MAMMOGRAPHY REGISTRY ACTUAL EXAM
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ CBE is a check of the breast by who? Answer: Qualified healthcare
professional
◍ ACS recommends women 20 & older perform BSE Answer: Every
month
◍ Women 20-39 should have a CBE how often? Answer: Every 3
years
◍ Women 40 & older should have screen mammo & CBE how often?
Answer: Every year
◍ Thorough clinical exam will: Answer: Locate lumps/suspicious
areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Upright: Upper half
Supine: Lower half
,◍ Medical/family history provides: Answer: Symptoms & risk factors
for breast cancer & benign breast conditions; questions about other
health problems
◍ Effectiveness & sensitivity of mammogram ------- with age.
Answer: Increases
◍ Average glandular dose of screen-film mammogram with grid
Answer: 0.3 rad
◍ Biggest risk factor for breast cancer Answer: Gender (being
woman)
◍ High risk factors Answer: Aging
Gene mutation of BRCA 1 & BRCA 2
Family bc of breast cx
Personal hx breast cx or other cx such as ovary, colon, or
endometrium
Race: More common in White women in US, but more deathly in
African Americans (triple negative diagnosed at an earlier age)
Abnormal biopsy: atypical ductal and lobular hyperplasia &
fibroadenoma
Menstrual hx: starting period before age 12 and reaching menopause
after age 55, the more menstrual cycles in a woman's lifetime, the
higher the risk.
,Reproductive hx: having children after Age 30
Radiation exposure
Obesity
Hormone
Density of breast: having dense breast tissue vs fatty breast tissue
◍ Moderate risk factors Answer: 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
◍ Minor risk factors Answer: No child bearing or after 30
Not breast feeding
Early menarche/late menopause
Post menopausal obesity
Long term use HRT/contraceptive
Alcohol consumption
Obesity
◍ Examples of benign breast disease Answer: Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin
thickening
, ◍ 2 main classes breast cancer Answer: Ductal
Lobular
◍ Most common breast cancer
90% all cases? Answer: Ductal carcinoma
◍ Stage 0 carcinoma, confined to duct Answer: DCIS
◍ Cancer has spread from ducts into surrounding stromal tissue &
possibly pectoral fascia/ muscle Answer: Invasive/infiltrating Ductal
carcinoma
◍ Lobular carcinoma accounts for --- to ----% all breast cancers
Answer: 5-10
◍ Not seen on mammo in 50% cases, abnormal cells grow w/in
lobules not penetrating lobule walls Answer: Lobular carcinoma in
situ
◍ Difficult to perceive on mammo, may show as spider web or cause
skin retraction Answer: Invasive lobular carcinoma
◍ Other breast carcinomas account for less than 10% & have -----
prognosis than infiltrating Ductal/lobular cancers Answer: Better
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ CBE is a check of the breast by who? Answer: Qualified healthcare
professional
◍ ACS recommends women 20 & older perform BSE Answer: Every
month
◍ Women 20-39 should have a CBE how often? Answer: Every 3
years
◍ Women 40 & older should have screen mammo & CBE how often?
Answer: Every year
◍ Thorough clinical exam will: Answer: Locate lumps/suspicious
areas
Nipple changes
Skin changes in breast
Lymph nodes n armpit & above collarbone
Upright: Upper half
Supine: Lower half
,◍ Medical/family history provides: Answer: Symptoms & risk factors
for breast cancer & benign breast conditions; questions about other
health problems
◍ Effectiveness & sensitivity of mammogram ------- with age.
Answer: Increases
◍ Average glandular dose of screen-film mammogram with grid
Answer: 0.3 rad
◍ Biggest risk factor for breast cancer Answer: Gender (being
woman)
◍ High risk factors Answer: Aging
Gene mutation of BRCA 1 & BRCA 2
Family bc of breast cx
Personal hx breast cx or other cx such as ovary, colon, or
endometrium
Race: More common in White women in US, but more deathly in
African Americans (triple negative diagnosed at an earlier age)
Abnormal biopsy: atypical ductal and lobular hyperplasia &
fibroadenoma
Menstrual hx: starting period before age 12 and reaching menopause
after age 55, the more menstrual cycles in a woman's lifetime, the
higher the risk.
,Reproductive hx: having children after Age 30
Radiation exposure
Obesity
Hormone
Density of breast: having dense breast tissue vs fatty breast tissue
◍ Moderate risk factors Answer: 1st degree relative w breast ca
Atypical hyperplasia on biopsy
High rad dose to chest
High bone density after menopause
◍ Minor risk factors Answer: No child bearing or after 30
Not breast feeding
Early menarche/late menopause
Post menopausal obesity
Long term use HRT/contraceptive
Alcohol consumption
Obesity
◍ Examples of benign breast disease Answer: Painful cyst
Nipple discharge
Only detected on mammo:
Ca+, circumscribed tumors, lesions, asymmetric densities, skin
thickening
, ◍ 2 main classes breast cancer Answer: Ductal
Lobular
◍ Most common breast cancer
90% all cases? Answer: Ductal carcinoma
◍ Stage 0 carcinoma, confined to duct Answer: DCIS
◍ Cancer has spread from ducts into surrounding stromal tissue &
possibly pectoral fascia/ muscle Answer: Invasive/infiltrating Ductal
carcinoma
◍ Lobular carcinoma accounts for --- to ----% all breast cancers
Answer: 5-10
◍ Not seen on mammo in 50% cases, abnormal cells grow w/in
lobules not penetrating lobule walls Answer: Lobular carcinoma in
situ
◍ Difficult to perceive on mammo, may show as spider web or cause
skin retraction Answer: Invasive lobular carcinoma
◍ Other breast carcinomas account for less than 10% & have -----
prognosis than infiltrating Ductal/lobular cancers Answer: Better
