FINALLLLLLLLY Flashcards

1
Q

Chest X-rays you took on a patient demonstrated a aviation which was confirmed by your DACBR. The follow-up CT you ordered confirmed the cavitation. Which one of the CT windows will show the best detail of the cavity?

A. Bone window
B. Mediastinal window
C. Parenchymal window
D. All three of the above windows will demonstrate the details of the cavity equally

A

C. Parenchymal window

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2
Q

Which one of the following is a fat suppressed sequence:

A. FS PD FSE
B. T1
C. T2
D. PD

A

A. FS PD FSE

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3
Q

A patient presents with primarily leg pain. The leg pain is confined to a dermatome and is reproduced with neutral stretch tests. Sensation to the pinwheel is diminished in the involved dermatome, there is weakness to muscle testing to the nerve corresponding to the dermatome and there is a decrease in the reflex associated with the dermatome. Which one of the following is the most likely cause:

A. Degenerative spondylolisthesis
B. Isthmic spondylolisthesis
C. Synovial cyst
D. Lateral recess stenosis

A

C. Synovial cyst

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4
Q

Which one of the following is invariably associated with pain:

A. Vertebral hemangioma
B. Modic Type 1
C. Tarlov cyst
D. Modic Type 3

A

B. Modic Type 1

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5
Q

In a patient with signs of a lumbar disc herniation, which one of the following indicates the herniation is recent:

A. Decreased signal in the disc on the T2 weighted images.
B. Annular tear
C. Modic Type 1
D. Modic Type 2

A

B. Annular tear

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6
Q

When evaluating a universal compression on MRI, all of the following are signs of a malignant cause EXCEPT:

A. Multifocal involvement
B. Posterior body convexity
C. Fluid sign
D. Pedicle involvement

A

C. Fluid sign

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7
Q

SLAP lesions are best identified on trans axial slices at the equator.

A. true
B. false

A

B. false

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8
Q

A 39 year old male has been training for the last 10 weeks for his first half marathon coming up in 6 days. His right knee has been hurting more and more for the last 3 weeks. You order an MRI and the results identify a Type 1 meniscus. What advice should you give him?

A. Don’t run for the next 6 weeks because of predisposition to a tear
B. Don’t run the race and see an orthopaedic surgeon to correct the meniscal tear
C. Go ahead and run if you can handle the pain.

A

C. Go ahead and run if you can handle the pain

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9
Q

All of the following are signs of an ACL tear EXCEPT:

A. No attachment to the lateral wall of the intercondylar notch on coronal views.
B. Failure to see the ACL on sagittal views
C. Bone bruise of the anterior lateral femur and posterior lateral tibia
D. Type 3 meniscus

A

D. Type 3 meniscus

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10
Q

You order an MRI on the knee of a high school basketball team player. The conclusion of the report is “Jumper’s Knee”. The diagnosis refers to which one of the following:

A. ACL
B. Meniscus
C. Patellar tendon
D. Lateral Collateral ligament

A

C. Patellar tendon

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11
Q

Which one of the following studies is obtained by having an X-ray tube rotate continuously around the patient while the patient slides through the beam like a car through a car wash:

A. EBT
B. DEXA
C. Conventional CT
D. Helical/ Spherical CT

A

D. Helical/ Spherical CT

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12
Q

Which one of the following best describes a study in which two different energy X-rays are passed through specific body parts and the difference in absorption of radiation is measured:

A. SPECT
B. Thin section CT
C. DEXA
D. Quantitative CT

A

C. DEXA

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13
Q

Which one of the following would best differentiate active from inactive pars defect?

A. Bone scan
B. Quantitative CT
C. PET scan
D. SPECT

A

D. SPECT

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14
Q

Which one of the following represents the Hounsfield Unit seen in water:

A. +1000 HU
B. +400 HU
C. Zero Hu
D -1000 HU

A

C. Zero HU

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15
Q

Which one of the following most commonly uses Tc-99:

A. Bone scan
B. EBT
C. DEXA
D. All of the above

A

A. Bone scan

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16
Q

Which one of the following best describes the term hypo echoic when using diagnostic ultrasound?

