Download 1st part 2013 1- 35 yrs old male presented with multiple areas at the

1st part
2013
1- 35 yrs old male presented with multiple areas at the axial skeleton , biopsy was done .
which showed that lesion contain giant cells , calcium is elevated , most likely :
a-giant cell tumors
b- mets
c- brown tumors
d- aneurismal bone cysts
e- multiple enchondroma.
2- Narrowing the window width in digital imaging :
a-produce no effect
b-decrease contrast
c-increase contrast
d- increase density
e-decrease density
3-axial resolution in U/Sis determined by :
a-transducer width
b-transducer material
c-spatial pulse length
d- pulse repetition frequency
e- transducer elemnt width.
4- regards to thymus gland , which of the following true :
a-reach its largest absolute size at neonatal period.
b-could not be seen after 3 yrs .
c-could not normally be visualized.
d- undergoes fatty degeneration in adults.
e- supplied by inferior thyroid artery.
5-managing communication among the RIS ,HIS and PACS is implemented using standard
called :
a-DICOM
b-HL7
c-Ethernet
d- RAID
e- (….)
6- b-mode acquisition results in tradeoff between axial resolution and :
a- image contrast
b- pt. penetration .
c- image noise
d-lateral resolution
e- pulse frequency
7- 21 yrs old man was involved in a motor vehicle collision, abdomen CT (IV contrast) was
done , at level of pancreas shows linear low – attenuation density in the pancreatic neck ,
anterior to proximal portal vein with associated hematoma extends to pancreatic head,
most appropriate manament :
a- surgical exploration and partial pancreatectomy
b- endoscopic retrograde pancreatogram .
c- observation and follow up ct 24 hrs
d- endoscopic retrograde pancreatic duct stent placement
e- a pigtail drainage catheter placement to drain hematoma
8- which imaging technique is best suited for a gallbladder fraction :
a- 128X128 matrix in a planar acquisition.
b- 128 128 matrix in a SPECT
c- 512X512 matrix in a planer acquisition
d- 512X512 matrix in a SPECT
E- 1024X1024 matrix either acquisition
9- which of the following SIGN of acute hepatitis :
a- small liver
b- diffuse increased paranchymal echogenic ity.
c- coarse hepatic paranchymal texture.
d- increased brightness of portal triads ( starry sky appearance )
e- CBD moderately dilated.
10- 18 yrs female known crohn`s presented with sever abdominal pain , most specific CT
feature of active disease :
a- mural enhancement
b- submucosal fat deposition
c- wall thickness > 3mm
d- prominent vasa recta with mesenteric fat stranding
e- mural stratification
11- which nerve pass through foramen ovale :
a- trigeminal
b-vaques
c-ophthalmic
d- mandibular
e- abducent
12- compared to adult , an infant`s life-time risk of cancer from a single CT :
a-equivalent
b- 5 times greater
c- 10 times
d- 15 times
e- 20 times
13- in male urethra , which of the following is TRUE :
a- prostatic part is best seen on ascending urethrogram
b- the internal sphincter is under voluntary movement
c- the verumontanum cannot be seen on micturating
d- cowper`s glands open into the bulbous urethra.
e- vas deferns and seminal vesicles open separately
14- C2in lateral cervical view :
a- 20 mm
b-7mm
c10mm
d-15mm
e- 4mm
15- in pelvic ring disruption , ipsilateral anterior and posterior arch fracture :
a- duverney
b- malgaigne
c- monteggie
d- open book
e- bucket handle
16- primary biological damage from x-ray …. Energy to :
a- electron
b- neutron
c-neutrinos
d-nucleus
e- proton
17- chemical shift artifact are caused duo to :
a- T1 relaxation
b- T2 relaxation
c- spin density
d- atomic number
e- larmor frequency
18- which is 2ry sign of ACL tear :
a- maissoneuve fracture
b- segoned fracture
c- posterior tibia translocation
d- medial femoral contusion
e- non visualization of ACL
19- regarding meningioma`s which is true :
a- arise from arachnoid cap cells
b- mostly infratentorial
c- arise near the outer table of the skull
d- glail in origin
e- large number developed from arachnoid rests within choroid plexus
20- lumber myelography all are true EXEPT :
a- to differentiate intra from extra dural lesion
b- contraindicated in raised intracranial pressure .
