File 18

Question 1

Mother noted one eye of her child became white in family GP practitioner after examination by ophthalmoscope he suspicious in retinal mass what is the appropriate action:

A) Repeat ophthalmoscope by ophthalmologist.
B) MR orbit
C) CT orbit

Answer 1

A) Repeat ophthalmoscope by ophthalmologist.

Answer: A
Notes:
- Leukocoria → retinoblastoma.
- MRI is for staging.
- US & ophthalmoscope is for diagnosis.

Question 2

What is the most echogenic structure in US?

A) Vermis
B) Caudate
C) Corpus callosum
D) Thalamus

Answer 2

A) Vermis

Question 3

Pregnant lady to do x-ray at the level of the kidney assuming Automatic exposure control is used, what is the most appropriate step to
reduce dose:

A) Cover the abdomen with lead
B) Increase Kvp will lead to decrease mAs by the AEC.
C) Put the patient in prone position
D) Collimate the image to the needed organ

Answer 3

D) Collimate the image to the needed organ

Answer: D
Notes:
- Increasing the KVP will increase the scatter plus you will be covering the whole abdomen
which will affect the fetus thus collimating the image will cover less surface which leads to
less radiation.

Question 4

What is the fastest sequence in MRI:

A) Echo planar
B) FSE
C) SE

Answer 4

A) Echo planar

Answer: A
Notes:
- The echo planar (EPI) is the fastest acquisition method in MRI

Question 5

Ultrasound picture shows hyperechoic liver lesion with mirror image
artifact what is the type of artifact.

A) Mirror
B) Reverberation

Answer 5

A) Mirror

Question 6

How much the angle of the MRI between the primary magnetic field
and the external magnet?

A) 90
B) 180
C) 45

Answer 6

A) 90

Question 7

In neutral element there what equals the electron number?

A) Atomic number
B) Atomic mass

Answer 7

A) Atomic number

Answer: A
Notes:
- The number of electrons in a neutral atom is equal to the √ number of protons.

Question 8

Increasing beam filtration will result in?

A) Increase in maximum penetration
B) Increase photons
C) Improve the contrast

Answer 8

C) Improve the contrast

Answer: C
Notes:
- I think the correct answer can be any of the following:
o ↑ photon mean energy.
o ↑ maximum penetration.
o ↓ Photon quantity.

Question 9

In upper GI of infant how to decrease the radiation exposure?

A) Decrease frame rate
B) Limit the use of image hold and fluoroscopy store
C) Increase distance

Answer 9

B) Limit the use of image hold and fluoroscopy store

Question 10

In US, the transducer frequency depends on:

A) The crystal thicknesses
B) The Q factors

Answer 10

A) The crystal thicknesses

Question 11

In MRI used for homogeneity

Answer 11

A) Shim

Answer: A
Notes:
- Shimming (shim coils) is used prior to the operation of the magnet to eliminate
inhomogeneities in its field.

Question 12

Deep palmar arch which is mainly supplied by:

A) Ulnar artery
B) Radial and ulnar
C) Directly from brachial artery

Answer 12

B) Radial and ulnar

Mainly by Radial
General both

Question 13

Where is the location of tunneled tube for dialysis?

A) Femoral vein
B) Transjugular vein
C) Transhepatic

Answer 13

B) Transjugular vein

Answer: B
Notes:
- Used for temporary dialysis access.

Question 14

Which of the following is an indication for PTC:

A) Failed ERCP
B) During TIPS
C) Prehepatic transplantation.

Answer 14

A) Failed ERCP

Question 15

Which of the following is true regarding fibroid embolization?

A) On side embolization is usually effective
B) Hypogastric nerve block is efficient
C) Uterine artery spasm is rare.
D) Fibrous explosion is painless.

Answer 15

B) Hypogastric nerve block is efficient

Answer: B
Notes:
- Superior Hypogastric nerve Block (SHNB) has been shown to be an effective pain
management technique after Uterine Fibroid Embolization.

Question 16

PICC line insertion through?

A) Basilic vein in the arm
B) Brachiocephalic vein
C) Subclavian vein
D) Jugular vein

Answer 16

A) Basilic vein in the arm

Answer: A
Notes:
- They can be inserted centrally (centrally inserted venous catheter; CICC) or peripherally
(PICC). PICCs are placed through the basilic, brachial, cephalic, or medial cubital vein of the
arm. The right basilic vein is the vein of choice due to its larger size and superficial location.

