ARDMS BREAST REGISTRY
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Describe the anatomic location of the superficial fascia
including the superficial and deep layers within the breast.
Answer:
- At the breast the superficial fascia divides into the superficial and deep
layers, which provide an envelope containing all the breast tissues. - The
superficial layer is located in the premammary layer. - The deep layer is
located in the retromammary space.
Question 2: What is the smallest functional unit of the breast?
Answer:
Acini
Question 3: Acini are considered the :
Answer:
Milk producing gland
Question 4: Approximately how many units are in each breast?
Answer:
There are hundreds of acini in each breast
Question 5: Each acini gives rise to its own duct, called ____.
,Answer:
The terminal duct
Question 6: What is a TDLU?
Answer:
Terminal duct lobular unit
Question 7: What structures make up the TCLU?
Answer:
Approximately 30 acini (equaling a lobule) and its associated terminal ducts
make up the TDLU.
Question 8: What is the clinical significance of the TDLU?
Answer:
Nearly all breast pathology originates here
Question 9: What is another name for the mammary layer of the
breast?
Answer:
Glandular or parenchymal layer of the breast
Question 10: What is the axillary tail of spence?
Answer:
The portion of glandular tissue that extends from the upper outer quadrant of
each breast into the axillary region
,Question 11: The mammary layer of the breast is composed of
epithelial and stromal tissues. State the function of each tissue
type and name several anatomic structures that make up each
tissue type :
Answer:
- Epithelium is the functional tissue of the breast. - Epithelial tissue consists of
acini, TDLU's, lobules, lobes, and any part of the lactiferous ducts (including
the terminal ducts).
Question 12: - Stroma is the supportive tissue or framework of the
breast. - Stromal tissue consists of both the interlobular fat and
connective tissue (including Cooper's ligaments, loose and dense
connective tissue). What is the anatomic difference between the
lobules and lobes of the breast?
Answer:
- Several lobules make up a lobe. - Approximately 15 to 20 lobes make up
each breast. - One lactiferous duct arises from each lobe and travels toward
the nipple.
Question 13: State the different portions of the lactiferous duct of
the breast beginning deep and ending at the nipple :
Answer:
- Interlobular terminal duct - Extralobular terminal duct - Interlobular duct -
Lactiferous sinus - Collecting duct
Question 14: Name the 3 layers of the lactiferous duct :
Answer:
- Epithelium - Myoepithelium - Basement membrane or adventitia
, Question 15: What is the function of the myoepithelium ?
Answer:
Propel milk within the ducts toward the nipple
Question 16: Which muscle is most anterior -- pectoralis major or
minor?
Answer:
Pectoralis major lies anterior to the pectoralis minor
Question 17: What is the scanning significance of visualizing the
pectoralis muscles ?
Answer:
When the pectoral muscles are visualized on ultrasound, the sonographer is
sure to have imaged all of the breast tissue and can interrogate muscle
invasion from a breast lesion
Question 18: Which quadrant of the breast is glandular tissue
slightly more prominent?
Answer:
- The upper outer quadrant - Therefore, a larger percentage of breast cancers
are found here
Question 19: A mass in the 2:00 position of the left breast
corresponds with what quadrant?
Answer:
Upper outer quadrant
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Describe the anatomic location of the superficial fascia
including the superficial and deep layers within the breast.
Answer:
- At the breast the superficial fascia divides into the superficial and deep
layers, which provide an envelope containing all the breast tissues. - The
superficial layer is located in the premammary layer. - The deep layer is
located in the retromammary space.
Question 2: What is the smallest functional unit of the breast?
Answer:
Acini
Question 3: Acini are considered the :
Answer:
Milk producing gland
Question 4: Approximately how many units are in each breast?
Answer:
There are hundreds of acini in each breast
Question 5: Each acini gives rise to its own duct, called ____.
,Answer:
The terminal duct
Question 6: What is a TDLU?
Answer:
Terminal duct lobular unit
Question 7: What structures make up the TCLU?
Answer:
Approximately 30 acini (equaling a lobule) and its associated terminal ducts
make up the TDLU.
Question 8: What is the clinical significance of the TDLU?
Answer:
Nearly all breast pathology originates here
Question 9: What is another name for the mammary layer of the
breast?
Answer:
Glandular or parenchymal layer of the breast
Question 10: What is the axillary tail of spence?
Answer:
The portion of glandular tissue that extends from the upper outer quadrant of
each breast into the axillary region
,Question 11: The mammary layer of the breast is composed of
epithelial and stromal tissues. State the function of each tissue
type and name several anatomic structures that make up each
tissue type :
Answer:
- Epithelium is the functional tissue of the breast. - Epithelial tissue consists of
acini, TDLU's, lobules, lobes, and any part of the lactiferous ducts (including
the terminal ducts).
Question 12: - Stroma is the supportive tissue or framework of the
breast. - Stromal tissue consists of both the interlobular fat and
connective tissue (including Cooper's ligaments, loose and dense
connective tissue). What is the anatomic difference between the
lobules and lobes of the breast?
Answer:
- Several lobules make up a lobe. - Approximately 15 to 20 lobes make up
each breast. - One lactiferous duct arises from each lobe and travels toward
the nipple.
Question 13: State the different portions of the lactiferous duct of
the breast beginning deep and ending at the nipple :
Answer:
- Interlobular terminal duct - Extralobular terminal duct - Interlobular duct -
Lactiferous sinus - Collecting duct
Question 14: Name the 3 layers of the lactiferous duct :
Answer:
- Epithelium - Myoepithelium - Basement membrane or adventitia
, Question 15: What is the function of the myoepithelium ?
Answer:
Propel milk within the ducts toward the nipple
Question 16: Which muscle is most anterior -- pectoralis major or
minor?
Answer:
Pectoralis major lies anterior to the pectoralis minor
Question 17: What is the scanning significance of visualizing the
pectoralis muscles ?
Answer:
When the pectoral muscles are visualized on ultrasound, the sonographer is
sure to have imaged all of the breast tissue and can interrogate muscle
invasion from a breast lesion
Question 18: Which quadrant of the breast is glandular tissue
slightly more prominent?
Answer:
- The upper outer quadrant - Therefore, a larger percentage of breast cancers
are found here
Question 19: A mass in the 2:00 position of the left breast
corresponds with what quadrant?
Answer:
Upper outer quadrant