c- to assess CSF leak
d-standard position is true lateral projection .
e- the smaller the diameter of the spinal needle the less chance of …
21- on PA chest , there is area of unsharpness , susuggests :
a-object –film distance too great
b- respiratory movement
c- poor screen/ film contact
d-focus-film distance too short
22- what is the count rate standard deviation of 10 and produced 10,000 counts ?
a-1
b-10
c- 20
d-32
e- 45
23- anterior urethra contains :
a- prostatic and penile
b- penile and bulbus
c- prostatic and membranous
d- membranous and bulbus
e- prostatic and bulbus
24- left renal vein posterior to :
a- aorta
b- 3rd part of duodenum
c- left renal artery
d- iliocecal artery
e- superior mesenteric artery
25- in displaying CT :
a- contrast resolution can be changed after scan acquisition
b- temporal resolution can be changed after scan acquisition
c- spatial resolution can be changed after scan acquisition
e- quantum resolution can be changed after acquisition
26- in MRI , static magnetic field is generated by :
a- electrons
b- protons
c- neutrons
d- gamma photons
e- radiowave photons
27- which is the BEST for right intervertebral foramen :
a-anterior posterior
b-lateral
c- RPO
d-LAO
e- LPO
28- a primary determinant factor of quantum mottle is :
a- scattered X-ray photon energy
b- number of x-ray photons absorbed in screen
c- x-ray photon beam filtration rate
d- screen photon conversion efficiency
e- pt. radiation exposure dose
29- pelvic abscess drain EXEPT :
a-transrectal
b- transvaginal
c- transperineal
d- tarnsgluteal
e- transvesical
30- US showed anechoic structure behind the aorta :
a- left renal vein
b-left renal artery
c- retro aortic left renal vien .
d- gonadal vein
31- direct tributary of IVC :
a- azygos
b- 3rd and 4th lumber veins
c- left adrenal
d- left testicular
e- pancreatic vein
32- processing CT image with a smoothing filter and then subtraction image is referred to
as::
a- unsharp masking
b- low pass filter
c- equalization
d- noise power spectrum
e- Fourier transformation
33- in normal pancreatic duct development , which is true :
a- main drainage is through the ventral duct
b- duct of wirsung drain into the minor papilla
c- duct of santorini is the ventral duct
d- dorsal duct drains the uncinate process before fusion
e- the main drainage is through duct of santorini
34- the paramagnetic metal GD(lll) is used in MRI to :
35- using 20% vs 15% window planner :
a- improve image quality
b- degrades image quality
c- increase pt. radiation
d- reduced pt. radiation
e- no changes
36- 3rd generation CT artifact :
a- pt. thickness
b- tube arcing
c- pt. motion
d- dysfunctional detector elements
e- anode burnout
37- in trauma pt. with sever neck pain , normal AP. Lateral , open mouth and CT C-spine, ER
doctor still worry , next :
a- repate CT c-spine
b- oblique views
c- flexion/extension lateral x-ray
d- observe , repeat exam after 24 hrs
e-CT myelogram
38- which of the following can displace the IVC anteriorly :
a- aneurysm of right renal artery
b- duodenal diverticulum
c- enlarged testicular vein
d-mass in the head of pancreas
e-left IVC sarcoma
39- which of the following a branch of external iliac :
a-obturator artery
b- uterine artery
c- lateral sacral artery
d- superior gluteal artery
e- deep circumflex iliac arety
40- pt. administrated with tc99m and ( …..) :
a- beta electrons
b-auger electrons
c-internal conversion electrons
d- gamma photons
e-characteristic x-ray photons
41- the first three days immediately following liver transplant , US is important for :
a- detecting pseudo aneurysms
b- assessing blood flow in portal venous system
c- assessing blood flow in hepatic arterial system
d-- assessing blood flow in hepatic venous system
e-diagnosing rejection .