A. White, high reflective
B. Dark gray, low reflection
C. Dark streaks past an object
D. White tendons

A

B. Dark gray, low relfection

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17
Q

With regard to bone mineral density, when evaluating T and Z scores, which one of the following represents osteoporosis

A. +2.6 and above
B. +1 and above
C. -1 and above
D, -2.6 and above

A

D, -2.6 and above

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18
Q

Transducers are used with which one of the following modalities?

A. Diagnostic ultrasound
B. SPECT
C. QCT
D. DEXA

A

A. Diagnostic ultrasound

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19
Q

You are treating a patient following a significant whiplash injury in which the patient hit their head hard on the head rest, 10 days post injury you are concerned about a subdural brain bleed. Which one of the following is the modality of choice in further assessment?

A. Helical CT
B. MRI
C. Conventional CT
D. All of above

A

B. MRI

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20
Q

Routine blood work on a 68 year old male shows high levels of PSA. DRE shows hard non-tender, non-mobile nodules. Which one of the following is indicated as the next step of assessment?

A. diagnostic ultrasound
B. Bone scan
C. CT
D. MRI

A

A. diagnostic ultrasound

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21
Q

Your patient is demonstrating some unusual signs indicating possible early MS. The signs include change sint he visual field, lack of sensation in various places on the face, and loss of taste on a portion of the tongue. Which one of the following would be the next best step in evaluation?

A. CT of brain
B. CT of cervical spine
C. MRI of brain
D. MRI of cervical spine

A

C. MRI of brain

22
Q

You are treating a 30 year old male who tells you that he has noticed a hard non tender nonmobile nodules on one of his testes. You are both concerned about testicular carcinoma. Which of the following is the next best step:

A. MRI
B. CT
C. SPECT
D. Diagnostic ultrasound

A

D. Diagnostic ultrasound

23
Q

A male patient you are treating has multiple upper cervical anomalies and he is beginning to develop some unusual neurological symptoms, including loss of sensation. You are concerned about Arnold-Chiara malformation. Which one of the following would be the next best step in imaging?

A. Flexion extension
B. MRI
C. Conventional CT
D. Helical CT

A

B. MRI

24
Q

A 32 year old female asks you to look at her lower abdomen because she has noticed some hard masses in the pelvic cavity. After assessment you think she may have uterine fibroids. Which one of the following would be the next best step to evaluate for possible fluids:

A. Plain film
B. MRI
C. CT
D. Diagnostic ultrasound

A

D. Diagnostic ultrasound

25
Q

A Patient presents with Rust’s sign following a significant hyperextension whiplash injury. Although your plain films are negative, your clinical suspicion for possible dens fracture or Hangman’s fracture is high. Which one of the following is the next best step in assessment?

A. CT
B. MRI
C. Bone scan
D. All of the above

A

A. CT

26
Q

A 60 year old male presents with low back and flank pain. Your plain films show unusual patterns of calcification int he kidney and your DACBR is concerned about possible malignancy. Which one of the following is indicated?

A. Diagnostic ultrasound
B. MRI
C. CT
D. All of the above

A

All of the above

27
Q

Plain film x-rays of the cervical spine of a 72 year old demonstrate marked atherosclerosis of the carotid arteries. You are concerned with degree of stenosis. Which one of the following would be the next best step in evaluation:

A. Diagnostic ultrasound
B. MRA
C. Helical CT
D. All of the above

A

A. Diagnostic ultrasound

28
Q

You have been treating an overweight 34 year old female. On her last two visits she has complaint of bad epigastric pain especially after a meal. She also complains about right shoulder pain. you take new plain films of both areas and they are normal. Which one of the following would be the next best step:

A. Abdominal MRI
B. Lumbar MRI
C. Helical CT of abdomen
D. Diagnostic ultrasound of upper GI

A

D. Diagnostic ultrasound of upper GI

29
Q

A patient comes to see you 4 months after a slip and fall in Public injuring their thoracolumbar junction. They initially went to urgent care facility the did not do any imagine. The patient is still in a moderate degree of pain. You take x-rays and see a compression fracture. Which one of the following would be of value to help determine if the fracture happened from the fall?

A. DEXA
B. SPECT
C. Bone scan
D. MRI

A

C. Bone scan

30
Q

Your plain film x-ray demonstrates a 4.8 cm aaa. Which of the following is indicated in further diagnostic testing:

A. Diagnostic ultrasound
B. CT
C. MRI
D. MRA

A

A. Diagnostic ultrasound

31
Q

An overweight highschool sophomore comes in on a friday with bilateral lower leg pain. he has just finished the first week of conditioning for football. He had not been conditions before the first practice four days earlier. Monday’s practice will be the first day with tackling. You need to quickly differentiate soft tissue shin splints from stress fracture. Which one of the following should you order?

