File 3 Flashcards
Patient with pheochromocytoma underwent MIBG scan which of the following uptake considered metastasis?
A) Diffuse uptake in the lung
B) Uptake in the bone marrow
C) Uptake Thyroid
D) Uptake Bladder
B) Uptake in the bone marrow
Dose calibrators need to be checked?
A) Annually
B) Quarterly
C) Weekly
D) Monthly
A) Annually
Patient with history of trauma, he is intubated but hemodynamically stable, FAST was positive in the right upper quadrant, CT scan done and shows abnormal portal filling defect in the arterial phase, which normalized in portal venous phase with hypodensity that extend to hepatic capsule with moderate fluid in the right abdomen, what to do next:
A) Assurance
B) Follow up 48 hours
C) Urgent surgical management
D) Do Angio
C) Urgent surgical management
ICU patient with decline in mental status; what is the most likely diagnosis?
A) Right upper lobe collapse
§
x-ray showed right upper lobe opacity, Reverse-S sign of golden RUL collapse → mass.
52-year-old male presented after motor vehicle collision in which another passenger has died. He is hemodynamically stable; however, he has a bruise over his upper abdomen. The ER would like to do imaging to rule out internal organ injury however there is no creatinine?
A) US abdomen
B) CT without contrast
C) CT with contrast
D) Tell the ER to order serum creatinine
A) US abdomen
- Doppler US demonstrates aliasing artifact of the external iliac artery how to fix it?
A) Color Scale
B) Color Gain
C) Make angle parallel
C) Make angle parallel
In the following ultrasound image where is the lesion located?
A) Intraductal
B) Parenchymal
C) Cutaneous
A) Intraductal
Patient with bleeding in the descending colon, which artery to embolize?
A) Inferior mesenteric artery embolization
The descending and sigmoid colon receive their blood supply from the left colic and
sigmoid arteries, which are branches of the IMA.
Man with infertility underwent embolization, in which vessel the catheter is passed distally?
A) Left renal vein
B) Left gonadal vein
C) Left internal iliac vein
D) Left innominate vein
B) Left gonadal vein
(Provided angiography image with coils seen in the left gonadal vein)
35-year-old female presented with bloody nipple discharge, patient has intraductal lesion, what is the most likely diagnosis?
A) Papilloma
B) Invasive ductal carcinoma
A) Papilloma
Most common cause of intraductal lesion causing bloody discharge?
A) Papilloma
B) Invasive ductal carcinoma
C) Galactocele
D) Fibrocystic
A) Papilloma
Collimation in nuclear imaging, is used for?
A) Increase spatial localization.
Patient did new spiral second generation CT with increased pitch what will happen?
A) Decrease noise
B) Increase patient dose
C) Decrease dose
C) Decrease dose
Pulmonary Angio, how is it done?
A) Images are obtained in cranio-caudal
B) Rate of 2-3
C) Bolus tracking and ROI targeted at the main pulmonary artery
C) Bolus tracking and ROI targeted at the main pulmonary artery
The primary impact to reduce patient dose in CT fluoroscopy:
A) Reducing field of view to magnify the anatomy
B) Reduce mA
C) Increase time
D) Partial gantry rotation
E) Decrease pitch
B) Reduce mA
Post partial mastectomy with image of mammo, next step:
A) Breast MRI
B) Mammogram
C) US guided biopsy
D) Annual surveillance mammo
Patient with a non-cirrhotic liver found to have a liver lesion which isv isodense to the liver on nonenhanced study and shows diffuse avi enhancement in the arterial phase with subsequent fading out in the venous and delayed phases. There is an area in the center which showed progressive enhancement in the venous and delayed phases and this same area was not enhancing in the arterial phase. What is this lesion most likely?
A) FNH
B) Hemangioma
C) Metastasis
D) HCC
A) FNH
35-year-old female found to have a solitary fat containing hepatic lesion, what is the most likely diagnosis?
A) FNH
B) Hemangioma
C) Hepatic adenoma
C) Hepatic adenoma
Liver lesion with characteristics of hemangioma (typical description). What to do next?
