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Fi Flashcards

1
Q

Mediastinal window

A

Soft tissue

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2
Q

Parenchyma window

A

Fine reticular pattern

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3
Q

Fat suppressed

A

FS PD FSE

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4
Q

Leg pain, confined to dermatome, + neural stretch tests, weakness to muscle testing, decrease in the reflex of assoc. dermatome

A

Synovial cyst

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5
Q

Leg pain, confined to dermatome, - neural stretch tests, weakness to muscle testing, decrease in the reflex of assoc. dermatome

A

Lateral recess stenosis

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6
Q

What modic type shows endplate sclerosis

A

Type III

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7
Q

Asking what imaging would you use for peel back lesion (SLAP lesion)?

A

MRI

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8
Q

Associated with pain

A

Modic type I

Disc pain

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9
Q

In a patient with signs of a lumbar disc herniation, which one of the following indicates the herniation is recent

A

Annular tear

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10
Q

When evaluating a universal compression on MRI, all of the following are signs of a malignant cause

A
  • multifocal involvement
  • posterior body convexity
  • pedicle involvement
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11
Q

SLAP lesions are best identified on trans axial slices __________

A

Coronal oblique at 1-11 o’clock

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12
Q

Type 1 meniscus

A

Go ahead and run if you can handle the pain

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13
Q

Type II MENISCUS

A

Don’t run for the next 6 weeks because of predisposition to a tear

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14
Q

Type III MENISCAL tear

A

Don’t run the race, see an ortho surgeon to correct tear

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15
Q

All of the following are signs of ACL tear

A
  • no attachment to the lateral wall of the intercondylar notch on Coronal views, its on the medial aspect of the LAT fem condyle
  • failure to see the ACL on sagittal views
  • bone bruise of the anterior lateral femur and post LAT tibia, valgus knee
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16
Q

You order an MRI on the knee of a high school basketball player. The conclusion of the report is jumpers knee. This dx refers to what

A

Patellar tendon

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17
Q

Which one is the following studies is obtained by having an x-ray to rotate continuously around the patient or the patient’s slides through the beam like a car through a car wash

A

Helical spherical ct

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18
Q

Which one of the following best describes a study in which two (dual) Different energy x-rays are pass-through specific body parts and the difference in absorption of radiation is measured

A

DEXA

dual energy X-ray absorptiotomy

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19
Q

SPECT

A

Single photon emission CT

GAMMA RAYS

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20
Q

Thin section CT

A

Lungs

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21
Q

Quantitative CT

A

Measure bone density

Very expensive

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22
Q

Which one of the following would best differentiate active from in active pars defect

A

SPECT or MRI

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23
Q

Which one of the following represents the hounsfield units seen in water

A

Zero HU

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24
Q

Which one of the following represents the hounsfield units seen in calcium

A

+1000 hu

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25
Q

Which one of the following represents the hounsfield units seen in air

A

-1000 hu

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26
Q

Which one of the following most commonly uses Tc-99

A

Bone scan- scintograph, nuclear medicine

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27
Q

Which one of the following best describes the term hypo echoic when using diagnostic ultrasound

A

Dark gray low reflection?

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28
Q

Which one of the following best describes the term hyper echoic when using diagnostic ultrasound

A

White, high reflection

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29
Q

Which one of the following best describes the term shadowing when using diagnostic ultrasound

A

Dark streaks past an object

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30
Q

Which one of the following best describes the term anisotropy when using diagnostic ultrasound

A

White tendons

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31
Q

With regard to bone mineral density when evaluating T and Z scores, which one of the following represents osteoporosis / change to healthy bone

A

-2.6 and below

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32
Q

With regard to bone mineral density when evaluating T and Z scores, which one of the following represents osteopenia

A

-1 and below

-1 to -2.5

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33
Q

With regard to bone mineral density when evaluating T and Z scores, which one of the following represents normal

A

+1 and above

34
Q

Transducers are used with which one of the following modalities

A

Diagnostic ultrasound

35
Q

You’re treating a patient following a significant whiplash injury in which the patient hit their head hard on the head rest 10 days post injury you were concerned about a sub dural brain bleed which one of the following is the modality of choice and further assessment

A

MRI 48 hours or more

36
Q

Routine bloodwork on a 68-year-old male shows high levels of PSA digital rectal exam shows hard nontender non-mobile nodules which one of the following is indicated as the next step of assessment

A

Ultrasound

37
Q

Your patient is demonstrating some unusual signs indicating possibly early MS the signs include changes on the visual field scotoma us, lack of sensation in various places on the face, and loss of taste on that portion of the town. Which one of the following would be the next best step in evaluation

A

MRI of brain

38
Q

You are treating a 30-year-old male who tells you that he has noticed a hard nontender non-mobile nodule on one of his testes you’re both concerned about testicular carcinoma which one of the following is the next best step

A

Ultrasound

39
Q

Email Patient you’re treating has multiple upper cervical anomalies and he’s beginning to develop some unusual neurological symptoms, including loss of sensation. You are concerned about Arnold Chiari malformation. Which one of the following would be the next best step in imaging

40
Q

832-year-old female asking you to look at her lower abdomen because she has noticed some hard masses in the pelvic cavity after assessment you think she may have uterine fibroids which one of the following would be the next best step to evaluate the possible fibroids

A

Ultrasound

41
Q

Rust sign

A

Jefferson fx

Forced hyperextension, traumatic spondylo

42
Q

Hey patient presents with rust sign following a significant hyperextension whiplash injury although your plane films are negative your clinical suspicion for possible then his fracture or hangman’s fracture is high which one of the following is the next best step in assessment

