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Q1)
23-year-old man with negative past medical history presented
with sudden onset of right sided chest pain and
shortness of breath. The pain was sharp in nature and more
severe on inspiration. Physical
examination showed decreased air entry in the right upper
chest which was hyper resonant on
percussion. Laboratory investigations were negative. CXR
was performed.
What is the most likely FINDING ?
a. Congestive heart failure.
b. Bronchioalveolar carcinoma.
c. Pneumothorax.
d. Bronchiolitis.
e. Normal chest.
Q.2)
The left lung opacity is in:
a.Lingula.
b.Posterior segment of lower lobe
c.Superior segment of lower lobe.
d. Apico posterior segment of upper
lobe.
e.Hilum.
Q.3)
The most likely diagnosis is:
a.Lobar pneumonia.
b.Pan cost tumor
c.Aortic dissection.
d.RUL collapse.
e.Aortic dissection.
Q.4)
The most likely underlying cause
of this finding is:
a.Pancreatitis.
b. Heart failure.
c.Left upper lobe collapse.
d.Eventration of left
hemidiaphragm.
e.Cholecystitis.
Q.5)
Most likely diagnosis:
a.Intracerebral hemorrhage
b.Acute cerebral infarction.
c.Chronic subdural hematoma.
d.Subacute subdural
hematoma.
e.Epidural hematoma.
Q.6)
Most likely diagnosis:
a.Acute subdural hemotoma.
b.Brain tumor.
c.Hemangioma.
d.Epidural hematoma.
e. Subarachnoid hemorhage.
Q.7)
Most likely diagnosis:
a.Subacute subdural hemotoma.
b.Brain tumor.
c.Brain infarction.
d.Brain edema.
e.Epidural hemorhage
Q.8)
Most likely diagnosis:
a.Intracerebral hemorrhage
b.Acute cerebral infarction.
c. Subarachnoid hemorrhage.
d.Subacute subdural hematoma.
e. Epidural hematoma.
Q.9)
This hyperdensity is most
probably referred to:
a.Hemorrhage.
b.Tumor.
c.Edema.
d.Dermoid cyst.
e.Hemangioma.
Q.10
45 year old male patient presented
with dyspnea and pleuritic cheast
pain, the most likely possibility on
this CT sca is:
a. Pneumonia.
b. Lung cancer.
c. Aortic aneurysm.
d. Hydatid cyst.
e.Pulmonay embolism
Q.11)
Most likely diagnosis is:
a. Hamartoma.
b.Hemangioma.
c.Lung cancer.
d.Pneumonia.
e.Pulmonary embolism.
Q.12)
55year old, chronic smoker
presenting with chest discomfort.
CT was performed.
The findings are most probaly those
of
a.Primary lung carcinoma.
b.Dissecting aneurysm in the
ascending aorta.
c. Pericardial Hydatid cyst.
d.Motion artifact.
e.Non of the above.
Q.13)
The appropriate diagnosis in this
CT for trauma patient is:
a.Subcapsular liver hematoma.
b. Subcapsular splenic hematoma.
c. Subcapsular kidney hematoma.
d.Splenic infarction.
e.Splenic hemangioma.
Q.14)
Congenital anomaly is:
a. Crossed ectopia.
b.Horse shoe kidney.
c.Pelvic kidney.
d.Uretral duplication.
e.No anomaly.
Q.15)
This Congenital Renal Anomaly is
most probably :
a.Crossed ectopia.
b.Horse shoe kidney.
c.Pelvic kidney
d.Uretral duplication.
e.Agenesis of the left kidney.
Q.16)
15 year old male had recurrent UTI and
moderate hydronephrosis of the left kidney
on ultrasound .
The available spot from MCUG shows reflux .
What is the grade of this reflux:
a. Grade I vesicoureteral reflux.
b. Grade II vesicoureteral reflux.
c. Grade IV vesicoureteral reflux.
d. Grade III vesicoureteral reflux.
E. Non of the above.
Q.17)
This CT pulmonary appearance can be
described as:
a.Honey combing.
b.Meniscus sign.
c.Crazy paving.
d.Ground glass.
e.unilateral pulmonary
edema.
Q.18)
The most probable diagnosis
is:
a.Pulmonary embolism.
b.Primary lung tumor.
c.Pneumonia.
d.Aortic aneurysm.
e.Aortic dissection.
19.)
The upper arrow points to:
a.Compression fracture.
b.Burst fracture.
c.Vertebral dislocation.
d.Comminuted fracture.
e.Avulsion fracture.
