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2014-05-29 03:07:05

Sharad Chandra book
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  1. Best view for pneumothorax?
    • - lateral decubitus with affected side uppermost
    • - in expiration
  2. Andrals decubitus:
    to lie on the sound side during the early stages of pleurisy
  3. Best view for pleural effusion?
    • lateral decubitus with affected side lowermost
    • Minimum fluid detected:
    • - Lateral decubitus view: >10ml
    • - Lateral veiw( for subpulmonic location): >75ml
    • - PA view: >175ml
  4. All of the following calcify except:
    A. Medulloblastoma
    B. Oligodendroglioma
    C. Meningioma
    D. Ependyoma
    A. Medulloblastoma
    (this multiple choice question has been scrambled)
  5. Naturally occurring radioactive substance in body
    K40: emits alpha and beta rays
  6. Earliest USG finding in pregnancy
    Gestational sac
  7. Best assessment of completion of therapy to document remission (eg. residual mediastinal and retroperitoneal lymphoma)
    Gallium scan
  8. Spider leg appearance in IVP
    Polycystic Kidney Disease
  9. USG brain (neurosonography) preferred in neonates
    • open fontanell
    • absence of radiation
    • low cost
  10. IVP contrainidcated in:
    A. Multiple myeloma
    B. Kidney
    C. Transplanted kidney
    D. Renal cyst
    A. Multiple myeloma
    (this multiple choice question has been scrambled)
  11. "Tram track" appearance on X-ray
    • Sturge-Weber syndrome = encephalotrigeminal angiomatosis
    • - tram track appearance d/t intracerebral meningeal angiomatous calcification
  12. contrast used in MRI
  13. "Egg shell calcification"
    unusual CXR of sarcoidosis
  14. Radiological sign of ischaemic colitis
    Thumb printing: focal thickening causing soft tissue indentations into air filled colonic lumen
  15. Investigation of choice for pancreatic Ca
    CT scan > MRI
  16. "Loosers zone" characteristic of
    • Osteomalacia
    • - Loosers zone also k/a Milkman's pseudofracture, Umbauzonen
  17. Maximum safe dose of radiation
    5 rads/year
  18. Pulmonary Kerley B lines seen in all except:
    A. Bronchoalveolar carcinoma
    B. Interstitial fibrosis
    C. Pulmonary edema
    D. Mitral valve disease
    A. Bronchoalveolar carcinoma

    - Kerley B lines appear d/t fluid in interlobular septa appearing as thin, dense, horizontal streak
    - indicates mod. to severe pulmonary venous HTN (>22mmHg)
    (this multiple choice question has been scrambled)
  19. Which is non mutagenic
    A. UV rays
    B. Beta rays
    C. X-ray
    D. Ultrasound
    D. Ultrasound
    (this multiple choice question has been scrambled)
  20. Best investigation for assessment and Mx of intracranial haemorrhage?
    CT head
  21. Renal GFR can be estimated by
    • Tc99m DTPA (Diethyl Triamene Penta Acetic acid)
    • - freely filtered, neither secreted nor absorbed
  22. Congenital malformation detected earliest on USG:
    A. Hydrocephalus
    B. Down syndrome
    C. Sacral agenesis
    D. Anencephaly
    D. Anencephaly

    - can be detected in 1st trimester
    (this multiple choice question has been scrambled)
  23. Best view for visualizing sella turcica in X-ray?
    Frontal and Lateral view
  24. Most common used pancreatic scanning isotope
    Se75 (Selenium)
  25. Gold standard for pulmonary embolism:
    A. Venous USG
    B. Pulmonary angiography
    C. ECG
    D. Lung scanning
    B. Pulmonary angiography

    Though pulmonary angiography is the gold standard in pulmonary embolism, use of less invasive methods in  appropriate clinical settings may provide a sufficient degree of certainity of pulmonary embolism to justify anticoagulant therapy without angiography. Lung scanning is the principal imaging test for diagnosis of PTE
    (this multiple choice question has been scrambled)
  26. Investigation of choice in pulmonary embolism:
    a. Ventilation-perfusion scan
    b. Contrast MRI
    c. MRI
    d. CT
    • a. Ventilation-perfusion scan
    •  - also k/a lung scanning
  27. Most radiosensitive stage of cell
    G2M stage > M stage
  28. "Popcorn calcification" in CXR
    pathognomic of Hamartoma
  29. Investigation of choice for bronchiectasis
    CT (high resol) > Bronchography
  30. Pindborg tumor
    • calcifying epithelial odontogenic tumor
    • radiologically: "Driven snow appearance" or "Honeycomb pattern"
  31. "Chain of lake" appearance
    Chronic pancreatitis
  32. "Marble bone appearance"
  33. Investigation of choice for gallstone
  34. "Bull's eye lesion"
  35. Most common calcifying bone tumor in child
    • craniopharyngioma
    • supracellar calcification may be seen
  36. Radioisotope for myocardial scanning
    • Thallium
    • Technetium
  37. NMR=MRI
    • based on magnetic movement of nucleus
    • images produced due to H+ (proton)
  38. Radioactive material for ventriculography
    99mTc labelled RBCs
  39. Dye used for myelography?

