A lesion located in the upper outer quadrant of the right breast is located in the
1. 5-o'clock position
2. 2-o'clock position
3. 10-o'clock position
4. 7-oc'clock position
2. Open Ended
30 seconds
1 pt
Morgagni tubercles are usually found
1. on the nipple
2. on the lateral border of the breast
3. in the terminal duct lobular unit (TDLU)
4. on the skin of the areola
3. Open Ended
30 seconds
1 pt
An inverted nipple
1. always indicates breast cancer
2. sometimes indicates breast cancer
3. never indicates breast cancer
4. usually indicates breast cancer
4. Open Ended
30 seconds
1 pt
Compression of the breast is most effective and most comfortable when applied against the
1. medial and lateral aspects
2. inferior and superior aspects
3. medial and superior aspects
4. inferior and lateral aspects
5. Open Ended
30 seconds
1 pt
The normal breast may have
1. 0-5 lobes
2. 15-20 lobes
3. 30-40 lobes
4. 340-350 lobes
6. Open Ended
30 seconds
1 pt
The structure that gives the breast its support and shape is called
1. Montgomery ligament
2. Cooper ligament
3. fibroglandular tissue
4. fatty tissue
7. Open Ended
30 seconds
1 pt
The breast extends vertically from the
1. first through the ninth rib
2. second through the tenth rib
3. second through the sixth rib
4. third through the tenth rib
8. Open Ended
30 seconds
1 pt
The thickest portion of the breast is the
1. areola
2. nipple
3. tail of Spence
4. inframammary crease
9. Open Ended
30 seconds
1 pt
Cooper ligaments attach anteriorly to the
1. deep fascia of the lobes
2. fascia of the skin
3. posterior surface of the breast
4. connective and supporting stroma
10. Open Ended
30 seconds
1 pt
Fatty tissue is generally ____ and is seen on the mammo as areas of ____ optical density:
1. radiolucent/ lower
2. radiopaque/ higher
3. radiolucent/ higher
4. radiopaque/ lower
11. Open Ended
30 seconds
1 pt
Typically, a patient with dense fibrous and glandular tissue throughout the entire breast on a baseline mammogram is
1. age 20 or younger
2. between 50 and 60
3. above 70
4. below 45
12. Open Ended
30 seconds
1 pt
Glandular tissue is usually found in the ____ of the breast.
1. medial and lower inner quadrant
2. central and upper outer quadrant
3. medial and lower outer quadrant
4. central and upper inner quadrant
13. Open Ended
30 seconds
1 pt
13. Lymph drainage from the medial half of the breast is generally directed to the
(A) internal mammary lymph nodes
(B) external mammary lymph nodes
(C) axillary lymph nodes
(D) mediastinal nodes
14. Open Ended
30 seconds
1 pt
Immediately behind the nipple, the connective duct widens to form the
1. lactiferous sinus
2. ampulla acinus
3. TDLU
4. segmental duct
15. Open Ended
30 seconds
1 pt
The portion of the breast that holds the milk-producing element is the
1. ampulla
2. segmental duct
3. lobule
4. lactiferous sinus
16. Open Ended
30 seconds
1 pt
Veins are normally located
1. in the periphery of the breast
2. central areas of the breast
3. in the axilla area of the breast
4. in the medial areas of the breast
17. Open Ended
30 seconds
1 pt
The TDLU consists of the
1. mammary ducts and the extralobular terminal ducts (ETDs)
2. intralobular terminal duct (ITD) and the segmental ducts
3. the ETDs and the lactiferous ducts
4. both the ETDs and the ITDs
18. Open Ended
30 seconds
1 pt
A pt began taking synthetic hormones 6 months prior to her current mammogram. The mammogram is most likely to
1. be unchanged from the previous year
2. show increased glandular tissue compared to her previous mammogram
3. show decreased glandular tissue compared to her previous mammogram
4. show increased fatty tissue compared to her previous mammogram
19. Open Ended
30 seconds
1 pt
A baseline mammogram shows that the pt's breast consists primarily of adipose tissue. This pt is most likely to be
1. on hormone therapy
2. above 60
3. below 20
4. above 35
20. Open Ended
30 seconds
1 pt
A pt is to have a routine baseline mammogram, but it is determined that the woman is lactating. What should be done and why?
1. Lactating breasts are extremely sensitive to compression; the mammogram should be postponed.
2. The mammogram should be done; radiation has no effect on lactation.
3. Although lactating breasts are extremely dense, the mammogram should not be rescheduled.
4. Lactation causes increased glandularity; the mammogram should be postponed.
21. Open Ended
30 seconds
1 pt
The craniocaudad mammograms of the same woman prior to menopause and 1 year after the onset of menopause are compared. The woman has never taken synthetic hormones. What is the most likely difference?
1. The mammogram taken prior to menopause shows signs of atrophy.
2. the mammogram taken after the onset of menopause shows signs of atrophy.
3. There will be little or no change in the glandularity of the breast.
4. The mammogram taken after menopause will show increased glandularity.
22. Open Ended
30 seconds
1 pt
Which of the following will affect the ratio of glandular tissue to total breast tissue?
1. the woman's genetic predisposition
2. ratio of total body adipose tissue to total body
weight
3. drastic weight gain or weight loss
1. 1 only
2. 1 and 2 only
3. 2 and 3 only
4. 1, 2, and 3
23. Open Ended
30 seconds
1 pt
Hormone replacement therapy could be recommended to?
