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Cardiothoracic radiology review
- 1. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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 Intro Slide Welcome to the quiz "%QUIZ_TITLE%" Click on the"Start Quiz" button below to proceed
- 2. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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
- 3. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com Question 2. Multiple Choice, 5 points, 1 attempt 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 Question 3. Multiple Choice, 5 points, 1 attempt Which of the following will cause rib notching on X-ray?
- 4. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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. Question 4. Multiple Choice, 5 points, 1 attempt The best view for right sided pleural effusion in a X-ray chest is:
- 5. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com Correct Choices Supine Prone V Right lateral decubitus Left lateral decubitus Feedback Correct: That's right! You chose the correct response. Incorrect: You did not choose the correct response. Question 5. Multiple Choice, 5 points, 1 attempt 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:
- 6. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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 Question 6. Multiple Choice, 5 points, 1 attempt 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
- 7. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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 Question 7. Multiple Choice, 5 points, 1 attempt 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.
- 8. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com Question 8. Multiple Choice, 5 points, 1 attempt 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 Question 9. Multiple Choice, 5 points, 1 attempt Acute myocarditis schintigraphy is done with -
- 9. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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 Question 10. Multiple Choice, 5 points, 1 attempt Hilar dance on fluoroscopy is seen in:
- 10. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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.
- 11. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com Question 11. Multiple Choice, 5 points, 1 attempt The causes of homogenous opacity on X-ray is all except: Correct Choices Pleural effusion Diaphragmatic hernia Massive consolidation V Emphysema Feedback Correct: That's right! You chose the correct response. Incorrect: You did not choose the correct response. Question 12. Multiple Choice, 5 points, 1 attempt Which of the following is true regarding cardiac MRI ?
- 12. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com 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.
- 13. Radiology MCQs Practice testonline at www.shivankankakkar.weebly.com Quiz Results Quiz Results, Passed Congratulations, you passed! Quiz Results, Failed You did not pass.