2014-03-07 USMLE radiology - USMLE radiology Flashcards

1
Q

Screening test to order for depressed skull fracture

A

CT scan

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2
Q

Screening test to order for head trauma

A

CT scan non-contrast

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3
Q

Screening test to order for intracranial hemorrhage

A

CT scan non-contrast

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4
Q

Screening test to order for acute stroke

A

CT scan non-contrast

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5
Q

Screening test to order for multiple sclerosis

A

MRI brain with contrast

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6
Q

Screening test to order for brain tumor

A

CT or MRI with contrast

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7
Q

Screening test to order for Pneumonia

A

CXR

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8
Q

Screening test to order for Chest trauma

A

CXR

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9
Q

Screening test to order for chest mass

A

CXR

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10
Q

Screening test to order for hemoptysis

A

CXR

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11
Q

Screening test to order for pulmonary embolism

A

V/Q scan

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12
Q

Screening test to order for aoritc aneurysm/dissection

A

CT with contrast

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13
Q

Screening test to order for trauma aortic tear

A

CT with contrast

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14
Q

Screening test to order for carotid stenosis

A

duplex ultrasound or MRA

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15
Q

Screening test to order for esophageal obstruction

A

barium x-ray or endoscopy

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16
Q

Screening test to order for esophagela tear

A

gastrografin x-ray or endoscopy

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17
Q

Screening test to order for bowel perforation

A

abdominal x-ray

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18
Q

Screening test to order for hematemesis

A

endoscopy

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19
Q

Screening test to order for peptic ulcer disease

A

upper GI series or endoscopy

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20
Q

Screening test to order for abdominal trauma

A

CT scan with contrast

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21
Q

Screening test to order for abdominal abscess

A

CT scan with contrast

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22
Q

Screening test to order for cholelithiasis

A

ultrasound

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23
Q

Screening test to order for choledocholithiasis

A

ultrasound

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24
Q

Screening test to order for choleystitis

A

ultrasound

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25
Q

Screening test to order for intestinal obstruction

A

abdominal x-ray

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26
Q

Screening test to order for Appendicitis

A

abdominal s-ray then US or CT with contrast

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27
Q

Screening test to order for nephrolithiasis

A
  • abdominal x-ray then

- IVP or CT without contrast

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28
Q

Screening test to order for Ovarian pathology

A

ultrasound

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29
Q

Screening test to order for diverticulitis

A

CT scan with contrast

30
Q

Screening test to order for upper GI bleed

A

upper GI series or endoscopy

31
Q

Screening test to order for lower GI bleed

A

barium enema or endoscopy

32
Q

Screening test to order for unknown GI bleed

A

nuclear medicine bleeding study

33
Q

Preferred test for “brisk” GI bleeding

A

endoscopy

34
Q

Screening test to order for hydronephrosis

A

US or CT scan

35
Q

Screening test to order for hematuria

A

CT scan

36
Q

Screening test to order for uterine fibroids

A

US

37
Q

Screening test to order for pelvic mass

A

US

38
Q

Screening test to order for bone metastases

A

bone scan

39
Q

Screening test to order for pregnancy

A

US (transvaginal detects earlier)

40
Q

Screening test to order for fracture

A

x-ray

41
Q

Screening test to order for osteomyelitis

A

x-ray

42
Q

Screening test to order for arthritis

A

x-ray

43
Q

Screening test to order for pyloric stenosis

A

US

upper GI is 2nd choice

44
Q

Screening test to order for Meckels’ diverticulum

A

Meckel’s scan (nuclear med)

45
Q

Confirmation test to order for acute stroke

A

MRI of brain without contrast

46
Q

Confirmation test to order for chest trauma

A

CT scan with contrast

47
Q

Confirmation test to order for chest mass

A

CT scan with contrast

48
Q

Confirmation test to order for hemoptysis

A

Bronchoscopy or CT scan with contrast

49
Q

Confirmation test to order for PE

A

pulmonary arteriogram or CT with contrast

50
Q

Confirmation test to order for aortic aneurysm/dissection

A

angiogram

51
Q

Confirmation test to order for traumatic aortic tear

A

angiogram

52
Q

Confirmation test to order for carotid stenosis

A

angiogram

53
Q

Confirmation test to order for esophagela obstruction

A

endoscopy

54
Q

Confirmation test to order for esophageal tear

A

endoscopy

55
Q

Confirmation test to order for bowel perforation

A

CT scan or laparoscopy

56
Q

Confirmation test to order for choledocholithiasis

A

ERCP or MRCP

57
Q

Confirmation test to order for cholecystitis

A

HIDA scan

58
Q

HIDA scan stands for

A

hepatobilitary study (nuclear med)

59
Q

Confirmation test to order for intestinal obstruction

A

CT scan with contrast

60
Q

Confirmation test to order for appendicitis

A

laparoscopy

61
Q

Confirmation test to order for upper GI bleed

A

endoscopy

62
Q

Confirmation test to order for lower GI bleed

A

endoscopy

63
Q

Confirmation test to order for hematuria

A

cystoscopy or CT scan with contrast

64
Q

Confirmation test to order for pelvic mass

A

CT with contrast or laparoscopy

65
Q

Confirmation test to order for osteomyelitis

A

bone scan and/or MRI with contrast

66
Q

What should you NOT order in acute diverticulitis?

A

endoscopy or barium enema

67
Q

Preferred test for “brisk” unknown bleeding

A

angiography or laparotomy

68
Q

Test of choice for multiple myeloma

A

plain x-ray

69
Q

x-ray is better than bone scan for detecting this bone lesion

A

multiple myeloma

70
Q

In the setting of fracture, when is CT scan indicated

A

complex fractures (order without contrast)