    • GB: Iopanoic acid (oral cystographic agent)
    • Heart, Blood vessels: Conray (Iothalamate)
    • Bronchography: Dianosil (Propyl iodine)
  40. Most sensitive cell to radiation
  41. Investigation of choice for parathyroid pathology
    Tallium technetium isotope substraction scan
  42. Chemotherapeutic agent of choice in Ca pancreas:
    a. Streptomycin
    b. Adriamycin
    c. 5-FU
    d. Mitomycin C
    • c. 5-FU
    •  it acts as radio sensitizing agent
  43. "String sign" seen in
    • Hypertrophic pyloric stenosis
    • d/t elongated pyloric canal

    • other signs:
    • - Pyloric beak sign
    • - shoulder sign
  44. Vertebra plana seen in
    Eosinophilic granuloma
  45. Rim or shell nephrogram seen in
    Severe hydronephrosis
  46. Most common radiological feature in pulmonary embolism?
    • Normal/near normal CXR in a dyspnoeic pt.
    • Other signs:
    • - Westermark's sign: focal oligemia
    • - Hampton's hump: peripheral wedge shaped density abvoe diaphragm
    • - Enlarged rt. descending pulmonary artery
  47. Cobra head deformity characteristic of:
    • Ureterocoele
    • Cobra head also k/a spring onion deformity
  48. Radiofrequency ablation done in
    WPW syndrome
  49. Vessel for injecting dye in angiography
    Femoral artery
  50. On USG, finding of cystic hygroma is suggestive of:
    A. Marfan's syndrome
    B. Klinefilter syndrome
    C. Turner's syndrome
    D. Down syndrome
    C. Turner's syndrome

    cystic hygroma of neck - suggestive but not specific for Turner's syndrome
    (this multiple choice question has been scrambled)
  51. X-ray view for supraorbital fissure
    Cadwell's view
  52. Pizoelectric crystals
    use in trnasducer of USG

    PZT: Lead Zirconate Titanate) is polarized ceramic (though called crystal) used in USG transducer
  53. Neutron emitting radioisotope
  54. Radio isotope capable of displacing Ca from body
  55. Who invented
    a. Stethoscope
    b. Ophthalmoscope
    c. CT scan
    • a. by Laennec
    • b. by Helmholtz
    • c. Godfrey Hounsfield
  56. Hounsfield units for different media:
    air, water, brain, soft tissue, bone
    • Air: -1000
    • Water: 0
    • Brain tissue: 22 - 46
    • Soft tissue: 40 - 80
    • Bone: 1000 - 3000
  57. Chondrocalcinosis is seen in
    A. Rickets
    B. Hypoparathyroidism
    C. Hyperpthyroidism
    D. Ochronosis
    D. Ochronosis
    (this multiple choice question has been scrambled)
  58. Posterior iliac horn is seen in
    Nail Patella Syndrome
  59. Rt. and lt. heart border in CXR
    • Rt. side: Brachiocephalic vein, Superior venacava, Rt. atrium, Inf. venacava
    • Lt. side: Lt. subclavian artery, Aortic knob (notch), Main pulmonary artery, Lt. atrial appendage, Lt. ventricle
  60. Investigation of choice for spleenic rupture
    A. CT
    B. USG
    C. Peritoneal lavage
    D. MRI
    B. USG
    (this multiple choice question has been scrambled)
  61. X-ray
    • discoverd in 1895, accidentally by Roentgen
    • penetrating electromagnetic radiation
    • shorter wave length than light
    • produced by bombaarding target (Tungsten) with electron
    • shorter the wavelength more energy/powerful the Xray
    • Soft X-rays: longer wavelength X-rays
    • Hard X-rays: Shorter wavelength X-rays
    • White X-rays: mixture of different wavelenths
    • Monochromatic X-rays: single wavelength X-ray
    • Photosensitive material used: Silver hyalide
  62. Rib changes in coarctation of aorta
    • 4-9th ribs
    • d/t enlargement of intercostal arteries
  63. Not a radiological feature of mitral stenosis:
    A. Straight left heart border
    B. Oligemia of upper lung field
    C. Pulmonary hemosiderosis
    D. Kerley B-lines
    B. Oligemia of upper lung field
    (this multiple choice question has been scrambled)
  64. "Ehrlenmeyer flask" appearance is seen in
    a. Thrombocytopenia
    b. Sickle cell anemia
    c. Chronic anemias
    d. Gaucher's disease
    d. Gaucher's disease

