RADIOLOGY/XRAY---50 Q Flashcards

1
Q

1.Which of the following factors would produce the greatest amount of detail on a film?

a. 10 OFD; 72FFD
b. 4 OFD: 72 FFD
c. 10 OFD: 40 FFD
d. 10 OFD: 72FFD

2.Gonadal exposure would be decreased utilizing which of the following?

a. P­A patient position
b. Decreasing the kVp
c. Seated patient position
d. A grid

A

b. 4 OFD: 72 FFD

a. .P­A patient position

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2
Q

3.When evaluating a spondylolisthesis on a plain film radiograph which structure is the ear of the scotty dog?

a. Pedicle
b. Pars
c. Superior articular facet
d. Inferior articular facet

4.The Intensity of the x­ray beam is defined by which of the following?

a. KVP
b. MAS
c. Scatter radiation
d. Anode heel effect

A

c. Superior articular facet

a. KVP

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3
Q

5.The most common type of radiation to form the image is ____.

a. Characteristic
b. Bremsstrahlung
c. Coherent
d. Classical

6.The film/cassette should be stored at ___ humidity and ____ position.

a. 60­–80%; vertically
b. 85%; flat
c. 60­–80%; flat
d. 85%; vertically

A

b. Bremsstrahlung

a. 60­–80%; vertically

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4
Q

7.Discoloration of the film is caused by _____.

a. Temperature of developer too hot
b. Insufficient washing
c. Stored improperly
d. Rollers

8.The cause of soft and sticky films is ____.

a. Fixer too hot
b. Decreased rolling speed
c. Chemical contamination
d. Increased time

A

a. Temperature of developer too hot

b. Decreased rolling speed

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5
Q

9.Which of the following is the best way to reduce scatter radiation is to _____.

a. Collimate
b. use a larger filament
c. utilize the air­gap technique
d. use high MAS factors

10.The best view to visualize the uncinates processes in the spine is the _____.

a. Oblique
b. Caldwell
c. Pillar view
d. Neutral lateral

A

a. Collimate

c. Pillar view

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6
Q

11.If you see something unusual in the lung that appears to be located above the clavicle on the A­P thoracic view, what view should you take next?

a. Lateral chest
b. Lateral thoracic
c. A­P chest
d. Lordotic

12.The proper way to obtain an L5/S1 spot shot is to have ____ tube tilt.

a. 25°cephalic
b. 10° cephalic
c. 25°caudad
d. 10°caudad

A

d. Lordotic

a. 25°cephalic

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7
Q

13.When taking an A­P view of the inferior glenoid fossa, the patient’s body should be rotated ___degrees for best visualization.

a. 5­–10
b. 15­–20
c. 35­–40
d. 25–­30

14.On which of the following x­ray views would you use a 10° cephalic tube tilt?

a. Lateral L5/S1 spot shot
b. A­P sacrum
c. Lateral sacrum
d. A­P Coccyx

A

d. 25–­30

b. A­P sacrum

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8
Q

15.Besides the frog leg lateral, what other film is a diagnostic view for the hip?

a. A­P Hip
b. Lateral Hip
c. A­P Pelvis
d. Oblique

16.Which of the following anatomical structures is seen medially in the pelvic brim at the level of the greater trochanter?

a. ASIS
b. AIIS
c. Ischial tuberosity
d. Ischial spine

A

a. A­P Hip

d. Ischial spine

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9
Q

17.If you suspect a Scaphoid fracture, which of the following radiographic views is the best for this location?

a. Medial Oblique wrist
b. Ulnar deviation
c. Lateral wrist
d. A­P hand

18.Which of the following increases patient dose?

a. Intensifying screens
b. Collimation
c. Filtration
d. Grid

A

b. Ulnar deviation

d. Grid

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10
Q

19.CSF is ___ on T1 MRI and ___ on T2 MRI.

