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Davies Breast ARDMS Questions and Answers Latest Version Already Passed
What is the most likely characteristic of a benign breast mass on ultrasound?
- Irregular margins and shadowing
- Taller than wide with microlobulation
- Hypoechoic with posterior enhancement
✔✔B. Oval shape, wider than tall orientation
Which breast layer contains Cooper’s ligaments?
- Retromammary layer
- Mammary layer
- Chest wall layer
✔✔B. Subcutaneous layer
What is the most common location for breast cancer to occur?✔✔A. Upper outer quadrant
- Lower inner quadrant
- Subareolar region 1 / 4
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- Lower outer quadrant
Which transducer is most appropriate for breast ultrasound imaging?
- 2–4 MHz curved array
- 5 MHz phased array
- 3–5 MHz sector probe
✔✔C. 10–18 MHz linear array
What feature suggests a malignant breast mass rather than a benign one?
- Well-defined margins and oval shape
- Hyperechoic internal echoes
- Wider than tall orientation
✔✔C. Angular or spiculated margins
What is the echogenicity of a simple breast cyst on ultrasound?✔✔A. Anechoic with posterior enhancement
- Isoechoic with internal echoes
- Hyperechoic with shadowing 2 / 4
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- Complex with septations
Which structure appears as an echogenic line on breast ultrasound and provides structural support to the breast?
- Lactiferous ducts
- Pectoralis muscle
- Retromammary fat
✔✔B. Cooper’s ligaments
Which of the following is a hallmark feature of fibroadenoma?
- Rapid growth and calcifications
- Posterior shadowing and angular margins
- Irregular borders and taller-than-wide shape
✔✔C. Homogeneous, hypoechoic, well-circumscribed
What is the best imaging plane for evaluating a breast mass with ultrasound?
- Coronal plane only
- Axial plane using a sector probe 3 / 4
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✔✔C. Radial and antiradial planes
- Sagittal only
Which of the following most accurately describes ductal carcinoma in situ (DCIS)?✔✔A. Malignant cells confined within the ducts
- Benign mass in the lobules
- Invasive cancer spreading beyond the duct
- Fibrocystic change of the breast
What is the purpose of elastography in breast imaging?
- Detect microcalcifications
- Measure blood flow velocity
- Determine fat vs glandular ratio
✔✔B. Assess tissue stiffness to differentiate benign vs malignant
Which of the following typically shows increased vascularity on Doppler ultrasound?
- Simple cyst
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✔✔B. Invasive ductal carcinoma