    also seen in ... (ask PRS)
  65. "Beheaded scottish terrier" sign seen in
  66. Isotope for bone scan
    Tc99m MDP and PYP
  67. Bronchorrhoea characteristically seen in
    Bronchoalveolar Ca
  68. Neural tube defect best detected by:
    a. Placentography
    b. Amniocentesis
    c. Chrosomal analysis
    d. USG
    • b. Amniocentesis
    •  (increased AFP and presence of AchE =98% accuracy)
  69. Water lily sign
    • Pulmonary echinococcosis
    • also k/a hydatid cyst of lung
  70. Phrygian cap seen in
    • Gall bladder
    • d/t its folding or septated compartment near the fundus
  71. Heart wall calcification suggestive of
    A. Carcinoid syndrome
    B. Fibroelestosis
    C. Endomyocardial fibrosis
    D. Scleroderma
    A. Carcinoid syndrome
    (this multiple choice question has been scrambled)
  72. "Double bubble" sign on X-ray abdomen
    Duodenal atresia
  73. Investigation of choice for small intestinal tumor
    CT with contrast
  74. Who first attempted cardiac catheterization
    Werner Frossman
  75. Monge's dz seen in
    lowlanders in high land

    Monge's dz=Chronic mountain sickness = secondary polycythemia
  76. "Champagne glass" pelvis seen in
  77. Polarimeter
    measures optical activity of organic substance
  78. USG at therapy intensity level causes
    • local heating
    • cavitation
    • microstreaming
  79. Radioactivity discoverd by
    Henri Becquerel

    Later Marie Curie and Pierre Curie deduced radioactivity as a phenomenon associated with atoms
  80. Xeroradiography
    was used in breast imaging for early diagnosis of Ca breast
  81. Radiation protection shield
    • Lead
    • Apron: 0.5mm
    • Wall: 1-1.5mm
  82. Raised ICT in adult seen as:
    A. Erosion of sella
    B. Silver beaten appearance
    C. Separation of sutures
    d. All of the above
    A. Erosion of sella
    (this multiple choice question has been scrambled)
  83. Stryker view in shoulder joint to visualize
    Recurrent subluxation
  84. Radium emits
    alpha particles forming the gas radon
  85. Medical thermography is based on principle of emitting
    Infrared radiation
  86. Most common sign of subphrenic abscess
    Tented diaphragm
  87. Best investigation for acute cholecystitis
    HIDA biliary scan- confirmatory for ac. chole if bile duct imaging is seen without visualization of gall bladder
  88. "Figure of 3 sign"
    Coarctation of aorta
  89. "Reverse 3 sign" of Frostberg in barium study indicates
    Periampullary carcinoma
  90. "Thesaurosis" related to
    • resins in hairspray
    • also k/a "Hair spray pneumonitis"
    • causes granulomatous infiltration like sarcoidosis
  91. Gold standard in insulinoma
    • USG
    • Intraoperative USG + surgical palpation =85-100% detection
  92. Break in Shenton's line is seen in
    a. Cretinism
    b. Developmental dysplaisa of hip
    c. Down syndrome
    d. All of the above
    b. Developmental dysplasia of hip
  93. Echoencephalography (USG brain) useful for detecting
    Ventricular dilatation
  94. "String sign of Kantor"
    Crohn's disease
  95. "Lead pipe appearance"
    Ulcerative colitis
  96. Radioactive gold is used in
    A. Malignant ascites
    B. Bladder
    C. Glioma
    D. None
    A. Malignant ascites
    (this multiple choice question has been scrambled)
  97. Hot nodule is seen in
    A. Mixed parotid
    B. Adenolymphoma
    C. Adenocystic carcinoma
    d. All of the above
    B. Adenolymphoma
    (this multiple choice question has been scrambled)
  98. Oligemic lung field seen in
    • Pulmonary stenosis
    • TOF (tetralogy of Fallot)
  99. Contrast material in oesohageal atresia
    Propyl iodine (Dianosil)

