File 9 Flashcards
Normal chest x ray, Ventilation: retention. Perfusion: one moderate perfusion defect:
A) High
B) Low
C) Intermediate
D) Normal
C) Intermediate
CT sacrum shows decrease bone density and PET high uptake within both sacrum what is dx:
A) Insufficiency fracture
B) Paget disease
C) Sarcoma
A) Insufficiency fracture
Which thyroid lesion has high iodine uptake/retention?
A) Medullary
B) Anaplastic
C) Lymphoma
D) Hurtle cell
D) Hurtle cell
PET showed intense (18)F-FDG uptake in all known Hürthle cell cancer lesions.
Picture of pediatric ultrasound with color flow (swirling), patient presented with bilious vomiting:
A) Malrotation
B) Mid gut volvulus
C) Inguinal hernia
B) Mid gut volvulus
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
Renal mass have fat and linear enhancement measuring 22 cm and
asymptomatic, what to do?
A) Follow up
B) Embolization
C) Biopsy
A) Follow up
(angiomyolipoma)
Picture of lung nodule measuring 7 mm, part solid, patient has no risk factors according to Fleischer 2017 criteria, what should you do: (the image quality was so bad and noisy)
A) CT scan within 6-12 months
B) 3 months follow up
C) PET CT
B) 3 months follow up
The most appropriate view to see intercondylar notch lesion:
A) Tunnel view
B) Anterior oblique
C) Posterior oblique
D) Internal rotation
A) Tunnel view
Case scenario about young patient who did x-ray axillary view which
shows faint calcification along the posterior glenoid what is dx:
A) Perthes
B) Bankert
C) Kim
D) Bennett
D) Bennett
Which of the following features differentiate malignant and benign
vertebral compression fracture?
A) Convex posterior body
B) Retropulsion
C) Normal in all sequences
D) Low signal intensity line adjacent to fracture
Pediatric patient with pigmentation of lips and fingers and intestinal
polyps, the likely diagnosis?
A. Peutz-Jeghers syndrome
Patient with dialysis fistula, presented with facial swelling? (Pic angio shows no contrast in SVC), where is the location of complete obstruction:
A) SVC obstruction
B) Subclavian
C) Internal mammary
A) SVC obstruction
Patient with hypertrophy of right ventricle (Picture of CT angio with
dilated left pulmonary Artery):
A) Pulmonary hypertension
B) Pulmonary valve stenosis
B) Pulmonary valve stenosis
Enlargement of pulmonary trunk and left pulmonary artery.
Image of US hip pediatric (to assess for DDH), how to obtain this
image?
A) Lateral
B) Medial
C) Posterior
D) Anterior
A) Lateral
DDH = Developmental hip dysplasia
Patient with suspected bowel infection what is the best nuclear study for evaluation:
A) 67Ga
B) ᵐ⁹⁹Tc -HAMPAO leukocyte
C) ¹¹¹In-Oxine-labelled white blood cells
C) ¹¹¹In-Oxine-labelled white blood cells
Notes:
- Guess in the question they mean inflammation not infection.
- The percentage of fecal excretion of radiolabelled leukocytes is highly specific for intestinal
inflammations.
Picture of neonatal head US with IVH how this image obtained?
A) Anterior Fontanelle
B) Posterior Fontanelle
C) Mastoid Foramen
A) Anterior Fontanelle
Young female with incidental liver mass, lab normal and she is symptomatic. The lesion shows intermediate T2, low T1, hyperenhancing in arterial phase and fade away in the delayed phase, what is true about this lesion:
A) Most common liver lesions
B) Commonly associated with viral infection
C) Will be affected by OCP
C) Will be affected by OCP
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
Picture of (axillary US show snowstorm appearance lymph nodes),
mammo shows implant, the patient has history of breast cancer treated,
what is the most likely explaining the lymph nodes?
A) Silicon
B) Malignant
A) Silicon
Patient with two spiculated lesions in right breast and group microcalcifications in the left, what is the initial next step:
A) Left breast magnification view in CC and true lateral
B) Biopsy right breast mass
C) Right breast magnification view in CC and true lateral
A) Left breast magnification view in CC and true lateral
Breast MRI image shows aliasing artifact, how to fix it:
A) Decrease FOV
B) Increase matrix
C) Increase number of phase encoding steps
D) Increase number of frequency encoding steps
C) Increase number of phase encoding steps
Patient with metal-on-metal prosthesis for 7 years, CRP and ESR was normal. He did x-ray which was normal and MRI shows debris extending anteriorly (no image provided):
A) Infection
B) Adverse Reaction to metal
C) Sarcoma
D) Metastasis
B) Adverse Reaction to metal (something like that)
Post-partum female with headache, Picture of Brain MRI FLAIR and ADC map shows high signal in posterior occipital lobes and left centrum semi vale, what is the most likely diagnosis?
A) PML
B) PRES
C) Venous sinus thrombosis
B) PRES
years old male, Picture of Brain MRI with history of recurrent stroke:
A) CADSIL
B) ADEM
C) Wilson
Patient post angio given 400 micrograms of Fentanyl (opioid) then 30
minutes after procedure become apneic and unresponsive:
A) Give Flumazenil
B) Call for help, check pulse start compression if applicable
C) Check pulse by doppler
D) Make sure there is a pulse and start oxygen
B) Call for help, check pulse start compression if applicable
- ABC → antidote (naloxone)
Middle-aged women with pancreatic tail cystic lesion with peripheral
calcification:
A) Mucinous cystadenoma
B) Serious cystadenoma
Case scenario about pericapsular liver calcification
A) Schistosomiasis
Adult female patient with intra medullary lesion, syrinx with hemorrhage and causing scalloping to adjacent vertebral body?
A) Ependymoma
B) Astrocytoma
C) Hemangioblastoma
A) Ependymoma
Picture of mammogram, with architectural distortion no history of trauma or surgery. No related findings in the US, Next?
A) Stereotactic biopsy
B) MRI
C) Flow up 6 months
A) Stereotactic biopsy
Regarding patient with posterior urethral valve, which one associated with better prognosis?
A) Urine in the amniotic fluid
B) Oligohydramnios
C) Diagnosis before 24 weeks
D) Echogenic kidney with multiple cyst
C) Diagnosis before 24 weeks
All suggests poor prognosis. However, early detection allows for intervention before renal
function is compromised.
Which one associated with malignant stricture of biliary duct?
A) Long segment
B) Regular border
C) Absent enhancement
D) Smooth stricture
A) Long segment
60-year-old with bilateral wedge shaped and well-defined renal lesions with soft tissue mass encasing the vessels in the right side with right hydronephrosis, no signs of infection (no pic was provided):
A) IgG4-related disease
B) Erdheim-Chester Disease
A) IgG4-related disease
What drug should be stopped 48-hours before gastric emptying scan?
A) Metformin
B) Atropine
C) Carvedilol
D) Ondansetron
B) Atropine
Cholinergic antagonists, such as atropine, have been shown to decrease antral contractility and
slow gastric emptying.
Dipyridamole contraindication:
A) Bronchospasm
Patient with LBBB, cardiac perfusion scan shows decrease uptake in the septum in stress which normalized in rest?
A) Artifact
B) Infarction
A) Artifact
