File 6 Flashcards
60-years-old male patient with progressive neck swelling most likley diagnosis?
A) Pleomorphic adenoma
B) Carotid body tumor
C) Schwannoma
D) Neck abscess
B) Carotid body tumor
(axial neck MRI image with claw sign around medially displaced carotid artery)
Patient with subarachnoid hemorrhage where is the aneurysm?
A) Posterior communicating artery
B) Anterior communicating artery
C) Basilar tip
D) Anterior choroidal artery
B) Anterior communicating artery
(CT axial with SAH in the suprasellar cistern with STAR shaped):
Adult with lower limb weakness and back pain. what is the diagnosis?
A) Abscess
B) Meningioma/Schwannoma
C) Astrocytoma
D) Myxopapillary ependymoma
B) Meningioma/Schwannoma
(Attached MRI images showing lesion below conus medullaris with compression on filum
terminals).
Case scenario patient with history of massage to the cervical spine, clinical examination suspecting vertebral artery dissection, sequence is the best seen.
(4 MRI images Coronal, Sagittal and 2 axial)
Best sequence in Cholesteatoma?
A) DWI
B) Fat sat
C) Flair
D) T1
A) DWI
Sagittal and Axial MRI what is the diagnosis?
A) Dandy walker
B) Arnold-Chiari malformation
C) Mega cistern magna
D) Arachnid cyst
A) Dandy walker
Patient with unilateral abnormal pupil reactions found to have posterior communicating artery aneurysm which nerve is involved?
A) Trigeminal nerve
B) Oculomotor nerve
C) Abducent nerve
B) Oculomotor nerve
A young patient with chest trauma. He is alert, conscious and stable. Suspected cardiac injury. What is the study used for cardiac injury?
A) SPECT/CT cardiac
B) Coronary CT angio
C) CT chest with IV contrast
D) MRI cardiac
C) CT chest with IV contrast
Drug addict came unconscious, Chest x-ray showed bilateral lower lobe consolidation?
A) Pleural effusion
B) Aspiration
C) Hypersensitivity pneumonitis due to drugs
D) Pulmonary contusion
B) Aspiration
Patient with right sided pleural effusion was following up with several
chest x-ray, what is the best view for detecting small amount of pleural
fluid?
A) Left lateral Decubitus
B) PA view
C) Lateral view
D) Supine
C) Lateral view
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. Chest x-ray showed split pleural sign, what is the most likely diagnosis?
A) Thoracic empyema
B) Mesothelioma
C) Pulmonary abscess
A) Thoracic empyema
21-year-old male came with sudden history of shortening of breath and right sided pleuritic chest pain. The best next step? (Best view for
pneumothorax)
A) Supine CXR
B) Lateral CXR
C) Right lateral decubitus
D) Inspiratory and expiratory views
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
A middle-aged farmer presented with recent SOB. CXR was normal. CT chest revealed bilateral Ground glass opacity with centrilobular nodules
and areas of mosaic attenuation and air trapping. Dx:
A) NSIP
B) COVID-19
C) Subacute hypersensitivity pneumonitis
C) Subacute hypersensitivity pneumonitis
Which lung lobe has more segments?
A) Right lower lobe
B) Right middle lobe
C) Left lower lobe
D) Right upper lobe
A) Right lower lobe
Haller index:
A) Maximal transverse diameter/narrowest AP length
B) Narrowest AP length/maximal transverse diameter
C) Maximal transverse diameter × narrowest AP length
D) Maximal transverse diameter × narrowest AP length /2
A) Maximal transverse diameter/narrowest AP length
10-years-old with history of recurrent infection attached CT shows left lower lobe consolidation with feeding vessel; not sure about feeding vessel?
A) Pulmonary sequestration
B) Bronchial atresia
C) CPAM
D) Pulmonary arteriovenous
A) Pulmonary sequestration
Which of the following favor the NSIP rather than UIP pattern?
A) Ground glass opacity
B) Traction bronchiectasis
C) Honeycombing
A) Ground glass opacity
Patient known case of Schistosoma mansion, risk of schistosomiasis?
A) Cholangiocarcinoma
B) Bladder SCC
C) HCC
C) HCC
Patient seen previously with a 4 cm adrenal mass measuring 80HU and on current study the same lesion is 2 cm and 30HU what is this most likely?
A) Pheochromocytoma
B) Adrenal hematoma
B) Adrenal hematoma
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
D) 120 kVp, 3mm, and ROI of two third of the lesion
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
Lady with calcification of the abdominal muscles, scarpa fascia and
subcutaneous tissue of lateral abdominal walls?
A) Dermatomyositis
B) NF-1
C) Rheumatoid Arthritis
A) Dermatomyositis
Communication between terminal branch of SMA and terminal branch
of IMA:
A) Arc of Riolan
B) Arc of Buhler
C) Marginal artery of Drummond
C) Marginal artery of Drummond
Bosniak classification of complex renal cyst. What are the soft tissue
enhancement percentages?
A) 25%
B) 30%
C) 75%
D) 50%
A) 25%
A patient with a liver lesion that appears isodense to parenchyma in unenhanced study, on post contrast images, it shows homogenous arterial enhancement except for a central area which remains hypoattenuating with delayed enhancement of the central area. what is the dx?
A) FNH
B) HCC
A) FNH
delayed enhancement of the central area
homogenous arterial enhancement
Patient known case of colon carcinoma, did US and found to have IVC thrombosis. How to differentiate between bland thrombus or malignant tumor using US?
A) Color doppler
B) Gray scale
C) Elastography
D) Contrast-enhanced
D) Contrast-enhanced
Patient with intractable retching, severe epigastric pain, and inability to
pass nasogastric tube?
A) Aortic dissection
B) Gastric volvulus
C) Perforated duodenal ulcer
B) Gastric volvulus
Long history of acute presentation of pancreatitis?
A) Peripancreatic free fluid
B) Walled off necrosis
C) Pseudocyst
Female found to have a solitary fat containing hepatic lesion?
A) FNH
B) Hemangioma
C) Hepatic adenoma
A case of an old patient with signs and symptoms of mesenteric
ischemia, which of the following is an early sign of mesenteric ischemia?
A) Adynamic ileus
B) Portal vein gas
C) Wall hypoenhancement
D) Pneumatosis intestinalis
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 (Images were two CT abdomen, axial, and coronal) What is the diagnosis?
A) Trans-mesenteric defect
B) Mesenteric volvulus
C) Septic shock
A) Trans-mesenteric defect
Identify (SMA):
Image of an MRI axial leg with bone lesion, management:
A) Embolization
B) Resect and curettage
C) Radiofrequency ablation
D) Grafting
C) Radiofrequency ablation
(osteoid osteoma)