Q.20)
The superior border of the density
is made by:
a.Minor fissure.
b.Oblique fissure.
c.Azygus fissure.
d.Border of a cavity.
e.undulating membrane.
Q.21)
This patient has:
a.Left lung pnemonia.
b.Left pleural effusion.
c.Hypogenitic left lung.
d.Foreign body aspiration on the
right.
e.Tention peumothorax on the right.
Q.22)
The most likely diagnosis:
a.Pneumonia.
b.Aortic aneurysm.
c.Enlarged thymus.
d.Retrosternal thyroid.
e.Cardiomegaly.
Q.23)
young female presented with vomiting and obstipation. Abdomen is
soft on examination. Supine abdomen X Ray done. The most likely
diagnosis is:
a.Small bowel obstruction.
b.Colonic tumor.
c.Diverticulitis.
d.Sigmoid volvulus.
e.Cecal volvulus.
24.)
Dyspneic patient. CXR done .
Most likely diagnosis is:
a.Pulmonary embolus.
b.Bilateral lower lobe pneumonia.
c.Congestive heart failure.
d.Artifactual shadow due to poor
inspiration.
e.Pericradial efusion.
Q.25)
The most likely diagnosis is:
a.Pulmonary embolus.
b.Bilateral lower lobe pneumonia.
c.Congestive heart failure.
d.Artifactual shadow due to poor
inspiration.
e.Pericradial efusion.
Q.26)
This diagnostic imaging modality
is:
a.MRU
b.CTU
c.IVU
d.MCUG
e.Non of the above.
Q.27)
The findings on this image is:
a.Gall stone without cholecystitis..
b.Gall stone with cholecystitis.
c.kidney stone.
d.Gall bladder polyp.
e.Gall bladder tumor.
Q.28)
The findings include all the following
except:
a.Tortous dilated ureters.
b.Dilated pelvicalyceal systems.
c.Over distended urinary bladder.
d.Good kidney function.
e.Destroyed pedicles of L4.
Q.29)
The findings on this image can be
seen in all the followings except:
a.Medullary sponge kidney disease.
b.Renal tubular acidosis.
c.Hyperparathyroidisim.
d.Primary oxalosis.
e.Crohn’s disease.
Q.30)
This patient has exacerbation of chronic abdominal pain with the pain now
radiating to the right shoulder. CXR obtained. Are the findings indicative of
emergency?
This patient has:
a.A ruptured abdominal aortic
aneurysm.
b.An enlarged spleen.
c.A pericardial effusion.
d.A ruptured hallow viscus.
e.Acute appendicitis.
Q.31)
This patient became acute shortness of breath
following surgery. The findings indicate an emergency
most likely being:
a.Left lower lobe pneumonia.
b.Acute pulmonary edema.
c.A large pneumothorax.
d.A large pericardial effusion.
e.A ruptured gastric ulcer.
Q.32)
This image shows:
a.A large left pleural effusion
b.A large right pneumothorax
c.Atelectasis of the left lung because of a mucus plug
d.Pneumonia in the left lung
e.Atelectasis of the left lung because the ETT is too low
Q.33)
This patient began vomiting after eating
pumpkin pie and developed severe chest
pain. Why is this an emergency? The patient
has:
a.Developed SARS.
b.A ruptured aortic aneurysm.
c.Signs of an acute myocardial infarction.
d.Aspirated the pumpkin pie.
e.The patient has a ruptured esophagus
Q.34)
The patient shown below is a premature
newborn. The most likely diagnosis is:
a.Transient tachypnea of the newborn
b.Congenital lobar emphysema
c.Hyaline membrane disease
d.Cystic adenomatoid malformation
e.Meconium aspiration syndrome
Q.35)
The patient is a 3 month old. What is
the most likely diagnosis?
a.Transient tachypnea of the newborn
b.Congenital lobar emphysema
c.Hyaline membrane disease
d.Cystic adenomatoid malformation
e.Meconium aspiration syndrome
Q.36)
This patient shown below has right
lower quadrant pain. What does
this calcification most likely represent?
a.Gallstones
b.Appendicolith
c.Uterine fibroids
d.Dermoid cyst of the ovary
e.Peach pit in the colon
Q.37)
What is the most likely diagnosis in
the patient shown below?
a.Sprue
b.Scleroderma
c.Crohn's disease
d.Carcinoma of the colon
e.Duodenal hematoma
Q.38)
The patient shown below
most likely has:
a.Large bowel obstruction
b.Small bowel obstruction
c.Generalized ileus
d.Localized ileus
e.Normal bowel gas pattern
Q.39)
What person's name is associated with the
fracture shown below is named?
