Review Book Info

Question 0

When should a decubitus CXR be performed?

Answer 0

To assess for a pleural effusion (freely mobile fluid forming layer on side of chest)

Question 1

When should an anterior- posterior (AP) CXR be ordered?

Answer 1

Unstable patient (patient can’t stand up)

Question 2

What is the best initial test for dissection of aorta?

Answer 2

CXR (PA film showing widening of aorta)

Question 3

When is an abdominal X-ray indicated as a diagnostic test?

Answer 3

Suspected ileus or small bowel obstruction (multiple air-fluid levels)

Question 4

What is the best initial test for suspected bowel perforation?

Answer 4

Upright CXR (air under diaphragm)

Question 5

What is the best initial test for osteomyelitis?

Answer 5

Bone X-ray (elevation of periosteum)

Question 6

What is the best initial test for severe head trauma with loss of consciousness or altered mental status?

Answer 6

Head CT without contrast

Question 7

What is the best initial test for suspected intracranial bleeding?

Answer 7

Head CT without contrast

Question 8

What is the best initial test for any form of intracranial mass lesion (cancer, abscess)?

Answer 8

Head CT with contrast

Question 9

What should be done in a diabetic prior to imaging with contrast?

Answer 9

Stop metformin

Question 10

What should be done before imaging with contrast in a patient with mild renal insufficiency?

Answer 10

1. Hydrate with normal saline

2. Give bicarbonate or n-acetylcysteine

Question 11

What is the most accurate test for diverticulitis (infection of diverticulum)?

Answer 11

Abdominal CT

Question 12

What is the best initial test for pancreatitis of other pancreatic diseases?

Answer 12

Abdominal CT

Question 13

What is the most accurate test for neprholothiasis (kidney stone)?

Answer 13

Abdominal CT

Question 14

What is the best initial test for pulmonary embolism?

Answer 14

CT angiogram (spiral CT)

Question 15

What is the most accurate test for osteomyelitis?

Answer 15

Bone MRI

Question 16

What is the most accurate test for central nervous system disease except for hemorrhages?

Answer 16

MRI

Question 17

What is the best initial test for gallbladder disease?

Answer 17

Ultrasound

Question 18

What is the most accurate test to localize gastronomy in Zollinger-Ellison syndrome?

Answer 18

Endoscopic ultrasound

Question 19

What is the most accurate test for detection of cholecystitis?

Answer 19

HIDA scan

Question 20

What is the most accurate test to assess left ventricular ejection fraction?

Answer 20

MUGA scan (multiple gated acquisition scan)

Question 21

A pt presents with red eye with thick purulent discharge and normal vision most likely suffers from…..

Answer 21

Bacterial conjunctivitis

Question 22

A pt presents with red eyes (bilateral) with watery discharge associated with itchiness and preauricular lymphadenopathy most likely suffers from….

Answer 22

Viral conjunctivitis (easily transmissible)

Question 23

What is the difference between dysphagia and odynophagia?

Answer 23

Dysphagia: difficult swallowing
Odynophagia: pain with swallowing

Question 24

What are the alarm symptoms that indicate endoscopy?

Answer 24

1. Weight loss
2. Blood in stool
3. Anemia

Question 25

A pt presents with progressive dysphagia to both solids and liquids at the same time most likely suffers from …

Answer 25

Achalasia

Question 26

What is the best initial test for Achalasia?

Answer 26

Barium studies (birds beam appearance)