File 14 Flashcards
72-year-old male presenting with severe abdominal pain. Portable X-ray showed Rigler sign (double wall sign) :
A) Perforated peptic ulcer
w
Vomiting and fever with pneumomediastinum and bilateral pleural effusion, what to do next (describing Boerhaave syndrome symptoms), how to further assess?
A) CT
B) Water soluble oral contrast
C) Barium oral contrast
B) Water soluble oral contrast
21-year-old female presenting with on and off colicky RLQ pain for the past two days associated with nausea and vomiting. What is the first step in imaging?
A) US abdomen
B) CT without contrast
C) CT with contrast
A) US abdomen
To rule out gynecological causes.
Which MRI sequence is most sensitive for detecting focal fatty infiltration of the liver?
A) T1 in and out of phase
B) T1 with and without fat suppression
C) T2 with and without fat sat
D) T2 in and out of phase
A) T1 in and out of phase
↑ T1 signal
- signal drop-out on opposed-phase imaging
Long scenario with old patient with fibrotic changes. Asking which
imaging feature is more with idiopathic pulmonary fibrosis (usual
interstitial pneumonia) over non-specific interstitial pneumonia.
A) Honeycombing
B) Ground glass opacity
A) Honeycombing
UIP = Honeycombing + Fibrosis
NSIP = Ground glass opacity
Patient with chest pain found to have moderate risk on VQ scan for pulmonary embolism. The patient is on warfarin with INR (1-2 do not remember). What is next step?
A) CTA
B) Bilateral LL US
C) Permanent IVC filter
D) Temporary IVC filter
A) CTA
Patient presented with MI. He has previous history of type A aortic
dissection. Which of the following vessels is most likely affected?
A) Left coronary
B) Right coronary
B) Right coronary
2 days old with abnormal antenatal US. Postnatal US confirmed abnormality and showed renal mass, what is the most likely diagnosis?
A) Wilms
B) Neuroblastoma → ill-defined
C) Mesoblastic nephroma → well-defined
depends
If the mass were ill defined = neuroblastoma
if the mass were will defined or solid = Mesoblastic nephroma
Premature newborn child found on x-ray to have Rigler sign and portal
vein gas.
A) Necrotizing enterocolitis
2-year-old child presenting with distended abdomen and bloody stools. On CT there was a well-defined fluid filled lesion in the right side of the abdomen.
A) Meckel’s diverticulum
Which is the first bone to ossify in the elbow:
A) Capitulum
B) Radial head
C) Medial epicondyle
D) Lateral epicondyle
A) Capitulum
In pharmacologic cardiac stress test, which medication is used?
A) Adenosine
if asthmatic -> dobutamine
Tc-99 decays by
A) Isomeric transition
I could not find similar images. Images of hepatic artery aneurysm,
what is the next step?
A) Embolization by coils.