a.Monteggia
b.Bennett
c.Jones
d.Colle
e.Smith
Q.40)
What person's name is associated with the
fracture shown below?
a.Monteggia
b.Bennett
c.Jones
d.Colle
e.Smith
Q.41)
What is the most likely diagnosis?
a.Osteoarthritis
b.Rheumatoid arthritis
c.Septic arthritis
d.Avascular necrosis
e.Gout
Q.42)
The patient shown below most
likely has:
a.Osteoarthritis
b.Rheumatoid arthritis
c.Septic arthritis
d.Avascular necrosis
e.Gout
Q.43)
This patient came in complaining of
severe abdominal pain. Why is this an
emergency? The patient has:
a.A ruptured gastric ulcer.
b.A ruptured abdominal aortic
aneurysm.
c.Acute appendicitis.
d.Acute renal failure.
e.An abscess in the psoas muscle.
Q.44)
The initial modality to examine
stroke patients is:
a.CT scan.
b.MRI.
c.X Ray.
d.PET CT.
e.Non of the above.
Q.45)
Ionizing radiation is produced by all the following except:
a.CT scan.
b.MRI.
c.PET CT scan.
d.Fluoroscopy.
e.X Ray.
Q.46)
The best examination for gall bladder disease:
a.CT scan.
b.MRI.
c.Ultrasound.
d.Fluoroscopy.
e.X Ray.
Q.47)
The modality of choice nowadays to diagnose brain tumors is:
a.CT scan.
b.MRI.
c.Ultrasound.
d.Fluoroscopy.
e.X Ray.
Q.48)
When requesting study with IV iodinated contrast media, patient
should be triaged for :
a.Kidney function studies.
b.Liver function studies.
c.TSH.
d.It’s not necessary to triage them as the contrast has no side effects.
Q.49)
Concerning imaging of pregnant woman. The following rules apply
except:
a.Mother is first.
b.Radiation decreases twice for every one cm away from the uterus.
c.Try to use non ionizing modalities when feasible.
d.Most teratogenic period is 8 days to 8 weeks of pregnancy.
e.Pregnant women should never have X Ray.
Q.50)
This fracture is:
a.Comminuted.
b.Compound.
c.Green stick.
d.Galeazzi.
e.Monteggia.
RADIOLOGY EXAM
2016
• Key answer:
1) C
2) C
3) D
4) A
5) D
6) D
7) C
8) C
9) A
10) E
11) C
12) B
13) B
14) B
15) A
16) C
17) A
18) B
19) A

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radiology-2016-الحل-100.pptx

  • 1. Q1) 23-year-old man with negative past medical history presented with sudden onset of right sided chest pain and shortness of breath. The pain was sharp in nature and more severe on inspiration. Physical examination showed decreased air entry in the right upper chest which was hyper resonant on percussion. Laboratory investigations were negative. CXR was performed. What is the most likely FINDING ? a. Congestive heart failure. b. Bronchioalveolar carcinoma. c. Pneumothorax. d. Bronchiolitis. e. Normal chest.
  • 2. Q.2) The left lung opacity is in: a.Lingula. b.Posterior segment of lower lobe c.Superior segment of lower lobe. d. Apico posterior segment of upper lobe. e.Hilum.
  • 3. Q.3) The most likely diagnosis is: a.Lobar pneumonia. b.Pan cost tumor c.Aortic dissection. d.RUL collapse. e.Aortic dissection.
  • 4. Q.4) The most likely underlying cause of this finding is: a.Pancreatitis. b. Heart failure. c.Left upper lobe collapse. d.Eventration of left hemidiaphragm. e.Cholecystitis.
  • 5. Q.5) Most likely diagnosis: a.Intracerebral hemorrhage b.Acute cerebral infarction. c.Chronic subdural hematoma. d.Subacute subdural hematoma. e.Epidural hematoma.
  • 6. Q.6) Most likely diagnosis: a.Acute subdural hemotoma. b.Brain tumor. c.Hemangioma. d.Epidural hematoma. e. Subarachnoid hemorhage.
  • 7. Q.7) Most likely diagnosis: a.Subacute subdural hemotoma. b.Brain tumor. c.Brain infarction. d.Brain edema. e.Epidural hemorhage
  • 8. Q.8) Most likely diagnosis: a.Intracerebral hemorrhage b.Acute cerebral infarction. c. Subarachnoid hemorrhage. d.Subacute subdural hematoma. e. Epidural hematoma.
  • 9. Q.9) This hyperdensity is most probably referred to: a.Hemorrhage. b.Tumor. c.Edema. d.Dermoid cyst. e.Hemangioma.