a. Bright; bright
b. Dark; dark
c. Bright; dark
d. Dark; bright

20.When taking radiographs on an obese woman with osteoporosis, which of the following factors should be utilized?

a. Increase the kVp
b. Decrease the KVp
c. Increase the MAS
d. Decrease the MAS

A

d. Dark; bright

a. Increase the kVp

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11
Q

21.Moving the x­ray tube from 40 inches to 72 inches and increasing the MAS by 4 times best describes?

a. Magnification distortion
b. Line focusing principle
c. 15% Rule
d. Inverse square law

22.The Patellofemoral joint space is best visualized on the ___ view.

a. Sunrise
b. Tunnel
c. A­P
d. Lateral

A

d. Inverse square law

a. Sunrise

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12
Q

23.The foot placement in an A­P ankle view is ___ to the film.

a. Perpendicular
b. Parallel
c. Vertical
d. Horizontal

24.Which of the following describes the least invasive radiographic sign?

a. Lytic
b. Moth eaten
c. Geographic
d. Permeative

A

a. Perpendicular

c. Geographic

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13
Q

25.Which of the following benign bone tumors starts in the metaphysis and extends to epiphysis?

a. Simple Bone Cyst
b. Aneurysmal Bone Cyst
c. Osteochondroma
d. Giant Cell tumor

26.The most common benign bone tumor of the hand is ____.

a. Enchondroma
b. Fibrous dysplasia
c. Osteoma
d. Osteoblastoma

A

d. Giant Cell tumor

a. Enchondroma

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14
Q

27.A sclerotic pedicle can mimic the appearance of a(n) ____.

a. Osteoid osteoma
b. Lytic
c. Giant Cell tumor
d. Osteoblastoma

28.Which of the following periosteal reactions is benign?

a. Spiculated
b. Solid
c. Sunburst
d. Codman’s triangle

A

a. Osteoid osteoma

b. Solid

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15
Q

29.The first sign of a Neurofibromatosis in the spine is a(n) ____.

a. Scoliosis
b. IVF enlargement
c. Rind sign
d. Reactive sclerosis

30.An decreased Boehler’s angle is seen with which of the following?

a. Calcaneal fracture
b. Acromegaly
c. Protrusio acetabuli
d. Slipped capital femoral epiphysis

A

a. Scoliosis

a. Calcaneal fracture

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16
Q

31.A 62­ year ­old female presents with skeletal pain worse at night. She states that there is no position that makes her feel better thus she is not getting very much sleep. This condition has affected her daily lifestyle because she has no energy to work or perform daily activities at home.Radiographic studies show lipping and spurring with decreased joint space in the cervical spine,there is osteoporosis throughout the spine and there is a missing pedicle on one of the vertebrae.The best diagnosis is ___?

a. Multiple Myeloma
b. Lytic Mets
c. Blastic Mets
d. Degenerative joint disease

32.The first sign of Osteitis Deformans is ___.

a. Bone expansion
b. Cortical thickening
c. Periosteal reaction
d. Bence Jones Proteinuria

A

b. Lytic Mets

b. Cortical thickening

17
Q

33.On an A­P thoracic radiograph there is a missing pedicle. The contralateral pedicle is sclerotic in comparison to the other pedicles. This is most probably due to ___?

a. Lytic Mets
b. A benign bone
c. Hemi­vertebrae
d. Agenesis of the pedicle

34.The last stage of Paget’s disease is associated with which of the following types of malignancy?

a. Fibrosarcoma
b. Blastic Mets
c. Osteosarcoma
d. Lytic Mets

A

d. Agenesis of the pedicle

c. Osteosarcoma

18
Q

35.Which of the following is only found in the axial skeleton?

a. Chondrosarcoma
b. Ewing’s sarcoma
c. Osteoid Osteoma
d. Chordoma

36.Metastatic disease is least likely to occur in which of the following locations?

a. Skull
b. Spine
c. Lower extremities
d. Pelvis

A

d. Chordoma

c. Lower extremities

19
Q

37.Which of the following is best used to monitor a patient’s progression of scoliosis and their bone maturity?

