Practice 2 Flashcards
- Clinical breast examination (CBE) and breast self examination (BSE) are similar in that both
(A) involve looking and feeling for changes in the breast
(B) are performed by a trained medical professional
(C) are performed montly
(D) are performed yearly
A - involve looking and feeling for changes in the breast
Both clinical breast examination and breast self examination are examinations in which changes in the shape, contour, and texture of the breast are assessed and the breast is checked for lumps. CBE is performed by a heatlh care profession, whereas BSE is performed by the woman herself.
- The most common cause of under compression is
(A) a faulty compression paddle
(B) inadequate compression by technologist
(C) the patients pain tolerance level
(D) a broken autmatic compression device
(B) inadequate compression by technologist
Studies have shown that although there are many reasons for undercompression, the main reason is lack of communication between the technologist and the patient. The technologist undercompresses the breast either because the patient refuses further compression or is unable to tolerate more compression or the technologist wants to protect the patient from further pain.
- The Health Insurance Portabilit and Acountability Act (HIPAA) of 1996 has an influence on the radiology department and other hospital departmenents because of its focus on
(A) patient record confidentiality
(B) facility reimbursement
(C) quality management
(D) risk management
(A) patient record confidentiality
HIPPA (Health Insurance Portability and Accountability Act of 1996 comprises privacy rules that provide all patients with federal protections of their health information. it gives patients an array of rights with respect to their health records and monitors the disclosure of health information needed for patient care.
- Ductal papilloma is
(A) a benign proliferation of tissue in the male breast
(B) a malignant tumor involving ducts
(C) a collection of blood in the breast occurring after surger
(D) benign growths involving the milk ducts
(D) benign growths involving the milk ducts
An intraductal papilloma generally occurs near the nipple within the larger ducts but can also occur deep within the breast. The papilloma may produce spontaneous discharge from the nipple or if located deep within the breast, may appear radiographically as a mass. Ductal papillomas are benign and can be vizualized with ductography or galactography. However, ultrasonography is becoming the modality of choice when evaluation ducts.
- The right craniocaudal (CC) projection in a routine imaging series showed a small irregular shaped lesion at the posterior margin of the image plus scattered calcifications, including calcification clusters. Typically the radiologist will recommened ___ as the immediate next step
(A) ultrasonography to assess the content of the lesion and provide an analysis of the calcifications
(B) spot compression, including magnification, to assess calcifications and the margins of the lesion
(C) magnetic resonance imaging to assess for malignancy and to assess any calcifications
(D) a breast biopsy to check for malignancy
(B) spot compression, includign magnification, to assess calcifications and the margins of the lesion
Further imaging depends on the preference of the radiologist. However, when possible, imaging should show a lesion in its entirety. Before moving to another modality, such as MRI or ultrasonagraphy, the radiologist is likely to recommend further mammographic examinations, such as spot compression to delineate the margins of the lesion and/or magnification to asses the calcifications. MRI and ultrasonagraphy do not image calcifications well.
- A bunch of eight bits equals one
(A) pixel
(B) byte
(C) matrix
(D) bit depth
(B) byte
A digital image consists of a box of cells or picture elements (pixels) corresponding to numeric values arranged in rows and columns. Each pixel contains bits of information. The rows and columns form a matrix and each cell corresponds to a specific location in the image. The matrix size is determined by the number of pixels in the rows and columns. The bit depth is the number of gray shades that a pixel produce. A bunch of eight bits is a byte.
- Which of the following could be used when imaging extremely small breasts in the CC position
(A) spatula
(B) mediolateral (ML) projection
(C) cleavage view (CV) projection
(D) exaggerated craniocaudal (XCCL) projection
(A) spatula
The spatula can be used instead of the technologist’s fingers to pull extremely small breasts into position for compression. The Mediolateral (ML) projection is a lateral projection. Cleavage view (CV) images the extreme medial breast from the craniocaudal (CC) position and the exaggerated craniocaudal (XCCL) projection images the extreme lateral breast from the CC position.
- In the tangential (TAN) projection, any tube angulation will depend on
(A) the size of the patients breast
(B) the location of the abnormality
(C) the position of the mid axillary line in relation to the detector
(D) whether the abnomality is palpable or non palpable
(B) the location of the abnormality
In the Tangential (TAN) projection, the technique is to take a skimming projection of the area of interest. Because TAN can be taken in any porojection, the degree of obliquity and the projection depends on the location ofht abnormality a BB (lead) marker can be used to establish the area of interest.
