MAMMOGRAPHY BOARD EXAM 2026-2027 | LATEST VERSION
Mammography Board Certification Exam with Complete Questions & Verified Correct Answers | Updated
to Current ARRT, MQSA, and ACR Standards
Overview
This 2026-2027 updated resource contains the latest Mammography Board Certification Exam
with the exact 200 questions and verified correct answers, following current ARRT (American Registry
of Radiologic Technologists) mammography content specifications, FDA MQSA (Mammography Quality
Standards Act) requirements, ACR (American College of Radiology) standards, and evidence-based breast
imaging protocols.
Key Features
● ✓ Actual mammography board exam format with the official 200 questions
● ✓ Comprehensive coverage of breast anatomy, pathology, imaging, and quality assurance
● ✓ Updated 2026-2027 FDA MQSA regulations and ACR accreditation standards
● ✓ Digital breast tomosynthesis (DBT) and advanced breast imaging protocols
● ✓ Patient care and communication standards for breast imaging services
Core Content Areas (200 Total Questions)
● Patient Care & Education (35 Qs)
● Anatomy, Physiology & Pathology (40 Qs)
● Mammographic Procedures & Positioning (45 Qs)
● Image Acquisition & Processing (35 Qs)
● Quality Assurance & MQSA Compliance (30 Qs)
● Breast Interventions & Special Procedures (15 Qs)
Answer Format
Correct answers are marked in bold green and include:
● FDA MQSA regulation citations and compliance requirements
● ACR BI-RADS® (Breast Imaging Reporting and Data System) category applications
● Radiation dose optimization techniques for different breast densities
● Positioning error corrections and compression optimization strategies
● Quality control test frequencies and acceptable performance ranges
● Patient communication protocols for difficult clinical scenarios
Updates for 2026-2027
● 🔹
🔹 Reflects 2026-2027 ARRT mammography content specification revisions
●
● 🔹
🔹
Updated FDA MQSA final rule requirements for DBT and advanced imaging
Enhanced dense breast notification and supplemental screening protocols
●
● 🔹
🔹
New ACR BI-RADS® updates and artificial intelligence integration standards
Revised contrast-enhanced mammography and breast MRI correlation protocols
●
● 🔹 Updated patient safety and radiation dose monitoring requirements
New cultural competency and health equity standards in breast cancer screening
, ● 🔹 Revised continuing education and competency assessment requirements
Full Exam: 200 Questions with Verified Answers
1. Which of the following is the most appropriate way to address patient anxiety prior to a
mammogram?
A. Avoid discussing the procedure to prevent increased anxiety
B. Provide clear, empathetic explanations of each step before it occurs
C. Tell the patient the exam will be painless
D. Ask the patient to wait silently until the technologist is ready
B. Provide clear, empathetic explanations of each step before it occurs — Per ACR and
MQSA patient communication standards, informed and empathetic communication reduces anxiety
and improves compliance.
2. According to FDA MQSA regulations, what is the minimum requirement for continuing
education for mammography technologists?
A. 10 hours every 5 years
B. 15 hours every 3 years specific to mammography
C. 24 hours every 2 years in general radiography
D. No continuing education is required after initial certification
B. 15 hours every 3 years specific to mammography — FDA 21 CFR §900.13 requires 15
mammography-specific CE credits every 36 months.
3. A patient with limited English proficiency arrives for a screening mammogram. What is
the best practice?
A. Use family members as interpreters
B. Proceed without interpretation to avoid delays
C. Utilize qualified medical interpreters or trained bilingual staff per institutional policy
D. Reschedule for a day when a radiologist is available
, C. Utilize qualified medical interpreters or trained bilingual staff per institutional policy
— Required under Title VI of the Civil Rights Act and ACR guidance on cultural competency (2026
update).
4. Which BI-RADS category requires diagnostic mammography and/or ultrasound for
evaluation?
