19 milemata Flashcards

1
Q

1.Which are the guiding principles when it comes to choosing a modality to diagnose a disease?

Modality having a high specificity

Least invasive modality

Available modality

Most cost-effective modality

A

1.Which are the guiding principles when it comes to choosing a modality to diagnose a disease?

Modality having a high specificity

Least invasive modality

Available modality

Most cost-effective modality

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2
Q

1.To differentiate a T1 and T2 weighted image in MRI, look for:

Bones

Muscles

Aorta

Water

A

1.To differentiate a T1 and T2 weighted image in MRI, look for:

Bones

Muscles

Aorta

Water

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3
Q

1.Tension ptx is present, which requires emergent treatment if cxr shows

Mediastinal shift to the pathological side

Mediastinal shift to the normal side

Superiors displacement of the diaphragm on the normal side

Inferior displacement of the diaphragm on the pathological side

A

1.Tension ptx is present, which requires emergent treatment if cxr shows

Mediastinal shift to the pathological side

Mediastinal shift to the normal side

Superiors displacement of the diaphragm on the normal side

Inferior displacement of the diaphragm on the pathological side

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4
Q

1.Young female patient previously underwent appendectomy. Now she is having pain n the ileocecal region. Which of the following disorders would you be suspicions of?

Sigma diverticulitis

Crohns disease

Peptic ulcer

Extrauterine gravidity

A

1.Young female patient previously underwent appendectomy. Now she is having pain n the ileocecal region. Which of the following disorders would you be suspicions of?

Sigma diverticulitis

Crohns disease

Peptic ulcer

Extrauterine gravidity

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5
Q

1.In case of which of the following conditions would you make a frimann-dahl image?

Infiltrate of the lung

Abdominal free gas

Fracture of the femoral head

Subpulmonal fluid

A

1.In case of which of the following conditions would you make a frimann-dahl image?

Infiltrate of the lung

Abdominal free gas

Fracture of the femoral head

Subpulmonal fluid

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6
Q

1.What is the difference between the origin of an epidural and subdural hematoma (usually)?

Subdural hemorrhage: arterial

Subdural hemorrhage: vein

Epidural hemorrhage: vein

Epidural hemorrhage: arterial

A

1.What is the difference between the origin of an epidural and subdural hematoma (usually)?

Subdural hemorrhage: arterial

Subdural hemorrhage: vein

Epidural hemorrhage: vein

Epidural hemorrhage: arterial

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7
Q

1.Which condition can cause paralytic ileus?

Cramp caused by kidney stone

Acute pancreatitis

Mesenterial thrombo-embolism

Side-effect of medication

A

1.Which condition can cause paralytic ileus?

Cramp caused by kidney stone

Acute pancreatitis

Mesenterial thrombo-embolism

Side-effect of medication

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8
Q

1.Tumors within the spinal canal may be classified as

Intramedullary

Extradural

Intradural-extramedullary

Extradural-intramedullary

A

1.Tumors within the spinal canal may be classified as

Intramedullary

Extradural

Intradural-extramedullary

Extradural-intramedullary

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9
Q

1.Which of the followings can be complications after an operation

Ileus caused by adhesions

Abscess

Stress ulcus

Insufficiency of the suture

A

1.Which of the followings can be complications after an operation

Ileus caused by adhesions

Abscess

Stress ulcus

Insufficiency of the suture

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10
Q

1.To evaluate an abdominal CT, the optimal windowing setting is…./on the HU-scale? (WL=window level, WW=window width)

WL=-600 HU, WW=1600 HU

WL=800 HU, WW=2000 HU

WL=60 HU, WW=360 HU

WL= 0 HU, WW=200 HU

A

1.To evaluate an abdominal CT, the optimal windowing setting is…./on the HU-scale? (WL=window level, WW=window width)

WL=-600 HU, WW=1600 HU

WL=800 HU, WW=2000 HU

WL=60 HU, WW=360 HU

WL= 0 HU, WW=200 HU

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11
Q

1.Which organ would you put in this sentence: the …… body is the most common portion of this organ to be injured in blunt trauma because they are compressed against the spine in blunt traumatic injuries to the abdomen

Gall-bladder

Bladder

Pancreas

Liver

Aorta

A

1.Which organ would you put in this sentence: the …… body is the most common portion of this organ to be injured in blunt trauma because they are compressed against the spine in blunt traumatic injuries to the abdomen

Gall-bladder

Bladder

Pancreas

Liver

Aorta

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12
Q

1.Which investigation is stongly recommended before doing a barium enema?

Pelvic US???

Cystoscopy

Rectoscopy????

Barium follow-through

Urography

A

1.Which investigation is stongly recommended before doing a barium enema?

Pelvic US???

Cystoscopy

Rectoscopy????

