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ARDMS Breast Registry Review Ch. 5 (100% verified) A+ grade assured 2024/2025
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ARDMS Breast Registry Review Ch. 5 (100% verified) A+ grade assured 2024/2025
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ARDMS Breast Registry Review Ch. 5Patient history for breast sonography should include what 9 things? - ANSAge
Breast dz hx
Person hx cancer
Family hx cancer/breast dz
Medications - esp. hormones
Breast surgeries and findings
Breast pain and location
Findings from self exam (BSE)
Findings rom clinical exam (CBE)
What things should the sonographer document with a palpable lump? (7) - ANS1. Location
2. Size
3. Shape
4. Consistency
5. Mobility
6. Distance from nipple
7. Date when discovered- has it changed over time
Right breast eval position - ANSLeft Posterior Oblique
Left breast eval position - ANSRight posterior oblique
Medial aspect breast eval position - ANSsupine
What position may be used to simulate the CC mammo view? - ANSUpright
AIUM recommends which scan plane for breast imaging? - ANSRadial
If a solid lesion is found, the sonographer should scan in what planes? Why? - ANSRadial and
antiradial - to allow visulaization of tumor or ductal extensions branching outward or toward the
nipple
123, ABC method indicates what - ANS123 - distance from nipple in levels, 1 being the closes
to the nipple and 4 being the periphery
ABC - Depth of lesion - A being superficial and C being near the chest wall.
A standoff pad moves the ___________ _________ __________ more superficial. -
ANSelevation plane focus
, This ultrasound device allows for improved focusing and greater detail in the superficial layers of
the breast. - ANSstand-off pad
Other than skin and superficial "things", what can a standoff pad be useful for? - ANSScanning
surgical specimens
What is the ideal stand-off pad thickness for breast imaging? - ANS1 cm
Review the gray levels on page 60 - ANSDo it now!
Due to the overlap in echogenicities between benign and malignant tissues, BUS is not capable
of distinguishing benign from malignant. Accurate diagnosis can only be determined by
__________. - ANSBiopsy
In general __________ disease will not cross fibrous planes. - ANSBenign
_________ diseases may cross fibrous planes and have a tendency to grow toward the skin. -
ANSMalignant
What information can be gained from using transducer compression to evaluate a cyst or mass?
(5) - ANS-Cysts will change shape
-Soft, benign lesions tend to change shape (eg lipoma)
-Hard, malignant lesions will not change shape
-Internal echoes within a benign lesion may become more uniform
-Debris within cysts or ducts may be better visualized
Technique used to isolate a palpable mass - ANSEcho-palpation or sono-palpation see graphic
p.62
Techinque where the sonographer immobilizes a mass between two fingers while scanning with
the opposite hand to ensure visualization of the correct structure. - ANSEcho-palpation or
sono-palpation
Echo-palpatio may also be used to assess the _______ of a lesion by attempting to move the
mass with two fingers while scanning simultaneously. - ANSmobility
aka Vibrational Doppler Imaging - ANSFremitus
Vibration of the tissues (usually in the chest) during speech. - ANSFremitus
Fremitus used in combination with Power Doppler will cause _______tissues to light up and
______tissue to demonstrate no signal. - ANSnormal, foreign
In what five instances can fremitus be helpful? - ANS1. Normal fat lobules
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