A. BI-RADS 1
B. BI-RADS 2
C. BI-RADS 0
D. BI-RADS 3
C. BI-RADS 0 — BI-RADS 0 indicates incomplete assessment and requires additional imaging.
5. When educating a patient about dense breast tissue, you should:
A. Reassure them that dense tissue is abnormal and requires biopsy
B. Explain that dense tissue is common and may reduce mammogram sensitivity
C. Advise immediate breast MRI for all patients with dense breasts
D. Disclose only if the patient asks
B. Explain that dense tissue is common and may reduce mammogram sensitivity —
Aligns with 2026 FDA dense breast notification requirements and ACR supplemental screening
guidelines.
6. The primary purpose of breast compression during mammography is to:
A. Reduce patient motion only
B. Minimize radiation dose and improve image sharpness
C. Make the exam faster
D. Eliminate the need for repeat images
B. Minimize radiation dose and improve image sharpness — Compression reduces tissue
thickness, lowering required mAs and minimizing geometric blur.
7. Which structure is most commonly visualized in the axillary tail on the mediolateral
oblique (MLO) view?
A. Pectoralis major muscle
, B. Axillary lymph nodes
C. Latissimus dorsi
D. Cooper’s ligaments
B. Axillary lymph nodes — The MLO view includes the axillary tail where level I lymph nodes may
be seen.
8. Ductal carcinoma in situ (DCIS) most commonly appears on mammography as:
A. A well-circumscribed mass
B. Pleomorphic calcifications
C. A simple cyst
D. Architectural distortion without calcifications
B. Pleomorphic calcifications — DCIS frequently presents as linear or branching pleomorphic
calcifications.
9. What is the maximum allowable phantom image score for MQSA compliance on weekly
QC testing?
A. 2 fibers, 2 specks, 2 masses
B. 4 fibers, 3 specks, 3 masses
C. 3 fibers, 2 specks, 2 masses
D. 4 fibers, 4 specks, 4 masses
B. 4 fibers, 3 specks, 3 masses — Per FDA MQSA (2026 update), the ACR phantom must meet or
exceed this threshold weekly.
10. Digital Breast Tomosynthesis (DBT) reduces:
A. Radiation dose compared to 2D mammography
B. Tissue overlap, improving cancer detection
C. The need for compression
D. The importance of positioning
B. Tissue overlap, improving cancer detection — DBT acquires multiple slices, reducing
superimposition and increasing sensitivity, especially in dense breasts.
Mammography Board Certification Exam with Complete Questions & Verified Correct Answers | Updated
to Current ARRT, MQSA, and ACR Standards
Overview
This 2026-2027 updated resource contains the latest Mammography Board Certification Exam
with the exact 200 questions and verified correct answers, following current ARRT (American Registry
of Radiologic Technologists) mammography content specifications, FDA MQSA (Mammography Quality
Standards Act) requirements, ACR (American College of Radiology) standards, and evidence-based breast
imaging protocols.
Key Features
● ✓ Actual mammography board exam format with the official 200 questions
● ✓ Comprehensive coverage of breast anatomy, pathology, imaging, and quality assurance
● ✓ Updated 2026-2027 FDA MQSA regulations and ACR accreditation standards
● ✓ Digital breast tomosynthesis (DBT) and advanced breast imaging protocols
● ✓ Patient care and communication standards for breast imaging services
Core Content Areas (200 Total Questions)
● Patient Care & Education (35 Qs)
● Anatomy, Physiology & Pathology (40 Qs)
● Mammographic Procedures & Positioning (45 Qs)
● Image Acquisition & Processing (35 Qs)
● Quality Assurance & MQSA Compliance (30 Qs)
● Breast Interventions & Special Procedures (15 Qs)
Answer Format
Correct answers are marked in bold green and include:
● FDA MQSA regulation citations and compliance requirements
● ACR BI-RADS® (Breast Imaging Reporting and Data System) category applications
● Radiation dose optimization techniques for different breast densities
● Positioning error corrections and compression optimization strategies
● Quality control test frequencies and acceptable performance ranges
● Patient communication protocols for difficult clinical scenarios
Updates for 2026-2027
● 🔹
🔹 Reflects 2026-2027 ARRT mammography content specification revisions
●
● 🔹
🔹
Updated FDA MQSA final rule requirements for DBT and advanced imaging
Enhanced dense breast notification and supplemental screening protocols
●
● 🔹
🔹
New ACR BI-RADS® updates and artificial intelligence integration standards
Revised contrast-enhanced mammography and breast MRI correlation protocols
●
● 🔹 Updated patient safety and radiation dose monitoring requirements
New cultural competency and health equity standards in breast cancer screening
, ● 🔹 Revised continuing education and competency assessment requirements
Full Exam: 200 Questions with Verified Answers
1. Which of the following is the most appropriate way to address patient anxiety prior to a
mammogram?
