File 11 Flashcards
Patient has recent insertion of tunneled line, while removing the pealing cover and guide wire, a click was heard, the patient become gasping for air, hypotensive, tachycardiac. what is complication encountered?
A) Air embolism
B) Pneumothorax
C) Vascular injury
D) Cardiac arrhythmia
A) Air embolism
Brain infraction what is the best sequence to evaluate for core infarction:
A) DWI
B) CT perfusion
A) DWI
Best diagnostic clue
o High signal on DWI + low signal on ADC = reduced diffusivity
Case scenario describing liver appearance with flip flop enhancement what to expect to see:
A) No flow in hepatic veins
B) Sparing caudate and
A) No flow in hepatic veins
(describing Budd Chiari)
Liver cirrhosis with multiple lesions showing washout and signs of portal hypertension, there was a circumferential bowel thickening involving ascending colon, what is the most likely cause of bowel thickening:
A) Mesenteric venous congestion
B) Bowel ischemia
C) Cancer
D) Clostridium difficile
A) Mesenteric venous congestion
Patient with silicone breast implants, with isolated intracapsular implant rupture, what to do next:
A) Nothing
B) Refer to surgery
B) Refer to surgery
MRI spine from the ER patient with long history, (looks like cauda equina syndrome), MRI showed cord compression, what to do:
A) Call them and inform them of the findings right away
B) Dictate the case then call them
C) Just dictate the case
A) Call them and inform them of the findings right away
Patient with leukemia post chemotherapy, his outpatient CT demonstrates bilateral ground glass opacity, what would you do:
A) Discharge the patient
B) Call the referring physician and discuss the findings, do as he recommend, and talk to the patient
C) Do nothing
D) Go talk to the patient
B) Call the referring physician and discuss the findings, do as he recommend, and talk to the patient
Patient came to you worried and asked to do many investigations and test. She says she is covered by insurance which will pay for it?
A) Do the tests because the insurance will pay
B) Do only what is necessary
B) Do only what is necessary
100 patients with positive PCR for COVID 19, Only the positive patients underwent CT. 90 of them had positive findings, 10 has negative findings, what is the sensitivity:
A) 90% of the scanned population
B) 90% of all population
C) 45% of population
A) 90% of the scanned population
Patient did CT which reported by a doctor as unremarkable, after couple of days MRI done for the spine and shows sizable right nerve root lesion, what was the mistake:
A) Satisfaction of search
B) Underreading
C) Knowledge
A) Satisfaction of search
Radiologist write in the CT abdomen report of pediatric patient: central partial hypodensity in IVC due to thrombus (it was flow artifact), what type of error?
A) Over reliance
B) Technique
C) Faulty reasoning
B) Technique
The first action to be taken with staff with poor interpersonal skills:
A) Verbal reprimand
B) Written
C) Coaching
A) Verbal reprimand
Female patient will undergo some breast procedure, the benefits and complications were discussed with the patient and her son before starting of procedure and she accept, consent should be signed by?
A) Patient herself
B) Son
C) Both mother and son
D) You will sign it
A) Patient herself
What is the most common error in the hospital in patient settings?
A) Diagnostic
B) Medication
C) Procedure
B) Medication
Left brachiocephalic vein tributary (Provided image of mediastinal vessels Angiography with identify the arrow):
Left superior intercostal vein.
Angio picture with an arrow pointing to?
A) Gastroduodenal artery
B) Celiac axis
C) SMA
D) Replaced Rt hepatic
Depend on the arrow
IVC placement:
Below the renal veins.
A pregnant lady with right flank pain. US showed hydroureteronephrosis, which of the following compress the ureter against gravid uterus:
Iliopsoas muscle
Long scenario about elderly with prostatic lesion, MRI image was provided, asking about the draining lymph nodes of the prostate:
Obturator lymph nodes
True negative means:
Specificity (true negative rate):
o The probability of a negative test, conditioned on truly being negative.
A male patient did void cystourethrogram, there was an outpouching from the urinary bladder arise at the vesicoureteric junction. What is the diagnosis:
Hutch diverticulum.
Situs solitus means:
Normal position of thoracic and abdominal organs.
Situs inversus → mirror image of internal organs normal positioning.
Situs solitus → Normal positioning of the organs.
Fetal head ultrasound (A sagittal view provided):
A) Superior sagittal sinus
B) Inferior sagittal sinus
C) Straight sinus
D) Transverse sinus
A) Superior sagittal sinus
Hand x-ray, what is the diagnosis.
Mallet fracture.
