
Transverse Rectus Abdominis Myocutaneous
A lesion is identified in the 2 o'clock position of the right breast, what quadrant does this represent?
UI
The quadrants of the breast include:
UO, UI, LO, LI
If a lesion appears to be on the upper portion of the mammographic view MLO and on the upper portion of the mammographic view CC, where is this lesion located in the breast?
UOQ
A 35-year-old woman is referred for a breast sonogram after she felt a mass. Ultrasound showed small homogeneous mass with smooth borders and it contains low-level internal echoes. The MOST likely diagnosis is:
a fibroadenoma
Technically, how can artifactual echoes in the near field be removed from an image? decreases frequency increase depth decrease transducer pressure add focal zones
add focal zones
Sonographic evaluation of the augmented breast includes scanning: anterior of the implant the edges of the implant the content of the implant all of the above
all of the above
What are the long term complications of breast implant? intracapsular rupture extracapsular rupture implant contracture all of the above
all of the above
Features of a malignant mass include all EXCEPT: angular margins anechoic taller than wide posterior shadowing
anechoic
Lymph node metastasis most commonly involves the:
axillary nodes
An implant used for postmastectomy reconstruction is typically placed:
beneath the pectoralis muscle
Tumor extension growing along the ducts away from the nipple indicates: branch pattern duct extension disruption of tissue planes architectural distortion
branch pattern
The most common cancer in women today is:
breast
Which of the following would be classified as BIRADS category 2?
cysts
Tamoxifen is a popular treatment for breast cancer that is also linked to:
endometrial cancer
Which of the following is the most widely accepted indication for MRI of the breast? evaluation of cystic versus solid disease evaluation of invasive versus non-invasive disease evaluation of implant ruptures evaluation of fat necrosis
evaluation of implant ruptures
If mammogram is showing a water density well circumscribed lesion, then the lesion will be definitely a cyst on ultrasound t or f
false
lymph node appears radiopaque density on mammogram t or f
false
A 50-year old woman is referred for a breast sonogram, all of the following aspects of her history are important to know EXCEPT: pain and tenderness nipple discharge family history of breast cancer localized mass family history of gynecomastia
family history of gynecomastia
All structures in the breast should be compared to the mid-level echogenicity of" muscle fibroglandular tissue fat skin
fat
A bright, dense lesion noted on mammography could represent all but: cancer cyst fibroadenoma fat lobule
fat lobule
The most significant precursor of the development of breast cancer is:
female gender
A cystic complex area made up of multiple cysts most likely represnts: mucinous carcinoma fibrocystis changes multicystic dysplastic disease LCIS
fibrocystis changes
A fibroadenomyolipoma is also known as:
hamartoma
A palpable mass post biopsy is most likely to be a:
hematoma
What is desmoplasia? host response to tumor invasion irregular changes within Fibroadenoma enlargement or growth of a cyst pre-cancerous state
host response to tumor invasion
Which of the following best describes the concept of sentinel node? if the sentinel node is clear, then the rest of the node basin is clear if the sentinel node is positive, then no metastasis is present if the sentinel node is negative, then only local metastasis is present if the sentinel node is positive, then bone metastasis is present
if the sentinel node is clear, then the rest of the node basin is clear
If the image is too dark, what is the first adjustment you should make? ncrease dynamic range increase gain increase power decrease depth
increase gain
The breast cancer with the worst prognosis: medullary DCIS infiltrative ducatal carcinoma tubal carcinoma
infiltrative ducatal carcinoma
Peau d'orange represents an "orange peel" appearance of skin thickening of the breast and is suggestive of:
inflammatory carcinoma
The "stepladder" sign indicates: silicone implant leakage saline implant leakage intracapsular rupture extracapsular rupture
intracapsular rupture
The most common cause of bloody nipple discharge is:
intraductal papilloma
A breast mass with a swiss cheese appearance in a 16-year old is likely:
juvenile papillomatosis
Phyllodes tumors generally present as a large hypoechoic mass shaped like a:
leaf
An intracapsular rupture may be seen on MRI as the:
linguine sign
What comprises the terminal ductal lobular unit (TDLU) in the breast?
lobule with its terminal branches, short intralobular and long extralobular duct
All of the following will improve visualization of a superficial lesion except: stand-off pad lower frequency transducer pressure multiple focal zones
lower frequency
All of the following are breast carcinoma except: tubular mucinous medullary lymphoma
lymphoma
Identify the vacuum-assisted biopsy technique that extracts multiple 11-guage tissue cores from a breast mass through a single needle aspiration
mammotomy
The most common cancer to metastasize to the breast is:
melanoma
Galactorrhea is:
milky discharge not during pregnancy or lactation
Which of the following is INCORRECT regarding the echogenicity of breast structures? dense fibroglandular tissue appears echogenic fat appears as a medium grey scale most malignant tumors appear hyperechoic compared to fat skin appears echogenic
most malignant tumors appear hyperechoic compared to fat
A first lesion is confirmed as carcinoma and a second lesion is found 2.5 cm away. Which is most likely?
