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Breast Boards ARDMS Questions and Answers Latest Version Already Passed
What is the primary role of breast ultrasound in the evaluation of a palpable breast lump?✔✔It helps differentiate between cystic and solid masses, providing additional information for diagnosis.
What is the most common benign breast lesion detected on ultrasound?✔✔Fibroadenoma.
What does a "hypoechoic" lesion generally indicate in breast ultrasound?✔✔It may suggest a solid lesion, such as a fibroadenoma, or a malignant tumor, depending on other characteristics.
What is the typical appearance of a simple breast cyst on ultrasound?✔✔A simple breast cyst appears as an anechoic (dark) structure with smooth, well-defined margins and posterior acoustic enhancement.
Why is it important to assess the axillary lymph nodes during a breast ultrasound? 1 / 3
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✔✔To check for possible metastasis or regional lymph node involvement, especially in cases of suspected malignancy.
What is the most common malignant breast tumor that can be visualized on ultrasound?✔✔Invasive ductal carcinoma (IDC).
What is the significance of "posterior acoustic shadowing" in breast ultrasound?✔✔It indicates that a lesion is solid and may be malignant, as it blocks the sound waves, creating a shadow behind it.
How does ultrasound differentiate between a cystic and a solid mass in the breast?✔✔Cystic masses are anechoic with smooth borders, while solid masses may have mixed echogenicity and irregular borders.
What is the benefit of using elastography in breast ultrasound?✔✔Elastography measures tissue stiffness, which can help differentiate benign from malignant lesions, as malignant tumors are typically stiffer.
What does a "spiculated" mass on breast ultrasound usually indicate? 2 / 3
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✔✔A spiculated mass often suggests a malignant tumor, as it represents irregular growth into surrounding tissue.
How does the use of a standoff pad improve the quality of breast ultrasound images?✔✔A standoff pad helps to visualize superficial lesions more clearly by reducing the distance between the transducer and the skin.
What is the role of Doppler ultrasound in evaluating breast lesions?✔✔Doppler ultrasound is used to assess blood flow within a lesion, which can help identify whether a mass is benign or malignant.
How does a breast ultrasound assist in evaluating breast implants?✔✔It can identify implant rupture, evaluate the surrounding tissue, and detect complications such as hematomas or seromas.
Why is the pectoralis muscle an important landmark in breast ultrasound?✔✔It helps to differentiate between breast tissue and deeper structures and can indicate the depth of a lesion in relation to the chest wall.
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