The Text Test Questions

Modul 2. Radial diagnostic

The text test questions

Modul 2. Radial diagnostic human diseases

The text test questions

Which one of the following is the most preferred route to perform cerebral angiography?
All of the above
Transbrachial route
Direct carotid puncture
Transaxillary route
* Transfemoral route
Typically bilateral inferior lens subluxation of the lens is seen in:
Other
Ocular trauma
Hyperlysinaemia
* Homocystinuria
Marfan's syndrome
The most common location of hypertensive intracranial haemorrhage is:
Sella Turcica
Brainstem
Cerebellum
* Basal ganglia
Subarachnoid space
The MR imaging in multiple sclerosis will show lesion in:
Ventricle
Basal ganglia
Thalamus
Grey matter
* White matter
Expansive type osseous metastases are characteristic of primary malignancy of:
Lung
Prostate
Breast
Bronchus
* Kidney
Name most common retrobulbar orbital mass in adults is:
Cyst
Schwannoma
* Cavernous haemangioma
Meningioma
Neurofibroma
A 24-year-old male, known epileptic, presented following a seizure w itli pain in the right shoulder region. Examination revealed that the right upper limb was adducted and internally rotated and the movements could not be performed. Which of the following is the most likely diagnosis?
None of the above
Subglenoid dislocation of shoulder
Intrathoracic dislocation of shoulder
Luxatio erecta
* Posterior dislocation of shoulder
Which of the following usually produces osteoblastic secondaries?
* Carcinoma prostate
Carcinoma urinary bladder
Carcinoma skin
Carcinoma breast
Carcinoma lung
Subdural hematoma most commonly results from:
Intersexuality
Haemophilia
* Injury to cortical bridging veins
Rupture of cerebral AVM
Rupture of intracranial aneurysm
The gold standard for the diagnosis of osteoporosis is:
Ultrasonography
Quantitative computed tomography
Ultrasonography
Single energy X-ray absorptiometry
* Dual energy X-ray absorptiometry
Radiological findings in meningioma are all except:
Periostitis
* None of the above
Osteosclerosis
Vascular markings
Calcification
A patient is suspected to have vestibular Shwanomma, the investigation of choice for its diagnosis is:
Ultrasonography
PET scan
SPECT
* Gadolinium enhanced MRI
Contrast enhanced CT scan
Which ofthe following is the best choice to evaluate radiologically a posterior fossa tumor?
OFECT
Myelography
Angiography
* MRI
CT scan
Which of the following brain tumors does not spread via CSF?
Simenoma
* Craniopharyngioma
CNS Lymphoma
Medulloblastom
Germ cell tumors
The X-ray view for supraorbital fissure is:
Other
Basal
AP(Anterio-Posterior)
* Caldwell
Towne's
Geographic lytic lesions in the vault of the skull with bevelled edges are seen with:
Down's syndrome
Reticular cell carcinoma
Hyperparathyroidism
Multiple myeloma
* Eosinophilic granuloma
The most common calcifying brain tumour in a child is:
None of the above
Meningioma
Glioma
* Craniopharyngioma
Medulloblastoma
The best investigation for parameningeal rhabdomyosarcoma:
Thermography
SPECT(Single Photon Emission Computed Tomography) scan
CECT
* MRI
CSF(Cerebrospinal fluid) cytology
CT scan shows a subarachnoid haemorrhage following symptoms of sudden headache and paralysis. Next investigation of choice is:
MR spectroscopy
MRI
Transacromial DopplerUSG
SPECT(Single Photon Emission Computed Tomography)
* 4-vessel angiography
In intervertebral disc prolapse, schmorl node on MRI implies:
Without comment
Not prognostic
Good prognosis
* Not significant
Significant
IVP should be cautiously performed in:
Sacral agenesis
Leukemia
Neuroblastoma
Bone secondaries
* Multiple myeloma
An ideal imaging method for diagnosing hydrocephalus in an infant is:
Thermography
MRl
* Ultrasound
CT scan
Plain X-ray
The earliest congenital malformation that can be detected on Ultrasonography:
Cyst formation
Down's syndrome
Sacral agenesis
Hydrocephalus
* Anencephaly
In Radionuclide imaging the most useful radio pharmaceutical for skeletal imaging is:
Cobalt 60 (60Co)
* Technetium-99m linked to Methylene diphosphonate (99mTc-MDP)
Technetium-99m (99mTc)
Technetium-sulphur-colloid (99mTc-Sc)
Gallium 67 (67Ga)
The best view for visualising the sella turcica in X-ray is:
None of the above
* Lateral view
Open mouth view
Oblique view
AP views
In cerebral angiography, due is injected through:
Subclavicle artery
Radial artery
Axillary artery
Brachial artery
* Femoral artery
Which of the following is not done in a case of Brain tumour?
