Mammography Registry Review
UPDATED Exam Questions and
CORRECT Answers
BSE involves - Correct Answer- Looking & feeling for changes in the breast
CBE is a check of the breast by who? - Correct Answer- Qualified healthcare professional
ACS recommends women 20 & older perform BSE - Correct Answer- Every month
Women 20-39 should have a CBE how often? - Correct Answer- Every 3 years
Women 40 & older should have screen mammo & CBE how often? - Correct Answer- Every
year
Thorough clinical exam will: - Correct Answer- Locate lumps/suspicious areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Medical/family history provides: - Correct Answer- Symptoms & risk factors for breast
cancer & benign breast conditions; questions about other health problems
Effectiveness & sensitivity of mammogram ------- with age. - Correct Answer- Increases
Average glandular dose of screen-film mammogram with grid - Correct Answer- 0.1-0.2 rad
Biggest risk factor for breast cancer - Correct Answer- Gender
High risk factors - Correct Answer- Age
,Genes-brCA1&2...
Close blood relative
Personal hx breast ca
Moderate risk factors - Correct Answer- 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
Minor risk factors - Correct Answer- No child bearing or after 30
Not breast feeding
Early menarche/late menopause
Post menopausal obesity
Long term use HRT/contraceptive
Alcohol consumption
Obesity
Examples of benign breast disease - Correct Answer- Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin thickening
2 main classes breast cancer - Correct Answer- Ductal
Lobular
Most common breast cancer
90% all cases? - Correct Answer- Ductal carcinoma
Stage 0 carcinoma, confined to duct - Correct Answer- DCIS
, Cancer has spread from ducts into surrounding stromal tissue & possibly pectoral fascia/
muscle - Correct Answer- Invasive/infiltrating Ductal carcinoma
Lobular carcinoma accounts for --- to ----% all breast cancers - Correct Answer- 5-10
Not seen on mammo in 50% cases, abnormal cells grow w/in lobules not penetrating lobule
walls - Correct Answer- Lobular carcinoma in situ
Difficult to perceive on mammo, may show as spider web or cause skin retraction - Correct
Answer- Invasive lobular carcinoma
Other breast carcinomas account for less than 10% & have ----- prognosis than infiltrating
Ductal/lobular cancers - Correct Answer- Better
Single most effective tool in detection breast cancer - Correct Answer- Mammogram
Describe malignant asymmetric density on mammogram - Correct Answer-
Speculated/stellate lesion w solid central tumor & radiating structures
Malignant circumscribed lesions - Correct Answer- Ill-defined & high density radiopaque,
except few rare are low density
Ductal ca+ - Correct Answer- Granular or casting type Ca+ & usually appear in clusters
2 types mammography screening - Correct Answer- Conventional-analog
Digital-w cassette or wo
2 types digital detectors - Correct Answer- Direct
Indirect
(Both are cassette-less)
Uses high frequency sound waves & based on pizoelectric effect - Correct Answer- U/S
UPDATED Exam Questions and
CORRECT Answers
BSE involves - Correct Answer- Looking & feeling for changes in the breast
CBE is a check of the breast by who? - Correct Answer- Qualified healthcare professional
ACS recommends women 20 & older perform BSE - Correct Answer- Every month
Women 20-39 should have a CBE how often? - Correct Answer- Every 3 years
Women 40 & older should have screen mammo & CBE how often? - Correct Answer- Every
year
Thorough clinical exam will: - Correct Answer- Locate lumps/suspicious areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Medical/family history provides: - Correct Answer- Symptoms & risk factors for breast
cancer & benign breast conditions; questions about other health problems
Effectiveness & sensitivity of mammogram ------- with age. - Correct Answer- Increases
Average glandular dose of screen-film mammogram with grid - Correct Answer- 0.1-0.2 rad
Biggest risk factor for breast cancer - Correct Answer- Gender
High risk factors - Correct Answer- Age
,Genes-brCA1&2...
Close blood relative
Personal hx breast ca
Moderate risk factors - Correct Answer- 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
Minor risk factors - Correct Answer- No child bearing or after 30
Not breast feeding
Early menarche/late menopause
Post menopausal obesity
Long term use HRT/contraceptive
Alcohol consumption
Obesity
Examples of benign breast disease - Correct Answer- Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin thickening
2 main classes breast cancer - Correct Answer- Ductal
Lobular
Most common breast cancer
90% all cases? - Correct Answer- Ductal carcinoma
Stage 0 carcinoma, confined to duct - Correct Answer- DCIS
, Cancer has spread from ducts into surrounding stromal tissue & possibly pectoral fascia/
muscle - Correct Answer- Invasive/infiltrating Ductal carcinoma
Lobular carcinoma accounts for --- to ----% all breast cancers - Correct Answer- 5-10
Not seen on mammo in 50% cases, abnormal cells grow w/in lobules not penetrating lobule
walls - Correct Answer- Lobular carcinoma in situ
Difficult to perceive on mammo, may show as spider web or cause skin retraction - Correct
Answer- Invasive lobular carcinoma
Other breast carcinomas account for less than 10% & have ----- prognosis than infiltrating
Ductal/lobular cancers - Correct Answer- Better
Single most effective tool in detection breast cancer - Correct Answer- Mammogram
Describe malignant asymmetric density on mammogram - Correct Answer-
Speculated/stellate lesion w solid central tumor & radiating structures
Malignant circumscribed lesions - Correct Answer- Ill-defined & high density radiopaque,
except few rare are low density
Ductal ca+ - Correct Answer- Granular or casting type Ca+ & usually appear in clusters
2 types mammography screening - Correct Answer- Conventional-analog
Digital-w cassette or wo
2 types digital detectors - Correct Answer- Direct
Indirect
(Both are cassette-less)
Uses high frequency sound waves & based on pizoelectric effect - Correct Answer- U/S
