ARDMS BREAST REGISTRY EXAM AND
STUDY GUIDE NEWEST 2024 ACTUAL
EXAM 450 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED
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Which of the following arteries originates at the subclavian
artery and supplies medial breast tissue? -
....ANSWER...Internal thoracic artery originates at the
subclavian artery courses lateral to the sternum and supplies
medial breast tissues
What separates the breast tissue into superficial and deep
layers? - ....ANSWER...the superficial fascia
When do mammary glands primarily develop within the
breasts? - ....ANSWER...6 weeks gestational age
A thin area of glandular tissue surrounded by mostly fat is
consistent with - ....ANSWER...postmenopausal women
A simple cysts of the breast originates in the -
....ANSWER...TDLU
Lateral thoracic artery originates from the ____ artery and
supplies ______ - ....ANSWER...the axillary artery; lateral
breast tissues
thoracoacromial artery supplies what portion of the breast? -
....ANSWER...Supplies the superior breast tissues
Intercostal artery supplies what portion of the breast? -
....ANSWER...The inferior portion of breast tissue
Which method of patient positioning is the best for evaluation
the medial aspect of the breast ? - ...ANSWER...Supine
The two-handed technique is used to image : -
...ANSWER...The main breast duct and nipple
Which of the following transducers would be the best choice
for breast imaging ? - ...ANSWER...10 MHz linear array
Selecting multiple focal zones will : - ...ANSWER...Decrease
frame rate
When viewing a mammogram, one always sees the marker in
the region toward : - ...ANSWER...Axilla
If a breast sonographic image is labeled "Rt. AR 2:00 1A", the
area described is : - ...ANSWER...Antiradial scan of the right
breast, upper inner quadrant near the nipple, under the skin
When viewing a mammogram, a mass is marked near the CC
marker in the right breast. This will indicate to the
sonographer that the mass is located : - ...ANSWER...In the
lateral breast
A transducer that can operate at multiple frequencies is said to
have : - ...ANSWER...Broad bandwidth
What hormone stimulates TDLU growth? -
....ANSWER...Progesterone
The breasts lie superior to the _______the rib -
....ANSWER...7th
the lactiferous sinus considered normal if the diameter is less
than ______ - ....ANSWER...3 mm
which layer extends to the nipple on all sides but does not
extend beneath it due to ductal convergence -
....ANSWER...premammary
Which chain of lymph nodes are inbetween the pec major and
pec minor muscles? - ....ANSWER...Rotter's nodes
The normal skin thickness of the breast is less than _____ -
....ANSWER...2mm
Walls of the lactiferous ducts from inner to outter -
....ANSWER...epithelial layer, myoepithelial layer, basement
membrane
Dialated lactiferous ducts will appear - ....ANSWER...hypo to
anechoic
normal duct in a non pregnant patient should measure -
....ANSWER...<2mm
normal duct in a pregnant patient should measure -
....ANSWER...<8 mm
Montgomery glands - ....ANSWER...sebaceous glands in the
areola that secrete protective lipid during lactation; also called
tubercles of Montgomery
Abnormal lymph node - ....ANSWER...increase in size with
fluid accumulation, leads to coritcal thickening and loss of
definition
the increased fluid within the node results in posterior
enhancement on the image
Cooper's ligaments - ....ANSWER...suspensory ligaments;
fibrous bands extending from the inner breast surface to the
chest wall muscles
which quadrant of the breast holds the most lymph nodes and
lymphatic vessels? - ....ANSWER...Upper outer quadrant
*Also contains the most glandular tissue
The superficial veins - ....ANSWER...Allow for
communication of blood between the right and left breast
which can be a route for metastasis, blood moves from the
superficial system into the deep veins which are the primary
route for blood drainage of the breast, venous blood always
moves from peripheral tissues
Benign masses vs malignant masses vasculature: -
....ANSWER...Benign: peripheral and central tissues will
demonstrate low impedance, low velocity flow with rounded
systolic peaks on the waveform
To estimate distance from the nipple, place the mass under -
....ANSWER...the center of the face of the transducer and
measure from mid-transducer to the center of the nipple
Breast metastisis after level 1-III will most likely go where
next - ....ANSWER...liver or lung
Decreasing hormone levels will cause glandular tissue to ____
- ....ANSWER...estrogen and progesterone levels decrease
with age and this leads to atrophy of the glandular tissue
The glandular tissue of the breast is also called the ____ layer
- ....ANSWER...mammary layer or parenchymal tissue
Tissues of breast according to hyper to hypoechoic -
....ANSWER...Skin, Coopers ligaments, Glandular tissue, Fat,
Muscle, Blood, Cystic fluid
Skin thickness of the breat is usually greatest at ________ -
....ANSWER...the inferior crease line
The _____ layer of the lactiferous duct wall reduces friction to
flowing milk - ....ANSWER...epithilial
The _______ helps to move the milk through the ducts toward
the nipple - ....ANSWER...myoepithelial [Show Less]