Echoencephalography
* Lumbar puncture
X-ray skull
MRI
CT scan
Investigation of choice for Acute subarachnoid haemorrhage is:
Ultrasonography
Angiography
* CT scan
Enhanced MRI
MRI
All of the following are correct about radiological evaluation of a patient with Cushing's syndrome except:
All of the above
Petrosal sinus sampling is the best way to distinguish the tumour from an ectopic Adrenocorticotropic hormone producing tumour
Adrenal CT scan distinguishes adrenal tumour from cortical hyperplasia
MRI of the adrenal glands may distinguish adrenal adenoma from carcinoma
* MRI of the sella tursica will identify the cause of Cushing’s syndrome
Characteristic finding in CT scan of patient with tubercular meningitis is:
Skull lesion
Calcification in cerebellum
Ventriculitis
Hydrocephalus is not seen
* Exudates seen in basal cistern
'Tram-track calcification' in the brain is seen in:
Anaemia
Syphilis
Tuberous sclerosis
Toxoplasmosis
* Sturge-Weber syndrome
Antenatal diagnosis of hydrocephalus is done by:
Clinical manifestation
Aminocentesis
Foetoscopy
AFP (alphafetoprotein) estimation
* Ultrasonography
Biconvex hyperdense shadow on non-contrast CT scan is seen in:
Cerebellum tumour
Intraventricular haemorrhage
Subarachnoid haemorrhage
Subdural haemorrhage
* Extradural haemorrhage
Ideal imaging modality to diagnose hydrocephalus in a one month old baby is:
MR spectroscopy
Magnetic Resonance Imaging
Computerised tomography
* Ultrasound
Plain X-ray
Name the manifestation premature filling of veins in of cerebral angiography:
Other
Arterial occlusion
* Arteriovenous malformation
Brain tumour
Trauma
The 'doughnut' sign seen on a brain scan usually suggests:
* All of the above
Cyst
Glioblastoma
Metastases
Abscess
Most radiodense substance is:
Air
* Bone
Brain
Soft tissue
Fluid
Echoencephalography is useful in detecting, exept:
Pineal calcification
Vascular lesions
* Epilepsy
Midline shift
Ventricular dilatation
Echoencephalography is most useful for detecting:
Pineal calcification
Vascular lesions
Epilepsy
Midline shift
* Ventricular dilatation
Dye used for myelography is:
Iodolipol
Lopanoic acid
Dianosil
* Myodil
Conray -320
Unilateral elevation of diaphragm is commonly due to:
Gastritis
Congenital causes
* Scoliosis
Large liver
Obesity
Beheaded Scottish terrier sign is seen in:
Fracture scaphoid
Fracture rib
Fracture transverse process of lumber vertebra
* Spondylolisthesis
Spondylosis
Most common cause of intracranial calcification is:
None of all above
Tuberculoma
Meningioma
Intracranial aneurysm
* Pineal calcification
Intraosseous skeletal tumour is best diagnosed by:
Echoencephalography
CT with scintiscan
CT scan
* NMR(Nuclear Magnetic Resonance)
Plain X-ray
Hair on end appearance in skull X-ray is characteristic of:
Multiple mieloma
Hemochromatosis
Megaloblastic anemia
* Thalasemia
Sickle cell anemia
Isotope used in bone scans:
All of the above
Chromium
Selenium
Gallium
* Technetium
Intracranial calcification in skull X-rays may be:
* All of the above
Hypophysis calcifications
Cysticercosis
Dural calcifications
Pineal calcifications
Signs of increased intracranial tension in a child X-ray:
* All of the above
Silver beaten appearance of the bones
Tense posterior fontanelle
Tense anterior fontanelle
Separation of the sutures
Investigation of choice for multiple sclerosis:
Instrumental investigation
EBG
X-ray
CT scan
* MRI
'H' shaped vertebra is seen in:
Traumatic lesion
Osteoporosis
Hemangioma
* Sickle cell anemia
Phenylketonuria
Calcification in basal ganglia is seen in:
Hypovolemia
Hypoaldosteronism
Hypopituitarism
* Hypoparathyroidism
Hypothyroidism
First investigation of choice for spinal cord tumor:
