19 milemata Flashcards
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
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
1.To differentiate a T1 and T2 weighted image in MRI, look for:
Bones
Muscles
Aorta
Water
1.To differentiate a T1 and T2 weighted image in MRI, look for:
Bones
Muscles
Aorta
Water
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
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
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
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
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
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
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
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
1.Which condition can cause paralytic ileus?
Cramp caused by kidney stone
Acute pancreatitis
Mesenterial thrombo-embolism
Side-effect of medication
1.Which condition can cause paralytic ileus?
Cramp caused by kidney stone
Acute pancreatitis
Mesenterial thrombo-embolism
Side-effect of medication
1.Tumors within the spinal canal may be classified as
Intramedullary
Extradural
Intradural-extramedullary
Extradural-intramedullary
1.Tumors within the spinal canal may be classified as
Intramedullary
Extradural
Intradural-extramedullary
Extradural-intramedullary
1.Which of the followings can be complications after an operation
Ileus caused by adhesions
Abscess
Stress ulcus
Insufficiency of the suture
1.Which of the followings can be complications after an operation
Ileus caused by adhesions
Abscess
Stress ulcus
Insufficiency of the suture
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
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
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
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
1.Which investigation is stongly recommended before doing a barium enema?
Pelvic US???
Cystoscopy
Rectoscopy????
Barium follow-through
Urography
1.Which investigation is stongly recommended before doing a barium enema?
Pelvic US???
Cystoscopy
Rectoscopy????
Barium follow-through
Urography
1.Which of the following modalities is not a functional imaging method:
Scinitgarphy
PET
Mammography
SPECT
1.Which of the following modalities is not a functional imaging method:
Scinitgarphy
PET
Mammography
SPECT
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
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
1.In case of enlarged axillary and supraclavicular lymph nodes the first imaging method is:
CT
MR
US
Scintigraphy
1.In case of enlarged axillary and supraclavicular lymph nodes the first imaging method is:
CT
MR
US
Scintigraphy
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
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
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
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
2.What kind of material is administered to the patient during an isotope examination?
Contrast media
Isopharmacon
Gadolinium
Radiopharmacon
2.What kind of material is administered to the patient during an isotope examination?
Contrast media
Isopharmacon
Gadolinium
Radiopharmacon
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
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
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
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
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
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
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
Well rounded, hypoechoic
Well rounded, anechoic
Well rounded, hyperechoic
Well rounded, hyperdense
1.The following inflammatory conditions can cause small bowel ileus:
Chron´s disease
Diverticulitis
Bowel tuberculosis
All of the above
1.The following inflammatory conditions can cause small bowel ileus:
Chron´s disease
Diverticulitis
Bowel tuberculosis
All of the above
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
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
1.In case of recurring right subcostal pain, the first imaging method is:
Abdominal CT
MR
Abdominal US
Scintigraphy
1.In case of recurring right subcostal pain, the first imaging method is:
Abdominal CT
MR
Abdominal US
Scintigraphy
1.What is the first chosen imaging method in case of neck nodule?
Swallow x-ray examination
US
MR
CT
1.What is the first chosen imaging method in case of neck nodule?
Swallow x-ray examination
US
MR
CT
1.Which renal lesion contains typically fat?
Renal cell carcinoma
Septated renal cyst
Renal cortical infarction
Angiomyolipoma
1.Which renal lesion contains typically fat?
Renal cell carcinoma
Septated renal cyst
Renal cortical infarction
Angiomyolipoma
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
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
1.The following transducer is usually used for adult thyroid US
9-12.5 MHz convex
6-9 MHz phased-array
- 5-5 MHz convex
- 5-10 MHz linear
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
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
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
1.Which is NOT an indication of chest x-ray
High fever
Search for primary tumor
Elevated liver enzymes
Chest screening
1.Which is NOT an indication of chest x-ray
High fever
Search for primary tumor
Elevated liver enzymes
Chest screening
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)
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)
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
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
1.Which method is used for the detection of testicular cancer?
PET-CT
Angiography
CT
US
1.Which method is used for the detection of testicular cancer?
PET-CT
Angiography
CT
US
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)
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)
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
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
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
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
