Ch. 4 Mammo Flashcards

1
Q

Which of the following statements is true ?
Q.1 pg124

A

Compression increases the uniformity of the breast, making diagnosis easier

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2
Q

The maximum compression force applied to the breast should not exceed
Q.2 pg124

A

None of the above

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3
Q

In assessing the degree of compression for any one patient, the technologist should take into consideration
1. The maximum to which the patient’s breast can actually be compressed
2. The amount of compression the patient can tolerate
3. Compression that should be just sufficient to immobilize the breast

A

1 & 2 only

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4
Q

Manual compression in mammography
Q.4 pg124

A

Depends on breast size and the patient’s pain tolerance

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5
Q

Some considerations that could be given to women with painful breasts include
1. Having the patient take ibuprofen prior to mammography
2. Scheduling mammography during the menstrual cycle
3. Explaining, before the examination, the importance of compression
Q.5 pg124

A

1 & 3

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6
Q

If a lesion is seen only on MRI of the breast, which of the following can be used to biopsy the lesion
Q.6 pg 124

A

MRI-guided code biopsy

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7
Q

Compression allows reduced radiation to the breast by
Q.7 pg124

A

Decreasing breast thickness

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8
Q

What principle does compression use to visualize the borders of circumscribed lesion
1. It brings the lesion closer to the detector
2. It spreads apart overlapping tissue
3. It separates superimposed areas of glandular tissue
Q.8 pg125

A

1,2,3

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9
Q

Ideally, breast compression is maximized when
1. Accompanied by a thorough explanation to increase patient cooperation
2. The exposure is made on arrested inspiration to reduce motion
3. The patient recognizes the advantage of compression in reducing radiation dose
Q.9 pg125

A

1&3 only

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10
Q

Magnification can be used to assess the
Q.10 pg125

A

Margins of a lesion

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11
Q

With calcifications, magnification can be used to assess
1. The number
2. Morphology
3. Tissue distribution

Q.11 pg125

A

1,2&3

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12
Q

The last degree of compression should be applied
Q.12 pg125

A

As gentle as possible or by using manual compression

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13
Q

Which of the following projections is used to determine whether a lesion is medial or lateral to the nipple?
Q.13 pg125

A

Craniocaudal (CC)

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14
Q

If any breast tissue is poorly imaged on the mediolateral oblique (MLO) projection, it is likely to be

Q.14 pg125

A

Medial breast tissue

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15
Q

The length of the posterior nipple line (PNL) visualized on CC projection, should be within how many centimeters of the PNL on MLO projection

Q.15 pg125

A

1.00

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16
Q

Which of the following conditions must be met when imaging the breast in MLO projection?
1. The pectoral muscle should extend to or below the PNL
2. Visualized fat should be posterior to all the fibroglandular tissues
3. The inframammary fold (IMF) should be open

Q.16 pg126

A

1,2,3

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17
Q

In positioning for the CC projection, If the C-Arm of the mammography unit is raised too high, the inframammary fold (IMF) is over elevated, resulting in loss of

  1. Superior breast tissue
  2. Inferior breast tissue
  3. Posterior breast tissue

Q.17 pg 126

A

2 & 3 only

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18
Q

Which of the following single projections will best visualized the maximum amount of breast tissue ?

Q. 18 pg126

A

MLO

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19
Q

In general, when imaging tall, thin patients, the angulation is adjusted to

Q.19 pg126

A

Close to 60 degrees

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20
Q

Which of the following positions is used to determine whether an abnormality is superior or inferior to the nipple?

Q.20 pg126

A

MLO

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21
Q

The principle of mobile versus fixed tissue is use in mammography positioning to image the maximum

Q.21 pg126

A

Medial breast on the MLO projection

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22
Q

In the CC projection of the breast, the detector is positioned

Q.22 pg126

A

At the level of the raised inframammary fold (IMF)

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23
Q

In positioning for MLO projection, the tube is always angled

Q.23 pg126

A

None of the above

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24
Q

What position is shown in Fig. 4-1?