    barium swallow must NOT be done
  100. Hair on end appearance
    Thalassemia (Cooley's anemia)
  101. Investigation of choice for spinal cord tumor
  102. "Doughnut" sign on brain scan
    • Osteoid osteoma
    • Fibrous dysplasia
    • Metastases
  103. Anaplastic Ca thyroid
    • Rx of choice: radiotherapy
    • Radio iodine uptake: need not be done d/t poor uptake
  104. Soft tissue calcification around hip joint on plain radiograph seen in
    • poliomyelitis
    • metastatic calcification of tumor
    • Melorhostosis (Leri's disease)
  105. Convolutional markings in a child disappears by age of
    • 12 yrs
    • are shallow depressions on inner table of skull d/t pulsating brain
    • Persistence or increased prominence is related to increased ICT or craniostoses
  106. Most common site of spina bifida
    Lumbosacral region
  107. Pantomography done for all except
    A. Dental caries
    B. Transverse fracture of atlas
    C. Dental cyst
    D. TM joint
    B. Transverse fracture of atlas

    Pantomography- panaromic radiography
    Extra oral curved surface X-ray showing entire upper and lower jaw in a continuous single film
    (this multiple choice question has been scrambled)
  108. First prominent features of increased ICT in infants, children?
    Sutural diastasis
  109. Seldinger needle
    used for angiography
  110. Epipyseal dysgenesis
    pathognomic of Hypothyroidism
  111. Green house gases
    • CO2
    • CH4
    • O3 : ozone
    • N2O
  112. Stenver's view is used to visualize
    Mastoid air cells
  113. Cavitating lesion in lung is found in
    • Squamous cell Ca
    • - most common lung tumor to cavitate
  114. Site of calcification in urinary schistosomiasis
    Urinary bladder
  115. Most common intracranial calcification
    Pineal body calcification
  116. Calcification and sclerosis of the fibrous cardiac skeleton is suggestive of:
    Lev's disease
  117. Investigation for posterior urethral valve
    Micturating cystogram

    Rx: Valve fulguration
  118. Dye used in bronchography
    Propyliodine (Dianosil)
  119. "Target sign" in CT is seen in
  120. Aneurysm of sinus of valsava usually ruptures into
    • Rt. atrium
    • or rt. ventricle
  121. Unit of one dose of radiation absorbed

    • Curie = unit of radiation emitted
    • ??
  122. Investigation of choice for aortic dissection
    MRI > CT scan
  123. Investigation of choice for Subarachnoid haemorrhage
    CT scan
  124. Diagnostic of rickets on X-ray
    Cupping and flaring of epiphyseal/metaphyseal area
  125. "Fish mouth vertebra" (also k/a "Cod fish")occurs in
    • Gaucher's disease
    • Also in osteoporosis, osteomalacia
  126. "Coffee bean sign" indicates
    • Strangulation of incompletely obstructed loop of bowel
    • d/t ovoid appearance
  127. Chest X-ray of chicken pox pneumonia
    Patchy alveolar nodule
  128. "Candle wax appearance" seen in
    Melorheostosis (Leri's disease)
  129. Primary anomaly in Klippel-Feil syndrome
    • Congenital fusion of cervical spine
    •  - short neck, low posterior hairline, painless limitation of cervical movement
  130. Hamman-Rich syndrome
    Idiopathic pulmonary fibrosis
  131. "Bat wing pattern" in CXR
    in cardiogenic pulmonary oedema
  132. Ulcer crater on barium X-ray
    d/t giant duodenal ulcer
  133. Features of scurvy
    • Wimberger's ring
    • White line of Frankel
    • Truemmerfield zone
    • Subperiosteal haemorrhage
  134. Brachytherapy
    irradiation of tissue by placing radioactive sources into the tissue
  135. Metacarpal index
    • average of ratio of lenth of each of the last four metacarpals to the width of its midpoint
    • Normal: <8
    • Marfan's syndrome >8.4
  136. "Tear drop sign" seen in
    Orbital blow out fracture
  137. "Figure of 8 appearance" seen in
    • also k/a Snowman appearance
    • seen in
    • TAPVC(Total anomalous pulmonary venous connection
  138. Which is characteristic radiological finding in neonatal necrotizing enterocolitis:
    A. Gas in the intestinal wall
    B. Air fluid levels
    C. Gas in the portal system
    D. Pneumoperitoneum
    A. Gas in the intestinal wall