Pantomography
Plain X-ray
* MRI
CT
Myelography
Extradural hematoma CT scan finding is:
Calcification
Low attenuated biconvex lesion
Concavo convex hyperdense lesion
* Hyperdense biconvex lesion
Hypodense biconvex lesion
Most serious complication of myelogram is:
Dizziness
* Arachnoiditis
Headache
Transient neurological deficit
Allergy
Investigation of choice for acute subarachnoid hemorrhage:
Thermography
Angiography
* CT scan
MRI
Enhanced MRI
Pantomography is done for inspection:
Dental absence
* Transverse, fracture of Atlas
TM joint
Dental cyst
Dental caries
Time sector scanning of neonates is preferred because of the following reason most practical reason:
Child will be more cooperative
Better resolution
Children more cooperative
Inexpensive
* Open fontanelles
Time sector imaging is preferred in infants because:
No right answer
* Close to fontanelles
Less expensive
Far from fontanelles
Child will be more cooperative
The common cause of subarachnoid hemorrhage is:
Atherosclerosis
Hypertension
* Aneurysm
Cavernous angioma
Arterio-venous malformation
Radiosensitivity of tumour depends on:
Kind of atypia
Number of cells
* D and E are right
Blood supply
Histology
Which of the following cranial nerve can be visualised on plain CT scan?
Optic and trigeminal
Hypoglossal
Facial
Trigeminal
* Optic
Which of the following is not true about non contrast CT scan in head injury?
None of the above
Subarachnoid haemorrhage appears as areas of increased density in basilar cisterns
Acute subdural hematoma appears as crescent shadow of increased density
Extradural haematomas are usually lens shaped
* Subdural hematoma increase in density over lesional CT scans over weeks
Calcification of the intervertebral disc is present in:
Fracture
Achondroplasia
* Ankylosing spondylitis
Homocystinuria
Maple syrup urine disease
All are features of raised intracranial tension in adults except:
Enlarged of dorsum sella
* Sutural diastasis
Inner table convolutions
Erosion of posterior clinoid process
Erosion of dorsum sella
Decreased teeth enamel is seen in all except:
All of the above
Osteomalacia
* Fluorosis
Cushing syndrome
Hyperparathyroidism
Vessels catheterized on carotid angiography are:
1 external carotids and 2 vertebral
2 external carotids and 1 vertebral
* 2 internal carotids and 1 vertebral
2 internal carotids and 2 vertebral
2 external carotids and 2 vertebral
Which of the following is not a radiological feature of meningioma?
No right answer
* Decalcification inner table
Increased meningeal vascular markings
Enlarged foramen spinosum
Lamellar calcification
Multiple'punched out holes' in skull are seen in:
Congenital cytomegalovirus injection
Acromegaly
Thalassemia major
* Multiple myeloma
Hyperparathyroidism
'Tram line' calcification seen in skull X-ray are characteristic of:
Multiple mieloma
* Sturge Weber Syndrome
Craniopharyngioma
Congenital toxoplasmosis
Congenital cytomegalovirus injection
Secondary fracture healing is:
* Stimulated by osteoprogenitor cells in the periosteum and characterized by callus formation.
Also called endochondral repair.
Stimulated by osteoprogenitor cells in the periosteum.
Characterized by callus formation.
Frequently associated with compression plating.
Both membranous and endochondral ossification occur in which of the following?
Femur
Patella
Occipital bone
Clavicle
* Patella andOccipital bone
Avascular necrosis may occur with which of the following?
Alcoholism
Scaphoid fractures
* All of the above
Femoral neck fractures with partial displacement
Displaced talar neck fractures
Which of the following is associated with POEMS syndrome?
