MAMMOGRAPHY MOCK EXAM - PROCEDURES

MAMMOGRAPHY MOCK EXAM - PROCEDURES

- MAMMOGRAPHIC POSITIONING, SPECIAL

NEEDS AND IMAGING PROCEDURES –Q/A

When a patient with a protruding abdomen presents for a mammogram, you will encounter difficulty positioning the breast over the image detector. One possible solution may be to ask your patient to _____.

• Be seated for the examination so you can position the chair under the unit
• Stand slightly back from the digital detector then ask her to lean in with her

hips back

• Perform the FB (from below) as an alternative to the CC
• Replace the CC view with a ML view ✔️Ans - B. Stand slightly back from

the digital detector then ask her to lean in with her hips back The development of the C-View, a 2-D synthesized image, in Digital Breast Tomosynthesis (DBT) resulted in the elimination of the 2D exposure, a reduction in exam time and ______.

• Less breast compression
• More simplified patient positioning
• An increase in patient dose
• A reduction in patient dose ✔️Ans - D. A reduction in patient dose

_____ is the most valuable adjunct imaging method to mammography.

• Ultrasound (U/S)
• Magnetic Resonance Imaging (MRI)
• Computed Tomography (CT)
• Breast-Specific Gamma Imaging (BSGI) ✔️Ans - A. Ultrasound (U/S)

3D DBT images can be acquired in either a _____ or a step-and-shoot motion.

• Focal
• Rapid
• Continuous
• Slabbing ✔️Ans - C. Continuous

_____ is the most valuable modality for investigating the integrity of breast implants.

• Ultrasound (U/S) 1 / 3

• Magnetic Resonance Imaging (MRI)
• Computed Tomography (CT)
• Breast-Specific Gamma Imaging (BSGI) ✔️Ans - B. Magnetic Resonance

Imaging (MRI) ____ was/were developed for MR imaging of the breast for improved spatial resolution.

• Automatic exposure control
• Dedicated surface coils
• B-mode contact scanner
• Forward-inclined gantry ✔️Ans - B. Dedicated surface coils

Sentinel node mapping is performed following the injection of a radioactive tracer in order to locate the _____ for surgical biopsy and pathologic inspection.

• First lymph node to drain lymphatic fluid from the cancer site
• Cancerous tumor
• Levels two and three axillary lymph nodes
• Most dense area of fibroglandular tissue ✔️Ans - A. First lymph node to

drain lymphatic fluid from the cancer site _______ uses an iodinated intravenous contrast agent in combination with mammography, allowing the x-ray image to become enhanced to potentially detect hidden lesions or masses in the breast.

• Whole breast sonography
• Stereotactic Core Biopsy
• Contrast-enhanced spectral mammography (CESM)
• Fine-Needle Aspiration Cytology (FNAC) ✔️Ans - C. Contrast-enhanced

spectral mammography (CESM) ____ uses a thin needle and syringe to collect cell clumps or single cells from a breast lump.

• Fine-Needle Aspiration Cytology (FNAC)
• Stereotactic Core Biopsy
• Ductography / Galactography
• Sentinel Lymph Node Mapping ✔️Ans - A. Fine-Needle Aspiration

Cytology (FNAC) ____ utilizes the principle of triangulation to determine the horizontal, vertical and depth of the lesion within the breast. 2 / 3

• Stereotactic biopsy
• Ductography / Galactography
• Sentinel Lymph Node Mapping
• Open surgical biopsy ✔️Ans - A. Stereotactic biopsy

When a patient with a nonpalpable lump is scheduled for an open surgical biopsy, a ____ must be performed before the surgeon is able to excise the area.

• Computer Aided Detection (CAD)
• Needle localization procedure
• Ductogram / galactogram
• Sentinel lymph node mapping ✔️Ans - B. Needle localization procedure

Specimen radiography, utilizing a magnification technique, should always be done when a biopsy is performed for ____.

• Microcalcifications
• Nipple discharge
• Radial scar
• An area of asymmetry ✔️Ans - A. Microcalcifications

Prior to an interventional procedure, the benefits, limitations, and risks of the procedure, as well as alternative procedures should be discussed with the patient and _______ should be obtained and documented.

• Height and weight
• An oral agreement
• The informed consent form
• A standardized list of available items ✔️Ans - C. The informed consent

form The FDA approved the use of ______ only as an adjunct to mammography.

• Breast thermography
• Galactography
• Elastography
• Echogenography ✔️Ans - A. Breast thermography

3D breast tomosynthesis virtually eliminates the challenges associated with _____, the greatest problem associated with 2D mammography.

• Inadequate exposures
• Overlapping structures within the breast
• Patient motion
• / 3