ARDMS BREAST REGISTRY EXAM
What is not true of normal intramammary lymph nodes? – ANSWERThey are round and have a homogenous hypoechoic pattern
What is true of normal intramammary lymph nodes ? – ANSWER- –
They are ovoid, have a hyperechoic hilum, and a hypoechoic rim.
- They usually measure less than 1 cm.
- They show a vascular pedicle at the hilum.
- Most are found in the posterior upper outer quadrant.
Most echogenic tissues within the breast include all of the following
EXCEPT : - Cooper’s ligaments
- Skin line
- Ribs
- Fat
- Glandular tissue – ANSWER- Fat
On a mammogram, the most specific indicator of cancer would be : –
ANSWER- Microcalcifications
On a CC mammographic view, a mass that is lateral to the nipple will
actually __ than it appears on the MLO view. – ANSWER- Lie lower
The acronym MULD stands for : – ANSWER- Medial – Up – Lateral –
Down
Normal lymph nodes usually measure less than or equal to 1 cm
EXCEPT those found : – ANSWER- Axillary
The echogenicity of all tissues of the breast is similar to that of : –
ANSWER- Fat
The skin line would be considered thick if it measured : – ANSWER- 3.0
mm
Which of the following statements is INCORRECT?
- Fat exhibits a medium shade of gray.
- Fibroglandular tissue is hyperechoic compared to fat.
- Muscle is hypoechoic compared to fat.
- Cooper’s ligaments are isoechoic compared to fat.
- Skin is hyperechoic compared to fat. – ANSWER- Cooper’s ligaments
are isoechoic compared to fat.
__ are among the most echogenic structures seen within the
breast and they may even produce edge shadowing. – ANSWERCooper’s ligaments
In which order is the breast anatomy demonstrated sonographically
beginning with the skin line? – ANSWER- – Skin
- Subcutaneous fat
- Fibroglandular tissue
- Muscle
- Ribs
- Lung
What structures are included in the terminal duct lobular unit (TDLU)? –
ANSWER- – Acini - Epithelial cells
- One terminal duct
- One lobule
Breast atrophy occurs with what conditions? – ANSWER- –
Postmenopausal status - Bilateral salpingo-oophorectomy
- Fat necrosis
- Low fat / High protein diet
The best anatomic landmark for localizing parasternal lymph nodes are
the : – ANSWER- Internal thoracic artery and vein
What makes up the skin of the breast? – ANSWER- Epidermis and
dermis
The connective tissues responsible for suspending the breasts are called :
- ANSWER- Cooper’s ligaments
The inner portion of the breast duct is lined with : – ANSWEREpithelial cells
On mammography, fat shows as medium gray and is referred to as
radiolucent. What is also considered radiolucent? – ANSWERGalactocele
Which of the following statements is TRUE for mammography? - Detection of calcifications is best seen in dense breast tissues.
-Detection of masses is best in the fatty breast. - The standard views are craniocaudal and true lateral views.
- Baseline mammograms should begin at age 50.
- Side markers are always placed medial to the breast. – ANSWER Detection of masses is best is the fatty breast
Breast Anatomy
Breast Ultrasound Review
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