42-the BEST view for proximal tibio-fibular joint :
a-lateral
b- translateral
c-antero-posterior (ap)
d-AP 15 internal rotation
e-AP 15 external rotation
43- an area of asymmetry is used describe :
a-finding that lacks border and conspicuity of a true mass but seen on two views
b-finding that has three D dimensions.
c- finding that is been only one view
d-lines radiating from focal area
e- finding that occupies large area of the breast more than 2 on and seen on two views
44- fluoroscopic low contrast resolution can be improved by increasing :
a-focal spot size
b-x-ray beam filtration
c-exposure time
d-grid ratio
e-photon energy
45- the MOST likely diagnosis of anterior mediastinal mass in pediatric age is :
a-ectopic thyroid
b- lymphoma
c-thymoma
d- neuroblastoma
e-dermoid tumor
46- which of the following NOT a feature of benign lesion in ultrasound :
a-pure and intently hyperechoic lesion
b- elliptical in shape
c-branch pattern
d-gently lobulated shape
e- ………..
47- the advantage of CR copmraed to …. :
a- less radiation
b-decreased latitude
c-ability to change contrast
d- ability to change resolution
e- fewer positioning errors
48- US showed left liver enlargement with nodular contours and anechoic tubular structure
with flow , enlarged spleen :
a- recanalysed umbilical vein
b- middle hepatic vein
c-left portal vein
d- right portal vein
e- left hepatic vein
49- frame rate in US (…..):
a- imaging depth
b- line density
c-transducer frequency
d-transducer material
e- use of harmonics
50- the x-ray beam HVL primarily depend on :
a-coherent scattering
b-radiation intensity
c-photoelectrons
d- exposure time
e-compton scattering
51- 22 yrs female underwent a frontal chest radiograph ,no obvious abnormality is noted ,
her doctor asking about thin linear opacity projects over lower trachea ,not reaching
clavicle:
a- posterior junctional line
b-anterior junctional line
c- para tracheal stripe
d- juxtaphrenic peak
e- ….
52- etiology of ureteral pseudo diverticulosis :
a- distal ureteral obstruction
b- chronic urinary tract infection
c- trauma
d- congenital weakness of the muscularis purpura
e- indwelling ureteral stent
53- all the following cause indentation on skull in lateral x-ray view , except :
a- arachnoid granulation
b-middle branch of superficial temporal artery
c- inferior saggital sinus
d- MMA
e- supraorbital artery
54- how long will it take to acquire a 128X128 , while it takes 12 min in 256X256 :
a-24 minutes
b-12 minutes
c- 6 minutes
d- 3 minutes
e- 2 minutes
55- rounded calcification of probable echoic lesion in typical standard view , not clear to
visualized tea in cup appearance , additional view :
a-standard MLO view
b- exaggerated CC view
c- true lateral view
d-magnification view
e-compression view
56- cannot locate right hepatic artery in hepatic artery emobilization , you canulate :
a-celiac trunk
b- abdominal aorta
c- lumber artery
d- SMA
e- IMA
57 – scatter thyroid uptake studies can improved by :
a- parallel hole collimator
b-converging collimator
c- diverging collimator
d-pinhole collimator
e- ………
58- pt. developed mil d urticaria after CT to role out PE , he is vitally stable , what you will do
:
a- diphenhydramine 200 mg IM
b- diphenhydramine 30 mg IM
c-epinephrine 0,3 ml to 1000 IV
d- epinephrine 0,3 ml to 10000 IV
e-reassure the pt , no medical treatment
59- hypertensive male pt. presents to ER complaining of sudden chest pain radiate to the
back, he has tachycardia , low D-dimer level , chest CT requested , what would be the best
way for CT :
a- ensure maximum contrast opacification of the pulmonary artery
b- acquire an unenhanced study before proceeding with the enhanced
c-acquire 15 min delayed scan after injection of the IV contrast
d-use smallest IV cannula
e- ensure maximum contrast opacification of the superior (….)
