Chapter 15 Quality Assurance

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25 Terms

1

What prompted the U.S. Senate Committee on Labor and Human Resources to change the laws regarding mammography?

A. Inconsistent quality of care

B. Guarantee sufficient oversight

C. Ensure equal services for all women

A, B, and C

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2

Personnel records should be kept for only 30 days after an employee leaves a facility.

FALSE

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3

Facility accreditation review requires facilities to meet established standards for:

A. Mammography equipment

B. Personnel qualifications

C. Clinical image quantity

A and B only

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4

Facilities who lawfully offer mammography services and currently hold an MQSA certificate, reapply to the AB for renewal every ________ years.

3

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5

Which is NOT an MQSA requirement of personnel involved in mammography:

Attending a positioning seminar

Continuing experience

Initial training

Continuing education

Attending a positioning seminar

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6

Patient has a screening mammogram and the results are negative (or normal). The patient returns in 9 months with a small palpable area. A diagnostic mammogram is performed and the radiologist recommends a biopsy. The tissue diagnosis is positive for cancer. How should the initial screening mammogram be categorized?

False negative (FN)

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7

Facilities are required to maintain mammography reports and images for:

5 to 10 years

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8

Which state is NOT approved as an accrediting body?

Arkansas

Iowa

California

Texas

California

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9

A patient had a screening mammogram. In the report, the radiologist mentioned a benign cyst in the medial right breast, at approximately 2:00, with moderately dense breast tissue. __________ is the correct BIRADS assessment for this report.

BIRADS 2

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10

FDA provides organized, thorough, and easy to understand documents in order to comply with the MQSA regulations. These documents are on FDA's Web site and are known as:

Policy Guidance Help System

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11

A patient had a 6 month follow-up diagnostic mammogram today of the right breast evaluating a group of calcifications. In the report, the radiologist described how the number and appearance of the calcifications had changed over the 6 month period. The radiologist refers to the calcifications as suspicious in appearance and recommends a biopsy. Which is the correct BIRADS assessment for this report?

BIRADS 4

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12

MQSA mandates facilities must engage the services of a qualified medical physicist.

TRUE

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13

The ________ initiative ensures that the facility maintains an active process to monitor the quality of images produced throughout the year.

EQUIP

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14

All facilities must apply to an accrediting body in order to go through the certification process. When the accreditation process is successful, the facility is sent a certificate from ________, and they may legally perform mammography.

FDA

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15

A self-referred patient will receive a:

A. Summary report in lay terms

B. Mammography report

C. Reminder to choose a provider to receive her mammography results

A and B only

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16

Stereotactic biopsy, preoperative mammographically guided wire localization, and ductography are procedures currently exempt from the definition of mammographic modality and not regulated under MQSA.

TRUE

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17

A patient had a diagnostic mammogram today to evaluate a palpable lump in the left breast that she had noticed for about a month. When the technologist placed the triangle lump marker on the patient's skin, she noticed an open sore and dimpling of the skin, in the area of the palpable lump. The technologist documented her findings on the patient's clinical history sheet for the radiologist. In the radiologist's report, she mentioned a large mass with noticeable skin thickening and retraction. Which is the correct BIRADS assessment for this report?

BIRADS 5

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18

A verbal notice is given to the facility at least ________ working days before the annual FDA inspection.

5

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19

The ________ suggests standardized terminology for mammography findings.

ACR BIRADS

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20

Patient has a screening mammogram and the results are negative (or normal). One year later, the patient returns for her annual screening mammogram. The results are negative (or normal). How would the initial screening mammogram be categorized?

True Negative (TN)

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21

A patient had her very first screening mammogram today. Thankfully, the technologist had prepared and explained to her, during her exam, the likelihood of being called back for additional imaging is common for baseline patients. Mainly because of the lack of priors for comparison and desire for a thorough initial evaluation. The radiologist mentioned, in the report, an area of increased density in the left breast, seen only on the MLO projection. He has recommended the patient return for a diagnostic mammogram of the left breast and/or left breast ultrasound. __________ is the correct BIRADS assessment for this report?

BIRADS 0

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22

Patient has a screening mammogram and the results are positive for suspicious findings. The radiologist recommends the patient return for additional views. The patient returns a few days later for a diagnostic mammogram. The radiologist's interpretation states the area of concern is a benign finding and recommends the patient resume her annual screening mammograms in a year. A year later, the patient has a screening mammogram and the results were again interpreted as benign. How should the initial screening mammogram be categorized?

False Positive (FP)

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23

A patient had a diagnostic follow-up mammogram today, to evaluate an area of concern identified on her screening mammogram last week. In the report, the radiologist states that the calcifications, once magnified, displayed benign characteristics. Although, these are most likely benign, a 6 month short interval follow-up is recommended to ensure that there is no change in the number or appearance of the calcifications. __________ is the correct BIRADS assessment for this report?

BIRADS 3

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24

A patient had a screening mammogram. In the report, the radiologist mentioned normal fatty breast tissue with no significant findings. __________ is the correct BIRADS assessment for this report?

BIRADS 1

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25

When QC test results fall outside of acceptable limits, corrective action must be taken to assure the equipment once again functions according to the standards of acceptance testing that was done by the FDA inspector.

FALSE

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