B8-033 Breast Imaging Flashcards

1
Q

1 in […] women will develop breast cancer during their lifetime

A

8

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2
Q

why are deaths related to breast cancer declining?

A

annual screening mammography

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3
Q

increased breast […] can make mammograms difficult to read

A

density

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4
Q

BIRAD of 0 indicates

A

incomplete exam

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5
Q

BIRAD of 1 indicates

A

negative, no abnormal findings

0% likelihood of malignancy

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6
Q

BIRAD of 2 indicates

A

benign

0% likelihood of malignancy

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7
Q

BIRAD of 3 indicates

A

probably benign

1-2% likelihood of malignancy

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8
Q

BIRAD of 4 indicates

A

suspicious

2-94% likelihood of malignancy

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9
Q

BIRAD of 5 indicates

A

highly suggestive of malignancy

95-100% likelihood of malignancy

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10
Q

BIRAD of 6 indicates

A

known, biopsy proven malignancy

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11
Q

management of a patient with BIRAD 0

A

additional exams or comparison with previous exams

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12
Q

management of a patient with BIRAD 1

A

routine mammography screenings

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13
Q

management of a patient with BIRAD 2

A

routine mammography screenings

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14
Q

management of a patient with BIRAD 3

A

short interval follow up

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15
Q

management of a patient with BIRAD 4

A

tissue diagnosis

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16
Q

management of a patient with BIRAD 5

A

tissue diagnosis

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17
Q

management of a patient with BIRAD 6

A

surgical excision if clinically appropriate

18
Q

popcorn calcifications are associated with […] pathologies of the breast

A

benign

19
Q

pleomorphic, microcalcifications are associated with […] pathologies of the breast

A

malignant

20
Q

breast implants require […] for screening mammography

A

additional views (breast displacement)

21
Q

proven BRCA carriers or first degree relatives of BRCA carriers should receive screening […] annually beginning at age 30

A

MRIs

22
Q

high-risk women who cannot undergo screening MRI or women with dense breast tissue may require screening […]

A

US (as an adjunct to mammogram)

23
Q

[…] is used to prepare to image guided biopsy

A

targeted US

24
Q

first-line imaging modality for patients less than 30 years old

A

targeted US

25
Q

first-line imaging in patients with palpable mass with hx of previous masectomy

A

targeted US

26
Q

according to the ACR, screening mammography for female patients should begin at […]

A

40

27
Q

screening mammography is for […] patients

A

asymptomatic

28
Q

diagnostic mammography is for […] patients

A

symptomatic

29
Q

any mammography done on a male patient is […]

A

diagnostic

30
Q

recommendations for cessation of annual screenings

A

life expectancy less than 5-7 years

31
Q

3D mammography technique that allows for additional planes of views

A

tomosynthesis

32
Q

what is the USPTF’s recommendation for breast cancer screening?

A

biennial for women 50-74

due to overdiagnosis and high false positives

33
Q

USPSTF considered identifying patients with […] as overdiagnosis

A

DCIS

34
Q

the two standard mammographic views are [2]

A

craniocaudal CC
medial-lateral oblique MLO

35
Q

malignant calcifications typically appear

A

small and irregular (pleomorphic)

36
Q

benign calcifications typically appear

A

large and “popcorn” like

37
Q

a patient with a normal mammogram is assigned BIRAD […]

A

1

38
Q

if suspicious calcifications are the only finding, […] biopsy is utilized

A

stereotactic

39
Q

next best step after a suspicious mass is seen on mammography?

A

US guided biopsy

40
Q

a screening mammogram can only be assigned what BIRAD designations?

A

0-2

41
Q

a diagnostic mammogram can be assigned what BIRAD designations?

A

3-6

42
Q

if screening mammogram demonstrates a potential abnormality, it is given a designation of BIRAD […]

A

0

more imaging needed