Breast Screening & Diagnostic Practice Test

These questions are part of the practice quiz. Start practicing

• In the 123 method, which location is at mid distance from the nipple?
• The recommended scanning approach to assess ductal extension after lesion detection is:
• Which breast cancer histology is often associated with subtle imaging patterns rather than a discrete mass?
• Which term denotes the Upper Outer Quadrant of the left breast?
• Which pair correctly describes the main categories of breast imaging used in screening and diagnostic workups?
• How does patient positioning and body habitus influence image interpretation?
• Which term is described as helpful across several breast tissue evaluation scenarios such as normal tissue, ill-defined borders, and posterior margins?
• In the ABC method, which depth corresponds to label A?
• What is a palpable area also considered?
• Positioning the patient with a pillow or wedge helps achieve what during imaging?
• Protocol of general breast screening is ?
• Which term best describes a palpable area that is not freely mobile?
• Which statement best describes the effect of a stand off pad on image quality?
• A breast cyst that contains low level internal echoes but no solid components or vascularity is most accurately described as which type?
• When scanning a lesion, which orientation best visualizes ductal extension branching toward the nipple?
• What can be helpful when evaluating benign vs malignant characteristics?
• What attributes should be documented for a palpable area?
• In breast MRI, which contrast agent type is preferred when possible?
• What international QA standards or accreditation requirements are relevant to breast imaging?
• Breast ultrasound is considered?
• What is the recommended approach to communication and decision-making when breast density is high?
• Targeted ultrasound-guided biopsy is performed when the lesion is visible on ultrasound. Which statement is true?
• In describing a complicated cyst, the term 'cloudy' is paired with which word to indicate its benign nature?
• A complex cyst is described as cystic plus what kind of parts?
• What can be helpful when evaluating non visualized posterior margin?
• Which consistencies could be documented for a palpable area?
• What does the 123 method describe?
• Which imaging modality is commonly used to assess implant integrity when evaluating breast implants?
• How do recall rate, PPV, and CDR relate to program quality?
• What are some types of stand-off pads?
• What mobility could be documented for a palpable area?
• Which MRI sequences and safety considerations are important for breast MRI in high-risk patients?
• How is data privacy and record-keeping maintained in breast imaging?
• In regards to fremitus what occurs with foreign tissues/ tumors?
• Differentiate screening from diagnostic breast imaging pathways.
• When is MRI-guided biopsy used and what does it involve?
• Internal echoes within a benign lesion may?
• What is the role of receptor status in guiding systemic therapy?
• Which of the following is true about dynamic techniques used in breast ultrasound?
• How would you approach a performance improvement plan for a breast screening program?
• Which organization recommends using radial/ anti radial scanning?
• Dense breast is categorized as ?
• What is the proper annotation for quadrant levels of the right breast?
• If the echogenic foci are very close to the wall of a lesion, what is recommended?
• What is the purpose of using radiopaque clips during biopsy planning?
• Which feature is most directly associated with a higher suspicion of malignancy in cystic breast lesions?
• Which observation would indicate a benign mass mobility within tissue?
• Evaluation of inflammation in the breast usually suggests?
• If a breast lesion is found, the area should be scanned in which orientation?
• When performing a diagnostic or targeted exam, ___ is evaluated?
• How are incidental findings on breast MRI managed?
• The anti radial orientation is described as being perpendicular to what?
• Stand-off pads used in breast imaging can include which of the following materials?
• Which statement best contrasts a complicated cyst with a complex cyst?
• Which items are essential components of a diagnostic breast ultrasound report?
• Which statement best describes a key component of an ultrasound report for abnormal findings?
• Which technique in the diagnostic protocol is used to assess tissue stiffness?
• Why is a complex cyst considered more concerning than a complicated cyst?
• Coffee consumption has what effect on breast tissue?
• A breast cyst with internal debris, thin walls, posterior acoustic enhancement, and no Doppler flow is categorized as?
• What is a risk of scanning only in SAG/TRV when a lesion is found?
• Anti radial is considered to be which orientation relative to the ducts?
• In breast screening programs, which set of metrics best describes program quality?
• What do we use to engage fremitus?
• Which BI-RADS category is associated with a biopsy recommendation?
• Three dimensional technology offers imaging in what three planes?
• Which imaging modality is particularly useful for problem-solving in known disease or implant patients to assess extent and implants?
