File 4 Flashcards
A newborn did HIDA scan. 24 hrs. post images showed no biliary uptake What is the medication to give?
A) Ursodeoxycholic acid
B) Phenobarbital
C) Diphenhydramine
B) Phenobarbital
(They attached images of diffuse liver uptake with no uptake in the biliary tree).
Patient want to do cardiac stress test he cannot do exercise and he has
asthma what drug is used for stress test?
A) Adenosine
B) Dobutamine
C) Dipyridamole
B) Dobutamine
Adenosine and dipyridamole share some contraindications which include asthma.
12-years-old with multiple polyps in the bowel + lip pigmentation:
A) Peutz–Jeghers syndrome
B) Juvenile polyposis
C) FAP
D) NFT 1
A) Peutz–Jeghers syndrome
Peutz–Jeghers syndrome → AD genetic disorder characterized by benign hamartomatous
polyps in the GI tract and hyperpigmented macules on the lips and oral mucosa (melanosis).
You did x-ray ankle to a patient after he got hit by a car and showed medial free space widening and medial malleolus fracture what is the next to be ordered?
A) Foot x-rays
B) Tibia/fibula x-rays
C) Knee x-rays
D) Hip/pelvis x-rays
B) Tibia/fibula x-rays
For salivary gland obstruction?
A) Sialography
B) CT
C) MRI
A) Sialography
Pediatric patient with hypoglycemia, brain MRI done: (see image)
A) Ectopic posterior pituitary gland
B) Central point artifact
C) Middle cerebral artery aneurysm
A) Ectopic posterior pituitary gland
The bronchus intermedius is at the level of?
A) Right pulmonary artery
B) Right main bronchus
C) Aortic arch
D) Main aortic arch branches
A) Right pulmonary artery
Patient with CSF density mass at the cerebellopontine angle witch of
the following is favoring epidermoid cyst over arachnoid cyst?
A) High density in FLAIR
B) High value of restricted diffusion
C) Low value of restricted diffusion
B) High value of restricted diffusion
Young female involved in MVA, CXR showed bilateral pleural caps, effusion & mediastinal widening patient BP is going down what’s next?
A) CTA
B) Immediate surgery
B) Immediate surgery
Which part of pleural forms the minor fissure?
A) Diaphragmatic pleura
B) Mediastinal pleura
C) Parietal pleura
D) Visceral pleura
D) Visceral pleura
60-year-old man with long history of fever and pneumonia. CT showed
split pleural sign, what is the most likely diagnosis?
A) Thoracic empyema
B) Mesothelioma
C) Pulmonary abscess
A) Thoracic empyema
Left lower lobe segments?
A) Superior, anteromedial, lateral, and posterior
B) Superior, lateral, medial, anterior, and posterior
C) Superior, lateral, anterior, inferior, and posterior
A) Superior, anteromedial, lateral, and posterior
Activity of ᵐ⁹⁹Tc is 1000 mCi at 12 P.M, what it will be at 6 A.M next
day?
A) 500
B) 250
C) 125
D) <10
C) 125
What separates the proximal pancreas from the distal?
A) Junction between body and tail
B) Gastroduodenal ligament
C) SMV- Portal vein axis
D) Splenic vein
C) SMV- Portal vein axis
Regarding normal breast US, which of the following is true?
A) Hypoechoic fat
B) Hyperechoic fibrogalndular tissue
C) Cooper’s ligaments appear as linear hyperechoic
D) Optimal study includes pectoralis major muscle
Patient, with previous 3 weeks surgical history of renal transplant with flank pain, fatigue, and decreased urine output. Nuclear showed preserved perfusion and persistent cortical uptake, what is the most likely diagnosis?
A) Acute rejection
B) Chronic rejection
C) Urine leak
D) Acute tubular necrosis
D) Acute tubular necrosis
Which of the following represent left ventricular enlargement on chest x-ray:
A) Rounded apex
B) Double ventricle sign
C) Rotation of left atrial appendage
A) Rounded apex
For placement of IVC filter
A) At level of renal veins
B) Below renal veins
B) Below renal veins
Picture of mammography with salt and paper artefact what is the cause:
A) Over exposure
B) Under exposure
C) Motion
B) Under exposure
Which of the following favor hair-on-end appearance over sunburst
periosteal reaction?
A) Thalassemia
B) Ewing sarcoma
C) Osteosarcoma
A) Thalassemia
3-year-old patient presented with loss of red-light reflex. CT scan was done, what is the diagnosis?
A) Retinoblastoma
Multiple arrows asking which represents the quadrigeminal plate?
Scenario about patient did CT and found Intra-atrial lesion with calcification. What is the diagnosis?
A) Metastasis.
B) Atrial myxoma
C) Intra-atrial thrombus
B) Atrial myxoma
Which is a feature of subdural rather than epidural hematoma?
A) Biconvex shape
B) Passes midline
C) Crosses sutures
C) Crosses sutures
Regarding stochastic effect:
A) Has no threshold
Signs of right heart strain?
A) Straightening of interventricular septum.
Patient has chemosis, myosis, anhidrosis, ophthalmoplegia. Where is the lesion in the brain that can cause this?
A) Lower side of the neck
B) Cavernous sinus syndrome
B) Cavernous sinus syndrome
Patient came to ER after trauma with multiple fractures after two days there are areas of decrease in perfusion on VQ scan what is the diagnosis?
A) Fat embolism.
The most common fracture in toddlers is:
A) Tibial
B) Fibular
C) Calcaneal
D) Talar
A) Tibial
The most common is distal radial fracture.
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
A) Cricothyroid
Factors affecting scan time in MRI:
A) TR x number of phase encoding steps x number of averages
