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