B8-033 Breast Imaging

Question 1

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

Answer 1

8

Question 2

why are deaths related to breast cancer declining?

Answer 2

annual screening mammography

Question 3

increased breast […] can make mammograms difficult to read

Answer 3

density

Question 4

BIRAD of 0 indicates

Answer 4

incomplete exam

Question 5

BIRAD of 1 indicates

Answer 5

negative, no abnormal findings

0% likelihood of malignancy

Question 6

BIRAD of 2 indicates

Answer 6

benign

0% likelihood of malignancy

Question 7

BIRAD of 3 indicates

Answer 7

probably benign

1-2% likelihood of malignancy

Question 8

BIRAD of 4 indicates

Answer 8

suspicious

2-94% likelihood of malignancy

Question 9

BIRAD of 5 indicates

Answer 9

highly suggestive of malignancy

95-100% likelihood of malignancy

Question 10

BIRAD of 6 indicates

Answer 10

known, biopsy proven malignancy

Question 11

management of a patient with BIRAD 0

Answer 11

additional exams or comparison with previous exams

Question 12

management of a patient with BIRAD 1

Answer 12

routine mammography screenings

Question 13

management of a patient with BIRAD 2

Answer 13

routine mammography screenings

Question 14

management of a patient with BIRAD 3

Answer 14

short interval follow up

Question 15

management of a patient with BIRAD 4

Answer 15

tissue diagnosis

Question 16

management of a patient with BIRAD 5

Answer 16

tissue diagnosis

Question 17

management of a patient with BIRAD 6

Answer 17

surgical excision if clinically appropriate

Question 18

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

Answer 18

benign

Question 19

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

Answer 19

malignant

Question 20

breast implants require […] for screening mammography

Answer 20

additional views (breast displacement)

Question 21

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

Answer 21

MRIs

Question 22

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

Answer 22

US (as an adjunct to mammogram)

Question 23

[…] is used to prepare to image guided biopsy

Answer 23

targeted US

Question 24

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

Answer 24

targeted US

Question 25

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

Answer 25

targeted US

Question 26

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

Answer 26

40

Question 27

screening mammography is for [...] patients

Answer 27

asymptomatic

Question 28

diagnostic mammography is for [...] patients

Answer 28

symptomatic

Question 29

any mammography done on a male patient is [...]

Answer 29

diagnostic

Question 30

recommendations for cessation of annual screenings

Answer 30

life expectancy less than 5-7 years

Question 31

3D mammography technique that allows for additional planes of views

Answer 31

tomosynthesis

Question 32

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

Answer 32

biennial for women 50-74 due to overdiagnosis and high false positives

Question 33

USPSTF considered identifying patients with [...] as overdiagnosis

Answer 33

DCIS

Question 34

the two standard mammographic views are [2]

Answer 34

craniocaudal CC medial-lateral oblique MLO

Question 35

malignant calcifications typically appear

Answer 35

small and irregular (pleomorphic)

Question 36

benign calcifications typically appear

Answer 36

large and "popcorn" like

Question 37

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

Answer 37

1

Question 38

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

Answer 38

stereotactic

Question 39

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

Answer 39

US guided biopsy

Question 40

a screening mammogram can only be assigned what BIRAD designations?

Answer 40

0-2

Question 41

a diagnostic mammogram can be assigned what BIRAD designations?

Answer 41

3-6

Question 42

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

Answer 42

0 more imaging needed