• What are common pitfalls in breast imaging interpretation leading to false positives/negatives?
• What does chocolate do to breast tissue according to the material?
• What is the key ultrasound feature that distinguishes a complicated breast cyst from a complex breast cyst?
• What is the significance of calcifications described as "clustered" and "pleomorphic" on mammography?
• What does BIRADS Category 2 indicate?
• What is the primary goal of screening breast ultrasound?
• In the depth-label scheme, which depth corresponds to label A?
• Automated imaging is best for patients with?
• In mammography, automated imaging is most appropriate for tissue density categorized as what?
• What can be helpful when evaluating ill defined borders?
• What is essential when preparing a patient for recall diagnostic workup?
• What can be helpful when evaluating normal tissue vs isoechoic tumor?
• Which term denotes the Lower Inner Quadrant?
• Which statement about simple cysts on ultrasound is true?
• Why is dense tissue considered a common pitfall in breast imaging?
• Why might vacuum-assisted biopsy be preferred over core needle biopsy?
• Which statement about the diagnostic ultrasound protocol is true?
• What does fremitus indicate about normal vibrating breast tissue?
• What is the tail of Spence in breast anatomy?
• How are breast density categories described?
• In the ABC method, which depth corresponds to label C?
• Fremitus is also known as ?
• What is an ideal thickness for a stand-off pad used in breast imaging?
• What are the biopsy planning steps when a lesion is visible on mammography and ultrasound but not palpable?
• A category C or D mammogram usually results in ?
• Which of the following is a direct outcome of properly evaluating and classifying breast lesions on mammo and sono?
• What does the ABC method describe?
• Which option is NOT one of the documented shapes for a palpable area?
• Malignant masses tend to be ___ within tissues.
• Which Doppler finding would immediately raise concern for a cystic breast lesion?
• Recall rate in screening programs is best described as:
• What are the implications of having dense breast tissue for communication and screening planning?
• What safety consideration is important when using gadolinium-based contrast in MRI?
• Which medication is specifically known to affect breast tissue?
• Which imaging feature is commonly associated with invasive ductal carcinoma?
• Which two imaging planes are included as standard views in the diagnostic ultrasound protocol?
• If prior ultrasound or mammography exists for a palpable area, what is essential to do?
• What is the role of risk assessment tools in deciding screening intervals and modalities?
• Which feature can 3D imaging help identify to improve lesion characterization?
• Three dimensional technology gives the ability to?
• For the right breast, which set is a valid quadrant annotation?
• If a lesion is described as Location 2 in the 123 method, where is it located relative to the nipple?
• In the 123 method, which location is near the nipple?
• What can be helpful when evaluating normal fat lobules?
• What constitutes acceptable diagnostic mammography image quality in terms of positioning and exposure?
• Which statement about core needle biopsy and vacuum-assisted biopsy is correct?
• Patients with dense breast tissue categorized C or D should?
• Using a pillow or wedge for positioning is also used during which scenario?
• Calcifications on a mammogram appear as what?
• In the ABC method, which depth corresponds to label B?
• Radial and anti radial scanning correlate with which anatomical feature?
• How do you differentiate a simple cyst from a complex cyst on ultrasound?
• What is the typical composition of a multidisciplinary team involved in cancer treatment planning after imaging suggests cancer?
• Dimpling in the breast usually signifies which of the following?
• If a cyst shows internal debris with posterior acoustic enhancement but no mention of solid components or vascularity, what is the likely classification?
• How should clinicians address patient anxiety or contraindications to screening procedures?
• What is created in regards to fremitus with normal vibrating breast tissue ?
• What are the ethical considerations in communicating breast imaging results to patients?
• Mammography Quality Standards Act stands for?
• In the context of breast inflammation, which conditions are typically considered?
• Which statement best describes the effect of applying compression to a duct during imaging?
• Which of the following describes a common complication of breast biopsy and its typical management?
• How can accurate lesion localization be maintained across mammography, ultrasound, and MRI?
• Which statement best describes the role of diffusion features in MRI for planning?
• When are MRI indications in breast cancer screening beyond standard population screening?
• After localization biopsy, what is the purpose of placing a radiopaque clip at the biopsy site?
• After localization biopsy, how is clip position verified?
• Why should a breast lesion be scanned in radial/ anti radial if found?
• For patients with an inconclusive mammogram, what can a diagnostic ultrasound achieve?
• What is BIRADS Category 1 ?
