Cardiothoracic radiology review

Radiology MCQs
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Cardiothoracic Radiology
Document created: 02.10.2022 21:56
Quiz Settings
Setting Value
Passing score: 50%
Total number of questions: 12
Number of questions to ask: 12
Answer submission: Submit one question at a time
Number of quiz retries: None
When quiz is finished: Show slide with results
Send quiz results to instructor: mbbsblues@gmail.com
Send quiz results to user: Yes
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Radiology MCQs
Imported Questions (0/0 questions)
Imported Questions (12/12 questions)
Question 1. Multiple Choice, 5 points, 1 attempt
A 4-year-old female child developed fever, cough respiratory distress. On chest X-ray consolidation is in
right lower lobe. She improved with antibiotics but follow up at 8 weeks was again found to have
consolidation in right lower lobe. Your next investigation would be:
Correct Choices
Bronchoscopy
Bacterial culture of the nasopharynx
V CT scan of the chest
Allergen sensitivity test
Feedback
Correct:
CT scan of the chest
This is a case of foreign body aspiration and the best step is to do bronchoscopy
and remove the foreign body however with modern imaging techniques with low dose CT
scanner, A CT scan is usually done for location
Incorrect:
CT scan of the chest
This is a case of foreign body aspiration and the best step is to do bronchoscopy
and remove the foreign body however with modern imaging techniques with low dose
CT scanner, A CT scan is usually done for location

Radiology MCQs
A patient, with history of bone marrow transplant, developed chest infection. On CT scan, tree in bud
appearance is present. The cause of this is can be:
Correct Choices
Klebsiella
Pneumocystis
TB
V RSV
Feedback
Correct:
RSV
Though the most common cause of tree in bud opacities is TB. In bone marrow
transplant recipient, RSV is a very common infection which give rise to free in bud
pattern
Incorrect:
RSV
Though the most common cause of tree in bud opacities is TB. In bone marrow
transplant recipient, RSV is a very common infection which give rise to free in bud
pattern
Which of the following will cause rib notching on X-ray?

Radiology MCQs
Correct Choices
Coarctation of aorta
SVC occlusion
Modified blalock taussig shunt
V All of the above
Feedback
Correct: That's right! You chose the correct response.
Incorrect: You did not choose the correct response.
The best view for right sided pleural effusion in a X-ray chest is:

Radiology MCQs
Correct Choices
Supine
Prone
V Right lateral decubitus
Left lateral decubitus
Feedback
Popcorn calcification is seen in:
Correct Choices
V Pulmonary hamartoma
Fungal infection
Metastasis
Tuberculosis
Feedback
Correct:
Popcorn calcification
Popcorn calcification is a cluster of sharply defined, irregularly lobulated, calcification,
usually in a pulmonary nodule. Popcorn calcification is characteristic of hamartoma on
chest X-ray examination. It may also be seen in mediastinal lymph nodes of acute
histoplasmosis.
Egg-shell calcification
Egg-shell calcification means peripheral rim calcification of lymph nodes:

Radiology MCQs
Feedback
It is seen in:
Silicosis (most common cause), Coal worker
pneumoconiosis, Histoplasmosis, Tuberculosis, Sarcoidosis, Coccidiodomycosis,
Lymphoma following radiotherapy, Progressive massive fibrosis
Incorrect:
Popcorn calcification
Popcorn calcification is a cluster of sharply defined, irregularly lobulated, calcification,
usually in a pulmonary nodule. Popcorn calcification is characteristic of hamartoma on
chest X-ray examination. It may also be seen in mediastinal lymph nodes of acute
histoplasmosis.
Egg-shell calcification
Egg-shell calcification means peripheral rim calcification of lymph nodes:
It is seen in:
Silicosis (most common cause), Coal worker
pneumoconiosis, Histoplasmosis, Tuberculosis, Sarcoidosis, Coccidiodomycosis,
Lymphoma following radiotherapy, Progressive massive fibrosis
Which chamber enlargement shows a double right heart border with a wide subcarinal angle?
Correct Choices
V Left atrium
Left ventricle
Right atrium
Right ventricle