* Plasmacytoma
Multiple exostoses
Eosinophilic granuloma
Sarcoidosis
Systemic lupus erythematosus
Which of the following concerning fibrous dysplasia is (are) true?
Of the craniofacial bones, the frontal and sphenoid bones are commonly involved
Malignant transformation is rare
Serum calcium and serum phosphorus levels are elevated
* When associated with precocious female sexual development and cutaneous pigmentation, it is called McCune-Albright syndrome andof the craniofacial bones, the frontal and sphenoid bones are commonly involved
When associated with precocious female sexual development and cutaneous pigmentation, it is called McCune-Albright syndrome.
What contrasting matter used for pneumoarthrography?
Oxygen, hydrogen
Air, nitrogen
Oxygen, nitrogen
* Air, oxygen
Air, hydrogen
Which one of the following is associated with tuberous sclerosis?
Enchondroma
* Bone island
Osteoma
Giant cell tumor
Fihrous dysplasia
True statements concerning sarcoidosis include:
No right answer
Acro-osteosclerosis may occur
* All are right
A lattice-work configuration of the trabecular pattern is characteristic
In the hands, involvement of the metacarpals and proximal phalanges is more common than involvement of the middle and distal phalanges
True statements concerning gout include:
Bilateral effusions of the olecranon hursae are pathognomonic
There is joint space narrowing early in the disease
Gout most commonly affects the first metatarsophalangeal joint space
*Gout most commonly affects the first metatarsophalangeal joint space andGout is more common in overproduces than underexcretors of uric acid
Gout is more common in overproduces than underexcretors of uric acid
Findings characteristic of calcium pyrophosphate deposition disease include:
Association with hemochromatosis
* Association with hemochromatosisand predilection for the patellofemoral joint space in the knee
Calcification of the nucleus pulposus
Calcification of the triangular fibrocartilage in the wrist
Predilection for the patellofemoral joint space in the knee
The most common location of osteochondritis dissecans is at which femoral condyle?
Anterior aspect of the lateral
* Lateral aspect of the medial
Medial aspect of the medial
Lateral aspect of the lateral
Medial aspect of the lateral
The most common meniscal tear involves the:
Peripheral lateral meniscus
Anterior horn of the lateral meniscus
Posterior horn of the lateral meniscus
Anterior horn of the medial meniscus
* Posterior horn of the medial meniscus
True statements concerning posterior shoulder dislocation include:
The head of the humerus is locked in internal rotation.
Epileptic convulsive seizures are a common cause.
Associated fractures of the greater tuberosity occur 15% of the time.
* The head of the humerus is locked in internal rotation and a positive rim sign may be present.
A positive rim sign may be present.
The trough line is a compression fracture of which aspect of the humerus?
Lateral
* Antero medial
Anterolateral
Posteromedial
Posterolateral
In Radionuclide imaging the most useful radio pharmaceutical for skeletal imaging is:
Natrium chloride
* Technetium-99m linked to Methylene disphosphonate (99mTc-MDP)
Technetium-99m (99mTc)
Technetium-sulphur-colloid (99mTc-Sc)
Gallium -67 (67Ga)
Which of the following conditions is least likely to present as an acentric osteolytic lesion?
Osteomirlitis
* Simple bone cyst
Fibrous cortical defect
Giant cell tumor
Aneurysmal bone cyst
Expanisle type osseous metastases are characteristic of primary malignancy of:
Lungs
Prostate
Breast
Bronchus
* Kidney
Which of the following usually produces osteoblastic secondaries?
Melanoma
* Carcinoma prostate
Carcinoma urinary bladder
Carcinoma breast
Carcinoma lung
A 33-year-old man presented with a slowly progressive swelling in the middle third of his right
tibia. X-ray examination revealed multiple sharply demarcated radiolucent lesions separated by areas
of dense and sclerotic bone. Microscopic examination of a biopsy specimen revealed island of
epithelial cells in a fibrous stroma. Which of the following is the most probable diagnosis?