• An echo palpation guarantees ?
• Which statement about stand-off pads is true?
• What single feature would rule out a diagnosis of a complicated cyst?
• How is architectural distortion typically identified on imaging?
• Which shapes could be documented for a palpable area?
• What is abbreviated MRI and what are its potential screening benefits and limitations?
• What does the triple assessment workflow in breast diagnostic practice include?
• When performing a screening breast ultrasound you must?
• The goal of diagnostic ultrasound is to
• What is the purpose of a stand off pad during imaging?
• A breast cyst with internal echoes and evident vascularity would be classified as which type?
• What are the two different breast exams?
• When compression is applied to ducts, what may occur?
• When prior imaging exists, which parameter should be matched to ensure accurate comparison?
• What are the typical steps from an abnormal screening result to definitive diagnosis?
• What is a key effect of breast compression in mammography?
• What is sono palpation/echo palpation?
• What views are standard in a diagnostic mammogram?
• When compression is applied to a hard malignant lesion what can occur?
• In the 123 method, which location corresponds to the periphery of breast tissue?
• Positioning in supine or supine oblique minimizes which of the following?
• What is the primary purpose of radiologic-pathologic correlation?
• Which management approach is appropriate for benign incidental MRI findings?
• What is fremitus?
• Which transducer has a fixed elevation plane focus?
• What is the role of ultrasound in breast imaging, and when is it used?
• A palpable mass described as having multiple lobes would be classified as which shape?
• When compression is applied to a cyst with debris, what may occur on imaging?
• What is the primary purpose of implant-displaced views (Eklund views)?
• Which observation would indicate a malignant mass tends to be fixed?
• What additional images are taken if pathology is present?
• What safety considerations apply to gadolinium contrast in breast MRI?
• Which of the following is a benign mammographic finding?
• What is tomosynthesis (DBT) and how does it impact detection and recall?
• How many total views are specified in the general screening protocol including axillary tail and retroareolar regions?
• When compression is applied to a cyst what can occur?
• The radial orientation is described as being parallel to what structure?
• Which option best describes why a stand-off pad is used in breast imaging?
• Which MRI feature differentiates invasive ductal carcinoma from invasive lobular carcinoma?
• What is the primary purpose of clip localization in breast-conserving surgery and how is placement verified?
• What are three dynamic techniques we use in breast sonography?
• Which set of statements correctly describes the responsiveness of lesions to compression?
• Radial is considered to be which orientation relative to the ducts?
• Which tissue on a mammogram appears radiodense?
• In which situations is additional imaging indicated in screening or diagnostic workup?
• Which elements are included in the protocol for a diagnostic sonogram?
• What factor is highlighted as affecting breast tissue during ultrasound evaluation?
• Why is a history of LMP, pregnancy, or breastfeeding important for a breast sonogram?
• Which additional technique is included alongside color imaging to evaluate tissue properties in the diagnostic protocol?
• What steps follow a BI-RADS 0 assessment?
• When breast tissue is perpendicular to the sound beam, which outcome is achieved?
• When architectural distortion is suspected, which evaluations are appropriate?
• Which feature is most specific for suggesting higher risk of malignancy within a cystic breast lesion?
• Which set of labels correctly represents the four quadrants of the left breast?
• Benign masses tend to ___ within tissues.
• How does radiation dose differ between 2D mammography and tomosynthesis?
• For patients with category C or D mammograms, the usual imaging next step is
• When compression is applied to a soft benign lesion what can occur?
• Which of the following is NOT a key element of quality assurance in a breast imaging department?
• Which factor most influences breast ultrasound results across operators?
• True or false: Internal echoes alone are sufficient to call a breast cyst complex?
• Why does higher breast density reduce screening sensitivity?
• When screening a patient with breast implants, what imaging approach helps to assess potential underlying lesions?
• Which calcification pattern on mammography is typically benign?
• Which term describes the imaging phenomenon related to tissue motion or vibration in breast imaging?
• Properly evaluating and classifying breast lesions on mammo and sono aid in?
• Which set of attributes should be documented for any palpable area?
• Which of the following is a benefit of automated imaging?
• How is radiologic-pathologic correlation performed after a biopsy?
• How should imaging be approached in male breast disease?
• A cyst with internal echoes and vascularity would most likely be categorized as which type?
• Automated imaging displays which image to aid interpretation?
• What effect does using a stand-off pad have on the focal depth?