| Question 1: What are the standard views obtained for a screening mammogram? |
| Reference: | Sickles, EA, D’Orsi CJ, Bassett LW, et al. ACR BI-RADS® Mammography. In: ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. Reston, VA, American College of Radiology; 2013. |
| Choice A: | CC and ML views |
| Choice B: | CC and MLO views |
| Choice C: | ML and MLO views |
| Choice D: | ML and LM views |
| Question 2: Visibility of which mammographic finding is most severely impacted by motion artifact? |
| Reference: | Abdullah AK, Kelly J, Thompson JD, et al. The impact of simulated motion blur on lesion detection performance in full-field digital mammography. Br J Radiol 2017; 90:20160871. |
| Choice A: | Mass |
| Choice B: | Asymmetry |
| Choice C: | Architectural distortion |
| Choice D: | Calcifications |
| Question 3: Where is the finding, as indicated by the arrows, located in the right breast? |
| Reference: | Sickles, EA, D’Orsi CJ, Bassett LW, et al. ACR BI-RADS® Mammography. In: ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System. Reston, VA, American College of Radiology; 2013. |
| Choice A: | Upper outer quadrant |
| Choice B: | Upper inner quadrant |
| Choice C: | Lower outer quadrant |
| Choice D: | Lower inner quadrant |
| Question 4: What is the appropriate BI-RADS assessment category for the current screening mammogram (images on the left)? |
| Reference: | Leung JWT, Sickles EA. Developing asymmetry identified on mammography: correlation with imaging outcome and pathologic findings. Am J Roentgen 2007; 188(3):667-675. |
| Choice A: | BI-RADS 0: Incomplete |
| Choice B: | BI-RADS 1: Negative |
| Choice C: | BI-RADS 2: Benign |
| Choice D: | BI-RADS 3: Probably benign |
| Choice E: | BI-RADS 4: Suspicious |
| Question 5: Which mammogram below has the lowest sensitivity? |
| Reference: | Carney PA, Miglioretti DL, Yankaskas BC, et al. Individual and combined effects of age, breast density, and hormone replacement therapy use on the accuracy of screening mammography. Ann Intern Med 2003; 138:168-175. |
| Choice A: | Image a. |
| Choice B: | Image b. |
| Choice C: | Image c. |
| Choice D: | Image d. |
| Question 6: Compared with the diagnostic performance of 2D digital mammography, digital breast tomosynthesis reduces _____________? |
| Reference: | Gao Y, Moy L, Heller SL. Digital breast tomosynthesis: Update on technology, evidence, and clinical practice. Radiographics 2021; 41:321-337. |
| Choice A: | Sensitivity |
| Choice B: | Specificity |
| Choice C: | Recall rate |
| Choice D: | Cancer detection rate |