43
Q

A 60-year-old male presents with low back and flank pain your plane films shown on usual patterns of calcification in the kidney and your DACBR is concerned about possible malignancy which one of the following is indicated

A

All are of equal value in this case

Ultrasound
MRI
CT

44
Q

32-year-old male with aggressive bone distraction in femur DACBR expect malignancy which one is indicated

A

All are of equal value in this case

Ultrasound
MRI
CT

45
Q

Plain film x-ray of the cervical spine of a 72-year-old demonstrate marked atherosclerosis of the carotid artery‘s you are concerned with the degree of stenosis which one of the following would be the next best step in evaluation

A

MRA (magnetic resonance angiography)

46
Q

You have been treating an overweight 34-year-old female on her last to visit she has complained of bad epigastric pain especially after a meal she also complains about right shoulder pain you take new plane films of those areas and they are normal which one of the following would be your next step

A

Diagnostic ultrasound of the upper G.I.

47
Q

A patient comes to see you for months after a slip and fall in Publix enjoying their the Racco lumbar junction they initially went to an urgent care facility that did not do any imaging the patient is still in a moderate degree of pain you take x-rays and see a compression fracture which one of the following would be a value to help determine if the fracture happen from the farm

48
Q

Your plain film x-ray demonstrates a 4.8 cm abdominal aortic aneurysm which one of the following is indicated for further

A

Ultrasound

49
Q

And overweight high school sophomore comes in on a Friday with bilateral lower leg pain he has just finished the first week of conditioning for football here now been conditioning before the first practice four days earlier Monday’s practice will be the first day with tackling you need to quickly differentiate soft tissue shinsplints from stress fracture which one of the following should you order?

50
Q

The Resik films on a 60-year-old longtime smoker showed a mass in the long chest x-rays confirmed the mass what is the next step in imaging

A

Then section high resolution CAT scan

51
Q

You have a patient who has a very symptomatic degenerative spondylolisthesis at L5 four which one of the following would be the best modality in further assessment

52
Q

Following a tumor

A

Pet scan used to diagnose diseases using a contrast dye

53
Q

Your patient has shawl like loss of sensation in the upper extremities and you are concerned about a syrinx in the cervical cord which one of the following would be the next step in a valuation

54
Q

OPLL found on

55
Q

Visualize impact on neural structures

56
Q

X-rays of your patient demonstrate DISH with OPLL in the cervical spine the patient is exhibiting a lot of neurologic symptoms which one of the following imaging modalities would be a value in this circumstance

A

MRI

I already know it’s there but I want to see the impact on the physical neural structures

57
Q

You have a strong suspicion of a SLAP lesion in one of your patients which one of the following is in the

A

Coronel oblique MRI of the shoulder

58
Q

You palpate a nodule on your patience thyroid which one of the following imaging modalities as indicated

59
Q

Your patient is going through menopause and is considering estrogen replacement therapy which one of the following would be indicated to best determine their risk of fracture from osteoporosis

60
Q

You have a 14-year-old gymnast with low back pain and sclerotic L5 pedicle. Which one of the following would best be used to determine if this represents an active pars defect

61
Q

You took Cervical and lumbar x-rays on a 70-year-old patient the DACVR report identifies aggressive looking lesions in both areas with a high confidence level for skeletal metastasis which one of the following would be the next step in imaging

A

Bone scan

Used to find
METS
stress fx
Pagets
Bone island vs blastic mets
62
Q

Your patient has had breast carcinoma with metastasis to the large bowel which one of the following is the best modality to follow this patient

A

Pet scan

“PETS FOLLOW YOU”

63
Q

You have a 66-year-old with pain in the left buttock region x-rays show what looks to be a large bone island in the left ilia. There are no prior films for comparison to confirm this is a bone island and not an aggressive blastic lesion which one of the following would be of greatest value

64
Q

Which one of the following best describes an active pars defect

A

Stress fracture of the pedicle

65
Q

Cord tumors are best assessed with MRI

66
Q

Which one of the following is the preferred initial imaging test with suspected septic arthritis

A

MRI usually with contrast

67
Q

Diagnostic ultrasound would be of value in assessment of all of the following

A

Plantar fasciitis
Rib fx
Pancreatic carcinoma

68
Q

Diagnostic ultrasound would be of value in assessment of all of the following except

A

Lateral recess stenosis

69
Q

Where was the first CT scan performed ?

70
Q

Who discovered X-ray

A

W Roentgwn

71
Q

Lebron James is on what team

72
Q

Who described the three types of meniscal patterns

A

David Stoller md

73
Q

MCL

A

Not very thick

Best seen on intercondylar notch slice

74
Q

Meniscus

A
  • tears normally happen in the anterior horn or posterior horn or both
  • Best scene on sagittal image
75
Q

Articular cartilage

A

Best scene on T2 or fat suppressed images

76
Q

Lateral meniscus

A

Should be triangle of black

77
Q

IT band/TFL

A

Unemployment will thicken and become Gray it should be thin black

78
Q

ACL

A
  • Sheet of paper
  • originates on medial side of lateral femoral condyle
  • Inserts on medial tibial Eminence
  • It should be a thin intermediate gray
79
Q

PCL

A

thick black rope

80
Q

Intercondylar notch views

A 
MCL
Meniscus
articular cartilage
Lateral meniscus
ACL
PCL
IT band/TFL
LCL

CORONAL IMAGE

81
Q

Patella and patellar cartilage

A

Best seen on transaxial and sagittal

Risk of chondromalacia patella

Adv Img (2 decks)

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