(Image provided shows 5th finger distal phalanx fracture).
Haller index:
A) Maximal transverse diameter/narrowest AP length
B) Narrowest AP length/maximal transverse diameter
C) Maximal transverse diameter × narrowest AP length
D) Maximal transverse diameter × narrowest AP length /2
A) Maximal transverse diameter/narrowest AP length
The Haller index is calculated by dividing the transverse diameter of the chest by the anteriorposterior distance on CT of the chest on the axial slice that demonstrates the smallest distance between the anterior surface of the vertebral body and the posterior surface of the sternum.
Patient presented after trauma and CT urogram was done. Contrast extravasation in which space would indicate extraperitoneal rupture?
A) Perivesical
Pediatric hip US. What is the normal diameter of joint capsule?
A) < 5 mm (0.5 cm).
B) 15mm
C) 7mm
D) 10mm
A) < 5 mm (0.5 cm).
Which of the following represent left ventricular enlargement on chest X ray:
Rounded apex.
left ventricular dilatation
left ventricular hypertrophy: may show rounding of the cardiac apex
Hoffman-Rigler sign
Shmoo sign
ICU patient with SOB (provided CXR showed right deep sulcus sign= right pneumothorax), what is the next step to confirm:
Left lateral decubitus
Neonate with history of projectile vomiting. Provided US images, Dx?
A) Hypertrophic pyloric stenosis.
B) Intussception.
C) Duodenal atresia.
Projectile → Duodenal atresia
Non-projectile → HPS
A 55 y.o female presented to ER with acute left hip pain (provided x-ray of the left hip AP and AP with external rotation).
A) Synovial tendinitis
B) Calcified tendinitis
C) Osteosarcoma.
D) Avulsion fracture
B) Calcified tendinitis
You were observing the technician while doing CT PE during on call
and you noticed the contrast fill the right heart chambers without specification of left and IVC layering… What you’ll do?
A) Ask him to take delayed images.
B) Call your consultant
C) Call the referring physician
D) Announce code blue
D) Announce code blue
What does the structure arise from descending aorta in the posterior mediastinum and supply a high- pressure oxygenated blood to supporting lung structures:
Left bronchial artery.
Female patient with history of long-term use of oral contraceptive pills. CT scan of the abdomen show hepatic enhancing lesion with fluid collection in the right anterior pararenal space. In which liver segment this lesion is located? (Liver segment related to peritoneal spaces)
A) 1
B) 3
C) 6
D) 2
A) 1
I or VI
Normal upper limit of the gallbladder wall thickness:
A) 2mm
B) 3mm
C) 4mm
D) 5mm
B) 3mm
- US: normal limits of the gallbladder wall thickness (3 mm)
- Post-prandial → 5 mm
Patient with ESRD underwent nuclear scan (PET scan) which showed multiple areas of focal uptake. What is the cause?
A) Prostate ca with mets
B) Lung ca with mets
C) Parathyroid adenoma with brown tumor
D) Heart failure with implanted cardioverter-defibrillator (ICD)
C) Parathyroid adenoma with brown tumor
A 25-year-old female referred as a case of right breast mass. Next proper investigation is:
Bilateral US (<30 years old)
Notes:
The indications for performing breast ultrasound are characterization of palpable abnormalities, further
characterization of mammographic findings, first-line evaluation of a breast abnormality in a young
(under age 30), pregnant, or lactating woman, guidance for interventional procedures, and evaluation
of breast implants.
Diabetic patient presented with foot ulcer, swelling of left big toe, leukocytosis other signs of diabetic foot, Initial investigation according to ACR:
A) Xray
B) MRI
C) 3-phase bone scan
D) CT
A) Xray
to rule out charcot and osteomylitis
Elderly presented with symptoms of small bowel obstruction. abdomen radiograph attached (It almost shows dilated 3 small bowel loops with air fluid level at the upper mid abdomen). Where is the level of obstruction?
A) Mid jejunum
B) Terminal ileum
C) Hepatic flexure
D) Pyloric antrum
A) Mid jejunum
During enhanced CT scan. The patient had pain and bulge at the cannula site with paresthesia. what to do next:
A) Aspirate the injected contrast.
B) Give prednisone
C) Call the ER physician
D) Surgical consultation
D) Surgical consultation
Asthmatic patients want to do CT with contrast:
A) Oral prednisone 48 and 24 hr
B) Oral prednisone 24 and 12 hrs.
C) Oral prednisone 13, 7, 1 hr.
C) Oral prednisone 13, 7, 1 hr.
