File 8

Question 1

81. Mammo image with artifact that prevent the visualization of
    calcification (before and after correction):
    A) Motion
    B) Inhomogeneity

Answer 1

A) Motion

Question 2

82. 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

Answer 2

B) Internal carotid artery

Question 3

83. 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

Answer 3

B) Phenobarbital

Question 4

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

Answer 4

D) Acute tubular necrosis

Question 5

Patient for F-18 FDG study for lymphoma. Optimal uptake for imaging
after?

A) 30 min
B) 60 min
C) 120 min

Answer 5

B) 60 min

Question 6

86. 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

Answer 6

A) Colon cancer

Question 7

87. 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

Answer 7

A) Complete cessation till 4-6 week

Question 8

88. Angio of left subclavian:
    A) Mild cephalic stenosis
    B) Total cephalic stenosis
    C) Floating cephalic thrombus
    D) Complete obstruction of axillary

Answer 8

A) Mild cephalic stenosis

Question 9

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

Answer 9

D) Same in size or smaller and decrease attenuation

Question 10

90. Image pointing at vessel:
    A) Right hepatic
    B) Cystic
    C) Gastroduodenal
    D) Splenic

Answer 10

No answer

Question 11

91. 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

Answer 11

D) Absolute contraindication, cancel the procedure

Question 12

92. 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

Answer 12

A) PICC line

Question 13

Lower limb angio what is the structure pointed by arrow?
A) Anterior tibial
B) Peroneal
C) Popliteal

Answer 13

A) Anterior tibial

Question 14

94. Repeated question about left gonadal vein ablation/embolization.

Answer 14

Question 15

95. CT with non-obstructive renal stone. Later MRI done and there was
    spinal lesion which was missed on previous CT. what type of error?

Answer 15

A) Satisfaction of search

Question 16

96. Incidental PE in outpatient. The best way to deliver the finding:
    A) Final report
    B) Email
    C) Verbal

Answer 16

C) Verbal

Question 17

97. 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

Answer 17

C) Tell the referring physician and direct the patient to him

Question 18

98. 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

Answer 18

D) Call your 2nd Oncall senior for support

Question 19

99. 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

Answer 19

A) Ability to identify negative CT who doesn’t have PE

Question 20

100. 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.

Answer 20

C) Oral prednisone 13, 7, 1 hr.

Question 21

101. The ability of the doctor to work in team to achieve the best health
     care:
     A) Scholar
     B) Leader
     C) Collaborator
     D) Health advocate

Answer 21

C) Collaborator

Question 22

102. You want to do paracentesis; informed consent must include?
     A) Patient status
     B) Previous similar procedure
     C) Alternative management
     D) Tool used included cage

Answer 22

C) Alternative management

Question 23

1. CT chest image with left lower lobe solid lung lesion (sequestration) what
   is your next step for management?

Answer 23

A) Surgical

Question 24

2. 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

Answer 24

B) Ganglion cyst

Question 25

3. 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

Answer 25

B) Left brachiocephalic

Question 26

4. 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

Answer 26

A) US guided thrombin injection

Question 27

5. MRI Picture of enhancing left orbital lesion with history of painful eye:
   A) Cavernous hemangioma
   B) Pseudotumor cerebri

Answer 27

A) Cavernous hemangioma

Question 28

6. 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)

Answer 28

A) 1 (circle along posterior inferior frontal gyrus on sagittal)

Question 29

7. 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

Answer 29

B) Chiari I

Question 29

11. 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

Answer 29

A) 3

Question 29

8. 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.

Answer 29

A) Choosing specific point before taking imagine (something like that)

Question 30

9. 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

Answer 30

A) Refer to thoracic surgery for possible Lumpectomy

Question 30

10. CT chest of a male patient with bilateral upper lobe cysts (LCH), what
    is the history:
    A) Smoker
    B) Alpha one antitrypsin

Answer 30

A) Smoker

Question 31

12. 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)

Answer 31

A) NSGCT

Question 32

13. 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.

Answer 32

B) Use low flow doppler

If bilateral → Change color setting in US & low the scale.