Fi Flashcards
(81 cards)
1
Q
Mediastinal window
A
Soft tissue
2
Q
Parenchyma window
A
Fine reticular pattern
3
Q
Fat suppressed
A
FS PD FSE
4
Q
Leg pain, confined to dermatome, + neural stretch tests, weakness to muscle testing, decrease in the reflex of assoc. dermatome
A
Synovial cyst
5
Q
Leg pain, confined to dermatome, - neural stretch tests, weakness to muscle testing, decrease in the reflex of assoc. dermatome
A
Lateral recess stenosis
6
Q
What modic type shows endplate sclerosis
A
Type III
7
Q
Asking what imaging would you use for peel back lesion (SLAP lesion)?
A
MRI
8
Q
Associated with pain
A
Modic type I
Disc pain
9
Q
In a patient with signs of a lumbar disc herniation, which one of the following indicates the herniation is recent
A
Annular tear
10
Q
When evaluating a universal compression on MRI, all of the following are signs of a malignant cause
A
- multifocal involvement
- posterior body convexity
- pedicle involvement
11
Q
SLAP lesions are best identified on trans axial slices __________
A
Coronal oblique at 1-11 o’clock
12
Q
Type 1 meniscus
A
Go ahead and run if you can handle the pain
13
Q
Type II MENISCUS
A
Don’t run for the next 6 weeks because of predisposition to a tear
14
Q
Type III MENISCAL tear
A
Don’t run the race, see an ortho surgeon to correct tear
15
Q
All of the following are signs of ACL tear
A
- no attachment to the lateral wall of the intercondylar notch on Coronal views, its on the medial aspect of the LAT fem condyle
- failure to see the ACL on sagittal views
- bone bruise of the anterior lateral femur and post LAT tibia, valgus knee
16
Q
You order an MRI on the knee of a high school basketball player. The conclusion of the report is jumpers knee. This dx refers to what
A
Patellar tendon
17
Q
Which one is the following studies is obtained by having an x-ray to rotate continuously around the patient or the patient’s slides through the beam like a car through a car wash
A
Helical spherical ct
18
Q
Which one of the following best describes a study in which two (dual) Different energy x-rays are pass-through specific body parts and the difference in absorption of radiation is measured
A
DEXA
dual energy X-ray absorptiotomy
19
Q
SPECT
A
Single photon emission CT
GAMMA RAYS
20
Q
Thin section CT
A
Lungs
21
Q
Quantitative CT
A
Measure bone density
Very expensive
22
Q
Which one of the following would best differentiate active from in active pars defect
A
SPECT or MRI
23
Q
Which one of the following represents the hounsfield units seen in water
A
Zero HU
24
Q
Which one of the following represents the hounsfield units seen in calcium
A
+1000 hu
25
Which one of the following represents the hounsfield units seen in air
-1000 hu
26
Which one of the following most commonly uses Tc-99
Bone scan- scintograph, nuclear medicine
27
Which one of the following best describes the term hypo echoic when using diagnostic ultrasound
Dark gray low reflection?
28
Which one of the following best describes the term hyper echoic when using diagnostic ultrasound
White, high reflection
29
Which one of the following best describes the term shadowing when using diagnostic ultrasound
Dark streaks past an object
30
Which one of the following best describes the term anisotropy when using diagnostic ultrasound
White tendons
31
With regard to bone mineral density when evaluating T and Z scores, which one of the following represents osteoporosis / change to healthy bone
-2.6 and below
32
With regard to bone mineral density when evaluating T and Z scores, which one of the following represents osteopenia
-1 and below
| -1 to -2.5
33
With regard to bone mineral density when evaluating T and Z scores, which one of the following represents normal
+1 and above
34
Transducers are used with which one of the following modalities
Diagnostic ultrasound
35
You’re treating a patient following a significant whiplash injury in which the patient hit their head hard on the head rest 10 days post injury you were concerned about a sub dural brain bleed which one of the following is the modality of choice and further assessment
MRI 48 hours or more
36
Routine bloodwork on a 68-year-old male shows high levels of PSA digital rectal exam shows hard nontender non-mobile nodules which one of the following is indicated as the next step of assessment
Ultrasound
37
Your patient is demonstrating some unusual signs indicating possibly early MS the signs include changes on the visual field scotoma us, lack of sensation in various places on the face, and loss of taste on that portion of the town. Which one of the following would be the next best step in evaluation
MRI of brain
38
You are treating a 30-year-old male who tells you that he has noticed a hard nontender non-mobile nodule on one of his testes you’re both concerned about testicular carcinoma which one of the following is the next best step
Ultrasound
39
Email Patient you’re treating has multiple upper cervical anomalies and he’s beginning to develop some unusual neurological symptoms, including loss of sensation. You are concerned about Arnold Chiari malformation. Which one of the following would be the next best step in imaging
MRI
40
832-year-old female asking you to look at her lower abdomen because she has noticed some hard masses in the pelvic cavity after assessment you think she may have uterine fibroids which one of the following would be the next best step to evaluate the possible fibroids
Ultrasound
41
Rust sign
Jefferson fx
Forced hyperextension, traumatic spondylo
42
Hey patient presents with rust sign following a significant hyperextension whiplash injury although your plane films are negative your clinical suspicion for possible then his fracture or hangman’s fracture is high which one of the following is the next best step in assessment
CT
43
A 60-year-old male presents with low back and flank pain your plane films shown on usual patterns of calcification in the kidney and your DACBR is concerned about possible malignancy which one of the following is indicated
All are of equal value in this case
Ultrasound
MRI
CT
44
32-year-old male with aggressive bone distraction in femur DACBR expect malignancy which one is indicated
All are of equal value in this case
Ultrasound
MRI
CT
45
Plain film x-ray of the cervical spine of a 72-year-old demonstrate marked atherosclerosis of the carotid artery‘s you are concerned with the degree of stenosis which one of the following would be the next best step in evaluation
MRA (magnetic resonance angiography)
46
You have been treating an overweight 34-year-old female on her last to visit she has complained of bad epigastric pain especially after a meal she also complains about right shoulder pain you take new plane films of those areas and they are normal which one of the following would be your next step
Diagnostic ultrasound of the upper G.I.