Radiology MCQs
Feedback
Correct:
Radiological signs of left atrial enlargement: A 'double' right heart border, Elevation of the
left main bronchus, Splaying of the carina, Enlargement of the left atrial appendage, The
prominence of the portion of the left heart border at the level of the left main bronchus
Incorrect:
Radiological signs of left atrial enlargement: A 'double' right heart border, Elevation of the
left main bronchus, Splaying of the carina, Enlargement of the left atrial appendage, The
prominence of the portion of the left heart border at the level of the left main bronchus
Which of the following is not a chest radiographic feature of left atrial enlargement?
Correct Choices
V Double left heart border
Elevated left main bronchus
Splaying of carina
Enlargement of left atrila appendage
Feedback
Correct:
Signs of left atrial enlargement
Straightening of left heart border (due to enlargement of left atrial appendage).
Elevation of left main bronchus with widening (Splaying) of carina. Double density (atrial)
sign.
Posterior displacement of esophagus on barium swallow.
Incorrect:
Signs of left atrial enlargement
Straightening of left heart border (due to enlargement of left atrial appendage).
Elevation of left main bronchus with widening (Splaying) of carina. Double density (atrial)
sign.
Posterior displacement of esophagus on barium swallow.

Radiology MCQs
Water bottle heart is seen in -
Correct Choices
PDA
Chronic emphysema
V Pericardial effusion
Constrictive pericarditis
Feedback
Correct:
"Water-bottle" or flasked shaped or money bag heart - Pericardial effusion,
hypothyroidism
Incorrect:
"Water-bottle" or flasked shaped or money bag heart - Pericardial effusion,
hypothyroidism
Acute myocarditis schintigraphy is done with -

Radiology MCQs
Correct Choices
Thallium
Technetium
V Gallium
None of the above
Feedback
Correct:
Gallium-67 uptake is increased in inflamed myocardium. Gallium-67 citrate injected
intravenously binds to transferrin, and it is incorporated into the transferrin receptor of
inflammatory cells or malignant tumor cells.
Gallium-67 scintigraphy is useful for examination of heart disease including cardiac
sarcoidosis and acute myocarditis
Incorrect:
Gallium-67 uptake is increased in inflamed myocardium. Gallium-67 citrate injected
intravenously binds to transferrin, and it is incorporated into the transferrin receptor of
inflammatory cells or malignant tumor cells.
Gallium-67 scintigraphy is useful for examination of heart disease including cardiac
sarcoidosis and acute myocarditis
Hilar dance on fluoroscopy is seen in:

Radiology MCQs
Correct Choices
V ASD
TOF
VSD
TGV
Feedback
Correct:
Fluoroscopic examination done in a patient with ASD shows hilar
dance sign due to pulsation of central pulmonary artery.
CXR features of ASD:
There is no enlargement of left atrium except in few cases of
Lutembacher syndrome.
The heart in ASD is sometimes displaced to the left.
The ascending aorta and its arch tends to appear smaller than normal, probably due to
rotation of the ascending aorta by enlarged right atrium and right ventricle causing
sagittal alignment of the aortic arch. Kerley B lines in a patient with ASD should always
suggest an associated mitral valve abnormality(Lutembacher syndrome).
The Goose neck deformity is seen in ASD on cardioangiography.
Incorrect:
Fluoroscopic examination done in a patient with ASD shows hilar
dance sign due to pulsation of central pulmonary artery.
CXR features of ASD:
There is no enlargement of left atrium except in few cases of
Lutembacher syndrome.
The heart in ASD is sometimes displaced to the left.
The ascending aorta and its arch tends to appear smaller than normal, probably due to
rotation of the ascending aorta by enlarged right atrium and right ventricle causing
sagittal alignment of the aortic arch. Kerley B lines in a patient with ASD should always
suggest an associated mitral valve abnormality(Lutembacher syndrome).
The Goose neck deformity is seen in ASD on cardioangiography.

Radiology MCQs
The causes of homogenous opacity on X-ray is all except:
Correct Choices
Pleural effusion
Diaphragmatic hernia
Massive consolidation
V Emphysema
Feedback
Which of the following is true regarding cardiac MRI ?

Radiology MCQs
Correct Choices
Infarcted myocardium is hypointense on T2-MRI
V Viable myocardium can be differentiated from infarcted myocardium
Prosthetic heart valves are an absolute contraindication for MRI
It is better than CT for non-invasive assessment of coronary arteries
Feedback
Correct:
Infarcted myocardium appears hypointense on T1-MRI and hyperintense on T2-MRI.
Viable myocardium can be easily differentiated from infarcted tissue. Prosthetic heart
valves are a relative contraindications for MRI. Multislice CT is a better modality than
cardiac MRI for the non invasive assessment of coronary arteries.
Incorrect:
Infarcted myocardium appears hypointense on T1-MRI and hyperintense on T2-MRI.
Viable myocardium can be easily differentiated from infarcted tissue. Prosthetic heart
valves are a relative contraindications for MRI. Multislice CT is a better modality than
cardiac MRI for the non invasive assessment of coronary arteries.

Radiology MCQs
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Cardiothoracic radiology review

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