File 2 Flashcards

1
Q

which one is foramen ovale?

A
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2
Q

Patient following with the oncology team, now presented with expansile lytic lesion in the shoulder most likely from where?

A) Thyroid metastasis
B) Uterine metastasis
C) Ovarian metastasis
D) Cervical metastasis

A

A) Thyroid metastasis

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3
Q

A 17-year-old with shoulder pain. X-rays shows geographic lucent lesion with sclerotic margin at the greater tuberosity. MRI showed septation and large edema:

A) Chondroblastoma
B) Giant cell tumor
C) Osteoblastoma
D) Geodes

A

A) Chondroblastoma

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4
Q

Pregnant patient had back pain and then gave birth, had an MRI, what is the diagnosis?

A) Ependymoma
B) Astrocytoma
C) Meningioma

A

C) Meningioma

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5
Q

A patient with history of lower limb weakness, clinically diagnosed with Neuromyelitis Optica, where you can see the abnormality?

A) Thalamus and cerebral cortex
B) Optic nerve and spinal cord
C) Cerebellum and Brainstem

A

B) Optic nerve and spinal cord

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6
Q

A patient came with hx of MRI showed enhancing right CP angle mass with dumbled-shaped apperance, what is the diagnosis?

A) Epidermoid
B) Vestibular shwanoma
C) Meningioma
D) Arachnoid Cyst

A

B) Vestibular shwanoma

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7
Q

Identify the structure?

A) Triradiate cartilage
B) Iliac bone
C) Acetabulum

A

A) Triradiate cartilage

US hip anatomy

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8
Q

Pediatric patient with joint hip effusion, which approach to follow?

A) Medial aspect
B) Lateral aspect
C) Inferior aspect
D) Superior aspect

A

Anterior as per pediatric consultant.

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9
Q

Patient with brain abscess, what is the best sequence for diagnosis in MRI?

A) T1 + contrast
B) DWI
C)FLAIR
D) T2

A

B) DWI

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10
Q

Patient with abdominal aneurysm post-internal graft repair on follow up there is contrast seen at the level of L3/L4 which of the following likely the etiology of endo leak?

A) Defect in the fabric graft
B) Collateral vessels
C) Displacement of the proximal graft side

A

B) Collateral vessels

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11
Q

What is the BIRAD score of popcorn calcification?

A

Benign BIRADS 2 -> Annual screening

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12
Q

X-Ray picture of umbilical catheter pointed at?

A) Umbilical artery catheter
B) Umbilical vein catheter

A

A) Umbilical artery catheter
B) Umbilical vein catheter

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13
Q

What is the definition of Hibernating myocardium?

A

Viable with fixed prefusion defect in the anterior wall

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14
Q

What is the cause of false positive in cholecystography for acute
cholecystitis?

A) Cholelithiasis
B) Patients with high fat diet
C) Renal insufficiency
D) Critically ill patient

A

D) Critically ill patient

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15
Q

Patient presented to ER following trauma. NECT of the brain showed extra-axial hypodense lesion on the medial part of left temporal lobe What is the diagnosis?

A) Subdural hematoma
B) Arachnoid cyst
C) Left sphenoid dysplasia

A

B) Arachnoid cyst

(bone window wasn’t provided to assess bone changes).

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16
Q

Question about brain MRI with susceptibility artifact, how to correct it?

A) Use fat sat
B) Use spin echo

A

B) Use spin echo

17
Q

Streak artifact from prosthesis, elimination by?

A) Increase slice thickness
B) Lower kilovoltage
C) Sharp kernel

A
18
Q

Patient presented with vomiting and dilated bowl loops with two adjacent zone of transition, the most likely diagnosis is?

A) Paraduodenal hernia
B) Closed loop bowel obstruction
C) Winslow hernia
D) Volvulus

A

B) Closed loop bowel obstruction

19
Q

70-year-old female with no medical illness. However, she has a history of appendectomy 35 years ago. presented with severe abdominal pain. Labs show leukocytosis and lactic acidosis. Bradycardia and tachypnea What is the diagnosis?

