File 8 Flashcards
- Mammo image with artifact that prevent the visualization of
calcification (before and after correction):
A) Motion
B) Inhomogeneity
A) Motion
- 24-years-old female, comatose with flat EEG, Nuclear study showed
absent cerebral perfusion with hot nose sign. Where is the occlusion?
A) External carotid artery
B) Internal carotid artery
C) Common carotid artery
D) Anterior choroidal artery
B) Internal carotid artery
- A newborn did HIDA scan. 24 hrs. post images showed (They attached
images of diffuse liver uptake with no uptake in the biliary tree). What is
the medication to give (not sure if this is the stem Q)?
A) Ursodeoxycholic acid
B) Phenobarbital
C) Diphenhydramine
B) Phenobarbital
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
Patient for F-18 FDG study for lymphoma. Optimal uptake for imaging
after?
A) 30 min
B) 60 min
C) 120 min
B) 60 min
- Rising CEA in a breast cancer with diffuse bone uptake in Bone scan
fused SPECT (attached were coronal and axial SPECT images showing
uptake in the mid right abdomen). Diagnosis:
A) Colon cancer
B) Right iliac crest metastasis
C) Meckel’s diverticulum
D) Transplanted right kidney
A) Colon cancer
- Lactating mother came after partial/total thyroidectomy for Iodine
therapy:
A) Complete cessation till 4-6 week
B) Stop now and discard all milk and resume after 1 week
C) Resume breastfeeding after 24hr
A) Complete cessation till 4-6 week
- Angio of left subclavian:
A) Mild cephalic stenosis
B) Total cephalic stenosis
C) Floating cephalic thrombus
D) Complete obstruction of axillary
A) Mild cephalic stenosis
What pseudoaneurysm will look in delayed CT compared to active
extravasation?
A) Larger and increase attenuation
B) Larger decrease attenuation
C) Same in size or smaller and increase attenuation
D) Same in size or smaller and decrease attenuation
D) Same in size or smaller and decrease attenuation
- Image pointing at vessel:
A) Right hepatic
B) Cystic
C) Gastroduodenal
D) Splenic
No answer
- Patient came for a US guided renal biopsy. Labs were given:
High creatinine, Low platelets 25 (normal 150,000-400,000) Normal
coagulation, Normal INR What should you do:
A) Safe, proceed with procedure
B) Relative contraindication, for correction
C) Postpone, need further labs
D) Absolute contraindication, cancel the procedure
D) Absolute contraindication, cancel the procedure
- Patient post gastric sleeve complicated by leak, GS want to keep him on
NPO for 2 weeks and need TPN access what will you do?
A) PICC line
B) Tunneled chatter
C) Non tunneled catheter
A) PICC line
Lower limb angio what is the structure pointed by arrow?
A) Anterior tibial
B) Peroneal
C) Popliteal
A) Anterior tibial
- Repeated question about left gonadal vein ablation/embolization.
- CT with non-obstructive renal stone. Later MRI done and there was
spinal lesion which was missed on previous CT. what type of error?
A) Satisfaction of search
- Incidental PE in outpatient. The best way to deliver the finding:
A) Final report
B) Email
C) Verbal
C) Verbal
- Cancer patient with incidental extensive lower DVT in outpatient. No
other symptoms. What to do:
A) Explain the finding to the patient and do CT Angio now
B) Write your final report as soon as possible so they can see it
C) Tell the referring physician and direct the patient to him
C) Tell the referring physician and direct the patient to him
- Urgent US order and you don’t know how to do it:
A) Tell the referring to do it tomorrow when the tech come
B) Tell him to do CT angio
C) Do it anyway and write “limited study” in your report
D) Call your 2nd Oncall senior for support
D) Call your 2nd Oncall senior for support
- Regarding doing CT pulmonary angio. Specificity means:
A) Ability to identify negative CT who doesn’t have PE
B) Ability to identify positive CT who does have PE
C) Probability of negative CT in a patient who does not have PE
D) Probability of positive CT in a patient who has PE
A) Ability to identify negative CT who doesn’t have PE
- Asthmatic patients want to do CT with contrast:
A) Oral prednisone 48 and 24 hr
B) Oral prednisone 24 and 12 hrs.