Osteomielitis
Fibrous cortical defect
Osteosarcoma
Osteofibrous dysplasia
* Adamantinoma
The gold standard for the diagnosis of osteoporosis is:
MRI
Quantitative computed tomography
Ultrasonography
Single energy X-ray absorptiometry
* Dual energy X-ray absorptiometry
"Sunray appearance" on X-rays is suggestive of:
An osteolytic sarcoma
An Ewing's sarcoma
* An osteogenic sarcoma
A metastatic tumour in the bone
A chondrosarcoma
Epiphyseal enlargement is seen in:
Reiter's syndrome
* Juvenile rheumatoid arthritis
Spondo-epiphyseal dysplasia
Ankylosing spondylitis
Rickets
About osteogenesis imperfecta; all are true except:
Dental abnormalities
Scleral abnormalities
Classified by sillence classification
* Metaphyseal fractures
Diaphyseal fractures
In scurvy all of the following radiological signs are seen except'.
None of the above
Frenkel's line
Zone of demarcation near epiphysis
* Soap bubble appearance
Pelican spur
Calcification of meniscal cartilage is feature of:
Rickets
* Pseudogout
Reiter's syndrome
Hyperparathyroidism
Acromegaly
Increased radioisotopes are seen in all of the following except:
Secondary bone tumour
* Pseudo arthrosis
Paget's disease
Osteomyelitis
Primary bone tumour
The earliest evidence of Rickets is seen by:
Radiological examination of skull
S. phosphorus level
S. calcium level
S. alkaline phosphatase level
* Radiological examination of growing end of bone
An obese patient has heavy, thick bones. A good X-ray is taken with:
None of the above
Increased developing time
Increased exposure time
* Increase in KV
Increase in mA
Multiple punched out lesions on X-ray is seen in:
Fibroma
Eosinophilic granuloma
* Multiple myeloma
Craniopharyngioma
Paget's disease
Rib notching is seen in all the following except:
* None
Neurofibromatosis
IVC obstruction
Coarctation of the aorta
Blalock-Taussing shunt
Investigation of choice in traumatic paraplegia is:
Thermography
Beta rays
Ultrasound
CT scan
* MRI
Dead bone on an X-ray looks:
Without change
Is not seen at all
Less radioopaque
Radiolucent
* More radioopaque
Thickness of lead apron to prevent radiation:
10 mm
7 mm
* 0.5 mm
3 mm
1 mm
In bone infarcts, all are true except:
Are seen in acute pancreatitis
Are often diaphyseal in sickle cell disease
* Occur in thalassaemia major
Occur in Gaucher's disease
Dysbaric osteonecrosis are commonly juxtaarticular
"Champagne Class" pelvis is seen in:
Mieloma
Congenital dislocation of hip
Down's syndrome
Cretinism
* Achondroplasia
When bones show as 'Bone within bone' appearance this is indicative of:
* Osteopetrosis
Chronic myelogenous leukemia
Mieloma
Bone infarction
Sickle cell anaemia
Normal metacarpal index is:
Other
More than 10.4
8.4 to 10.4
* 5.4 to 7.9
Less than 5.4
The radiological changes in Rickets are:
Dislocation of the bone
Bowing of the bone
Epiphysis smaller than normal and have characteristic thin pencil line cortex
Fracture of the bone
* Narrowing or absence of the normal zone of provisional calcification
"Marble bone" appearance is characteristic of:
Periostites
Achondroplasia
Fluorosis
Osteogenesis imperfecta
* Osteopetrosis
Stryker's view is used in shoulder joint to visualise:
Bone destruction
Bicipital groove
Subacromial calcification
* Recurrent subluxation
Muscle calcification
Intraosseous skeletal tumour is best diagnosed by:
Ultrasound
CT with scintiscan
CT scan
* NMR
Plain X-ray
Isotope used in bone scans:
Zinc
Chromium
Selenium
Gallium
* Technetium
Notching of ribs on X-ray is seen in:
Nothing of the above
* Coarctation of aorta
Ebsteins anomaly
ASD(Atrial Septal Defect)
PDA
For traumatic paraplegia investigation of choice is:
Thermography
Ultrasonography
X-ray
CT scan
* MRI
Tumours radiosensitivity depends on:
Cells atypia
Number of cells
Nucleus atypia
Blood supply
* Histology
Earliest radiological change to appear in case of acute osteomyelitis is:
Bone destruction
Bony sclerosis
Sequestrum formation
* Loss of plane between soft tissue and muscle
Periosteal reaction
Earliest radiological feature in rheumatoid arthritis is:
Periostitis
Subchondral