Technologist’s Breast Imaging Quiz (entry level): Anatomy

1. Where is the skin covering the breast normally the thickest?

a) Base

b) Areola

c) Nipple

d) Axillary tail

e) Equal thickness

2. Which quadrant of the breast usually includes most of the glandular tissue?

a) Lower outer

b) Upper outer

c) No particular quadrant

d) Lower inner

e) Upper inner

3. What term describes the fasciae bands that support the breast?

a) Cooper’s ligaments

b) Parenchyma

c) Superficial fascia

d) Pectoralis major

e) Deep fascia

4. How many lobes are normally found in each breast?

a) 2-3

b) 5-10

c) 15-20

d) 30-35

e) over 35

5. What term describes the cone shaped structure that lies just below the areola?

a) Ampulla

b) Inframammary fold

c) Retromammary space

d) Tail-of-Spence

e) Lactiferous duct

6. Which of the following describes the junction between the inferior border of the breast and the anterior chest wall?

a) Axillary tail

b) Inframammary fold

c) Deep fascia

d) Retromammary space

e) Tail-of-Spence

7. What term describes the area between the posterior aspect of the glandular tissue and the anterior aspect of the pectoralis muscle?

a) Axillary tail

b) Inframammary fold

c) Lactiferous ducts

d) Cooper’s ligaments

e) Retromammary space

8. Which of the following terms describe the embryologic origin of the female breast?

a) Mammalian

b) Hair follicle

c) Sweat gland

d) Skin pore

e) Sebaceous gland

9. Which of the following is an effect of estrogen?

a) Lobular proliferation

b) Lobular regression

c) Parenchymal fatty replacement

d) Ductal proliferation

e) Involution of the senescent breast

10. The physiologic function of the breast is performed by…

a) The glands

b) The tubercles

c) The lobes

d) The acini

e) The lobules

11. The distal portion of the ductal system + the acini make up…

a) The segments

b) The glands

c) The TDLU

d) The lobules

e) The ductules

12. The ductules are part of the…

a) Terminal duct lobular unit

b) Lymph system

c) Lobes

d) Cooper’s ligaments

e) Branching ducts

13. The functional mammary tissue is divided into 15-20…

a) Acini

b) Lobules

c) Ducts

d) Nodes

e) Lobes

14. The portion of the breast that extends laterally and superiorly from the centre is commonly termed…

a) Axillary nodes

b) The upper quadrant

c) The axilla

d) The tail

e) The Ampulla

15. Which borders of the breast are most mobile?

a) Superior/inferior

b) Medial/lateral

c) Inferior/lateral

d) Inferior/medial

e) Superior/lateral

SUMMARY:

I hope this little tech quiz has peaked your interest. If you had to guess at any of the answers all explanations are revealed in my manual “THE MAMMOGRAPHER’S COMPANION.” (If you think you or your department would benefit, you can order a copy directly from me. Send an email for details.). The simple answer key follows:

1. a)

2. b)

3. a)

4. c)

5. a)

6. b)

7. e)

8. c)

9. d)

10. d)

11. c)

12. a)

13. e)

14. d)

15. c)

Technologist’s Breast Imaging Quiz (Intermediate Level)

1. The most common form of breast cancer is:

a) Ductal

b) Lobular

c) Medullary

d) Paget’s

e) Papilloma

2. Skin thickening of the breast is caused by:

a) Cancer

b) Fat

c) Blocked lymph ducts

d) Paget’s

e) Lactation

3. The greatest risk for developing breast cancer within a life time is:

a) Family history of breast Ca

b) Personal history of Ca

c) Not breast feeding

d) High fat diet

e) Gender

4. The post irradiated breast has:

a) Less risk of breast cancer

b) More risk of breast cancer

c) No risk of breast cancer

d) High risk of Peau d’Orange

e) Significant scarring

5. A primary sign of breast cancer is:

a) Swelling or bulging

b) Clear nipple discharge

c) Skin irritation

d) Change is a mole or skin lesion

e) Persistent pain

6. Which of the following is NOT secondary sign of breast cancer?

a) New persistent nipple inversion

b) Skin thickening

c) Fixed 5cm mass

d) Bilateral nipple discharge

e) Puckered or dimpled skin

7. A lesion located in the right upper outer quadrant is at:

a) The 10 o’clock position

b) The 3 o’clock position

c) The 1 o’clock position

d) The 5 o’clock position

e) The 7 o’clock position

8. Lymph drainage from the medial aspect of the breast usually goes to:

a) Axillary nodes

b) Intramammary nodes

c) Internal mammary nodes

d) Apical nodes

e) Transverse mammary vein

9. A woman who is nulliparous:

a) Has had a hysterectomy

b) Has had more than one child

c) Has had only one child

d) Has had a baby stillborn

e) Has never had a child

10. The mammary veins are normally located:

a) In the deep fascia

b) Along the ductal lines

c) In the periphery

d) Along the sternal border

e) In the axillary tail

11. The axillary lymph nodes handle:

a) 85% of breast lymphatic fluid

b) 30% of breast lymphatic fluid

c) 50% of breast lymphatic fluid

d) 100% of breast lymphatic fluid

e) 60% of breast lymphatic fluid

12. The main hormone that stimulates lactation is:

a) Oxytocin

b) Estrogen

c) Progesterone

d) Prolactin

e) Cortisol

13. The lymphatic system empties into the:

a) Arterial system

b) Vascular system

c) Axilla

d) Abdomen

e) Aortic arch

14. Which veins are the largest in size inside the breast?

a) Axillary

b) Intercostals

c) Acromiothoracic

d) Internal

e) Anterior

15. Veins are usually:

a) Not seen on mammograms

b) Smaller than arteries

c) Calcified

d) Straight

e) Larger than arteries

16. A patient has started HRT between her last exam and this one; she probably will:

a) Have an unchanged exam

b) Have increased adipose tissue

c) Have decreased glandular tissue

d) Have difficulty tolerating the exam

e) Have increased glandular tissue

17. Parity refers to:

a) Fat/glandular ratio

b) Hormonal intake

c) Post menopausal

d) Having given birth

e) Pre menopausal

18. The milk producing portion of the breast anatomy is:

a) The lobule

b) The Ampulla

c) Segmental duct

d) Lactiferous sinus

e) Deep fascia

19. A lactating patient should have a mammogram:

a) Only over 40 years of age

b) Routinely

c) Diagnostically

d) Never

e) After each child

20. The distal ductal system under the nipple widens slightly to form the:

a) Ampulla acinus

b) Lactiferous sinus

c) Lobule

d) Ductule

e) Extralobular terminal duct

SUMMARY:

I hope this little tech quiz has peaked your interest. If you had to guess at any of the answers all explanations are revealed in my manual “THE MAMMOGRAPHER’S COMPANION.” (If you think you or your department would benefit, you can order a copy directly from me. Send an email for details.). The simple answer key follows:

1. a)

2. c)

3. e)

4. d)

5. a)

6. d)

7. a)

8. c)

9. e)

10. c)

11. a)

12. d)

13. b)

14. d)

15. e)

16. e)

17. d)

18. a)

19. c)

20. a)