DAVIES BREAST SONOGRAPHY
REVIEW ARDMS. EXAM 2025
QUESTIONS AND ANSWERS
Which artifact may cause structures to look deeper than they actually are?
A. Side lobe
B. Shadowing
C. Refraction
D. Propagation speed error
E. Slice thickness - ANS D. propagation speed error
The optimum operating frequency for a broad-bandwidth transducer would
be:
A. 6 MHz
B. 7 MHz
C. 8 MHz
D. 9 MHz
E. 10 MHz - ANS C. 8
In breast sonography, which of the following is NOT significantly affected by the limited field of
view when imaging superficial structures?
A. Contrast resolution
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, B. Spatial resolution
C. Axial resolution
D. Lateral resolution
E. Temporal resolution - ANS E. temporal resolution
Which of the following affects the actual intensity of the sound utilized for imaging?
A. TGC
B. Output power
C. Overall gain
D. Dynamic range
E. Harmonics - ANS B. output power
The dynamic range of a display is the:
A, Number of gray shades
B. Depth of focal zone
C. Intensity of sound utilized
D. Image scale
E. Output power - ANS A. number of gray shades
6.
Using color/power Doppler while a patient hums to better delineate a mass is called:
A. Aliasing
B. Spectral mirroring
C. Ring-down
D. Harmonics
E. Fremitus - ANS E. fremitus
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, 7. A standoff pad thicker than 1 cm is NOT recommended because it will:
A. Make the skin line look thicker than normal.
B. Affect the optimal placement of the fixed elevation plane focus.
C. Compress the mammary layer and make it look fibrotic.
D. Cause enhancement of echoes in the mammary zone.
E. Cause decreased penetration and an inability to see the chest wall. - ANS B. affect the
optimal placement of the fixed elevation plane focus
Which type of transducer does NOT allow the sonographer to vary the focusing capabilities?
A. Electronic linear array
B. Electronic convex array
C. Annular array
D. Mechanical sector
E. Electronic sector - ANS D. mechanical sector
9. When taking patient history for a breast sonogram, what information from a
previous mammogram would NOT be considered relevant?
A. Symmetry of breasts
B. Location of a questionable lesion
C. Size of a questionable lesion
D. Date and results of a previous mammogram
E. Name of the radiographer - ANS E. Name of radiologist
10. Image amplitude is affected by:
A. Power
B. Overall gain
C. Time gain compensation (TGC)
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, D. A and B
E. A, B, and C - ANS E. Power, TGC, Overall gain
11. High-frequency transducers used in breast imaging provide excellent
resolution of breast tissues but limited:
A. Focusing options
B. Gain adjustment
C. Penetration
D. Gray scale
E. Scan lines - ANS C. penetration
2. When using the 123-ABC method of annotation, "B" would indicate:
A. Mass is close to the nipple.
B. Mass is medium shade of gray
C. Mass is in the mammary zone.
D. Mass is benign.
E. Mass requires biopsy. - ANS C. mass is in the mammary zone
13. In the 123-ABC method of annotation, the numbers denote the:
A. Distance from nipple
B. Depth of the mass
C. Number of masses
D. Stage of cancer
E. Sequence of imaging - ANS A. distance from nipple
14. Which method of patient positioning is best for evaluating the medial aspect of the breast?
A. Posterior oblique
4|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
REVIEW ARDMS. EXAM 2025
QUESTIONS AND ANSWERS
Which artifact may cause structures to look deeper than they actually are?
A. Side lobe
B. Shadowing
C. Refraction
D. Propagation speed error
E. Slice thickness - ANS D. propagation speed error
The optimum operating frequency for a broad-bandwidth transducer would
be:
A. 6 MHz
B. 7 MHz
C. 8 MHz
D. 9 MHz
E. 10 MHz - ANS C. 8
In breast sonography, which of the following is NOT significantly affected by the limited field of
view when imaging superficial structures?
A. Contrast resolution
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, B. Spatial resolution
C. Axial resolution
D. Lateral resolution
E. Temporal resolution - ANS E. temporal resolution
Which of the following affects the actual intensity of the sound utilized for imaging?
A. TGC
B. Output power
C. Overall gain
D. Dynamic range
E. Harmonics - ANS B. output power
The dynamic range of a display is the:
A, Number of gray shades
B. Depth of focal zone
C. Intensity of sound utilized
D. Image scale
E. Output power - ANS A. number of gray shades
6.
Using color/power Doppler while a patient hums to better delineate a mass is called:
A. Aliasing
B. Spectral mirroring
C. Ring-down
D. Harmonics
E. Fremitus - ANS E. fremitus
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, 7. A standoff pad thicker than 1 cm is NOT recommended because it will:
A. Make the skin line look thicker than normal.
B. Affect the optimal placement of the fixed elevation plane focus.
C. Compress the mammary layer and make it look fibrotic.
D. Cause enhancement of echoes in the mammary zone.
E. Cause decreased penetration and an inability to see the chest wall. - ANS B. affect the
optimal placement of the fixed elevation plane focus
Which type of transducer does NOT allow the sonographer to vary the focusing capabilities?
A. Electronic linear array
B. Electronic convex array
C. Annular array
D. Mechanical sector
E. Electronic sector - ANS D. mechanical sector
9. When taking patient history for a breast sonogram, what information from a
previous mammogram would NOT be considered relevant?
A. Symmetry of breasts
B. Location of a questionable lesion
C. Size of a questionable lesion
D. Date and results of a previous mammogram
E. Name of the radiographer - ANS E. Name of radiologist
10. Image amplitude is affected by:
A. Power
B. Overall gain
C. Time gain compensation (TGC)
3|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, D. A and B
E. A, B, and C - ANS E. Power, TGC, Overall gain
11. High-frequency transducers used in breast imaging provide excellent
resolution of breast tissues but limited:
A. Focusing options
B. Gain adjustment
C. Penetration
D. Gray scale
E. Scan lines - ANS C. penetration
2. When using the 123-ABC method of annotation, "B" would indicate:
A. Mass is close to the nipple.
B. Mass is medium shade of gray
C. Mass is in the mammary zone.
D. Mass is benign.
E. Mass requires biopsy. - ANS C. mass is in the mammary zone
13. In the 123-ABC method of annotation, the numbers denote the:
A. Distance from nipple
B. Depth of the mass
C. Number of masses
D. Stage of cancer
E. Sequence of imaging - ANS A. distance from nipple
14. Which method of patient positioning is best for evaluating the medial aspect of the breast?
A. Posterior oblique
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