File 12 Flashcards
Patient newly diagnosed with breast cancer with pathological lymph node seen inferior lateral to pectorals minor muscle, which group of lymph node ?
A) 1
B) 2
C) 3
D) 4
A) 1
Shoulder x ray:
A) AP with internal rotation is better than external rotation in assessing Hill-Sach lesion.
NECT scan of the brain with subarachnoid hemorrhage. What is the next step:
Brain CTA
Patient with left flank pain on nonenhanced CT scan found to have lower pole stone with surrounding density measuring 18HU which is continuous with the lower pole of the kidney?
A) Forniceal rupture
B) Xanthogranulomatous pyelonephritis
A) Forniceal rupture
A case of trauma. CT is requested for mediastinal hematoma, what is the proper protocol?
CT of the chest with pre and post contrast.
Adnexal lesion with High T1 signal intensity (SI) and low T2 SI? What is the effect of lesion content on both sequences?
A) Prolong T1, shorten T2
B) Decrease both
C) Increase both
B) Decrease both
In Body MRI, comparing adnexal SI with what?
A) Urinary bladder
B) Rectum
C) Uterus
D) Skeletal muscle
D) Skeletal muscle
Young female patient did an outside breast US with the report recommend biopsy, what is the BIRAD? (Provided US image: hypoechoic well define, wider than taller mass).
A) BIRAD 0
B) BIRAD 1
C) BIRAD 3
D) BIRAD 4
A) BIRAD 0
No Mamo images
A Vitamin B12 labeled with CO-57 was prepared for schilling test, which of the following is given as combination:
A) Intrinsic factor
B) Ca++
A) Intrinsic factor
A patient presented with confusion and convulsion. Provided MRI images showed left parietal extradural convex plug with High T2 SI and rim enhancement on T1 C+. What is the diagnosis:
A) Epidural abscess
B) Epidural hematoma
C) Glioma
A) Epidural abscess
An elderly patient presented with severe headache. Provided MRI images showed abnormal SI of inferolateral aspect of right cerebellum (PCA territory). What is the diagnosis?
A) PCA infarction.
B) Cerebellar hemorrhage
A) PCA infarction.
Restricted diffusion.
When to give platelets for patient with thrombocytopenia planned for lumbar puncture:
A) 4 hours before the procedure
B) 8 hours before the procedure
C) Immediately before the procedure
D) Immediately after the procedure
C) Immediately before the procedure
A patient did a renal transplant 20 months ago, now complaining of left flank pain, hematuria, and deteriorated renal function. He did renal biopsy 2 weeks back. What is the diagnosis? (Provided Doppler US of the kidney which showed anechoic structure could be the site of the biopsy with adjacent focal area of aliasing and the waves was also provided).
A) Arteriovenous malformation
B) Renal artery stenosis
C) Arteriovenous fistula
C) Arteriovenous fistula
A trauma patient did ascend urethrogram to assess urethra. (Provided images show contrast leak at the membranous part). What is the most likely mechanism?
A) Penetrating trauma
B) Blunt trauma
C) Iatrogenic
D) Congenital
B) Blunt trauma
Trauma patient with enhanced CT scan of the abdomen and 3D images showed splenic artery aneurysm. What is the description?
A) Saccular
B) Fusiform
C) Active bleeding
A) Saccular
Eccentric focal dilatation (saccular) of splenic artery is more common than concentric focal dilatation
(fusiform).
A patient presented with acute abdomen and elevated lipase. Enhanced CT scan shows edematous pancreas with surrounding homogenous fluid collection. According to Revised Atlanta Criteria what is the type:
A) Acute peri pancreatic fluid collection.
B) Walled-off-necrosis.
C) pseudo cyst.
D) Acute necrotic collection.
A) Acute peri pancreatic fluid collection.
Which structure is responsible of miosis of eye. Provided coronal MRI image of the sphenoid sinus with multiple pointed arrows.
A) 1
B) 2
C) 3
B) 4
A) 1 (Oculomotor nerve)
Miosis related nerve
Ossification of elbow:
A) Capitellum, radial head, medial epicondyle, trochlea, olecranon, lateral epicondyle
Which of the following is classical for non accidental injury?
A) Distal radius diaphyseal greenstick fracture
B) Spiral diaphyseal femur fracture
C) Femoral metaphyseal corner fracture
D) Ulnar buckle fracture
C) Femoral metaphyseal corner fracture
Patient presenting with LLQ pain on CT scan there is a well-defined fat density lesion with a central dot in the left paracolic gutter with surrounding fat tissue density, what is the most likely diagnosis?
A) Diverticulitis
B) Epiploic appendagitis
C) Mesenteric
B) Epiploic appendagitis
A 23-year-old male patient with bilateral lung nodules in Perilymphatic distribution, and few calcified mediastinal lymph nodes. What is the diagnosis?
A) Lymphangitic carcinomatosis
B) Sarcoidosis
C) Bronchiolitis obliterans
D) LCH
B) Sarcoidosis
