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Step 2 Secrets > Radiology > Flashcards

Radiology Flashcards

1
Q

What imaging study would you order for a skull fracture (depressed)?

A

CT scan

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2
Q

What imaging study would you order for head trauma?

A

CT without contrast

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3
Q

What imaging study would you order for intracranial hemorrhage?

A

CT without contrast

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4
Q

What imaging study would you order for acute stroke?

A

CT without contrast, confirm with MRI without contrast

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5
Q

What imaging study would you order for multiple sclerosis?

A

MRI with and without contrast

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6
Q

What imaging study would you order for a brain tumor?

A

CT or MRI with contrast

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7
Q

What imaging study would you order for pneumonia?

A

Chest x-ray

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8
Q

What imaging study would you order for chest trauma?

A

Chest x-ray, confirm with CT with contrast

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9
Q

What imaging study would you order for a chest mass?

A

Chest x-ray, confirm with CT with contrast

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10
Q

What imaging study would you order for hemoptysis?

A

Chest x-ray, confirm with bronchoscopy or CT with contrast

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11
Q

What imaging study would you order for a pulmonary embolism?

A

Ventilation/perfusion scan (nuclear scan) or CT with contrast, confirm with pulmonary arteriogram

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12
Q

What imaging study would you order for an aortic aneurysm/dissection?

A

Ultrasound or CT with contrast (preferred if dissection is suspected), confirm with angiogram

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13
Q

What imaging study would you order for aortic tear (trauma)?

A

CT with contrast, confirm with angiogram

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14
Q

What imaging study would you order for carotid stenosis?

A

Duplex ultrasound or MRA, confirm with angiogram

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15
Q

What imaging study would you order for an esophageal obstruction?

A

Barium x-ray or endoscopy, confirm with endoscopy

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16
Q

What imaging study would you order for an esophageal tear?

A

Gastrografin x-ray or endoscopy, confirm with endoscopy

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17
Q

What imaging study would you order for bowel perforation?

A

Abdominal x-ray, confirm with CT scan or laparoscopy

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18
Q

What imaging study would you order for hematemesis?

A

Endoscopy

19
Q

What imaging study would you order for peptic ulcer disease?

A

Upper GI series or endoscopy, confirm with endoscopy

20
Q

What imaging study would you order for abdominal trauma?

A

CT with contrast, confirm with laparoscopy

21
Q

What imaging study would you order for an abdominal abscess?

A

CT with contrast

22
Q

What imaging study would you order for cholelithiasis?

A

Ultrasound

23
Q

What imaging study would you order for choledocholithiasis?

A

Ultrasound, confirm with ERCP or MRCP

24
Q

What imaging study would you order for cholecystitis?

A

Ultrasound, confirm with nuclear hepatobiliary study (HIDA scan)

25
Q

What imaging study would you order for an intestinal obstruction?

A

Abdominal x-ray, confirm with CT with contrast

26
Q

What imaging study would you order for appendicitis?

A

CT with contrast or appendiceal CT with rectal contrast or US

27
Q

What imaging study would you order for nephrolithiasis?

A

CT without contrast (test of choice) or abdominal x-ray or intravenous pyelogram (IVP)

28
Q

What imaging study would you order for an ovarian pathology?

A

Ultrasound

29
Q

What imaging study would you order for diverticulitis?

A

CT with contrast, NO endoscopy or barium enema acutely

30
Q

What imaging study would you order for upper GI bleeding?

A

Upper GI series or endoscopy, confirm with endoscopy

31
Q

What imaging study would you order for lower GI bleeding?

A

Barium enema or endoscopy, confirm with endoscopy

32
Q

What imaging study would you order for unknown GI bleeding?

A

Nuclear medicine bleeding study, for brisk bleed angiography or laparotomy

33
Q

What imaging study would you order for hydronephrosis?

A

Ultrasound or CT

34
Q

What imaging study would you order for hematuria (persistent)?

A

CT with contrast, confirm with cytoscopy or CT with contrast

35
Q

What imaging study would you order for fibroid uterus?

A

Ultrasound, confirm with MRI

36
Q

What imaging study would you order for a pelvic mass (female)?

A

Ultrasound, confirm with CT with contrast or laparoscopy

37
Q

What imaging study would you order for bone metastases?

A

Bone scan, plain x-rays for multiple myeloma

38
Q

What imaging study would you order for pregnancy evaluation?

A

Ultrasound (transvaginal detects sooner than transabdominal), first get beta-HCG

39
Q

What imaging study would you order for a fracture?

A

X-ray, CT scan without contrast can help evaluate complex fractures

40
Q

What imaging study would you order for osteomyelitis?

A

X-ray, confirm with bone scan and/or MRI with contrast

41
Q

What imaging study would you order for arthritis?

A

X-ray, confirm with MRI

42
Q

What imaging study would you order for pyloric stenosis?

A

Ultrasound, upper GI series is second choice

43
Q

What imaging study would you order for Meckel diverticulum?

A

Meckel scan (nuclear medicine)

44
Q

With suspected GI perforation, why do you not want to use barium?

A

It can cause a chemical peritonitis, use water-soluble contrast (e.g. gastrografin)

Step 2 Secrets (22 decks)

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