Barium follow-through

Urography

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13
Q

1.Which of the following modalities is not a functional imaging method:

Scinitgarphy

PET

Mammography

SPECT

A

1.Which of the following modalities is not a functional imaging method:

Scinitgarphy

PET

Mammography

SPECT

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14
Q

1.In case of a simple renal cyst (with 25 mm diameter, without irregular wall and without septations), how could we characterize the inner content of the cyst?

Hypoechoic

Anechoic

Hyperechoic

Hyperdense

A

1.In case of a simple renal cyst (with 25 mm diameter, without irregular wall and without septations), how could we characterize the inner content of the cyst?

Hypoechoic

Anechoic

Hyperechoic

Hyperdense

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15
Q

1.In case of enlarged axillary and supraclavicular lymph nodes the first imaging method is:

CT

MR

US

Scintigraphy

A

1.In case of enlarged axillary and supraclavicular lymph nodes the first imaging method is:

CT

MR

US

Scintigraphy

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16
Q

1.Gold standard” method currently in the diagnosis of renal cell cancer

HRCT

Transabdominal US

Unenhanced abdominal CT examination

IV urography

Contrast enhanced multiphasic abdominal CT

A

1.Gold standard” method currently in the diagnosis of renal cell cancer

HRCT

Transabdominal US

Unenhanced abdominal CT examination

IV urography

Contrast enhanced multiphasic abdominal CT

17
Q

1.Which of the following indications is inadequate planning an MRI in head and neck region?

Evaluation of perineural tumor spread

Bony skullbase evaluation in suspicion of bony fracture owing to an injury

Cartilage infiltration of the larynx

Proving soft tissue involvement of suprahyoid compartments

Posttherapeutic differentiation between recidive tumor and scar tissue

A

1.Which of the following indications is inadequate planning an MRI in head and neck region?

Evaluation of perineural tumor spread

Bony skullbase evaluation in suspicion of bony fracture owing to an injury

Cartilage infiltration of the larynx

Proving soft tissue involvement of suprahyoid compartments

Posttherapeutic differentiation between recidive tumor and scar tissue

18
Q

2.What kind of material is administered to the patient during an isotope examination?

Contrast media

Isopharmacon

Gadolinium

Radiopharmacon

A

2.What kind of material is administered to the patient during an isotope examination?

Contrast media

Isopharmacon

Gadolinium

Radiopharmacon

19
Q

1.Which of the following fracture type is considered as “pathological fracture”?

Fatigue fractures of athletes

Facture of bones weakened by a tumor, inflammation or cyct

All type of vertebral facture

Fractures due to osteoporosis

A

1.Which of the following fracture type is considered as “pathological fracture”?

Fatigue fractures of athletes

Facture of bones weakened by a tumor, inflammation or cyct

All type of vertebral facture

Fractures due to osteoporosis

20
Q

1.Which imaging technique is useful to demonstrate the vascularity of a splenic tumor?

Color-duplex abdominal US

Multiphasic contrast enhanced abdominal CT

A-P abdominal x-ray

Contrast enhanced abdominal MR

A

1.Which imaging technique is useful to demonstrate the vascularity of a splenic tumor?

Color-duplex abdominal US

Multiphasic contrast enhanced abdominal CT

A-P abdominal x-ray

Contrast enhanced abdominal MR

21
Q

1.IV contrast material should be avoided at CT examinations when the patient suffers from:

Manifest hypothyroidism

Severe lower extremity atherosclerotic disease

Manifest hyperthyroidism

Multinodular goiter

A

1.IV contrast material should be avoided at CT examinations when the patient suffers from:

Manifest hypothyroidism

Severe lower extremity atherosclerotic disease

Manifest hyperthyroidism

Multinodular goiter

22
Q

1.In case of typical liver hemangiomas, how can we characterize the mass?

Well rounded, hypoechoic

Well rounded, anechoic

Well rounded, hyperechoic

Well rounded, hyperdense

A

Well rounded, hypoechoic

Well rounded, anechoic

Well rounded, hyperechoic

Well rounded, hyperdense

23
Q

1.The following inflammatory conditions can cause small bowel ileus:

Chron´s disease

Diverticulitis

Bowel tuberculosis

All of the above

A

1.The following inflammatory conditions can cause small bowel ileus:

Chron´s disease

Diverticulitis

Bowel tuberculosis

All of the above

24
Q

1.Which is reliable imaging method in a suspicion of pulmonary embolism?

Transesophageal US

P-A chest x-ray

Pulmonary CT-angiography

Fluoroscopy of the chest

A

1.Which is reliable imaging method in a suspicion of pulmonary embolism?

