ARDMS BREAST REGISTRY EXAM

ARDMS BREAST REGISTRY EXAM

NEWEST ACTUAL EXAM

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS)

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What is the clinical presentation of a papilloma? Correct Answer Seen in women 30 - 55 years of age. Presents as a subareolar mass. There may be bloody nipple discharge.

What is the clinical presentation of a cyst(s)? Correct Answer May be asymptomatic or tender. May be palpable. They are mobile.Seen in women 30 - 50 years of age.

What does puerperal mastitis look like on ultrasound? Correct Answer There are dilated ducts and lymph channels paralleling the skin. There is edema, interstitial fluid, skin thickening, and hypervascularity. There may be abscess formation associated with liquefactive necrosis of the tissues, mostly subareolar.

What is the definition of athelia? Correct Answer The congenital absence of one or both nipples.

Define temporal resolution. Correct Answer Temporal resolution is the ability to distinguish moving structures or dynamics over time.It is not usually a factor when evaluating superficial structures.

Which vessels are a continuation of the axillary artery? Correct Answer The subclavian and brachial arteries.

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Cancers that produce a significant reactive fibrosis around the tumor are called? Correct Answer Scirrhous type. It is a subtype of IDC. It has a higher incidence of lymph node metastasis.

Which type of breast cancer can mimic a fibroadenoma? Correct Answer Medullary carcinoma. They grow rapidly and are mobile on physical exam. They are well marginated, round or oval, and hypoechoic.

Define echo palpation and its uses. Correct Answer Real time scanning for direct correlation of clinical and sonographic findings.Used to localize a mass and determine if is compressible or not.

What is the clinical presentation of IDC. Correct Answer Usually found in postmenopausal women. It is a hard, firm, fixed palpable mass. There can be skin dimpling. There may be nipple retraction and discharge (clear, bloody, black, or creamy). There may be breast asymmetry and may or may not be tender.

Which of the following is not associated with fibrocystic change?Macrocalcifications Nipple discharge Multiple cysts Hyperechoic glandular tissue Lumpy, tender breasts Correct Answer Nipple discharge

What type of tissue is the nipple composed of? Correct Answer Erectile

What is the order of organs that a primary breast carcinoma metastasizes to? Correct Answer Bone Lung Brain Liver

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What are the secondary features of invasive breast cancers?Correct Answer Desmoplasia - dense fibrosis around a tumor Nipple retraction Retraction of Cooper's ligaments Skin dimpling

What is the clinical presentation of trauma / hematoma? Correct Answer Bruising Edema Skin thickening Tender or painful mass

What is the clinical presentation of mastitis / abscess? Correct Answer Tender, red, edematous breast.Fever Skin thickening May have purulent nipple discharge.May have tender lymph nodes.Elevated WBC

What is the clinical presentation of a phyllodes tumor? Correct Answer Usually affects postmenopausal women.Rapidly enlarging mass Unilateral Non-tender Very mobile Dilated veins may be seen under the skin.May appear lumpy.May stretch or discolor the skin.May cause ulceration.

Define amazia. Correct Answer A condition where one or both of the mammary glands are absent. (The nipple and areola remain present.)

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What is Mondor's disease? Correct Answer Thrombophlebitis of the superficial veins of the anterior chest and breast. It is rare.Predisposing factors include infection, trauma, h/o hypercoagulability state, and cancer. It is the inflammatory response around a vein. There may be generalized or localized skin thickening. Usually affects the lateral breast.

What is the optimal transducer frequency for all breast tissue types? What is the optimal elevation plane focus set at? Correct Answer 8 MHz 1.5 cm

What structures does the glandular breast tissue contain? Correct Answer Acini TDLU Lactiferous ducts Epithelial / Myoepithelial cells

What are the landmarks for the parasternal lymph nodes? Correct Answer The internal thoracic artery and vein.

What is Paget's disease associated with? Correct Answer DCIS

What is the clinical presentation of invasive lobular carcinoma?Correct Answer Usually seen in women 45 - 55 years old. May be asymptomatic or palpable. It is usually ill-defined.

Define polymastia. Correct Answer Accessory breast.

How many lobes are found in each breast? Correct Answer 15 - 20

What is the least echogenic tissue in the breast? Correct Answer Fat

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