Q.24 pg126

A

CC

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25
When positioning for right CC projection, where is the patients left arm placed ? Q.25 pg126
Brought forward- the patient can hold the handle bar of the unit
26
Your patient has had recent chest surgery and has a scarred and painful area running along the sternum. The radiologist request a 90-lateral. With a medial aspect of the breast immobile, which of the following is the best option Q26 pg126
Left Lateral Medial (LLM)
27
Which of the following projections is used to best visualize the tail of the breast? Q.27 pg126
Axillary tail (AT)
28
Calcifications seen on the mammogram are suspected to be in the skin. Which of the following projections is the best projection necessary to prove this theory? Q.28 pg126
TAN
29
Which of the following projections is used to best demonstrate details of the medial breast structures? Q.29 pg126
LM
30
A lesion on the lateral aspect of the breast is not seen on CC projection. Which of the following projections can be an additional projection used to image the lesion? Q.30 pg127
XCCL
31
Which of the following projections can be used instead of CC projection to image patients with severe kyphosis? Q.31 pg127
LM
32
A lesion moved up on the ML projection from it’s original position on MLO projection. The location of the lesion within the breast is Q.32 pg127
Medial
33
Which of the following projections can be used to prove the breast calcification are benign (“teacup shaped”) ?
ML
34
Which of the following projections can be used to give a profile image of the area in question without superimposition of breast tissue? Q.34 pg127
TAN
35
Identify the projection shown in Fig. 4-2
AT
36
A patient with barrel chest whose chest wall produces outward may have breast tissue extending laterally under the arm. What projection, used to image the breast with the beam directed superior to inferior, should be taken in addition to CC projection? Q.36 pg128
XCCL
37
An infusaport can be used to Q.37 pg128
Allow repeated access to the venous system
38
Identify the position shown in Fig.3-4 Q.38 pg128
LM
39
Why is the MLO projection preferred to ML projection as the routine projection ? Q.39 pg128
ML projection poorly visualizes the posterior and lateral breast
40
Which of the following projections best shows the extreme medial aspect of the breast ? Q.40 pg128
CV
41
In which of the following modified projections is the superior aspect of the breast rolled medically ? Q.41 pg128
Rolled medial (RM)
42
The results from which of the following techniques is often used to reduce the amount of lymph nodes removed during a check for breast cancer spread ? Q.42 pg129
Sentinel node mapping
43
Identify the projection shown in Fig.4-4 Q.43 pg129
CV
44
Identify the position shown in Fig.4-5 Q.44 pg129
RL
45
Which of the following projections is especially useful when analyzing calcification ? Q.45 pg 129
M
46
Identify the position shown in Fig 4-6 Q.46 pg130
RM
47
All the following statements about magnifications are true except Q.47 pg130
Magnification images the entire breast with one exposure
48
In the rolled superior (RS) position, the surface _____ the detector is rolled ______ . Q.48 pg130
Furthest from/ superiorly
49
Which of the following techniques accurately describes how the breast is rolled for RM projection? Q.49 pg130
The inferior surface is rolled laterally, and the superior surface is rolled medically
50
A patient with pectus excavatum may present a positioning problem because the patient has Q.50 pg130
Depressed sternum
51
In imaging the augmented breast in the CC position, by using the implant displaced technique, the breast tissue is pulled or pushed Q.51 pg130
Anteriorly
52
A routine series on patients with encapsulated implants could include an additional projection, such as the Q.52 pg130
ML
53
Which of the following is used to spread out the tissue and improve resolution on a localized area of interest ? Q.53 pg130
Spot compression
54
How many projections are routinely required to image a patient with implant-augmented breasts? Q.54 pg 131
8
55
Which of the following statements is correct ? Q.55 pg 131
It is contraindicated to image the irradiated breast less than 6 months after irradiated treatment
56
Which of the following projections or positions can be performed with any patient orientation,with or without magnification? Q.56 pg131
Spot compression
57
In addition to the routine series, after lumpectomy many patients can also be image by using Q.57 pg131
ML
58
The “implant in place” projections taken on patients with breast implants require compression Q.58 pg131
For immobilization only
59
The surgical specimen is radiographed to Q.59 pg131
Confirm that the entire lesion was removed
60
The specimen is compressed to reduce Q.60 pg 131
Tissue thickness
61
Which of the following would require a signed consent ? Q.61 pg131
Fine-needle biopsy (FNB)
62
Preoperative localization will 1. Direct the surgeon to the area requiring biopsy 2. Help the surgeon excise a smaller specimen 3. Ensure that the correct area is removed Q.62 pg131
1,2,3
63
The core biopsy techniques was developed as an alternative to surgical biopsy because this technique provided a larger sample of the area of suspicion and thus more information than Q. 63 pg 131
Fine-needle biopsy (FNB)
64
Ultrasonography of a lesion showed a spherical mass with smooth regular boarders, anechoic interior, and acoustic enhancement. The lesion is likely to be a Q.64 pg132
Simple cyst
65
In ultrasonography, the term acoustic enhancement refers to Q.65 pg132
The amount of sound passing through an anechoic structure
66
Which of the following biohazard waste must be disposed of in a red biohazard trash bag ? Q.66 pg132
Bloody linen
67
An aspirate is likely to be obtained from which of the following ? Q.67 pg132
FNA
68
Biopsy performed by using a 14-gauge needle to remove tissue samples from the breast is termed Q.68 pg132
Core biopsy
69
Stereotactic breast localization is used to Q.69 pg132
Calculate the horizontal, vertical, and depth of no palpable lesions
70
A cyst aspiration can only be performed Q.70 pg132
None of the above
71
Which of the following biopsy techniques carry the most risks for complications? Q71 pg132
Open surgical biopsy
72
MRI Q.72 pg132
Uses the complex magnetic properties of elements
73
Most of the risks of MRI of the breast are associated with Q.73
Ferromagnetic metals
74
Cyst aspiration describes the removal Q.74 pg132
Fluid from a cyst
75
If a breast lesion is seen only on a breast ultrasonography, which of the following modalities should be used when performing a biopsy of the lesion? Q.75 pg132
Ultrasonography
76
With its high sensitivity, MRI is ideal as Q.76 pg133
An adjunctive tool in detecting breast cancer
77
Ultrasonography uses Q.77 pg133
High-frequency sound waves to image the breast
78
Which of the following could be considered a cosmetic intervention ? Q.78 pg133
Surgical reconstruction of the breast to increase its firmness
79
Specimen radiography confirms that Q.79 pg133
The suspected lesion is in the tissue that was removed
80
Which of the following biopsy techniques is the most accurate ? Q.80 pg133
Open surgical biopsy
81
Which of the following is the least expensive and least invasive method of breast biopsy? Q.81 pg133
Fine-Needle biopsy (FNB)
82
MRI can be used to 1. Map the extent of a tumor 2. Image patients with implants 3. Evaluate patients with dense breast Q82 pg133
1,2,3
83
Preoperative localization is Q.83 pg133
A technique used to locate nonpalpable lesions
84
Which of the following is a biopsy technique that often requires the presence of a cytological technologist ? Q84 pg133
Fine-needle biopsy (FNB)