- A small but growing cancer may not be obvious to the individual because it often presents as
(A) skin irritation
(B) inverted nipples
(C) a painless mass
(D) a painful mass
(C) a painless mass
Although pain can be associated with breast cancer, a painless mass is the more common symptom of breast cancer. Painful masses are associated with cysts. Less common symptoms of advanced breast cancer include skin thickening, skin irritation or distortion, and sudden nipple inversion, discharge, erosion, or tenderness.
- Mammography is more accurate in
(A) premenopausal women
(B) postmenopausal women
(C) women with fibrocystic breast
(D) women with dense breast tissue
(B) postmenopausal women
On average, mammography can detect up to 90% of breast cancers in women without symptoms and is more accurate in postmenopausal women compared with premonopausal women. Some cancers are not visualized mammographically. The reasons are varied. The patient may have extremely dense breasts, or ammography may not be the best method of detection for a particular type of cancer. Poor imaging techniques applied by the technologist and the interpretation skills of the radiologist can also be contributing factors.
- In taking medical history, hormone use (both natural and artificial) is taken into account because
(A) hormones cause breast cancer
(B) early menarche can increase breast cancer risks
(C) late menarche can increase breast cancer risks
(D) contraceptive use lowers the risk for breast cancer
(B) early menarche can increase breast cancer risks
Hormone use influences breast cancer risk but does not actually cause breast cancer. All factors that increase the number of menstrual cycles in a woman’s lifetime can increase breast cancer.
- One major difference between collimation in mammography and collimation in general radiography is that
(A) in mammography, the entire detector area is exposed
(B) decreasing collimation increases exposure in mammography
(C) mammography uses a variety of beam limiting device
(D) in radiogrpahy, the entire detector area is always exposed
(A) in mammography, the entire detector area is exposed
In general, the use of any beam-limiting device in radiography or mammography requires increased exposure. Both imaging methods use various sized beam limiting devices. However, unlike general radiography, where the beam should be limited to the size of the part, in mammography, the entire field is exposed. This is ncecessary to reduce extraneous light when viewing the analog image on the view box and, although postprocess masking is possible with digital imaging, the technique has not been altered.
- Line pair per millimeter is the unit of
(A) matrix size
(B) spatial resolution
(C) field of view (FOV)
(D) bit depth
(B) spatial resolution
The spatial resolution of a digital system is the minimum separation betwen two objects at which they can be distinguished as two separate objects in the image. In digital imaging, spatial resolution is determined by the pixel size. Smaller pixels have better sptial resolution. Spatial resolution is measured as line pairs per millimeter (lp/mm). The matrix size is determined by the number of pixels in the row and columns. The bit depth is the number of gray shades that a pixel can produce. The Field of view (FOV) sets the collimation for breast size and describes how much of the breast is imaged in the matrix.
- Image brightness is adjusted by changing the
(A) milliampere second (mAs)
(B) peak kilovoltage (kVp)
(C) window level
(D) window width
(C) window level
- The retromammary space is filled with
(A) supportive and connecting tissues
(B) adipose tissue
(C) fibroglandular tissue
(D) blood vessels
(B) adipose tissue
- The fatty versus fibroglandular nature of the breast itssue is affected by which of the following
(A) age
(B) hormone use
(C) number of pregnancies
(D) all of the above
(D) all of the above
- In positioning for the exaggerated craniocaudal (XCCL) projection, if the shoulder of the affected side is in the way of the compression device
(A) push the shoulder down
(B) use 5-degree lateral tube angulation
(C) use 5-degree medial tube angulation to avoid superposing the shoudler on breast tissue
(D) reduce the patients lateral rotation
(B) use 5-degree lateral tube angulation
- In the CC position, the pectoral muscle is seen
(A) all the time
(B) rarely if ever
(C) about 30 to 40% of the time
(D) about 50% of the time
(C) about 30 to 40% of the time
- Between ages 20 and 39 years, the American Cancer Society (ACS) recommends CBE every
(A) year
(B) 2 years
(C) 3 years
(D) 4 years
(C) 3 years
- Regardless of the reason, if the proper amount of compression cannot be applied, which of the followign must apply
(A) the patient must be infomred
(B) the patients doctor must be informed
(C) the radiologist must be informed
(D) it must be noted on the patients history form
(D) it must be noted on the patients history form
- On the CC image, the posterior nipple line (PNL) should extend to the