A) Do nothing
B) Biopsy
C) MRI
D) Follow it up
A) Do nothing
Upper abdominal pain with incidental finding of adrenal lesion with fat density:
A) Adrenal Adenoma
B) Adrenal myelolipoma
C) Pheochromocytoma
D) Adrenal metastasis
B) Adrenal myelolipoma
A pregnant lady with right flank pain. US showed hydroureteronephrosis, which of the following compress the ureter against gravid uterus:
A) Iliopsoas muscle
B) Internal iliac artery
C) Vertebra
A) Iliopsoas muscle
As the fetus grows, the dilatation usually develops during the second trimester.
Mechanical compression of the ureter between the gravid uterus and iliopsoas muscle
is generally thought to be the mechanism.
During preparation of T99 MDP was mixed with air during its handling and preparation before injection. What will that cause?
A) Increase renal excretion
B) Increase liver and spleen uptake
C) Increase stomach, thyroid, and salivary gland uptake
C) Increase stomach, thyroid, and salivary gland uptake
Patient presented with severe thunderclap headache what is the most likely diagnosis?
A) Colloid cyst
B) Tuberous sclerosis
C) Intraventricular hemorrhage
D) Ependymoma
A) Colloid cyst
(provided NECT of the brain with typical appearance of colloid cyst)
Tracer for lymphadenopathy?
A) Sulfur colloid
The most commonly used agents are Tc-99m sulfur colloid in the United States, Tc-
99m nanocolloid in Europe.
Patient with flank colicky pain, when you performed CT, you found multiple abdominal masses and you find in his previous images’ high uptake of sulfur colloid, what is the most likely diagnosis?
A) Splenosis
B) Lymphoma
A) Splenosis
The primary impact to reduce patient dose in CT fluoroscopy:
A) Reducing field of view to magnify the anatomy
B) Reduce mA
C) Increase time
D) Partial gantry rotation
E) Decrease pitch
B) Reduce mA
Adnexal lesion with High T1 signal intensity (SI) and low T2 SI? What is the effect of lesion content on both sequences? (Picture of MRI provided)
A) Prolong T1, shorten T2
B) Short T1, and short T2
C) Prolonged T1, and T2
B) Short T1, and short T2
Case of suspicious pneumoperitoneum on supine films, next step is:
Left lateral decubitus abdomen.
What is the best Doppler angle for accurately measure the artery
(picture of external carotid artery):
A) 30°
B) 60°
C) 65°
B) 60°
Lady with calcification of the abdominal muscles, scarpa fascia and subcutaneous tissue of lateral abdominal walls?
A) Dermatomyositis
B) NF-1
C) Rheumatoid Arthritis
D) Sarcoidosis
A) Dermatomyositis
Superior rectal artery is a branch of which artery?
A) Superior mesenteric artery
B) Inferior mesenteric artery
C) Internal iliac artery
D) External iliac artery
B) Inferior mesenteric artery
A 17-year-old boy with history of trauma, provided image of shoulder xray with arrow pointing at the mid humerus with focal cortical thickening? /Periosteal reaction? and asking about the structure:
A) Deltoid tuberosity
B) Fracture line
C) Soles line
A) Deltoid tuberosity
Ultrasound passing through tissue result in decrease of the wavelength and frequency called?
A) Attenuation
B) Absorption
C) Reflection
A) Attenuation
Spigelian hernia defect in:
A) Internal oblique and transversus abdominis muscles
B) Rectus muscle
C) Rectus muscle and external oblique muscle
D) Aporonosis between external oblique and transverse abdominal muscle
A) Internal oblique and transversus abdominis muscles
The effect of external paramagnetic on MRI given as contrast media?
A) Increase T1 relaxation time
B) Decreases T1 relaxation time
C) Increase proton density
D) Decrease proton density
B) Decreases T1 relaxation time
Picture of MRI sequence diagram?
A) Fast spin echo
B) Spin echo
C) Gradient
B) Spin echo
Long scenario about elderly with prostatic lesion, MRI image was provided, asking about the draining lymph nodes of the prostate.
A) Obturator lymph nodes
Patient with two metatarsal osteochondrosis what is the disease?
A) Freiberg disease
B) Panner disease
C) Köhler disease
A) Freiberg disease
What is the exposure rate unit?
A) Coulomb/s
B) Roentgen/s
C) Coulomb/kg
C) Coulomb/kg
