Cardiovascular System

Question 1

What is the first choice in cardiovascular radiopgraphs?

Answer 1

U/s and echocardiography

Question 2

Which radiograph gives raw idea about the thoracic morphology heart size and shape?

Answer 2

Direct x-ray: Teleradiography

Question 3

How long must the distance of the tube to film distance must be in TELEROENTGENOGRAPHY [PA position]: ?

Answer 3

Tube-Film distance is 175-180cm

Question 4

WHAT DO YOU DETERMINE IN THE ANTEROLATERAL GRAPHY?

Answer 4

CARDIOTHORACIC RATIO

Question 5

RIGHT SIDE OF THE HEART IS MADE B Y THE ….

Answer 5

RIGHT ATRIUM

Question 6

CARDIAC CT / MRI INDICATIONS?

Answer 6

1-Detection of cardiac tumors-CT/MRI

2-Intra cardiac thrombus-CT/MRI

3-Pericardial thickening+calcification-CTA

4-Demonstration of coronary arteries-CTA

5-Myocardial perfusion-perfusion MRI

6-Ventricular ejection fraction-cine MRI

Question 7

PERICARDIAL CALCIFICATION

Answer 7

USE CT

Question 8

BEST MODALITY FOR AORTA VISUALIZATION?

Answer 8

CTA (CT)

Question 9

PATHOLOGY DETECTION IN CTA IN AORTA?

Answer 9

CATHETER ANGIOGRAPHY(DSA)

Question 10

RADIOGRAPHS IF U SUSPECT THORACIC AORTA ANEURYSM?

Answer 10

CT ANGIOGRAPHY
AND
CONVENTIONAL ANGIOGRAPHY

Question 11

CORONARY A.

Answer 11

CORONARY CT ANGIOGRAPHY

Question 12

CAROTID Artery ASSESSMENT?

Answer 12

1-DOPPLER U/S
2-CTA
3-CONVENTIONAL ANGIOGRAPHY[TX AND DX]

Question 13

WHAT IS THE the gold standard For the diagnosis of suspicious lesions
FOR TREATMENT OF AORTA

Answer 13

CONVENTIONAL ANGIOGRAPHY

Question 14

ANY SUSPICION IN CELIAC,SMA, OR IMA WHICH RADIOGRAPH SHOULD U USE?

Answer 14

CTA

Question 15

ASSESSMENT OF RENAL ARTERY STENOSIS?

Answer 15

Doppler US: first choice, experience

Renal MRA: false positive

Renal CTA: false positive? Contrast nephropathy?

Conventional angiography: gold standard. Treatment

Question 16

WHICH RADIOGRAPH IS ALWAYS USED FOR CARDIOVASCULAR TX?

Answer 16

CONVENTIONAL ANGIOGRAPHY

Question 17

MOST IMP PAD[peripheral arterial disease] DX?

Answer 17

ANAMNESIS

Physical examination (pulses) Ankle-elbow index
Color Doppler US
CT angiography
MRI angiography Angiography (DSA)

Question 18

First step in assessment of PAD?

Answer 18

Color doppler u/s

Question 19

*What are the symptoms of PAD;ACUTE ARTERIAL ISCHEMIA?

Answer 19

• Acute
• Occurs suddenly/within hours/days[SUDDEN]
• Cardiac thromboembolism
• Thrombus formation on stenosis
• Pulselessness
• Pallor (coldness/pale)
• Pain
• Paresthesia (loss of feeling)
• Paralysis (motor power loss)

Question 20

WHAT ARE THE CLINICAL PRESENTATION OF ACUTE/SUBACUTE DEEP VEIN THROMBOSIS?

Answer 20

Foot / leg swelling
Pain
difficulty in walking
bruising
Collateral vein formations
*Pink leg (not pallor like PAD)

Question 21

Primary diagnostic method in the thigh area in DVT/Femoral vein thrombosus?

Answer 21

Color doppler u/s

Question 22

Symptoms for DVT?

Answer 22

• feeling of leg heaviness & tiredness
• Pain[when resting, unlike PAD]
• night cramps
• If no treatment
– foot swelling[pink]
– Pigmentation
– Bleeding
– ulceration

Question 23

Dx of DVT?

Answer 23

Color doppler u/s

Question 24

Contours of heart..?

Question 25

**WHICH STRUCTURES FORMS THE MAJORITY OF THE RIGHT HEART BORDER?

Answer 25

RIGHT ATRIUM

Question 26

**WHICH STRUCTURES FORMS THE MAJORITY OF THE LEFT HEART BORDER?

Answer 26

LEFT VENTRICLE

Question 27

Which structure forms the superior contour of the heart?

Answer 27

Ascending aorta