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trivia Flashcards

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1
Q

Is nipple enhancement normal on MRI?

A

yes

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2
Q

What is the definition of ‘architectural distortion’?

A

straigtening and tethering of cooper ligament

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3
Q

Shrinking breast should make you think of what disease?

A

invasive, lobular

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4
Q

Where are level I nodes located?

A

I = lateral to pec MINOR

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5
Q

Where are level II nodes located?

A

posterior to pec minor

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6
Q

Where are level III nodes located?

A

medial to pec. minor

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7
Q

Where are rotter nodes located?

A

between pec minor and pec major

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8
Q

What view is the sternalis seen on?

A

CC only

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9
Q

Where is the most common location for ectopic breast tissue?

A

axilla

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10
Q

What days of the cycle is breast MRI and mammo performed?

A

days 7-14

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11
Q

How is a milk fistula treated?

A

stop breast feeding

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12
Q

What does the posterior nipple line need to touch?

A

pectoralis

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13
Q

On CC view, a nipple to chest wall line needs to be within what distance of similarity of the posterior nipple line?

A

within 1 cm

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14
Q

What are the three situations to obtain an LMO rather than MLO?

A

pectus

kypohosis

central line/pacemaker lines

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15
Q

Will medial lesions on the MLO rise or fall on the lateral view?

A

rise (muffins rise)

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16
Q

How many cancers are we trying to find per 1000 mammograms?

A

3-8

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17
Q

Will lateral lesions on the MLO rise or fall on the lateral view?

A

fall

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18
Q

When would a BR2 (multiple bilateral masses) be ultrasounded?

A

if palpable

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19
Q

What are the three categories for mass description?

A

shape

margin

density

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20
Q

What are the three acceptable terms for the shapes of a breast mass?

A

round

oval

irregular

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21
Q

What are the five acceptable terms for the margin of a breast mass?

A

circumscribed

obscured

microlobulated

indistinct

spiculated

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22
Q

What is an asymmetry?

A

density seen only in one view

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23
Q

What is a focal asymmetry? What does it need?

A

density seen in two views

spot compression

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24
Q

What is a global asymmetry?

A

“greater volume of breast tissue than the contralateral side”

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25
Q

When is ‘background parenchymal enhancement’ characterized?

A

“first post contrast sequence”

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26
Q

What is the size of foci for breast MRI?

A

< 5mm

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27
Q

What is the size of mass for breast MRI?

A

> 5mm

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28
Q

What ‘view’ for dermal calcs?

A

tangential

29
Q

When do secretory calcs appear?

A

10-20 years after menopause

30
Q

What type of calcification is lucent in the center?

A

egg shell

31
Q

What type of calcification needs to be visualized with a polarized light?

A

milk of calcium

32
Q

What is Mondor Disease? How is it treated?

A

superficial thrombophlebitis

NSAIDs and warm compress

33
Q

Is enlargement of a lipoma grounds for biopsy?

A

yes

34
Q

How does phyllodes metastisize?

A

hematogenous

35
Q

What are the four subtypes of IDC?

A
  1. tubular
  2. mucinous
  3. medullary
  4. papillary
36
Q

What subtype of IDC has a favorable prognosis?

A

tubular

37
Q

What subtype of IDC can have large axillary nodes?

A

medullary

38
Q

What subtype of IDC can be cystic and solid?

A

papillary

39
Q

What subtype of IDC will have a cancer in the contra-lateral breast 10-15% of the time?

A

tubular

40
Q

What subtype of DCIS is more aggressive, comedo or non-comedo?

A

comedo

41
Q

Does skin involvement upstage pagets?

A

No

42
Q

What type of breast cancer is associated with pagets? How other?

A

DCIS

96% of time

43
Q

What type of breast cancer cells lose e-cadherin?

A

Lobular

44
Q

How does ILC look like on US?

A

“shadowing without mass”

45
Q

What are the FIVE high risk lesions that must come out after a positive biopsy?

A

ADH

radial scar

ALH

LCIS

papilloma

46
Q

What imaging modality is used to diagnose saline implant rupture?

A

mammo

47
Q

What imaging modality is used to diagnose silicone implant rupture?

A

MR

48
Q

What is an excisional biopsy?

A

removal of an entire lesion

49
Q

What is an incisional biopsy?

A

surgical removal of a portion of the lesion

50
Q

What are the three criteria for stage of T4 breast cancer?

A

any size with :

skin involvement

chest wall involvement

inflammatory

51
Q

What is the size of T1 breast cancer?

A

< 2 cm

52
Q

What is the size of T2 breast cancer?

A

2-5cm

53
Q

What is the size of T3 breast cancer?

A

> 5cm

54
Q

What % likelihood does someone need to receive screening breast MRI?

A

> 20-25%

55
Q

How much chest wall radiation to get screening breast MRI? Starting when? How often?

A

> 20 Gy

age 25 or 8 years after event

annual

56
Q

What is the % likelihood screening model name?

A

Tyrer-Cuzick

57
Q

What is a Type 1 curve plateau?

A

persistent

58
Q

What is a Type 2 curve plateau?

A

plateau

59
Q

What is a Type 3 curve plateau?

A

warshout

60
Q

How does a fibroadenoma look on MR?

A

T2 bright with non-ehnancing septa

61
Q

Are most T2 bright lesions benign?

A

yes

62
Q

What two T2 bright lesions are NOT benign on breast MR?

A

colloid cancer

mucinous cancer

63
Q

What are the four cancers that Cowden Syndrome increases the likelihood of?

A

breast

follicular thyroid

endometrial

Lhermitte-duclos

64
Q

Do pts get copies or actual mammogram?

A

actual

65
Q

What is the required line pair resolution?

A
  • 13 line pair/mm in anode to cathode direction

- 11 line pair/mm in left to right

66
Q

What three things are required to be shown to pass image quality?

A

four fibers

three micro-calcification clusters

three masses

67
Q

What are the three characteristics of a phantom?

A
  • 50% glandularity
  • 4,2 cm thick
  • dose of 3 mGy (with grid)
68
Q

Who runs MQSA?

A

FDA

breast trivia (1 decks)

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