C) Oral prednisone 13, 7, 1 hr.
C) Oral prednisone 13, 7, 1 hr.
- The ability of the doctor to work in team to achieve the best health
care:
A) Scholar
B) Leader
C) Collaborator
D) Health advocate
C) Collaborator
- You want to do paracentesis; informed consent must include?
A) Patient status
B) Previous similar procedure
C) Alternative management
D) Tool used included cage
C) Alternative management
- CT chest image with left lower lobe solid lung lesion (sequestration) what
is your next step for management?
A) Surgical
- Female patient with history of index finger lesion, she denied any history
of trauma. Report of MRI: 2 cm lesion, intermediate T2 and T1 with
enhancement:
A) Hematoma
B) Ganglion cyst
C) GCT of tendon sheath
D) Nerve sheath tumor
B) Ganglion cyst
- Picture of chest CT shows left side anomalous vessel (the aortic nipple).
Where it’s drain:
A) SVC
B) Left brachiocephalic
C) Coronary sinus
D) Atrium
B) Left brachiocephalic
- Male patient underwent cardiac catheterization, after 2 days he
presented with mass at the site of puncture. Picture of US pseudoaneurysm
(Yin Yang), what next step?
A) US guided thrombin injection
B) Follow up
A) US guided thrombin injection
- MRI Picture of enhancing left orbital lesion with history of painful eye:
A) Cavernous hemangioma
B) Pseudotumor cerebri
A) Cavernous hemangioma
- Picture of brain MRI of patient with expressive aphasia (numbers on
lobes) which one is affected: (Label Broca’s area)
A) 1 (circle along posterior inferior frontal gyrus on sagittal)
B) 2 (circle around Wernicke area)
C) 3 (circle around anterior frontal gyrus)
D) 4 (Circle around posterior gyrus)
A) 1 (circle along posterior inferior frontal gyrus on sagittal)
- Case scenario about patient with chronic headache and high prolactin.
Picture of Brain MRI with tonsillar herniation, what is the cause:
A) Osteopetrosis
B) Chiari I
C) Thyroid
D) Hypotension
B) Chiari I
- Patient with neuroendocrine pancreatic lesion, renal cysts, adrenal
hyper vascular mass. Has report shows brain hemangioblastoma, what
chromosome?
A) 3
B) 7
C) 17
D) 22
A) 3
- Which one is true according to prospective CT cardiac:
A) Choosing specific point before taking imagine (something like that)
B) High dose radiation
C) Functional imaging is provided
D) Whole cardiac cycle acquisition.
A) Choosing specific point before taking imagine (something like that)
- Picture of Coronal CT chest (lung window) (Tracheal Bronchus) the
patient presented with recurrent infection and multiple ICU admissions,
what is the next step:
A) Refer to thoracic surgery for possible Lumpectomy
B) Bronchoscopy
C) Nothing
A) Refer to thoracic surgery for possible Lumpectomy
- CT chest of a male patient with bilateral upper lobe cysts (LCH), what
is the history:
A) Smoker
B) Alpha one antitrypsin
A) Smoker
- Patient with intratesticular lesion and high alpha fetoprotein, US report
said: intratesticular lesion with cystic and calcifications, what is most likely
dx:
A) NSGCT
B) GCT (Seminoma)
A) NSGCT
- Pediatric with testicular ultrasound shows normal size and echogenicity.
Doppler shows no red and blue color on both:
A) Call urologist right away
B) Use low flow doppler
C) Elevate them
D) Valsalva maneuver.
B) Use low flow doppler
If bilateral → Change color setting in US & low the scale.
