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Mammography3
Anatomy,Physiology &Pathology of the BR
| Question | Answer |
|---|---|
| A lesion located in the upper outer quadrant of the right breast is located in the | 10-0'clock position |
| Morgagni tubercles are usually found | on the skin of the areola |
| An inverted nipple | sometimes indicates breast cancer |
| Compression of the breast is most effective and most comfortable when applied against the | inferior and lateral aspects |
| The normal breast may have | 15-20 lobes |
| The structure that gives the breast its support and shape is called | Coopers ligament |
| The breast extends vertically from the | second through the sixth rib |
| The thickest portion of the breast is the | tail of Spence |
| Cooper ligaments attach anteriorly to the | fascia of the skin |
| Fatty tissur is generally __and on the mammogram is seen as areas of __ optical density. | radiolucent/higher |
| Typically, a patient with dense fibrous and glandular tissue throughout the entire breast on a baseline mammogram is | below 45 |
| Glandular tissue is usually found in the __ of the breast. | central and upper outer quadrant |
| Lymph drainage from the medial half of the breast is generally directed to the | internal mammary lymph nodes |
| Immediately behind the nipple, the connecting duct widens to form the | lactiferous sinus |
| The portion of the breast that holds the milk-producing element is the | lobule |
| Veins are normally located | in the periphery of the breast |
| The TDLU consists of the | both the ETDs and the ITDs |
| A patient began taking synthetic hormones 6 months prior to her current mammogram. The mammogram is most likely to | show increased glandular tissue compared to her previous mammogram |
| A baseline mammogram shows that the patient's breast consists primarily of adipose tissue. This patient is most likely to be | above 60 |
| A patient is to have a routine baseline mammogram, but it is determined that the woman is lactating. What should be done and why? | Lactation causes increased glandularity; the mammogram should be postponed. |
| The craniocaudad mammograms of the same woman prior to menopause and 1 year after the onset of menopause are compared. The woman has never taken synthetic hormones. What is the most likely difference? | The mammogram taken after the onset of menopause shows signs of atrophy |
| Which of the following will affect the ratio of glandular tissue to total breast tissue? | -the woman's genetic predisposition -ratio of total body adipose tissue to total body weight -drastic weight gain or weight loss |
| Hormone replacement therapy could be recommended to? | -relieve insomnia symptoms -prevent osteoporosis |
| A woman is referred to as nullipara. This means | she has never given birth to a viable offspring |
| An asymptomatic patient presents with an oval, lobulated tumor with unsharp margins. There is no evidence of a halo sign. | The lesion could be malignant |
| Characteristics of a malignant stellate tumor include which of the following? | -the presence of a central tumor mass. -the larger the tumor,the longer the spicules. |
| The radial scar or sclerosing duct hyperplasia | -can sometimes be mistaken for carcinoma -is usually not associated with skin thickening of dimpling over the lesion |
| A mammogram shows a low-density radiopaque tumor. It is oval, lobulated, and a halo is seen along one border only. The next step should be | ultrasound |
| A galactocele | is associated with nursing |
| A lipoma | can be a huge encapsulated lesion occupying the entire breast |
| A rare form of cancer that presents with swelling, warmth, or erythema and mammographically with skin thickening is | inflammatory carcinoma |
| Sometimes described as an oil cyst, this lesion represents an encapsulated area on the mammogram and can be caused by surgery, biopsy,trauma, or radiation therapy. | fat necrosis |
| A benign self-limiting breast tumor that is the result of new disorganized cell growth | hamartoma |
| An infusa-port can be used to | allow repeated access to the venous system |
| The right craniocaudal (RCC) of the routine imaging series showed a small, irregular shaped lesion at the edge of the image plus scattered calcifications including calcification clusters. The next immediate step would be | -spot compression including magnification -additional imaging to include the margins of the lesion |