60- in order to decrease the image noise by a factor of 4 in a 50 MAs and 80 KVP , what
would one do to the radiation dose :
a- increase by 2
b- -increase by 4
c- increase by 8
d- increase by 16
e- increase by 32
61- which one of the following SHOULD be used to suppress CSF :
a- magnization transfer
b- fat suppression
c- inversion recovery sequence
d- no phase wrap option
e- anterior to posterior phase encoding direction .
62- impedance is the product of propagation speed time :
a- density
b- stiffness
c- frequency
d-attenuation
e …..
63- the lateral radiograph of the cervical spine , what is the posterior border of the spinal
canal ?
a- anterior longitudinal ligament
b- posterior longitudinal ligament
c- interspinous line
d- spinolaminar line
64- using sonogram showing artifact due to ( pic ) :
a- incorrect center of rotation
b- pt motion
c- incorrect pt position
d- cracked nal crystal
e- incorrect collimation
65- which of the following is TRUE in radiography of the heart :
a-the cardiothoracic ratio relates the maximum transverse diameter to the width of the
thorax at the costophrenic angles
b- a cardiothoracic ratio of greater than 50 % is abnormal in a child
c- the left anterior oblique position optimizes visualization of the (…)
d- mitral valve calcification is best assessed on PA film
e- barium studies are not helpful in cardiac assessment
66- FIRST trimester sonography , the transducer for choice :
a- 3MHz vaginally
b-5MHz or higher abdominally
c-5MHz or higher vaginally
d-2 MHz abdominally
e- 13 MHz vaginally
67- what is the critical organ when an otherwise healthy female underwent 5 PE studies :
a- heart
b-lung
c-breast
d-thyroid
e-liver
68- which is branch of vertebral artery :
a- frontopolar artery
b- posterior choroidal artery
c- posterior communicating artery
d- AICA
e-PICA
69- which of the following used for identification skin calcification in mammo :
a-true lateral
b-tangential
c-cleavage
d- exaggerated crianiocaudal view laterally
e-exaggerated craniocaudal view medially
70- a noisy chest x-ray acquired with 500 MAs and 80 KVP , what you should do :
a- increase KVP
b- increase MAs
c- increase both
d- decrease both
e- increase time
71- on PA chest x-ray , which of the following is TRUE :
a- the left hilar pointis higher than right
b-the upper lobe veins are more medial than arteries .
c- the transverse fissure is 3 cm cephalic to hilar point .
d- the transverse fissure is visible in 80
e-the azygous fissure is visible in 20 %
72- football player had knee injury , his doctor suspected an injury to most posterior tendon
of pes ansrine :
a-gracilis
b-sartorius
c-semitendonosus
d-poplituis
e-semimembranosus
73- submandibular space is separated from sublingual space by :
a- hyoid done
b-digastric muscle
c-mylohyoid muscle
d-hypoglossus
e-genoglossus muscle
74- the vanishing bone disease ( Gorham`s ) is considered :
a- hamartomatous malformation
b- dense fibrous tissue
c-vascular proliferation
d-connective tissue
e-…..