a. Risser’s sign
b. Cobb’s
c. Risser Ferguson’s
d. Tanner’s sign

38.Prior to adjusting the patient flexion/extension views should be taken with which of the following conditions?

a. Rheumatoid Arthritis
b. Gouty Arthritis
c. Osteoarthritis
d. Diffuse Idiopathic Hyperostosis

A

d. Tanner’s sign

a. Rheumatoid Arthritis

20
Q

39.The most common cause of bilateral Protrusio Acetabuli is ____

.a.Osteomalacia

b. Trauma
c. Paget’s
d. Rheumatoid Arthritis

40.Ankylosis of a joint would produce which of the following?

a. Decreased chest expansion
b. Radiolucency on x­ray
c. Positive RA latex
d. Negative Amos’s sign

A

d. Rheumatoid Arthritis

a. Decreased chest expansion

21
Q

41.Calcinosis cutis and Raynaud’s is associated with which condition?

a. Scleroderma
b. Lupus Erythematosus
c. Rheumatoid Arthritis
d. Gout

42.The most common inflammatory arthritis to affect males between the ages of 18–­40 is which of the following?

a. Reiter’s
b. Erosive
c. Rheumatoid
d. Psoriatic

A

a. Scleroderma

a. Reiter’s

22
Q

43.A 42­year old female presents with a malar rash. She says this occurs most often when exposed to the sunlight. What lab should be performed?

a. ASO titre
b. TSH, T3, T4
c. ANA
d. HLAB27

44.Skin hardness and thickening, Raynaud’s phenomenon, esophageal dysfunction and blood vessel dilation is seen with which condition?

a. Systemic Lupus Erythematosus
b. Progressive Systemic Sclerosis
c. Amyotrophic lateral Sclerosis
d. Posterolateral Sclerosis

A

c. ANA

b. Progressive Systemic Sclerosis

23
Q

45.A 59­ year­ old female presents in the office with stiffening of the joints. She says the stiffness is worse with rest and cold climate and that with movement the pain starts to disappear. On examination there is decreased ROM in the hip and on x­ray there is decreased uniform loss of joint space with surrounding sclerosis. The best diagnosis is ____?

a. Osteonecrosis
b. Rheumatoid Arthritis
c. Ankylosis Spondylitis
d. Osteoarthritis

46.Bilateral ilium sclerosis with the joint spaces spared is seen with which of the following?

a. Ankylosis Spondylitis
b. Osteitis Condensans Ilii
c. Reiter’s
d. Diffuse Blastic Mets

A

d. Osteoarthritis

b. Osteitis Condensans Ilii

24
Q

47.Calcification of the anterior longitudinal ligament in four contiguous segments in the spine with the disc spaces spared is found in ___.

a. Forestier’s disease
b. Ankylosis Spondylitis
c. Degenerative joint disease
d. Reiter’s syndrome

48.A 38 ­year ­old male presents with pain in his left foot. He states the pain is excruciating and that he cannot bare weight on the foot for a long period of time. On examination the foot is red, hot and swollen. He states that he cannot recall any trauma to the area. On x­ray there is destruction of the fifth MCP and the first DIP with radio­opacities within the joint space.
What is the best diagnosis?

a. Septic arthritis
b. Gouty arthritis
c. Rheumatoid Arthritis
d. Psoriatic Arthritis

A

a. Forestier’s disease

b. Gouty arthritis

25
Q

49.Hydroxyapatite deposition disease is most commonly found in the ____.

a. Knee
b. Elbow
c. Hip
d. Shoulder

50.A 12­ year ­old boys presents with a warm red swollen right knee. What is the most likely diagnosis?

a. Still’s disease
b. Septic Arthritis
c. Osteochondritis Dessicans
d. Legg Calve Perthes

A

d. Shoulder

b. Septic Arthritis