(A) level of the nipple
(B) posterior breast or edge of the image
(C) level of the inframammary fole (IMF)
(D) most anterior breast
(B) posterior breast or edge of the image
- The interspace material of the mammography linear grid is generally made of
(A) carbon or wood
(B) aluminum
(C) any highly radiopaque material
(D) lead
(A) carbon or wood
- Which section of the breast is poorly visualized on the CC projection
(A) medial
(B) axial
(C) lateral
(D) superior
(C) lateral
- Adjusting the image contrast is achieved by
(A) changing the window level
(B) decreasing the pixel size
(C) changing the window width
(D) increasing the pixel size
(C) changing the window width
- Which projection could be used to demonstrate a deep medial lesion not seen on CC
(A) axillary tail (AT)
(B) XCCL
(C) CV
(D) MLO
(C) CV
- After a routine four projection mammographic series, the nipple is not seen in profile on any of the images. Additional projections are done if
- the nipple is indistinguishable from a mass
- a subareolar abnormality is suspected
- the nipple is not marked iwth a BB (lead shot )
(A) 1 and 2
(B) 2 and 3
(C) 1 and 3
(D) 1,2,3
(D) 1,2,3
- Your patients sister was diagnosed iwth rbeast cancer at age 35 years. Your patient is considered to have
(A) a greater risk of breast cancer
(B) a lower risk for breast cancer
(C) no significantly increased risk for breast cancer
(D) a personal history of breast cancer
(A) a greater risk of breast cancer
- The MQSA mandates tha the average flandular dose received per projection/position during routine mammogrpahy screening not exceed
(A) 1 mGy (100 mrad)
(B) 2 mGy (200 mrad)
(C) 3 mGy (300 mrad)
(D) 4 mGy (400 mrad)
(C) 3 mGy (300 mrad)
- The device used to vonvert the films in an analog imaging system to a digital image is called
(A) a film digitizer
(B) DICOM
(C) an analogn to digital converter (ADC)
(D) a digital to analog converter (DAC)
(A) a film digitizer
- The computer netweork that allows images to be viewed at various monitors or transmitted or stored is termed
(A) local area network (LAN)
(B) picture archivign and communications system (PACS)
(C) DICOM
(D) wide area network (WAN)
(B) picture archivign and communications system (PACS)
- Which of the following statements about health care records is false
(A) health records must inlcude all signed informed consent forms
(B) patients have a right to amend their health care records
(C) patietns can access their health records
(D) health care records cannot be used in a court of law
(D) health care records cannot be used in a court of law
- Montgomery glands are specialized
(A) sweat glands
(B) sebaceous glands
(C) Cooper ligaments
(D) hair follicles
(B) sebaceous glands
- A woman takign hormone replacement therpay may notice changes in the breast, such as
(A) breast enlargement
(B) increase in fibroadenomas
(C) increase in breast cysts
(D) all of the above
(D) all of the above
- Pagets disease of the breast is a
(A) infiltrating carcinoma generally limited to the breast
(B) form a carcinoma associated with changes in the nipple
(C) benign breast conidtion that is relatively common
(D) malignant form of breast carcinoma involving lobules
(B) form a carcinoma associated with changes in the nipple
- in a digital image, what determines the matrix size
(A) the number of bits in each pixel
(B) the number of pixels in the rows and columns
(C) the pciture elements in the matrix
(D) the number of gray shaes that a pixel can produce
(B) the number of pixels in the rows and columns
- A set of computer software standards that permits a wide range of digital imaging programs to understand each other is called
(A) DIGCOM
(B) PACS
(C) DICOM
(D) PCAS
(C) DICOM
- A PACS network typically would include
(A) digital images from multiple modalities
(B) images from a single modality
(C) all records of patients
(D) surgical and radiography patient records
(A) digital images from multiple modalities
- Women who were exposed to diethylstilbestrol (DES) in utero may have
(A) a lower risk for breast cancer
(B) a higher risk for breast cancer if they are also receiving hormone replacement therapy
(C) a lower risk for breast cancer if theya re also receiving HRT
(D) breast tissue that is extra sensitive to radiation
(B) a higher risk for breast cancer if they are also receiving hormone replacement therapy
- In which of the followign modified proejctions is the superior surface of the rbeast rolled medially
(A) rolled medial (RM)
(B) roller lateral (RL)
(C) medial (M)
(D) lateromeidal (LM)
(A) rolled medial (RM)
- factors that lower breast cancer risks include
- having the first child after age 30 years
- breastfeeding
- late menarch
(A) 1 and 2
(B) 2 and 3
(C) 1 and 3
(D) 1,2,3
(B) 2 and 3
- PACS stands for
(A) picture access to communication system
(B) picture archiving and computer system
(C) picture archiving and communication system
(D) pixel access and computer system
(C) picture archiving and communication system