Question 17

In regard to varicose veins:

A) Veins glue is considered one of the new techniques
B) Thrombin can be used

Answer 17

A) Veins glue is considered one of the new techniques

Answer: A
Notes:
- Cyanoacrylate glue – a special type of “superglue” – is used to seal off the main veins with
incompetent valves, which need to be dealt with when treating varicose veins - usually the
long (great) saphenous vein on the inner side of the leg.

Question 18

What is give the 2nd diagonal branch?

A) Main left
B) Posterior descending
C) Obtuse marginal
D) LAD

Answer 18

D) LAD

Question 19

You are working at ER, and you shift is end at 8 at 8:15 there is a
patient came to ER and the covering physician for next shift is not show yet what is you action?

A) Wait for some time if he is not coming treat the patient
B) Assess /stabilize the patient
C) Do not touch the patient he is the coming physician responsibility
D) Do not touch him there is strict policy do not asset the next shift patients

Answer 19

B) Assess /stabilize the patient

Question 20

A patient with fever contact isolation protocol was activated for him by the infection control unit. What should the nurse wear if she was going to enter his room?

A) Gown and gloves
B) Eye-mask and gown
C) Hand hygiene and simple face mask.
D) M95 mask and hand hygiene

Answer 20

A) Gown and gloves

Question 21

There is a patient with infection turned to be MRSA another patient
with blisters turned to be another MRSA later on what the simplest way is to prevent this:

A) Proper hand hygiene
B) Add mupirocin into the hygiene bottle
C) Mupirocin in something

Answer 21

A) Proper hand hygiene

Question 22

Elderly patient with DM and incontinence go to bathroom and fell
down, she has previous history of fall at bathroom 1 week ago which of the following is the most risk factor for falling?

A) History of previous falling
B) Age
C) Incontinence
D) DM

Answer 22

A) History of previous falling

Question 23

CPR code was activated in the hospital, what is the best way to
approach the code:

A) Leader guiding the team with an established hierarchy (only him/her the one who gives the orders)
B) Leader guiding the team, assigning task, and having an open discussion, should listen to the team members suggestions (some kind of democracy)
C) Every member should what he knows best.

Answer 23

B) Leader guiding the team, assigning task, and having an open discussion, should listen to the team members suggestions (some kind of democracy)

Question 24

Structure pass along with the aorta through the aortic diaphragmatic
hiatus:

A) IVC
B) Esophagus
C) Thoracic duct
D) Vagal nerve
E) Phrenic nerve

Answer 24

C) Thoracic duct

Question 25

Case about avulsion then a question about the insertion of Sartorius
muscle:

A) Inferior pubic ramus.
B) Lesser trochanter.
C) Anterior superior iliac spine.
D) Anterior inferior iliac spine.

Answer 25

C) Anterior superior iliac spine.

Question 26

Case scenario asking about which muscle is attached to the anterior
inferior iliac spine:

A) Sartorius muscle
B) Rectus femoris

Answer 26

B) Rectus femoris

Question 27

Patient complains of…ENT surgeon cannot see the facial nerve on CT,
what is the vein with medial relation to facial nerve which the surgeon can follow?

A) Facial artery
B) Facial vein
C) Retromandibular vein

Answer 27

C) Retromandibular vein

Question 28

Pes anserinus components:

Answer 28

A) Sartorius, Gracilis and Semitendinosus.

Question 29

Young patient prior to kidney transplant, a screening US was done and
showed echogenic tubular structure at the middle pole of the aorta
posteriorly. What could it be?

Answer 29

A) Left retro-aortic renal vein

Answer: A
Notes:
- A left renal vein passing behind the abdominal aorta is termed a retro aortic left renal vein
(RLRV), and this anomaly is a relatively uncommon condition.

Question 30

What determines the predominance in arterial supply of the heart?

A) Acute marginal artery.
B) Diagonal.
C) Posterior interventricular.
D) Left anterior descending artery

Answer 30

C) Posterior interventricular.

Question 31

The coronary sinus drains in:

A) Right atrium
B) Left atrium
C) Left ventricle
D) Right ventricle

Answer 31

A) Right atrium

Answer: A
Notes:
- The coronary sinus drains into the right atrium, at the coronary sinus orifice, an opening
between the IVC and the right atrioventricular orifice or tricuspid valve.

Question 32

Which of the following is the most tensor muscle of the vocal cords:

A) Cricothyroid
B) Lateral cricoarytenoid
C) Thyroarytenoid
D) Oblique arytenoid
E) Posterior cricoarytenoid

Answer 32

A) Cricothyroid