Breast Imaging: A Core Review (4 page)

D. The difference between the line from the nipple to the back of the film on CC and the line from the nipple to the pectoralis muscle on MLO is 1 cm.

26
 Regarding compression plate and imaging receptor, which of the following is necessary?

A. Both 18 × 24 cm and 12 × 18 cm sizes are required.

B. Collimation to the breast contour

C. Compression force of 45 to 60 pounds.

D. A fixed grid is required for each receptor size.

E. Paddle advanced by a foot motor with hand compression adjustment

27
 The following study was performed to evaluate for silicone breast implant rupture.

This image depicts which artifact?

A. Susceptibility artifact

B. Wrap/aliasing artifact

C. Radiofrequency (RF) interference artifact

D. Silicone saturation artifact

28
 This table demonstrates data obtained from a breast care center of a community hospital in a 12-month period.

28a
 What is the screening abnormal interpretation rate at this center?

A. 4%

B. 5%

C. 6%

D. 8%

E. 12%

28b
 What is the cancer detection rate?

A. 4/1,000

B. 5/1,000

C. 6/1,000

D. 8/1,000

E. 12/1,000

29
 The following image from a contrast-enhanced breast MR examination demonstrates which artifact?

A. Chemical shift artifact

B. Wrap/Aliasing artifact

C. Susceptibility artifact

D. Motion artifact

30
 Regarding standardized film labeling for mammogram images, which of the following is correct?

A. Either the patient’s full name or a unique patient identification number needs to be on the film.

B. The name and address of the facility is needed when a patient requests films for other facilities.

C. Arabic number indicating the cassette should be on every image.

D. View and laterality placed near the nipple

E. The technologist’s employee number should be included.

31
 A 55-year-old woman is placed into a BI-RADS 3 category after a diagnostic workup. According to the BI-RADS lexicon, a BI-RADS 3 finding has less than what percent chance of malignancy?

A. 1%

B. 2%

C. 3%

D. 4%

E. 5%

32
 A 60-year-old female presents with a finding which is placed into a BI-RADS 5 category. According to the BI-RADS lexicon, a BI-RADS 5 lesion has greater than or equal to what percent chance of malignancy?

A. 90%

B. 93%

C. 95%

D. 97%

E. 99%

33
 What artifact is noted on this study?

A. Hair artifact

B. Deodorant

C. VP shunt catheter

D. Jewelry

34
 What artifact is noted on this study?

A. Hair artifact

B. Deodorant

C. VP shunt catheter

D. Jewelry

35
 According to the American College of Radiology and the American Cancer Society, contrast-enhanced screening breast MRI is recommended for women at what percentage lifetime risk of developing breast cancer?

A. >10%

B. >20%

C. >50%

D. >75%

36
 What artifact is noted on this study?

A. Static artifact

B. Gridlines artifact

C. Hair artifact

D. Roller artifact

37
 A premenopausal woman requires a breast MRI with contrast. Which week of the menstrual cycle is the best choice to perform the MRI?

A. Days 1 to 6

B. Days 7 to 14

C. Days 15 to 21

D. Days 22 to 28

38
 Which of the following is a clinical indicator of breast cancer risk according to the 2007 American Cancer Society (ACS) recommendations for performing a screening breast MRI as an adjunct to mammography?

A. Hodgkin disease with mantle field radiation

B. History of neurofibromatosis type 1

C. Lifetime risk of breast cancer of 10% or more using standard risk assessment models

D. Breast density > 50%

39
 A phantom image obtained during a weekly check should show which of the following to meet minimum acceptable criteria?