Breast Imaging: A Core Review (24 page)

A. BI-RADS 0

B. BI-RADS 2

C. BI-RADS 3

D. BI-RADS 4

87
 A 46-year-old female presents with two sets of bilateral screening mammograms that are 2 years apart. Based on the images, what is the appropriate BI-RADS category assessment?

A. BI-RADS 0

B. BI-RADS 2

C. BI-RADS 3

D. BI-RADS 4

E. BI-RADS 6

88
 Based on the images, what is the correct breast finding?

A. Intracapsular rupture of the right breast implant

B. Radial fold of the right breast implant

C. Collapse/rupture of the right breast implant

D. Capsular contracture of the right breast implant

89
 A 48-year-old female complains of a palpable cord-like area in her left breast. Based on the diagnostic mammogram and ultrasound images, what is the appropriate clinical management?

A. Refer patient to a breast surgeon for surgical excision and axillary node sampling.

B. Ultrasound-guided core biopsy is recommended.

C. Assure the patient that the condition is self-limited and will resolve.

D. Breast MRI is recommended.

E. Wide local excision should be performed.

90
 A 40-year-old female comes for a baseline screening mammogram. Based on the mammogram images, what is the appropriate BI-RADS category assessment?

A. BI-RADS 0

B. BI-RADS 2

C. BI-RADS 3

D. BI-RADS 4

91
 Poland syndrome can be associated with increased incidence of which of the following cancer?

A. Hodgkin lymphoma

B. Ovarian cancer

C. Thyroid cancer

D. Breast cancer

E. Hepatocellular cancer

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 A 34-year-old female presents with history of a palpable abnormality in the left breast. Based on the images, what is the most appropriate management?

A. No further evaluation

B. Cyst aspiration for diagnosis

C. Core needle biopsy

D. Antibiotic therapy

93
 What is the inheritance pattern of Poland syndrome?

A. Mitochondrial inheritance

B. Autosomal dominant

C. Autosomal recessive

D. X-linked dominant

E. X-linked recessive

94
 An 87-year-old female presents with a palpable lump (triangular skin marker). Six years ago she was diagnosed with breast cancer and had a subsequent lumpectomy, followed by radiation therapy. The most likely diagnosis is

A. Intramammary lymph node

B. Hemangioma

C. Lipoma

D. Fat necrosis

E. Hamartoma

95
 A 57-year-old postmenopausal female with a recent breast biopsy diagnosis of focal fibrosis is likely taking which one of the following medications?

A. High-dose aspirin

B. Corticosteroids

C. Thyroid replacement therapy

D. Hormone replacement therapy

E. Insulin

96
 Molecular breast imaging in a 45-year-old woman shows bilateral, extensive, patchy uptake of the isotope. The most likely diagnosis is

A. Active fibroglandular breast tissue

B. Simple breast cysts

C. Fibroadenomas

D. Chronic fat necrosis

E. Postoperative scar tissues

97
 What is the most common cancer to spread to the breast?

A. Melanoma

B. Breast cancer

C. Lung cancer

D. Medullary thyroid cancer

E. Endometrial cancer

98
 Shown are diagnostic mammogram and ultrasound images of a 52-year-old female with history of a palpable lump in the left breast. The patient underwent an ultrasound-guided core needle biopsy. Pathology results came back as phyllodes tumor. Based on imaging finding and pathology results, which of the following statement is most appropriate recommendation?