ARDMS Breast Board questions with verified answers
___ only provides cystologic evaluation and not histologic
a. needle localization
b. fine needle aspiration
c. surgical biopsy
d. core biopsy Ans✓✓✓ b. fine needle aspiration
A 40 year old woman presents with a large palpable mass that has grown rapidly.
Sonography reveals a solid, lobulated mass with relatively circumscribed margins.
Small cystic clefts are seen within the mass. the diagnosis after a core biopsy is a
tumor representing a transitional form between a benign and malignant mass
known as:
a. medullary carcinoma
b.. lactating adenoma
c. phyllode tumor
d. colloid carcinoma Ans✓✓✓ c. phyllode tumor
A 50 year old female is referred for a breast sonogram. All of the following
aspects of her clinical history are important to know except:
a. pain and tenderness
b. nipple discharge
c. family history of breast cancer
d. localized edema
e. family history of gynecomastia Ans✓✓✓ e. family history of gynecomastia
,A 50 year old female is referred for a breast sonogram. All of the following
aspects of her history are important to know except:
a. pain and tenderness
b. nipple discharge
c. family history of breast cancer
d. localized edema
e. family history of gynecomastia Ans✓✓✓ e. family history of gynecomastia
a 56 year old woman presents with a large painful breast with nipple retraction.
The skin of this breast shows edema, erythema and thickening giving a "peau d'
orange" appearance. Axillary lymph nodes are palpable. She has a family history
of breast cancer. Sonography shows diffusely heterogeneous breast tissue, dilated
lymphatic channels, obscured fascial planes and skin thickening. The most likely
diagnosis is:
a. puerperal mastitis
b. inflammatory carcinoma
c. medullary carcinoma
d. dermatitis Ans✓✓✓ b. inflammatory carcinoma
A 60 year old woman presents with a palpable subareolar mass, nipple retraction,
and bloody nipple discharge. Sonography reveals a solid mass that is relatively
well marginated with a dilated duct. of the following, the most likely diagnosis is:
a. medullary carcinoma
b. invasive papillary carcinoma
c. papilloma
d. colloid carcinoma Ans✓✓✓ c. papilloma
,A breast cancer that represents malignant transformation of epithelial cells lining
the ducts and lobules without extension past the basement membrane in the
stroma is:
a. carcinoma in situ
b. invasive ductal
c. medullary
d. metastatic Ans✓✓✓ a. carcinoma in situ
A breast mass with a swiss cheese appearance in an 8 YO is likely to be:
a. juvenile fibroadenoma
b. Juvenile papillomatosis
c. juvenile fibrocystic disease
d. turner's syndrome Ans✓✓✓ B. Juvenile papillomatosis
A congenital absence of the nipple is defined by the term:
a. amastia
b. amazia
c. azymia
d. athelia Ans✓✓✓ d. athelia
A doppler signal recorded within the solid component of a cystic structure
indicates a:
a. papilloma
b. hemorrhagic cyst
c. complex cyst
, d. galactocele Ans✓✓✓ c. complex cyst
A hair follicle of the breast that may become obstructed is commonly called a(n):
a. paget's cyst
b. sebaceous cyst
c. endodermal inclusion cyst
d. papilloma Ans✓✓✓ b. sebaceous cyst
A hand held core biopsy instrument which uses a rotating cutting device and
vacuum system best describes:
a. fine needle aspiration
b. mammotomy
c. advanced breast biopsy instrument (ABBI)
d. core biopsy with tru-cut needle Ans✓✓✓ b. mammotomy
A lesion in the upper outer quadrant of the right breast corresponds with:
a. 12:00
b. 2:00
c. 5:00
d. 11:00 Ans✓✓✓ d. 11:00
A lesion is identified in the 2:00 position in the right breast. What quadrant does
this represent?
A. UO
B. UI
___ only provides cystologic evaluation and not histologic
a. needle localization
b. fine needle aspiration
c. surgical biopsy
d. core biopsy Ans✓✓✓ b. fine needle aspiration
A 40 year old woman presents with a large palpable mass that has grown rapidly.
Sonography reveals a solid, lobulated mass with relatively circumscribed margins.
Small cystic clefts are seen within the mass. the diagnosis after a core biopsy is a
tumor representing a transitional form between a benign and malignant mass
known as:
a. medullary carcinoma
b.. lactating adenoma
c. phyllode tumor
d. colloid carcinoma Ans✓✓✓ c. phyllode tumor
A 50 year old female is referred for a breast sonogram. All of the following
aspects of her clinical history are important to know except:
a. pain and tenderness
b. nipple discharge
c. family history of breast cancer
d. localized edema
e. family history of gynecomastia Ans✓✓✓ e. family history of gynecomastia
,A 50 year old female is referred for a breast sonogram. All of the following
aspects of her history are important to know except:
a. pain and tenderness
b. nipple discharge
c. family history of breast cancer
d. localized edema
e. family history of gynecomastia Ans✓✓✓ e. family history of gynecomastia
a 56 year old woman presents with a large painful breast with nipple retraction.
The skin of this breast shows edema, erythema and thickening giving a "peau d'
orange" appearance. Axillary lymph nodes are palpable. She has a family history
of breast cancer. Sonography shows diffusely heterogeneous breast tissue, dilated
lymphatic channels, obscured fascial planes and skin thickening. The most likely
diagnosis is:
a. puerperal mastitis
b. inflammatory carcinoma
c. medullary carcinoma
d. dermatitis Ans✓✓✓ b. inflammatory carcinoma
A 60 year old woman presents with a palpable subareolar mass, nipple retraction,
and bloody nipple discharge. Sonography reveals a solid mass that is relatively
well marginated with a dilated duct. of the following, the most likely diagnosis is:
a. medullary carcinoma
b. invasive papillary carcinoma
c. papilloma
d. colloid carcinoma Ans✓✓✓ c. papilloma
,A breast cancer that represents malignant transformation of epithelial cells lining
the ducts and lobules without extension past the basement membrane in the
stroma is:
a. carcinoma in situ
b. invasive ductal
c. medullary
d. metastatic Ans✓✓✓ a. carcinoma in situ
A breast mass with a swiss cheese appearance in an 8 YO is likely to be:
a. juvenile fibroadenoma
b. Juvenile papillomatosis
c. juvenile fibrocystic disease
d. turner's syndrome Ans✓✓✓ B. Juvenile papillomatosis
A congenital absence of the nipple is defined by the term:
a. amastia
b. amazia
c. azymia
d. athelia Ans✓✓✓ d. athelia
A doppler signal recorded within the solid component of a cystic structure
indicates a:
a. papilloma
b. hemorrhagic cyst
c. complex cyst
, d. galactocele Ans✓✓✓ c. complex cyst
A hair follicle of the breast that may become obstructed is commonly called a(n):
a. paget's cyst
b. sebaceous cyst
c. endodermal inclusion cyst
d. papilloma Ans✓✓✓ b. sebaceous cyst
A hand held core biopsy instrument which uses a rotating cutting device and
vacuum system best describes:
a. fine needle aspiration
b. mammotomy
c. advanced breast biopsy instrument (ABBI)
d. core biopsy with tru-cut needle Ans✓✓✓ b. mammotomy
A lesion in the upper outer quadrant of the right breast corresponds with:
a. 12:00
b. 2:00
c. 5:00
d. 11:00 Ans✓✓✓ d. 11:00
A lesion is identified in the 2:00 position in the right breast. What quadrant does
this represent?
A. UO
B. UI