A. Plain film
B. Bone scan
C. MRI
D. CT

A

C. MRI

32
Q

Thoracic films on a 60 year old long time smoker showed a mass in the lung. Chest x-rays confirmed the mass. What is the next step in imaging:

A. Thin section. high resolution CT
B. MRI
C. Pet scan
D. Quantitative CT

A

A. Thin section. high resolution CT

33
Q

You have a patient who has a very symptomatic degenerative spondylolisthesis at L4. Which one of the following would be the best modality in further assessment:

A. Bone scan
B. SPECT
C. MRI
D. CT

A

C. MRI

34
Q

Your patient has shawl like loss of sensation in the upper extremities and you are concerned about a syrinx in the cervical cord. Which one of the following would be the next step in evaluation:

A. MRA
B. MRI
C. CT
D. All of the above

A

B. MRI

35
Q

X-rays of your patient demonstrate DISH with OPLL in the cervical spine. The patient is exhibiting a lot of neurologic symptoms. Which one of the following imagining modalities would be of value in this circumstance:

A. MRI
B. MRA
C. CT
D. All of the above

A

A. MRI

36
Q

You have a strong suspicion of a SLAP lesion in one of your patients. Which one of the following is indicated:

A. CT of shoulder
B. CT of knee
C. MRI of shoulder
D. MRI of knee

A

C. MRI of shoulder

37
Q

You palpate a nodule on your patient’s thyroid. Which one of the following imaging modalities is indicated:

A. Diagnostic ultrasound
B. MRA
C. CT
D. SPECT

A

A. Diagnostic ultrasound

38
Q

Your patient is going through menopause and considering estrogen replacement therapy. Which one of the following would be indicated to best determine their risk of fracture from osteoporosis:

A. MRI
B. SPECT
C. Diagnostic ultrasound
D. DEXA

A

D. DEXA

39
Q

You have a 14 year old gymnast with low back pain and a sclerotic L5 pedicle. Which one of the following would be best used to determine if this represents an active pars defect:

A. Diagnostic ultrasound
B. Bone scan
C. MRI
D. DEXA

A

C. MRI

40
Q

You took cervical and lumbar x-rays on a 70 year old patient. The DACBR report identifies aggressive looking lesions in both areas with high confidence for skeletal metastasis. Which one of the following would be the next step in imaging:

A. Plain film of the thoracic, skull, shoulders and hips
B. MRI of cervical and lumbar spine
C. Quantitative CT
D. Bone scan

A

D. Bone scan

41
Q

Your patient has had breast carcinoma with metastasis to the large bowel. Which one of the following is the best modality to follow this patient:

A. Bone scan
B. CT
C. MRI
D. PET scan

A

D. PET scan

42
Q

You have a 66 year old with pain in the left buttock region. X-rays show what looks to be a large bone island in the left ilia. There are no prior films for comparison. To confirm this is a bone island and not an aggressive plastic lesion, which one of the following would be of greatest value:

A. Bone scan
B. CT
C. Quantitative CT
D. All of the above

A

A. Bone scan

43
Q

Which one of the following best describes an active pars defect:

A. Non-union fracture of the pars
B. Stress fracture of the pars
C. Stress fracture of the pedicle
D. Acute fracture of the pars

A

C. Stress fracture of the pedicle

44
Q

Cord tutors are best assessed with MRI

A. true
B. false

A

A. True

45
Q

Which one of the following is preferred initial imaging test with suspected septic arthritis:

A. Bone scan
B. CT
C. MRI
D. Diagnostic ultrasound

A

C. MRI

46
Q

Diagnostic ultrasound would be of value in assessment of all of the following except:

A. Lateral recess stenosis
B. plantar fasciitis
C. Rib fracture
D. Pancreatic carcinoma

A

A. Lateral recess stenosis

47
Q

Where was CT first performed?

A

London

48
Q

Who discovered x-ray

A

Roentgen

49
Q

What team is Lebron on?

A

Cavaliers

50
Q

Who described three types of meniscal patterns?

A

Stoller