A) Trans-mesenteric defect
B) Mesenteric volvulus
C) Septic shock

A

A) Trans-mesenteric defect

20
Q

A case of trauma. CT is requested for mediastinal hematoma, what is the proper protocol?

A) Pre and post contrast CT
B) Angiography
C) Serial chest radiograph

A

A) Pre and post contrast CT

21
Q

80-year-old male with ischemic heart disease presented with severe abdominal pain associated with vomiting blood. What is the protocol you would like to use?

A) CT without contrast
B) CT with venous contrast
C) CT pre contrast with arterial and venous phases

A

C) CT pre contrast with arterial and venous phases

bowel ischemia protocol

22
Q

Technologist asking what to adjust to decrease dose and increase contrast resolution?
A) Kvp
B) mAs

A

A) Kvp

23
Q

A young female with watery diarrhea, high CRP. Enhanced CT scan
was done, what represent the arrow?

A) Hustral thickening
B) Adenomatous hyperplasia
C) Mucosal polyp

A

A) Hustral thickening

(The arrow was pointed to the mucosa of the descending colon)

24
Q

Adrenal lesion protocol?

A) 100 kVp, 3 mm, ROI encompassing all of the lesion
B) 80 kVp, 3mm, and ROI of two third of the lesion
C) 100 kVp, 1mm, and ROI of one third of the lesion
D) 120 kVp, 3mm, and ROI of two third of the lesion

A

D) 120 kVp, 3mm, and ROI of two third of the lesion

25
Q

Female patient with breast cancer and diffuse bone pain had bone scan done. What are the findings?

A) Superscan
B) Normal scan

A

A) Superscan

26
Q

Spinal cord ultrasound question asking what the structure is?

A
27
Q

Patient known case of Schistosoma mansion; he is at risk of?

A) Cholangiocarcinoma
B) Bladder SCC
C) HCC

A

C) HCC

28
Q

Patient with features of Caroli disease, he is at risk of?

A) Cholangiocarcinoma
B) HCC

A

A) Cholangiocarcinoma

29
Q

Patient presented with cough and hemoptysis; CT scan was done showing consolidation and multiple nodules with cavitation. What is the most likely diagnosis?

A) Granulomatosis with Polyangiitis
B) Sarcoidosis

A

A) Granulomatosis with Polyangiitis

(formerly known as Wegner’s granulomatosis)

30
Q

What is true about heel effect?

A) It is more pronounced at the cathode side
B) It is more pronounced at the anode side

A

B) It is more pronounced at the anode side

31
Q

ICU patient with decline in mental status; x-ray showed right upper lobe opacity, what is the most likely diagnosis?

A

A) Right upper lobe collapse

32
Q

Long history of acute presentation of pancreatitis:

A) Acute peripancreatic fluid collection
B) Pseudocyst
C) Acute post necrotic fluid collection
D) Walled-off necrosis

A

depend on the time

33
Q

Which of the following is a common cause for free fluid in the anterior
pararenal?

A) Perforated duodenal ulcer
B) Aortic injury
C) Retroperitoneal fibrosis

A

A) Perforated duodenal ulcer

34
Q

Elderly patient with bilateral lower limb edema, on auscultation had bilateral crackles and dullness on percussion, chest x-ray revealed bilateral pleural effusion what will you see on CT?

A) Reticulation
B) Smooth septal lines
C) Peri-hilar nodularities
D) Traction bronchiectasis
E) Multiple masses

A

B) Smooth septal lines

35
Q

What is the tracer for aortic graft?
A) Tc-99 HMPAO
B) 111- octride

A

A) Tc-99 HMPAO

36
Q

Patient did new spiral second generation CT with increased pitch what will happen?

A) Decrease noise
B) Increase patient dose
C) Decrease dose

A

C) Decrease dose