    Intramural gas seen as "train track" lucency (pneumatosis intestinalis) is pathognomic of NEC
    (this multiple choice question has been scrambled)
  139. Radionuclide scan for pheochromocytoma
    MIBG scan: MetaIodoBenzylGuanidine scan
  140. Sensitive and specific test for diagnosis of renal artery HTN
  141. Stereotactic radiosurgery
    precise delivery of radiation to a brain tumor with sparing of surrounding normal brain
  142. Source for external beam radiotherapy in t/t of cancer pt.
  143. "Bracket" calcification of skull in X-ray seen in
    Corpus callosum lipoma
  144. "Birds beak" sign on barium enema
    • Volvulous sigmoid colon
    • - birds beak like projection due to proximal rectum narrowing towards the point of obstruction
  145. High resolution CT  of chest is ideal modality for evaluating:
    A. Lung mass
    B. Pleural effusion
    C. mediastinal adenopathy
    D. Interstitial lung disease
    D. Interstitial lung disease
    (this multiple choice question has been scrambled)
  146. Extensive pleural thickening and calcification involving the diaphragmatic pleura are classical features of
  147. First paranasal sinus to develop at birth
    Maxillay sinus

    • Maxillary sinus, Ethmoid sinus: present at birth
    • Frontal: after 2 years
    • sphenoid: after 7 years
  148. Pleural involvement is sarcoidosis
    • always unilateral
    • - unilateral pleural effusion with exudate containing lymphocytes
  149. Penetration power of rays
    Gamma > Beta > Alpha
  150. Diagnostic radiological finding in skeletal fluorosis:
    A. Osteosclerosis of vertebral body
    B. Interosseous membrane ossification
    C. Ossification of ligaments of knee joint
    D. Sclerosis of sacroiliac joint
    A. Osteosclerosis of vertebral body

    typical X-ray features:
    -Osteosclerosis, osteophytosis amd ossification of legamentous and fascial attachments
    -changes most marked in spine and pelvis
    (this multiple choice question has been scrambled)
  151. Gas used to create pneumoperitoneum
  152. Investigation of choice for vesicoureteral reflex
    contrast MCU (Micturating cystourethrogram)
  153. Earliest skin change after irradiation
  154. Most common manifestation of radiation carditis
    Asymptomatic pericardial effusion
  155. Best diagnostic test for DVT
    Duplex USG
  156. X-ray chest with reticular pattern air bronchogram sign in infant seen in
    Respiratory Distress Syndrome
  157. Faraday's cage
    Shielding of room from external electromagnetic radiation by continuous sheet of wire mesh of copper or aluminium
  158. Caplan's syndrome
    Rh. arthritis and pneumoconiosis with progressive massive fibrosis of lung in coal workers
  159. Investigation of choice for Schwannoma (Acoustic neuroma)
    MRI with Gadolinium contrast
  160. Characteristic heart shadows
    a. Coer en Sabot
    b. Egg on a string
    c. Snowman(figure 8)
    • a. TOF
    • b. A/P relationship of great vessels in transposition ocomplexes
    • c. TAPVC
  161. In scurvy all radiological signs seen except
    A. Zone of demarcation near epiphysis
    B. Pelican spur
    C. Frenkel's line
    D. Soap bubble appearance
    D. Soap bubble appearance

    it is seen in osteoclastoma
    (this multiple choice question has been scrambled)
  162. Investigation of choice for imaging of urinary tract tuberculosis
    A. CT
    B. USG
    C. Plain X-ray
    D. IV urography
    D. IV urography

    In the very earliest stages of the disease the normally clear cut outline of a renal papilla may be rendered indistinct by the presence of ulceration
    (this multiple choice question has been scrambled)
  163. Respiratory Gating
    technique employed in radiotherapy to counteract the effect of tumor motion d/t breathing
  164. Gamma camera in nuclear medicine used for:
    A. Monitoring the surface contamination
    B. Measuring the radioactivity
    C. Organ imaging
    D. RIA
    B. Measuring the radioactivity

    it is a device to scan pt having injected with small amount of radioactive materials
    (this multiple choice question has been scrambled)
  165. Sialography is C/I in:
    A. Chronic parotitis
    B. Recurrent sialadenitis
    C. Ductal calculus
    D. Acute parotitis
    D. Acute parotitis

    as contrast can rupture the duct as well as exacerbate the infection by pushing bacteria back into gland
    (this multiple choice question has been scrambled)
  166. Most sensitive imaging modality for diagnosing ureteric stones in a pt. with acute colic is
    I.V. urogram

    if urogram is normal during an attack, the pt. does not have renal colic