multifocal carcinoma
Amastia means:
no development of breast tissue
Fat necrosis is common aomong:
obese women
You have obtained several images of a breast mass in a radial plane and have determined that the mass is solid .You measured the long axis of the mass, what else should you do? nothing, the study is complete obtain resistive and pulsatility indices from vessels within the mass obtain images in a projection 90 degrees to the original scan plane evaluate the compressibility of the mass with probe pressure
obtain images in a projection 90 degrees to the original scan plane
A common mass that develops secondary to traumatic fat necrosis is:
oil cyst
A mass is seen as close to the marker on a CC mammography view, which area should you check? outer upper inner lower
outer
Doppler signal recorded within the solid component of a complex cystic structure indicates:
papilloma
The largest axis of a Fibroadenoma typically lies: parallel to the skin perpendicular to the skin intermediate perpendicular to the transducer
parallel to the skin
A biopsy needle is best visualized on sonography when it is: parallel to the skin and chest wall perpendicular to the skin and chest wall parallel with the tumor perpendicular to the tumor
parallel to the skin and chest wall
A patient has been referred for sonographic evaluation of the right lateral breast for a mass seen on mammography. What is the correct patient positioning to evaluate the mass? patient supine with right arm adducted patient in left posterior oblique position with right arm abducted patient supine with arm folded across chest patient in left decubitus position with right arm adducted
patient in left posterior oblique position with right arm abducted
A lactating female presents with skin redness, tenderness, pain and swelling of the breast. The most likely diagnosis is:
puerperal mastitis
All of the following arise from the TDLU EXCEPT: fibroadenoma carcinoma radial scar cyst
radial scar
Fat density on mammaogram appears:
radiolucent
The small extensions of Cooper's ligament found in the subcutaneous fat layer represents:
retinacula cutis
Which of the following artifacts may be seen as multiple, parallel lines in the anterior portion of a cyst?
reverberation
In relation to the face of the transducer, which is the optimal plane to visualize the biopsy needle?
sagittal, with the long axis of the transducer
What is meant by targeted ultrasound?
scanning only the suspicious area
Which of the following is not an accepted indication for breast ultrasound? differentiation of cysts from solid masses evaluation of palpable mass that is not visible in a radiographically dense breast screening for malignancy in the general population assessment of a mass that is inaccessible to mammography due to location
screening for malignancy in the general population
A superficial lesion seen extending from the dermis likely represents a:
sebaceous cyst
Sebaceous cysts are likely filled with
sebum and oil
What is the appearance of a normal lymph node in the breast? small, ovoid structure with a hypoechoic rim and echogenic medulla large, round structure with hyperechoic rim and hypoechoic medulla small, round nodule with a homogeneous, hypoechoic echo texture small nodule with microlobulations and heterogeneous echo texture
small, ovoid structure with a hypoechoic rim and echogenic medulla
You have been asked to determine if a mass seen on mammography in the left breast is solid or cystic. What are the characteristics of a breast cyst on ultrasound? smooth walls, sharp anterior and posterior borders, no internal echoes, posterior enhancement Smooth walls, sharp lateral borders, refraction shadowing, posterior enhancement Thin walls, sharp lateral borders, no internal echoes, posterior shadowing Sharp borders in all dimensions, compressibility, no internal echoes, posterior attenuation
smooth walls, sharp anterior and posterior borders, no internal echoes, posterior enhancement
The A/P ratio in comparison to transverse denotes what about maligancies? tumor is small and completely resectable spread is across or through breast tissue planes tumor is non-invasive likely medullary carcinoma
spread is across or through breast tissue planes
In order to adequately image the nipple, what technique may be used?
stand-off pad
Which of the following does not signify silicone migration? siliconized lymph node snow storm siliconoma stepladder sign
stepladder sign
The second most common place for breast cancer to occur is in the:
subareolar area
portion of breast tissue extending into the axilla is known as:
tail of Spence
The usual characterestics of fibroadenoma are all except: oval, round defined borders wider than tall taller than wide
taller than wide
In the postmenopausal breast: the amount of fatty tissue decreases while the amount of fibroglandular breast tissue increases the amount of fatty tissue increases while the amount of fibroglandular breast tissue increases the amount of fatty tissue increases while the amount of fibroglandular breast tissue decreases the amount of fatty tissue decreases while the amount of fibroglandular breast tissue decreases there are no changes in fatty or fibroglandular breast tissue
the amount of fatty tissue increases while the amount of fibroglandular breast tissue decreases
Normal intramammary lymph node has all these features EXCEPT: thin cortex thick cortex oval shape vessel at its hilum
thick cortex
If the speed of sound through silicone is one-half the speed of sound through soft tissue, the ultrasound system will improperly place the chest wall behind the silicone? too deep too shallow just right within the implant
too deep
Eklund View is a special view on mammography for women who have breast implant
true
BIRADS system developed by ACR is to: use consistent descriptive terms for masses and calcifications ensure timely turn-off time for reports collect statistics on breast examination QA activity for mammography equipment
use consistent descriptive terms for masses and calcifications
Sonographic documentation during biopsy should include all but: thorough pre-scan for localization of the mass visualization of anesthesia needle near mass guidance of biopsy needle to the mass visualization of biopsy needle within the mass
visualization of anesthesia needle near mass