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ARDMS Breast Registry Review Questions and Answers Latest Version 100% Pass
What is the most likely sonographic appearance of a fibroadenoma in a young woman?✔✔ Oval, well-circumscribed, hypoechoic, and wider-than-tall mass
What is the purpose of using elastography in breast ultrasound?✔✔ To assess tissue stiffness and differentiate benign from malignant lesions
Which breast tissue layer contains Cooper's ligaments?✔✔ Subcutaneous and mammary layers
What structure appears as a hyperechoic line extending from the skin toward the chest wall on ultrasound?✔✔ Cooper’s ligaments
What patient position is best for imaging the medial breast with ultrasound?✔✔ Supine with the arm raised above the head 1 / 4
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How does a galactocele typically appear on ultrasound?✔✔ Cystic mass with internal echoes and fluid-fat levels
What is a common feature of ductal carcinoma in situ (DCIS) on ultrasound?✔✔ Microcalcifications with or without ductal changes
What breast lesion may cause posterior acoustic enhancement?✔✔ Simple cyst
Which direction is best for scanning the upper outer quadrant of the left breast?✔✔ Radial orientation
What is the significance of posterior shadowing in a solid breast mass?✔✔ Suggests malignancy due to dense tissue attenuation
What is a sentinel lymph node?✔✔ The first lymph node to receive drainage from a breast tumor 2 / 4
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Which sonographic sign may suggest an intraductal papilloma?✔✔ Focal ductal dilatation with an intraductal mass
Why is compression applied during breast ultrasound?✔✔ To distinguish cystic from solid lesions and reduce artifact
What artifact helps identify a cystic breast lesion?✔✔ Posterior acoustic enhancement
What is the typical sonographic appearance of a lipoma in the breast?✔✔ Isoechoic or hyperechoic, well-defined, compressible mass
What feature of a mass most strongly suggests malignancy?✔✔ Taller-than-wide orientation
What is the most common benign breast tumor in young women?✔✔ Fibroadenoma 3 / 4
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What is the best modality for evaluating breast implants?
✔✔ MRI
What type of transducer is most appropriate for breast ultrasound?✔✔ High-frequency linear array
What is a common cause of nipple discharge evaluated with ultrasound?✔✔ Intraductal papilloma
How does fat necrosis appear on breast ultrasound?✔✔ Complex mass with possible calcifications and oil cysts
What is the role of color Doppler in breast imaging?✔✔ To evaluate vascularity of a lesion and differentiate solid from cystic structures
What is a suspicious feature of an axillary lymph node?✔✔ Round shape with loss of fatty hilum
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