A. Avoid discussing the procedure to prevent increased anxiety
B. Provide clear, empathetic explanations of each step before it occurs
C. Tell the patient the exam will be painless
D. Ask the patient to wait silently until the technologist is ready
B. Provide clear, empathetic explanations of each step before it occurs — Per ACR and
MQSA patient communication standards, informed and empathetic communication reduces anxiety
and improves compliance.
2. According to FDA MQSA regulations, what is the minimum requirement for continuing
education for mammography technologists?
A. 10 hours every 5 years
B. 15 hours every 3 years specific to mammography
C. 24 hours every 2 years in general radiography
D. No continuing education is required after initial certification
B. 15 hours every 3 years specific to mammography — FDA 21 CFR §900.13 requires 15
mammography-specific CE credits every 36 months.
3. A patient with limited English proficiency arrives for a screening mammogram. What is
the best practice?
A. Use family members as interpreters
B. Proceed without interpretation to avoid delays
C. Utilize qualified medical interpreters or trained bilingual staff per institutional policy
D. Reschedule for a day when a radiologist is available
, C. Utilize qualified medical interpreters or trained bilingual staff per institutional policy
— Required under Title VI of the Civil Rights Act and ACR guidance on cultural competency (2026
update).
4. Which BI-RADS category requires diagnostic mammography and/or ultrasound for
evaluation?
A. BI-RADS 1
B. BI-RADS 2
C. BI-RADS 0
D. BI-RADS 3
C. BI-RADS 0 — BI-RADS 0 indicates incomplete assessment and requires additional imaging.
5. When educating a patient about dense breast tissue, you should:
A. Reassure them that dense tissue is abnormal and requires biopsy
B. Explain that dense tissue is common and may reduce mammogram sensitivity
C. Advise immediate breast MRI for all patients with dense breasts
D. Disclose only if the patient asks
B. Explain that dense tissue is common and may reduce mammogram sensitivity —
Aligns with 2026 FDA dense breast notification requirements and ACR supplemental screening
guidelines.
6. The primary purpose of breast compression during mammography is to:
A. Reduce patient motion only
B. Minimize radiation dose and improve image sharpness
C. Make the exam faster
D. Eliminate the need for repeat images
B. Minimize radiation dose and improve image sharpness — Compression reduces tissue
thickness, lowering required mAs and minimizing geometric blur.
7. Which structure is most commonly visualized in the axillary tail on the mediolateral
oblique (MLO) view?
A. Pectoralis major muscle
, B. Axillary lymph nodes
C. Latissimus dorsi
D. Cooper’s ligaments
B. Axillary lymph nodes — The MLO view includes the axillary tail where level I lymph nodes may
be seen.
8. Ductal carcinoma in situ (DCIS) most commonly appears on mammography as:
A. A well-circumscribed mass
B. Pleomorphic calcifications
C. A simple cyst
D. Architectural distortion without calcifications
B. Pleomorphic calcifications — DCIS frequently presents as linear or branching pleomorphic
calcifications.
9. What is the maximum allowable phantom image score for MQSA compliance on weekly
QC testing?
A. 2 fibers, 2 specks, 2 masses
B. 4 fibers, 3 specks, 3 masses
C. 3 fibers, 2 specks, 2 masses
D. 4 fibers, 4 specks, 4 masses
B. 4 fibers, 3 specks, 3 masses — Per FDA MQSA (2026 update), the ACR phantom must meet or
exceed this threshold weekly.
10. Digital Breast Tomosynthesis (DBT) reduces:
A. Radiation dose compared to 2D mammography
B. Tissue overlap, improving cancer detection
C. The need for compression
D. The importance of positioning
B. Tissue overlap, improving cancer detection — DBT acquires multiple slices, reducing
superimposition and increasing sensitivity, especially in dense breasts.
