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Part 1 Exam > File 15 > Flashcards

File 15 Flashcards

1
Q

Which of the following is a tributary of the following vessel?

A) Thoracic duct
B) Left pulmonary vein
C) Azygos vein
D) Hemiazygos

A

C) Azygos vein

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2
Q

Which of the following breast types produces low attenuation?

A) Mixed
B) Extensive
C) Fatty
D) Fibrous fatty

A

C) Fatty

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3
Q

In the following ultrasound identify the structure?

A

A) Vermis

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4
Q

Which is a branch of the external iliac artery?

A) Superior gluteal
B) Deep circumflex iliac artery

A

B) Deep circumflex iliac artery

Two branches of the external iliac artery are the inferior epigastric and deep circumflex iliac
arteries.

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5
Q

Which muscle attaches to the coronoid process of the mandible?

A

A) Temporalis

Notes:
- The temporalis muscle attaches to the coronoid process, and the masseter attaches to the
rami. The lateral pterygoid inserts into the neck of the mandible, and the medial pterygoid
inserts into the ramus near the angle of the mandible.

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6
Q

The rhomboid fossa of the clavicle is created by the insertion of:

A

A) Costoclavicular ligament

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7
Q

Normal indentation on the esophagus is made by one of the following:

A

A) Left atrium

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8
Q

In barium swallow the cervical narrowing of the esophagus is caused
by?

A) Cricoid cartilage
B) Thyroid

A

A) Cricoid cartilage

From posterior → Cricopharyngeal muscle

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9
Q

Duplex collecting system is most commonly associated with which of the following?

A

A) Larger than normal kidney

Fanconi anemia

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10
Q

What is the blood supply of the following structure?

A) Recurrent artery of Huebner (Medial lenticulostriate)
B) Lateral lenticulostriate
C) ACA
D) (anterior choroidal was not in the choices)

A

Depend

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11
Q

Without changing the FOV, how can you improve MRI resolution?

A) Decrease matrix size
B) Increase number of excitations
C) Increase accusation
D) Increase phase encoding

A

D) Increase phase encoding

Notes:
- ↑ matrix size
- ↑ phase encoding → ↑ scan time → ↑ matrix size → improve resolution.
- ↑ accusation → ↓ resolution.

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12
Q

Sievert is a unit of?

A

A) Equivalent dose

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13
Q

Minimum radiation done to produce skin erythema?
A) 30 rad
B) 60 rad
C) 300 rad

A

C) 300 rad

300 rad = 3 Gy

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14
Q

In conventional angiogram if you increase the distance between the patient and the image detector, what will happen?

A

A) Image magnification

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15
Q

Orthopedic is suspecting a fracture however, it was not obvious in the current image. What method will improve the ability to see the fracture?

A

A) Kernel algorithm

Notes: Bone Kernel → sharpening the image.

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16
Q

On CT image there are multiple rings in the image. What is the cause of this artefact?

A

A) Detector drift

17
Q

The role of the TGC on US is to?

A

A) Amplification from deep tissues

Notes:
- A way to overcome ultrasound attenuation is time gain compensation (TGC)

18
Q

Risk of radiation in children in comparison to adults?

A

A) Higher risk of developing leukemia

19
Q

What is magnetic susceptibility?

A

A) Ability to magnetize

20
Q

Calculate the effective half-life of I131 which has a physical half-life of 8.04 days and a biological half-life of 25 days:

A) 2
B) 6
C) 12
D) 20

A

B) 6

Notes:
- Effective half-life = 1/biologic + 1/physical
- Effective half-life is: Smaller than the physical half-life and biological half-life.

21
Q

What happens to the patient dose if you change the from 30 to 15?

A

A) Quadruple

22
Q

In the following patient undergoing CT guided biopsy which is
considered part of safety?

A) Decrease kVp in order to decrease dose
B) Repeat full chest CT scan every time anything is done
C) General anesthesia to decrease breathing artifact
D) Perform CT scan with contrast

A

A) Decrease kVp in order to decrease dose

Notes:
- ↓ kVp → ↓ radiation

23
Q

Not same image but similar effect) What changed from image A to B?

A) Increased peripheral sharpness
B) Increased Kvp

A

A) Increased peripheral sharpness

24
Q

Female patient presented post-trauma and AP view had suspicion of acetabular fracture. What other view would be helpful in confirming the fracture?

A) Judet
B) Mortise
C) AP with 15 internal rotations

A

A) Judet

Raise the affected side by 45° and center to the affected hip.
Judet -> Hip
- AP with 15 internal rotation → knee.
- Mortise → ankle.

25
Q

Patient presented with incidental adrenal lesion which was inconclusive on non-contrast CT. On post contrast images demonstrated an absolute washout of more than 60 consistent with adrenal adenoma. How many minutes is recommended in this delayed scan?

A) 3
B) 8
C) 10
D) 15

A

D) 15

Notes:
- non-contrast
- PV: 70s
- delayed phase series: 15-minute

26
Q

Renal stone on X-ray, what is the line to follow?

A) Iliopsoas line
B) Vertebral body
C) Line drawn from kidney to symphysis pubis

A

B) Vertebral body

The line to follow when you see renal stones on CXR:
Vertebral body, TP, or psoas muscle.

27
Q

Patient is on TB medication, however, she stopped due to her urine color changing to red/orange. What steps can be taken to avoid this:

A) Council the patient orally after prescribing
B) Increase awareness by newspaper

A

A) Council the patient orally after prescribing

28
Q

Cancer patient on palliative treatment. He is in severe pain and wants to die. What is the appropriate action?

A) Give strong analgesia
B) Call religious services
C) Inform the family

A

A) Give strong analgesia

29
Q

You are seeing a patient in the ER and then a famous person who you are a fan of walks in. What is appropriate behavior in this situation

A) Treat your current patient and have him wait his turn
B) Go and treat the famous person and let your current patient wait

A

A) Treat your current patient and have him wait his turn

30
Q

Removing things that can harm the patient is called?

A) Quality management
B) Safety management

A

B) Safety management

31
Q

How to increase effectiveness of teams?

A) Progress notes
B) Grand rounds

A

B) Grand rounds

32
Q

Categories of health

A) Risk, Safe
B) High, Low
C) Internal, External

A

C) Internal, External

Part 1 Exam (26 decks)

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