1. relieve insomnia symptoms
2. prevent osteoporosis
3. reduce weight gain
1. 1 only
2. 1 and 2 only
3. 2 and 3 only
4. 1, 2, and 3
24. Open Ended
30 seconds
1 pt
A woman is referred to as "nullipara". This means
1. she has never given birth to a viable offspring
2. the woman has had only one child
3. the woman has given birth to more than one viable offspring
4. she carried a pregnancy past the point of viability regardless of the outcome
25. Open Ended
30 seconds
1 pt
An asymptomatic pt presents with an oval, lobulated tumor with unsharp margins. There is no evidence of a halo sign.
1. If the lesion is also radiolucent it is likely to be benign.
2. The lesion could be malignant.
3. All oval lesions are benign .
4. The absence of a halo indicates malignancy.
26. Open Ended
30 seconds
1 pt
The tumor seen in Figure 3-1 is characteristic of
1. invasive ductal breast carcinoma
2. a mammographically malignant tumor
3. a mammographically benign tumor
4. a low-density tumor typical of benign lesions
27. Open Ended
30 seconds
1 pt
The calcifications seen in Figure 3-2 have the typical appearance of
1. mammographically malignant-type calcifications
2. mammographically benign-type calcification
3. calcification typical of an oil cyst
4. calcified microhematomas
28. Open Ended
30 seconds
1 pt
Characteristics of a malignant stellate tumor include which of the following?
1. The spicules are generally bunched together.
2. The presence of a central tumor mass.
3. the larger the tumor, the longer the spicules.
1. 1 only
2. 1 and 2 only
3. 2 and 3 only
4. 1 and 3 only
29. Open Ended
30 seconds
1 pt
The calcifications seen in Figure 3-3 have the typical appearance of
1. an oil cyst
2. plasma cell mastitis calcifications
3. a small calcified hematoma
4. a calcified sebaceous gland
30. Open Ended
30 seconds
1 pt
The postoperative radial scar or sclerosing duct hyperplasia
1. can sometimes be mistaken for carcinoma
2. sometimes has a solid dense central tumor
3. is usually not associated with skin thickening
or dimpling over the lesion
1. 1 only
2. 1 and 2 only
3. 2 and 3 only
4. 1 and 3 only
31. Open Ended
30 seconds
1 pt
A mammogram shows a low-density radiopaque tumor. It is oval, lobulated, and a halo is seen along one border only. The next step should be
1. pneumocystogram
2. ultrasound
3. biopsy
4. no further testing; tumor is benign
32. Open Ended
30 seconds
1 pt
A galactocele
1. is always radiolucent
2. is usually associated with trauma
3. is associated with nursing
4. usually has irregular borders
33. Open Ended
30 seconds
1 pt
Pictogram of breast lesions. (A) Fibroadenoma;
(B) lymph nodes;
(C) hamartoma;
(D) hemangioma;
34. Open Ended
30 seconds
1 pt
Pictogram of breast lesions. (E) spot compression of a lesion;
(F) air in breast after biopsy;
(G) fat necrosis;
(H) cyst;
(I) malignant oval lesion;
35. Open Ended
30 seconds
1 pt
Pictogram of breast lesions.
(J) stellate lesion;
(K) stellate lesion with nipple retraction.
36. Open Ended
30 seconds
1 pt
A lipoma
1. is generally seen as a high-density radiopaque lesion on the mammogram
2. can be a huge encapsulated lesion occupying the entire breast
3. may have irregular borders typical of malignant lesions
4. is usually difficult to image mammographically
37. Open Ended
30 seconds
1 pt
A rare form of cancer that presents with swelling, warmth, or erythema and mammographically with skin thickening is
1. inflammatory carcinoma
2. invasive ductal carcinoma
3. lobular carcinoma in situ
4. papillary carcinoma
38. Open Ended
30 seconds
1 pt
Sometimes described as an oil cyst, this lesion represents an encapsulated area on the mammogram and can be caused by surgery, biopsy, trauma, or radiation therapy.
1. stellate lesion
2. galactocele
3. fat necrosis
4. lipoma
39. Open Ended
30 seconds
1 pt
A benign self-limiting breast tumor that is the result of new disorganized cell growth
1. sarcoma
2. radial scar
3. invasive lobular carcinoma
4. hamartoma
40. Open Ended
30 seconds
1 pt
An infusa-port can be used to
1. provide radiation therapy treatment
2. allow repeated access to the venous system
3. infuse radioactive tracers directly into the breast lesion
4. infuse drugs directly into the arterial system
41. Open Ended
30 seconds
1 pt
The low-density radiopaque lesions seen in Figure 3-4 are characteristics of a:
1. benign fibroadenoma
2. skin mole
3. galectocele
4. keratosis
42. Open Ended
30 seconds
1 pt
The calcifications in figure 3-5 are characteristic of:
A. a definite malignancy
B. benign skin calcifications
C. benign calcifications but further tests are needed
D. dermal calcifications
43. Open Ended
30 seconds
1 pt
The right craniocaudal (RCC) of the routine imaging series showed a small, irregular-shaped lesion at the edge of the image plus scattered calcifications including calcification clusters (figure 3-7). The next immdiate step would be
1. spot compression including magnification
2.additional imaging to include the margins of
lesion
3. ultrasound
1. 1 and 2 only
2. 2 and 3 only
3. 1 and 3 only
44. Open Ended
30 seconds
1 pt
The circular mixed-density lesions seen in Figure 3-6 suggests a
1. calcified microhematomas
2. galactocele, calcified
3. malignant calcification
4. epidermoid cyst