  • 10. Q.10 45 year old male patient presented with dyspnea and pleuritic cheast pain, the most likely possibility on this CT sca is: a. Pneumonia. b. Lung cancer. c. Aortic aneurysm. d. Hydatid cyst. e.Pulmonay embolism
  • 11. Q.11) Most likely diagnosis is: a. Hamartoma. b.Hemangioma. c.Lung cancer. d.Pneumonia. e.Pulmonary embolism.
  • 12. Q.12) 55year old, chronic smoker presenting with chest discomfort. CT was performed. The findings are most probaly those of a.Primary lung carcinoma. b.Dissecting aneurysm in the ascending aorta. c. Pericardial Hydatid cyst. d.Motion artifact. e.Non of the above.
  • 13. Q.13) The appropriate diagnosis in this CT for trauma patient is: a.Subcapsular liver hematoma. b. Subcapsular splenic hematoma. c. Subcapsular kidney hematoma. d.Splenic infarction. e.Splenic hemangioma.
  • 14. Q.14) Congenital anomaly is: a. Crossed ectopia. b.Horse shoe kidney. c.Pelvic kidney. d.Uretral duplication. e.No anomaly.
  • 15. Q.15) This Congenital Renal Anomaly is most probably : a.Crossed ectopia. b.Horse shoe kidney. c.Pelvic kidney d.Uretral duplication. e.Agenesis of the left kidney.
  • 16. Q.16) 15 year old male had recurrent UTI and moderate hydronephrosis of the left kidney on ultrasound . The available spot from MCUG shows reflux . What is the grade of this reflux: a. Grade I vesicoureteral reflux. b. Grade II vesicoureteral reflux. c. Grade IV vesicoureteral reflux. d. Grade III vesicoureteral reflux. E. Non of the above.
  • 17. Q.17) This CT pulmonary appearance can be described as: a.Honey combing. b.Meniscus sign. c.Crazy paving. d.Ground glass. e.unilateral pulmonary edema.
  • 18. Q.18) The most probable diagnosis is: a.Pulmonary embolism. b.Primary lung tumor. c.Pneumonia. d.Aortic aneurysm. e.Aortic dissection.
  • 19. 19.) The upper arrow points to: a.Compression fracture. b.Burst fracture. c.Vertebral dislocation. d.Comminuted fracture. e.Avulsion fracture.
  • 20. Q.20) The superior border of the density is made by: a.Minor fissure. b.Oblique fissure. c.Azygus fissure. d.Border of a cavity. e.undulating membrane.
  • 21. Q.21) This patient has: a.Left lung pnemonia. b.Left pleural effusion. c.Hypogenitic left lung. d.Foreign body aspiration on the right. e.Tention peumothorax on the right.
  • 22. Q.22) The most likely diagnosis: a.Pneumonia. b.Aortic aneurysm. c.Enlarged thymus. d.Retrosternal thyroid. e.Cardiomegaly.
  • 23. Q.23) young female presented with vomiting and obstipation. Abdomen is soft on examination. Supine abdomen X Ray done. The most likely diagnosis is: a.Small bowel obstruction. b.Colonic tumor. c.Diverticulitis. d.Sigmoid volvulus. e.Cecal volvulus.
  • 24. 24.) Dyspneic patient. CXR done . Most likely diagnosis is: a.Pulmonary embolus. b.Bilateral lower lobe pneumonia. c.Congestive heart failure. d.Artifactual shadow due to poor inspiration. e.Pericradial efusion.
  • 25. Q.25) The most likely diagnosis is: a.Pulmonary embolus. b.Bilateral lower lobe pneumonia. c.Congestive heart failure. d.Artifactual shadow due to poor inspiration. e.Pericradial efusion.
  • 26. Q.26) This diagnostic imaging modality is: a.MRU b.CTU c.IVU d.MCUG e.Non of the above.
  • 27. Q.27) The findings on this image is: a.Gall stone without cholecystitis.. b.Gall stone with cholecystitis. c.kidney stone. d.Gall bladder polyp. e.Gall bladder tumor.
  • 28. Q.28) The findings include all the following except: a.Tortous dilated ureters. b.Dilated pelvicalyceal systems. c.Over distended urinary bladder. d.Good kidney function. e.Destroyed pedicles of L4.
  • 29. Q.29) The findings on this image can be seen in all the followings except: a.Medullary sponge kidney disease. b.Renal tubular acidosis. c.Hyperparathyroidisim. d.Primary oxalosis. e.Crohn’s disease.