47
A patient comes to see you for months after a slip and fall in Publix enjoying their the Racco lumbar junction they initially went to an urgent care facility that did not do any imaging the patient is still in a moderate degree of pain you take x-rays and see a compression fracture which one of the following would be a value to help determine if the fracture happen from the farm
Bone scan
48
Your plain film x-ray demonstrates a 4.8 cm abdominal aortic aneurysm which one of the following is indicated for further
Ultrasound
49
And overweight high school sophomore comes in on a Friday with bilateral lower leg pain he has just finished the first week of conditioning for football here now been conditioning before the first practice four days earlier Monday’s practice will be the first day with tackling you need to quickly differentiate soft tissue shinsplints from stress fracture which one of the following should you order?
MRI
50
The Resik films on a 60-year-old longtime smoker showed a mass in the long chest x-rays confirmed the mass what is the next step in imaging
Then section high resolution CAT scan
51
You have a patient who has a very symptomatic degenerative spondylolisthesis at L5 four which one of the following would be the best modality in further assessment
CT
52
Following a tumor
Pet scan used to diagnose diseases using a contrast dye
53
Your patient has shawl like loss of sensation in the upper extremities and you are concerned about a syrinx in the cervical cord which one of the following would be the next step in a valuation
MRI
54
OPLL found on
CT
55
Visualize impact on neural structures
MRI
56
X-rays of your patient demonstrate DISH with OPLL in the cervical spine the patient is exhibiting a lot of neurologic symptoms which one of the following imaging modalities would be a value in this circumstance
MRI
I already know it’s there but I want to see the impact on the physical neural structures
57
You have a strong suspicion of a SLAP lesion in one of your patients which one of the following is in the
Coronel oblique MRI of the shoulder
58
You palpate a nodule on your patience thyroid which one of the following imaging modalities as indicated
US
59
Your patient is going through menopause and is considering estrogen replacement therapy which one of the following would be indicated to best determine their risk of fracture from osteoporosis
DEXA
60
You have a 14-year-old gymnast with low back pain and sclerotic L5 pedicle. Which one of the following would best be used to determine if this represents an active pars defect
MRI
61
You took Cervical and lumbar x-rays on a 70-year-old patient the DACVR report identifies aggressive looking lesions in both areas with a high confidence level for skeletal metastasis which one of the following would be the next step in imaging
Bone scan
```
Used to find
METS
stress fx
Pagets
Bone island vs blastic mets
```
62
Your patient has had breast carcinoma with metastasis to the large bowel which one of the following is the best modality to follow this patient
Pet scan
“PETS FOLLOW YOU”
63
You have a 66-year-old with pain in the left buttock region x-rays show what looks to be a large bone island in the left ilia. There are no prior films for comparison to confirm this is a bone island and not an aggressive blastic lesion which one of the following would be of greatest value
Bone scan
64
Which one of the following best describes an active pars defect
Stress fracture of the pedicle
65
Cord tumors are best assessed with MRI
True
66
Which one of the following is the preferred initial imaging test with suspected septic arthritis
MRI usually with contrast
67
Diagnostic ultrasound would be of value in assessment of all of the following
Plantar fasciitis
Rib fx
Pancreatic carcinoma
68
Diagnostic ultrasound would be of value in assessment of all of the following except
Lateral recess stenosis
69
Where was the first CT scan performed ?
London
70
Who discovered X-ray
W Roentgwn
71
Lebron James is on what team
Lakers
72
Who described the three types of meniscal patterns
David Stoller md
73
MCL
Not very thick
| Best seen on intercondylar notch slice
74
Meniscus
- tears normally happen in the anterior horn or posterior horn or both
- Best scene on sagittal image
75
Articular cartilage
Best scene on T2 or fat suppressed images
76
Lateral meniscus
Should be triangle of black
77
IT band/TFL
Unemployment will thicken and become Gray it should be thin black
78
ACL
- Sheet of paper
- originates on medial side of lateral femoral condyle
- Inserts on medial tibial Eminence
- It should be a thin intermediate gray
79
PCL
thick black rope
80
Intercondylar notch views
```
MCL
Meniscus
articular cartilage
Lateral meniscus
ACL
PCL
IT band/TFL
LCL
```
CORONAL IMAGE
81
Patella and patellar cartilage
Best seen on transaxial and sagittal
Risk of chondromalacia patella
