Radiology EE

Question 1

posterior/ anterior X ray is done

Answer 1

standing up

Question 2

AP x-ray good for what type of patient

Answer 2

unstable - too sick to stand up

portable x-ray

Question 3

Decubitus films

Answer 3

pleural effusion

- person lays on side and Peffusion is Dx if there is free mobile and forms in layers

Question 4

Apical lordotic films

Answer 4

good for TB - but never used anymore

patient had to lean back

Question 5

Lateral chest X-ray

Answer 5

precise location of an infiltrate - detects little as 75-50ml of fluid

Question 6

best x-ray for pleural effusion

Answer 6

lateral chest x-ray cause detects as little as 50-75ml of flu

Question 7

best indication for ado film

Answer 7

ileus or small bowl obstruction

Question 8

perforation of the bowl

Answer 8

get an upright x-ray

Question 9

best test for osteomyltitis

Answer 9

bone x-ray - you will see elevation of the periosteum

Question 10

non contrast CT is best used for

Answer 10

SEVERE head trauma - LOC, altered mental status
STROKE
INTERCRANIAL BLEEDING - SAH

Question 11

contrast CT is best used for

Answer 11

Cancer and INFECTION

Question 12

mild kidney injury and given contrast CT - what to do before

Answer 12

MAKE SURE THEY ARE hydrate with saline and possibly use BICARBONATE or N-acetylcystein with mild renal insufficiency

Question 13

Diabetic TYPe 2 given contrast CT

Answer 13

STOP METFORMIN

Question 14

visualizing the pancreas

Answer 14

ABDO CT

Question 15

diverticulitis

Answer 15

ABDO CT

Question 16

kidney stone

Answer 16

ABDO CT

Question 17

chest CT is used for

Answer 17

hilar nodes - sarcoidosis 
mass lesions - cancer 
Cavitiess 
ILD 
Pulm emboli - SPRIAL CT or CT angiogram with V/Q scan

Question 18

what is CT not used for

Answer 18

BONE

Question 19

MRI is most accurate for

Answer 19

CNS with expected heamorrage

Question 20

MS test

Answer 20

MRI

Question 21

posterior fossa lesion in cerebeullum

Answer 21

MRI

Question 22

pituitary lesions

Answer 22

MRI

Question 23

spinal cord , brainsstem and verterbral lesions

Answer 23

MRI

Question 24

with cancer and infection, radiology is NEVER the right answer …. _______ is

Answer 24

BIOPSY

Question 25

when is US the right answer

Answer 25

GALLBLADDER
GYnae
Renal
prostate - transrectal approach

Question 26

endoscopic US is best for

Answer 26

Pancreatic lesion
Pancreatic and billiard ductal disease
Gastronome localization (ZE)

Question 27

cholecystitis

Answer 27

HIDA scan

Question 28

occlut mets from cancer

Answer 28

bone scan

Question 29

fever of unknown origen

Answer 29

Gallium scan - can take up infection and in cancer because of increase iron deposition

Question 30

indium scan

Answer 30

tagged WBC scan - determines infection in ABDOMEN -

Question 31

PE

Answer 31

V/Q but #1= spiral CT

Question 32

best to measure ejection fraction

Answer 32

MUGA