Transesophageal US

P-A chest x-ray

Pulmonary CT-angiography

Fluoroscopy of the chest

25
Q

1.In case of recurring right subcostal pain, the first imaging method is:

Abdominal CT

MR

Abdominal US

Scintigraphy

A

1.In case of recurring right subcostal pain, the first imaging method is:

Abdominal CT

MR

Abdominal US

Scintigraphy

26
Q

1.What is the first chosen imaging method in case of neck nodule?

Swallow x-ray examination

US

MR

CT

A

1.What is the first chosen imaging method in case of neck nodule?

Swallow x-ray examination

US

MR

CT

27
Q

1.Which renal lesion contains typically fat?

Renal cell carcinoma

Septated renal cyst

Renal cortical infarction

Angiomyolipoma

A

1.Which renal lesion contains typically fat?

Renal cell carcinoma

Septated renal cyst

Renal cortical infarction

Angiomyolipoma

28
Q

1.In case of a left sided PTX the mediastinal complex will move:

Moderately to the left side

The mediastinal complex will stay in unchanged position

Extensively to the right side

Extensively to the left side

A

1.In case of a left sided PTX the mediastinal complex will move:

Moderately to the left side

The mediastinal complex will stay in unchanged position

Extensively to the right side

Extensively to the left side

29
Q

1.The following transducer is usually used for adult thyroid US

9-12.5 MHz convex

6-9 MHz phased-array

  1. 5-5 MHz convex
  2. 5-10 MHz linear
A

1.The following transducer is usually used for adult thyroid US

9-12.5 MHz convex

6-9 MHz phased-array

2.5-5 MHz convex

7.5-10 MHz linear

30
Q

1.Which of the following statement is the absolute contraindication for enema reduction of an intussusception (in case of a 4 month old baby):

Small amount of free fluid on the abdominal US

Signs of perforation

Subicterus

Small bowel obstruction

A

1.Which of the following statement is the absolute contraindication for enema reduction of an intussusception (in case of a 4 month old baby):

Small amount of free fluid on the abdominal US

Signs of perforation

Subicterus

Small bowel obstruction

31
Q

1.Which is NOT an indication of chest x-ray

High fever

Search for primary tumor

Elevated liver enzymes
Chest screening

A

1.Which is NOT an indication of chest x-ray

High fever

Search for primary tumor

Elevated liver enzymes
Chest screening

32
Q

1.Which is not a functional x-ray examination

Swallow examination

Fistulography of the liver (???)

Bedside A-P view chest x-ray

Barium enema study (irrigoscopy)

A

1.Which is not a functional x-ray examination

Swallow examination

Fistulography of the liver (???)

Bedside A-P view chest x-ray

Barium enema study (irrigoscopy)

33
Q

1.How could we demonstrate a calcified stone in the gallbladder, with 30 mm in diameter (choose the false statement)

Angiography

US

Native abdominal CT

With P-A abdominal x-ray

A

1.How could we demonstrate a calcified stone in the gallbladder, with 30 mm in diameter (choose the false statement)

Angiography

US

Native abdominal CT

With P-A abdominal x-ray

34
Q

1.Which method is used for the detection of testicular cancer?

PET-CT

Angiography

CT

US

A

1.Which method is used for the detection of testicular cancer?

PET-CT

Angiography

CT

US

35
Q

1.Which X-ray technique is applied by conventional chest x-ray?

Heardbeam technique (25-35keV)

Softbeam technique (25-35 keV)

Heardbeam technique (120-140 keV)

Mammography uses soft beams

Softbeam technique (120-140 keV)

A

1.Which X-ray technique is applied by conventional chest x-ray?

Heardbeam technique (25-35keV)

Softbeam technique (25-35 keV)

Heardbeam technique (120-140 keV)

Mammography uses soft beams

Softbeam technique (120-140 keV)

36
Q

1.If a pulmonary infiltrate DOES NOT resolve over time despite treatment with antimicrobial agents, think of….

Broncho-alveolar subtype of lung cancer

Supraglottic cancer of larynx

Boeck sarcoidosis

Presence of mycoplasma or klebsiella

Pleural adhesions

A

1.If a pulmonary infiltrate DOES NOT resolve over time despite treatment with antimicrobial agents, think of….

Broncho-alveolar subtype of lung cancer

Supraglottic cancer of larynx

Boeck sarcoidosis

Presence of mycoplasma or klebsiella

Pleural adhesions

37
Q

1.In case of stroke, treatment strategy is primarily based on the following findings:

Localization of the lesion (infra- or supratentorial)

Unilateral or bilateral lesion

Presence of oedema

Presence of hemorrhage

A

1.In case of stroke, treatment strategy is primarily based on the following findings:

Localization of the lesion (infra- or supratentorial)

Unilateral or bilateral lesion

Presence of oedema

Presence of hemorrhage

38
Q
A