File 20 Flashcards
A 29-year-old female patient, non-pregnant, complaining of RLQ pain,
ultrasound showed hyperechoic lesion with echogenic shadow and nodule in the right adnexa. What is the most likely diagnosis?
A) Enteric cyst
B) Endometrioma
C) Dermoid cyst
D) Duplication cyst
C) Dermoid cyst
50-year-old lady with breast mass, what to do:
A) Mammography
B) Ultrasound
C) MRI
D) CT
A) Mammography
for any patient with breast mass:
if the pt is young less than 30 bilateral US
if pt old mammo
Case patient on HSG shows 1 vagina, 1 cervix and 2 uteruses:
A) Bicornuate
B) Didphylus
C) Arcuate
D) Septate
A) Bicornuate
Best view in mammography:
A) CC
B) MLO
B) MLO
Best view of milky calcification in mammography:
A) Magnification
B) True lateral
B) True lateral
Component of the intraductal terminal complex:
A) Lactiferous gland
B) Interlobar ductal gland
C) Adipose tissue
D) Fibro glandular
B) Interlobar ductal gland
Answer: B
Notes:
- The TDLU consists of the:
o extralobular terminal duct
o intralobular terminal duct
o lobule (functional unit of the breast)
Regarding forbidden area in mammography:
A) Axillary
B) Fibrogalndular
C) Pectorals major muscle
C) Pectorals major muscle
Child came through General physician with retinal mass, what to do
next:
A) CT
B) MRI
C) Refer to ophthalmologist
C) Refer to ophthalmologist
Answer: C
Notes:
- MRI is for staging.
- US & ophthalmoscope is for diagnosis.
Pediatric liver mass which is true:
A) Hepatoblastoma with normal alpha fetotropin (High not N)
B) Hepatoblastoma usually dead with congestive heart failure (Infantile)
C) Hepatoblastoma is the most common extra-crainal tumor in pediatric
(Neuroblastoma)
D) Mesenchymal hamartoma
D) Mesenchymal hamartoma
Infant with bowel obstruction, which is true:
A) No need for bowel preparation
B) Rectal enema injected manually
C) IV contrast to opacity the bowel and colon
A) No need for bowel preparation
Case of child to see peritoneal free air:
A) Supine chest x ray
B) Lateral decubitus chest
C) Supine abdomen
D) Lateral decubitus abdomen
D) Left lateral decubitus abdomen.
Notes:
- The lateral decubitus radiograph is an additional projection for assessing the pediatric
abdomen. This view is ideal for displaying free air in the abdomen and/or if the patient is
unable to lie supine.
- Erect is more accurate.
Which is the best view for the metatarsal bones?
A) Oblique dorsoplantar view
B) Oblique view
C) Dorsoplantar view
D) AP view
A) Oblique dorsoplantar view
Apical lordotic view:
A) Patient pressed against the Bucky to stress on head, neck & chest
B) Patients erect
C) Cranial 15°
D) Cranial 45°
D) Cranial 45°
In IVP to visualize the right vesicoureteral junction:
A) Right anterior oblique
B) Left anterior oblique
C) Right posterior oblique
D) Left posterior oblique
C) Right posterior oblique
Answer: C
Notes:
- because in this position you will free the right ureter from superimposition by the spine.
What is the best view to see the right intervertebral foramen in C-spine:
A) Left anterior oblique
B) Right anterior oblique
C) Lateral
D) AP
B) Right anterior oblique
Answer: B
Notes:
- LPO and RAO = Right foramina.
To visualize the colonic flexures during barium enema:
A) LAO and RAO
B) Lateral
C) Left lateral decubitus
D) Right lateral decubitus
A) LAO and RAO
Answer: A
Notes:
- RAO → Right hepatic flexure.
- LAO → Left splenic flexure.
Best view for lipohemarthrosis:
A) Lateral
B) AP
A) Lateral
Answer: A
Notes:
- Lipohemarthrosis results from an intra-articular fracture with escape of fat and blood from the
bone marrow into the joint, and is most frequently seen in the knee, associated with a tibial
plateau fracture or distal femoral fracture, rarely a patellar fracture.
Pediatric patient with foreign body, what to do:
A) AP
B) PA
C) Lateral
D) Bilateral decubitus
D) Bilateral decubitus
Answer: D
Notes:
- Bilateral lateral decubitus (can be done to increase sensitivity).
- Bilateral decubitus views should demonstrate hyperinflation of the affected lung on both
radiographs; in the obstructive foreign body there will be air-trapping and therefore
hyperlucency of the dependent lung.
Regarding lines:
A) EET is 1 cm below carina. (above)
B) NGT in the lower esophagus. (stomach)
C) PICC insertion through brachiocephalic.
D) Swanz – Ganz 5 cm in pulmonary artery
D) Swanz – Ganz 5 cm in pulmonary artery
Which of the following is correct regarding hip lines:
A) Shenton lines is seen along the superior border of superior pubic ramus
B) Higenreiner line is drown horizontally through the superior aspect of both triradiate cartilage.
B) Higenreiner line is drown horizontally through the superior aspect of both triradiate cartilage.
Patient developed chest wheeze post-contrast, what is the immediate
medication to give:
A) Atropine
B) Albuterol
C) Epinephrine
D) Antihistamine
B) Albuterol
What you will give for patient with renal insufficiency to prevent renal
nephrotoxicity:
A) CO2
B) Nitrogen
C) Low osmolar contrast medium
C) Low osmolar contrast medium
Picture of cardiac MRI, what is the diagnosis:
A) Trans mural infarct
B) Subendocardial infarct
C) Myocarditis
D) Ventricular aneurysm
B) Subendocardial infarct
The radiation dose to the critical organ in mSv is:
A) 0.05
B) 5
C) 10
D) 50
D) 50