  • 30. Q.30) This patient has exacerbation of chronic abdominal pain with the pain now radiating to the right shoulder. CXR obtained. Are the findings indicative of emergency? This patient has: a.A ruptured abdominal aortic aneurysm. b.An enlarged spleen. c.A pericardial effusion. d.A ruptured hallow viscus. e.Acute appendicitis.
  • 31. Q.31) This patient became acute shortness of breath following surgery. The findings indicate an emergency most likely being: a.Left lower lobe pneumonia. b.Acute pulmonary edema. c.A large pneumothorax. d.A large pericardial effusion. e.A ruptured gastric ulcer.
  • 32. Q.32) This image shows: a.A large left pleural effusion b.A large right pneumothorax c.Atelectasis of the left lung because of a mucus plug d.Pneumonia in the left lung e.Atelectasis of the left lung because the ETT is too low
  • 33. Q.33) This patient began vomiting after eating pumpkin pie and developed severe chest pain. Why is this an emergency? The patient has: a.Developed SARS. b.A ruptured aortic aneurysm. c.Signs of an acute myocardial infarction. d.Aspirated the pumpkin pie. e.The patient has a ruptured esophagus
  • 34. Q.34) The patient shown below is a premature newborn. The most likely diagnosis is: a.Transient tachypnea of the newborn b.Congenital lobar emphysema c.Hyaline membrane disease d.Cystic adenomatoid malformation e.Meconium aspiration syndrome
  • 35. Q.35) The patient is a 3 month old. What is the most likely diagnosis? a.Transient tachypnea of the newborn b.Congenital lobar emphysema c.Hyaline membrane disease d.Cystic adenomatoid malformation e.Meconium aspiration syndrome
  • 36. Q.36) This patient shown below has right lower quadrant pain. What does this calcification most likely represent? a.Gallstones b.Appendicolith c.Uterine fibroids d.Dermoid cyst of the ovary e.Peach pit in the colon
  • 37. Q.37) What is the most likely diagnosis in the patient shown below? a.Sprue b.Scleroderma c.Crohn's disease d.Carcinoma of the colon e.Duodenal hematoma
  • 38. Q.38) The patient shown below most likely has: a.Large bowel obstruction b.Small bowel obstruction c.Generalized ileus d.Localized ileus e.Normal bowel gas pattern
  • 39. Q.39) What person's name is associated with the fracture shown below is named? a.Monteggia b.Bennett c.Jones d.Colle e.Smith
  • 40. Q.40) What person's name is associated with the fracture shown below? a.Monteggia b.Bennett c.Jones d.Colle e.Smith
  • 41. Q.41) What is the most likely diagnosis? a.Osteoarthritis b.Rheumatoid arthritis c.Septic arthritis d.Avascular necrosis e.Gout
  • 42. Q.42) The patient shown below most likely has: a.Osteoarthritis b.Rheumatoid arthritis c.Septic arthritis d.Avascular necrosis e.Gout
  • 43. Q.43) This patient came in complaining of severe abdominal pain. Why is this an emergency? The patient has: a.A ruptured gastric ulcer. b.A ruptured abdominal aortic aneurysm. c.Acute appendicitis. d.Acute renal failure. e.An abscess in the psoas muscle.
  • 44. Q.44) The initial modality to examine stroke patients is: a.CT scan. b.MRI. c.X Ray. d.PET CT. e.Non of the above.
  • 45. Q.45) Ionizing radiation is produced by all the following except: a.CT scan. b.MRI. c.PET CT scan. d.Fluoroscopy. e.X Ray.
  • 46. Q.46) The best examination for gall bladder disease: a.CT scan. b.MRI. c.Ultrasound. d.Fluoroscopy. e.X Ray.
  • 47. Q.47) The modality of choice nowadays to diagnose brain tumors is: a.CT scan. b.MRI. c.Ultrasound. d.Fluoroscopy. e.X Ray.
  • 48. Q.48) When requesting study with IV iodinated contrast media, patient should be triaged for : a.Kidney function studies. b.Liver function studies. c.TSH. d.It’s not necessary to triage them as the contrast has no side effects.
  • 49. Q.49) Concerning imaging of pregnant woman. The following rules apply except: a.Mother is first. b.Radiation decreases twice for every one cm away from the uterus. c.Try to use non ionizing modalities when feasible. d.Most teratogenic period is 8 days to 8 weeks of pregnancy. e.Pregnant women should never have X Ray.
  • 52. • Key answer: 1) C 2) C 3) D 4) A 5) D 6) D 7) C 8) C 9) A 10) E 11) C 12) B 13) B 14) B 15) A 16) C 17) A 18) B 19) A