Ch.3 Mammo

Question 1

A lesion located in the upper-outer quadrant of the right breast is located in the

Question 1 on pg 88

Answer 1

10-o’clock position

See answer on Pg 94

Question 2

Morgagni’s tubercles are usually found

See question 2 on pg 88

Answer 2

On the areola

See answer on pg 94

Question 3

An inverted nipple

Question 3 on pg 88

Answer 3

Sometimes indicates breast cancer

See answer on pg 94

Question 4

The most mobile margins of the breast are the

See question 4 on 88

Answer 4

Inferior and lateral aspects

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Question 5

The normal breast may have

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Answer 5

15 to 20 lobes

See answer on 94

Question 6

The structure that supports the breast and contributes to breast shape is called

Question 6 on pg 88

Answer 6

Cooper ligament

See answer on pg 94

Question 7

The breast extends vertically from the

Question 7 on pg 88

Answer 7

Second through the sixth rib

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Question 8

The thickest skin portion of the breast is at the

Question 8 on pg 88

Answer 8

Tail of Spence

Answer on page 95

Question 9

Cooper ligaments attach anteriorly to the

Question 9 on pg 88

Answer 9

Fascia of the skin

See answer on pg 95

Question 10

Fatty tissue is generally ____ and is seen on the mammogram as areas of _____ optical density

Question 10 on pg 88

Answer 10

Radiolucent/ higher

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Question 11

Typically, a women with dense fibrous and glandular tissue throughout the entire breast on a baseline mammogram is

Question 11 on pg 89

Answer 11

Younger than 45years

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Question 12

Glandular tissue is usually found in the ______ of the breast

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Answer 12

Central and upper-outer quadrant

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Question 13

Lymph drainage from the medial half of the breast is generally directed to the

Question 13 on pg 89

Answer 13

Internal mammary lymph nodes

See answer on 95

Question 14

Immediately behind the nipple, there is a widened area of the collecting duct called the

Question 14 on pg 89

Answer 14

Lactiferous sinus

See answer on pg96

Question 15

The portion of the breast that holds the milk-producing structures is the

See question 15 on pg 89

Answer 15

Lobule

See answer on pg 96

Question 16

Veins are normally located

Question 16 on pg 89

Answer 16

In the periphery of the breast

See answer on 97

Question 17

The terminal ductal lobular unit (TDLU)
consists of the

Question 17 on pg 89

Answer 17

Both the ETDs and the ITDs

See answer on pg 98

Question 18

A women began taking synthetic hormones 6 months prior to her current mammography. The mammography results is most likely to

Question 18 on pg 89

Answer 18

Show increased glandular tissue when compared with her previous result

See answer on 98

Question 19

A baseline mammogram shows that the women’s breast consists primarily of adipose tissue. This women is most likely to be

Question 19 on pg 89

Answer 19

Older than 60years

See answer on 98

Question 20

A women is to undergo routine baseline mammography, but it is determined that she is lactating. What should be done, and why ?

Question 20 on pg 89

Answer 20

Lactation results in increased glandularity; mammography should be postponed

See answer on 98

Question 21

The craniocaudal image of a women’s mammogram prior to menopause and 1 year after the onset of menopause are compared. The women has never taken synthetic hormones. What is the most likely difference ?

Question 21 on pg 90

Answer 21

The mammogram taken after the onset of menopause shows signs of atrophy

See answer on 98

Question 22

Which of the following will affect the ratio of glandular tissue to total breast tissue ?
1. The women’s genetic predisposition
2. Ratio of total body adipose tissue to total body weight
3. Drastic weight gain or weight loss

Question 22 on pg 90

Answer 22

1,2,3

See answer on pg 99

Question 23

Hormone replacement therapy (HRT) could be recommended to
1. Relive insomnia symptoms
2. Prevent osteoporosis
3. Reduce weight gain

Question 23 on pg 90

Answer 23

1 and 2 only

See answer on pg 99

Question 24

A women is referred to as “nullipara”
This means

Question 24 on pg 90

Answer 24

She has never given birth to a viable offspring

See answer on 99

Question 25

An asymptomatic women presents with an oval, lobulated tumor with unsharp margins. There is no evidence of a halo sign. Select the correct statement.

Question 25 on pg 90

Answer 25

The lesion could be malignant

See answer on pg 99

Question 26

The tumor seen on Fig. 3-1is characteristic of

Question 26 on pg 90

Answer 26

A mammographically malignant tumor

See answer on 99

Question 27

The calcifications seen in Fig.3-2 have the typical appearance of

Question 27 on pg 91

Answer 27

Mammographically malignant-type calcification

See answer 99

Question 28

Which of the following is/are included in characteristics of a malignant stellate tumor?

1. The spicules are generally bunched together
2. A central tumor mass is present
3. The larger the tumor, the longer are the spicules

Question 28 on 91

Answer 28

2 & 3 only

See answer 100

Question 29

The calcifications seen in Fig. 3-3 have the typical appearance of

Answer 29

An oil cyst

See answer 100

Question 30

Postoperative scarring
1. Can sometimes be mistaken for carcinoma
2. Has a solid dense central tumor
3. Is usually not associated with skin thickening or dimpling over the lesion

Question 30 on pg 91

Answer 30

1 & 3 only
See answer 103

Question 31

A mammogram shows a low optical density radiopaque lesion. The radiologist noted it a lymph node that was present on the last mammogram. What BI-RAD category would this represent ?

Question 31 on pg 92

Answer 31

BI-RAD 1

See answer 103

Question 32

A galactocele

Question 32 on pg 92

Answer 32

Is associated with nursing

See answer in 103

Question 33

A lipoma

Question 33 on pg 92

Answer 33

Can be a huge, encapsulated lesion occupying the entire breast

See answer on 103

Question 34

Which of the following is a rare form of cancer that presents with swelling, warmth, or erythema, and with skin thickening on the mammogram ?

Question 34 on pg 92

Answer 34

Inflammatory carcinoma

See answer on 103

Question 35

Which of the following is sometimes described as an oil cyst, and this lesion represents an encapsulated area on the mammogram and can be caused by surgery , biopsy, trauma, or radiation therapy ?

Question 35 on pg 92

Answer 35

Fat necrosis

See answer on 107

Question 36

Which of the following is a benign, self-limiting breast tumor that is a result of new disorganized cell growth?

See question 36 on pg 92

Answer 36

Hamartoma

See answer on 107

Question 37

An overgrowth of cells lining the ducts is termed

Answer 37

Hyperplasia

Question 38

The low optical density radiopaque lesions seen in Fig. 3-4 are characteristics of a

Question 38 on pg 92

Answer 38

Skin mole

Answer on pg 108

Question 39

The calcifications in Fig.3-5 is characteristics of

Question 39 on pg 93

Answer 39

Benign calcifications but further tests are needed

See answer 108

Question 40

The circular mixed radiopaque/radiolucent lesions seen in Fig. 3-6 are characteristics of

Question 40 on pg 93

Answer 40

Skin cyst

See answer on 110

Question 41

In the arc method of localization, the arc is drawn with the radius of the arc from ___ to the lesion

Question. 41 on pg 93

Answer 41

The nipple

See answer on 110