75-one of the method of reducing susceptibility artifact in MRI is :
a- increase bandwidth
b-decrease bandwidth
c-use gradient echo imaging
d-increase TR
e- increase NEX
76-nipple like projection in PA chest ,adjacent to aortic arch is caused by :
a- prominent azygous vein
b- inferior left pulmonary artery
c-left superior intercostal vein
d-prominent SVC
e- aberrant right subclavian artery
77- which of the following is TRUE :
a- the aortic nipple represents the left inferior intercostal vein
b-air can normally be seen in the esophagus on erect position
c-the normal right para tracheal stripe is 5 mm thick
d-the right para spinal stripe is thicker than left
e-the anterior wall of trachea is visible in majority of radiograph
78- 16 yrs old presented to ER with recurrent epistaxis CT showed ptyregopalatine mass
lesion with anterior displacement of posterior wall of maxillary sinus :
a- juvenile angiofibroma
b-rhabdomyosarcoma
c- craniopharyngioma
d-chondroblastoma
e-neuroblastoma
79- the most accurate imagiing criteria for diagnosing DVT in US is which of the following :
a- lack of compressibility
b- B-mode depiction of a filling defected lumen
cde80- 15 yrs old boy has right leg pain exaggerated at night , normal physical and vital signs, xray WILL show one of the following :
a- focal osteopenia and soft tissue swelling
b-focal sclerosis and bone protrusion
c- cortical sclerosis with central lucency
d-looser zone and bowing of the tibia
e-lytic lesion with osteoid matrix
81- on pelvic x-ray , the AIIS is avulsed , this is due to contraction of :
a-sartoruis
b-rectusfemoris
c-iliacus
d-psoas muscle
e-gemellus
82- 70 yrs old male presented to ER with abdominal pain and distention , on examination
there is a bulge in the right side of the abdomen .
CT show a hernia contains bowel with narrow neck , at the lateral edge of rectus sheath
through the aponeurosis of transvers abdominis muscle , whih of the following LIKELY the
diagnosis :
a- lumber hernia
b-hernia of linea semilunaris
c-epigastric hernia
d-umbilical hernia
e-direct inquinal hernia
83- which of the following structure pass through optic canal :
a-V2 of trigeminal
b-ophthalmic artery
c-superior ophthalmic vein
d-inferior ophthalmic vein
e-trochlear nerve
84- to see right UVJ in IVP, which is the best view :
a-lateral view
b- directing the central beam cranially
c- rise the pt right side up
d-directing the central beam caudally
e- rise pt left side up
85- which of the following is anterior to esophagus ?
a- the right main bronchus
b-the hemiazygos
c-the left atrium
d-the descending thoracic aorta
e-the right posterior intercostals arteries
86- which of the following NOT recommended in HRCT :
a- collimation of 5 mm
b-short scan time
c-KVP of 120-140
d-largest available matrix size
e-bone algorithm .
87- adult pt experienced sever abdominal pain after colonoscopy , not relieved by antispasmodic , next step :
a-single contrast water soluble enema
b-single contrast barium enema
c-double contrast barium enema
d-US of abdomen
e- ultra fast sequence MRI
88- bilateral wilm`s tumor is grade :
a- I
b- II
c- III
d- IV
e- V
89- which of the following vessels pass through gastro-spelnic ligament :
A- left and right gastro-epiploic vessels
b- short gastric vessels
c- inferior pancreaticodudenal artery
d- splenic vessels
e- right hepatic artery
90- contrast in film radiographs of the gastrointestinal tract is independent of :
a- KV reductions
b- barium infusion
c- beam collimation
d- MA increases
e- grid ratio increases
91- concerning the normal anatomy of the ureter , which is true :
a- passes anterior to the pedicles of the lumber vertebrae
b-passes behind the common iliac veins
c- normally enters the bladder perpendicular to the bladder wall
d- enter the bladder above the seminal vesicles
e- enter the bladder intraperitoneally
92- a well written research proposal facilitates the approval process by all research
approval committees :
Which is the least demanding in a proposal ?
a- estimated cost
b-length of proposal
c-research justification
d-previous research experience
93- standard deviation assumes that data are 9normally distributed 0 and provides
information on a dispersion of data around the mean .
What is the percentage of the data ((values) is included when + 3 :
a- 95.4 %
b-99.7%
c-98.4%
d- 92.7%
94- the mass attenuation coefficient is independent of :
a- coherent scattering
b-photoelectric effect
c-compton scattring
d- photon energy
e- material density
95- 43 yrs male accidentally have on CXR a 2.5cm mass , CT chest showed left upper lobe fat
and soft tissue attenuation of the lesion , most LIKELY :
a- hamartoma
b- AVM
c- pneumonia
d- primary adenocarcinoma of the lung