Lange Mammography Practice Test #1

Front 1

The most common cause of undercompression is:

Back 1

inadequate compression by the mammographer

Front 2

In establishing processor quality control (QC) the high average density is generally the density closets to

Back 2

2.20

Front 3

Ductal Papilloma is

Back 3

benign growths involving the milk ducts

Front 4

In high contrast imaging or conventional imaging...

Back 4

bright light is needed to see skin detail

Front 5

What could be used when imaging extremely small breasts in the CC postion?

Back 5

spatula

Front 6

In the TAN projection any tube angulation will depend on

Back 6

the location of the abnormality

Front 7

Two emulsions are compared on a characteristic curve. the higher contrast film will

Back 7

have the steeper slope

Front 8

The retromammary space is filled with

Back 8

Adipose tissue

Front 9

In compression on the XCCL projection, the affected arm should

Back 9

be raised, with hand resting or holding onto the bar of the unit

Front 10

Between ages 20 and 39, a woman should have a CBE every

Back 10

3 years

Front 11

Regardless of the reason, if the proper amount of compression cannot be applied what must happen?

Back 11

it must be documented on the patients history form

Front 12

which section of the breast is poorly visualized on the CC projection

Back 12

Lateral

Front 13

The Mammography Quality Standards Act (MQSA) mandates that the average glandular dose received per projection/position during routine screen - film mammography cannot exceed

Back 13

300 mrad

Front 14

A film was accidentally bent prior to loading into the mammography cassette. if this film is used in mammography screening, an artifact would appear as

Back 14

A minus density artifact

Front 15

Montgomery glands are specialized

Back 15

sebaceous glands

Front 16

Pagets disease of the breast is a

Back 16

form of carcinoma associated with changes of the nipple

Front 17

what is the major disadvantage of magnification

Back 17

increased patient dose

Front 18

The minimum and maximum kvp of a mammography unit depends on which factors

Back 18

target and filtration material selected

Front 19

For the daily processor QC, the mid density should remain within

Back 19

+ or - 0.15 of established levels

Front 20

The inframammary crease is located at approximately the level of the

Back 20

sixth to seventh rib

Front 21

identify the lactiferous sinus

Back 21

Site C

Front 22

in the CC projection , a technique especially useful in maximizing the amount of lateral breast tissue imaged on the small breasted patient with rounded shoulders is

Back 22

5 degree lateral tube rotation

Front 23

The primary purpose of the grid in mammography is to

Back 23

increase subject contrast

Front 24

A palpable mass that is not seen on a diagnostic mammogram generally means that

Back 24

other diagnostic testing must be considered

Front 25

Which of the following patients has the greatest risk for breast cancer?
A) a nulliparous woman at age 40
B) a never married woman
C) a woman age 70
D) a woman age 30

Back 25

C

Front 26

A mammographer using a 0.1mm focal spot size is most likely performing

Back 26

magnification imaging

Front 27

The developer temperature should always be

Back 27

+ or - 0.5°F of the manufacturers recommendation

Front 28

The base of the breast refers to

Back 28

area adjacent to the chest wall

Front 29

Fibrous tissues are presented radiographically as

Back 29

white or denser areas

Front 30

The MLO projection demonstrates a large encapsulated lesion occupying almost the entire breast. the contour is sharp and the lesion is radiolucent. this lesion is likely to be

Back 30

lipoma

Front 31

Contaminated developer will likely result
1) decreased film speed
2) increased image receptor contrast
3) increased film base density

Back 31

1 and 3 only

Front 32

Why is the specimen magnified

Back 32

to visualized calcifications within the specimen

Front 33

In digital mammography, a grossly underexposed image

Back 33

appears excessively noisy

Front 34

Which of the following patients is likely to be diagnosed with pathological gynecomastia:
A) a lactating woman
B) elderly man
C) premenopausal woman
D) young man

Back 34

B) elderly man

Front 35

If the humidity in the dark room drops lower than 30%, the result is

Back 35

static patterns on film

Front 36

Over the age if 49, it is recommended that women have a CBE every

Back 36

year

Front 37

Fibrous and glandular tissues are more ______________ than fatty tissue and result in areas of _________ optical density on a radiograph

Back 37

radiopaque/lower

Front 38

Which of the following involves the use of a thin needle to remove cell samples from a suspected cancerous lesion in the breast for cytological analysis
A) core biopsy
B) excisional biopsy
C) needle localization
D) Fine needle Aspiration

Back 38

Fine needle aspiration

Front 39

A lesion is superimposed by breast tissue in the CC projection. A projection used to demonstrate the lesion in the same projection and free of superimposition is the

Back 39

RM

Front 40

Involution of the breast describes a process by which

Back 40

breast epithelium decreases because of postmenopausal changes

Front 41

In the dedicated mammography unit, the single intensifying screen is positioned in contact with the film emulsion on

Back 41

the side of the IR away from the xray source

Front 42

The breast can be imaged in the FB projection
1) to improve visualization of lesions in uppermost aspect of breast by reducing the OID
2) during needle localizations to provide a shorter route to inferior lesions
3)to maximize the amount of tissue visualized on patients with kyphosis

Back 42

1,2, and 3

Front 43

Mercury in a glass type thermometer is not recommend for use in QC testing because
1) mercury is potentially inaccurate
2) mercury is a potential source of contamination
3) glass type thermometers may break

Back 43

2 and 3 only

Front 44

The HVL of the xray beam is measured with a

Back 44

quality control dosimeter

Front 45

A magnification image of breast shows several oval shaped radiolucent lesions with eggshell - like calcifications. These are most likely to be

Back 45

oil cysts

Front 46

Today all mammographers must have
1) satisfied the interim requirements of the FDA
2) completed at least 40 contact hours of documented training in mammography
3) performed at least 25 examinations under direct supervision of a qualified mammographer

Back 46

1,2, and 3

Front 47

The criteria for a properly positioned MLO includes:
1) A concave pectoral muscle on the anterior border
2) fat visualized posterior to the fibroglandular tissues
3) an open IMF

Back 47

2 and 3 only

Front 48

A benign inflammatory condition of the lactiferous ducts leading to nipple discharge, nipple inversion, or periareolar sepsis is called

Back 48

ductal ectasia

Front 49

The cells lining the alveoli in the lobules are called

Back 49

epithelial cells

Front 50

Using a cassette with poor film screen contact will result in

Back 50

localized unsharpness

Front 51

A technique describing reshaping of the breast is called

Back 51

mammoplasty

Front 52

Failure of the hyporetention test will result in what type of long term artifact marks on the image

Back 52

yellow brown stains

Front 53

Imaging males will present the same difficulty as imaging small, firm breasted females. An added problem may be that

Back 53

hair on the chest of males males compression difficult

Front 54

Which of the following are considered agencies granting accreditation under FDA regulation?
1)ACR
2) ARRT
3) NY state department of health

Back 54

1 only

Front 55

Which alternative projection could be used, in addition to the CC, in imaging a patient with a prominent pacemaker?

Back 55

Lateromedial oblique LMO