Breast

Question 0

Breast is bounded medially ________ and laterally ________.

Answer 0

Medially lateral edge of the sternum

Laterally anterior axilla line

Question 1

Female breast is between ?

Answer 1

2nd and 6th ribs

Question 2

Breast tissue that secrete milk

Answer 2

Glandular

Question 3

Tissue that covers the lobes and gives the breast its size and shape

Answer 3

Fat

Question 4

Tethers the breast to the skin and to the underlying fascia and support the glandular tissue

Answer 4

Fibrous

Question 5

Women at high risk except.
A. Those with BRCA gene mutation and their untested first degree relatives
B. Women with history of chest irradiation between 20-40
C. Women with 20% or greater lifetime risk of breast cancer

Answer 5

B 10-30 y.o.

Question 6

Women at intermediate risk
A. Globular neoplasia
B. Atypical ductal hyperplasia
C. Personal history of breast cancer

Answer 6

A- lobular neoplasia

Question 7

True or false. >15 % lifetime risk of breast cancer, breasts not dense

Answer 7

False. <15%

Question 8

What is the passageway of milk from lobules to the nipple?

Answer 8

Ducts

Question 9

Most common type breast cancer?

Answer 9

Invasive Ductal carcinoma

Question 10

Who is not at risk of breast cancer?
A. 35/F, having first child at 33 y/o, breastfeed to her child
B. Her sister was diagnose with breast ca, menarche before 12 yo
C. White women, Menopause after 55 yo, overweight
D. 1-1-0-2

Answer 10

All of the above

Question 11

Who is not at risk of breast cancer?
A. 45 years old PE teacher
B. Takes hormonal therapy to correct hypothyroidism
C. Small breast size, does not drink alcohol

Answer 11

B

Question 12

What are the two views of mammography?

Answer 12

Craniocaudal view

Mediolateral oblique view

Question 13

What type of BIRADS?

Fibroglandular tissue ranging 51-75 %, may obscure masses

Answer 13

C- heterogenous density

Question 14

What type of BIRADS?
Scattered areas of fibroglandular density- glandular tissue is being replaced by fatty tissue but some glandular tissue is still present, easy to pick up lesion

Answer 14

B minimal density

Question 15

What type of BIRADS?

Glandular tissue has been completely replaced by fatty tissue

Answer 15

A-extremely fat

Question 16

What type of BIRADS?

Dense glandular tissue- makes it hard to find masses and calcifications

Answer 16

D extremely dense

Question 17

Spherical round or oval having radiolucent center

Answer 17

Oil cyst or calcified cyst

Question 18

Coarse popcorn calcification, very high density

Answer 18

Calcified fibroadenoma

Question 19

Malignant or benign.

Spiculated margin or irregular margin, micro calcification

Answer 19

Malignant

Question 20

Indication for sonomammography

Answer 20

Breast parenchyma is dense mammography
Differentiate solid from cystic
Palpable mass

Question 21

What zone is composed of fat and muscle?

Answer 21

Retromammary

Question 22

What zone is composed of skin and overlying fat?

Answer 22

Premammary zone

Question 23

What zone is composed of fibroglandular tissue?

Answer 23

Mammary zone

Question 24

Anechoic mass with well defined margins and posterior acoustic enhancement is feature of?

Answer 24

Benign simple cyst

Question 25

Well defined solid oval mass with smooth margin is feature of?

Answer 25

Fibroadenoma

Question 26

This imaging is used to monitor response in chemo, help in cases of breast implants

Answer 26

MRI

Question 27

True or false. Rim enhancement is highly suggestive of high grade invasive ductal cancer and inflammatory cyst

Answer 27

True

Question 28

MRI. It appears as homogenously enhancing lesion

Answer 28

Ductal carcinoma

Question 29

MRI. It appears as HETEROGENEOUSLY enhancing irregularly shaped mass with spiculations

Answer 29

Invasive lobular carcinoma

Question 30

MRI. It appears as focal non mass enhancement

Answer 30

Ductal carcinoma in situ

Question 31

What special view? | Verify dermal nature of lesion like calcifications

Answer 31

Tangential view

Question 32

What special view? | Spot view magnification- to able to clearly delineate margins of lesions and configuration of calcifications

Answer 32

Magnification view

Question 33

What special view? | Compression in the area of suspected abnormality to spread out and separate overlapping tissue and structures

Answer 33

Spot compression

Question 34

What special view? | For triangulation and localizing lesion placing guide wire

Answer 34

Lateral view

Question 35

What special view? | Compression after rolling the tissue to separate superimposed tissues and focus on a specific area

Answer 35

Rolled view

Question 36

What special view? | Visualize medial aspect of breast near sternum

Answer 36

Valley view