2013 Mammo

10 Questions | Total Attempts: 75

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2013 Mammo

Questions and Answers
  • 1. 
    A vacuum assisted needle biopsy is performed for calcifications. Follow-up excisional biopsy is recommended for which ONE of the following results?
    • A. 

      Stromal fibrosis

    • B. 

      Sclerosing adenosis

    • C. 

      Atypical ductal hyperplasia

    • D. 

      Apocrine metaplasia

  • 2. 
    • A. 

      Extracapsular silicone implant rupture

    • B. 

      Intracapsular silicone implant rupture

    • C. 

      Ruptured saline implant

    • D. 

      History of direct silicone injection

  • 3. 
    You are shown a left MLO and CC (magnification) mammogram. What is MOST descriptive of the calcifications? 
    • A. 

      Lucent-centered, diffuse

    • B. 

      Dystrophic, segmental

    • C. 

      Pleomorphic, segmental

    • D. 

      Amorphous, regional

  • 4. 
    • A. 

      Fibroadenoma

    • B. 

      Hamartoma

    • C. 

      Hematoma

    • D. 

      Galactocele

  • 5. 
    You are shown a mammogram of an asymptomatic woman who had lumpectomy and radiation therapy two years ago (Figures 3A and 3B). Which one of the following is the MOST appropriate recommendation? 
    • A. 

      Follow-up in one year

    • B. 

      Ultrasound evaluation

    • C. 

      Surgical biopsy

    • D. 

      MRI of the breast

  • 6. 
    • A. 

      Invasive lobular carcinoma

    • B. 

      Ductal carcinoma in situ

    • C. 

      Phyllodes tumor

    • D. 

      Tubular carcinoma

  • 7. 
    You are shown CC and MLO mammograms (Figures 2A through 2D). What is the MOST likely clinical presentation? 
    • A. 

      Peau d’orange skin in the left breast

    • B. 

      No symptom; patient presented for routine screening mammography

    • C. 

      Nipple discharge from the left breast

    • D. 

      Pruritus in the left breast

  • 8. 
    You are shown a screening mammogram. What does the calcification in the upper central breast MOST LIKELY represent? 
    • A. 

      Ductal carcinoma in-situ

    • B. 

      Skin calcification

    • C. 

      Milk-of-calcium

    • D. 

      Dystrophic calcification

  • 9. 
    What is the primary advantage of using an 11-gauge directional vacuum-assisted as compared to a 14-gauge automated core biopsy needle
    • A. 

      Less chance of bleeding

    • B. 

      Less chance of infection

    • C. 

      Less underestimation of disease

    • D. 

      Less expensive needle

  • 10. 
    Concerning screening for breast cancer, which does the American Cancer Society recommend?
    • A. 

      Annual mammogram beginning at age 50

    • B. 

      Baseline mammogram at age 35

    • C. 

      Screening before age 40 for women with high risk

    • D. 

      Clinical breast exam every 3 years from age 20 to 49 Rationales: