MCQs​ ​Radiology,​ ​Done​ ​by;​ ​Amjad​ ​Alduhaish​ ​&​ ​Mohammed​ ​Alsahil

L1:​ ​Introduction​ ​To​ ​Radiology

Q1:Which​ ​of​ ​the​ ​following​ ​able​ ​to​ ​measure​ ​the​ ​density​ ​of​ ​the​ ​body​ ​tissue?
A-​ ​X-ray
B-​ ​Fluoroscopy
C-​ ​CT
D-​ ​MRI

Q2:​ ​What’s​ ​the​ ​unite​​ ​using​ ​to​ ​measuring​ ​density​ ​in​ ​the​ ​previous​ ​question?
A-​ ​Centimeter​ ​Square
B-​ ​Hounsfield​ ​Unit​ ​(HU)
C-​ ​Pascal
D-​ ​Becquerel​ ​(Bq)

Q3:​ ​Patient​ ​had​ ​head​ ​trauma​ ​and​ ​you​ ​suspect​ ​that​ ​he​ ​has​ ​“intracranial​ ​hemorrhage”,
Which​ ​of​ ​following​ ​modalities​ ​you​ ​will​ ​choose?
A-​ ​CT
B-​ ​Conventional​ ​x-ray
C-​ ​MRI
D-​ ​X-ray​ ​with​ ​contrast
Hint;​ ​the​ ​answer​ ​is​ ​the​ ​modality​ ​of​ ​choice​ ​in​ ​traumatic​ ​head​ ​injury​​ ​bc​ ​it’s​ ​quick,​ ​can​ ​show
bone​ ​status​ ​and​ ​detect​ ​early​ ​onset​ ​of​ ​hemorrhage.​ ​So​ ​it’s​ ​good​ ​for​ ​3B:​ ​Blood,​ ​Bone,​ ​Brain.

Q4:​ ​Which​ ​of​ ​the​ ​following​ ​modalities​ ​has​ ​poor​ ​anatomical​ ​information?
A-​ ​CT
B-​ ​MRI
C-​ ​X-ray
D-​ ​Nuclear​ ​Medicine

Q5:​ ​Which​ ​of​ ​following​ ​may​ ​evoke​ ​the​ ​claustrophobia?

A-​ ​CT
B-​ ​MRI
C-​ ​X-ray
D-​ ​Nuclear​ ​Medicine

1​ ​>​ ​C
2​ ​>​ ​B
3​ ​>​ ​A​ ​ ​CT​ ​is​ ​best​ ​for​ ​hemorrhagic”urgent​ ​diagnosis”​ ​,​ ​MRI​ ​is​ ​best​ ​to​ ​detect​ ​the​ ​ischemic​ ​at​ ​the​ ​ons
4​ ​>​ ​D
5​ ​>​ ​B
L2:​ ​Contrast​ ​Media​ ​&​ ​Safety​ ​in​ ​Radiology

Q1:​ ​Which​ ​of​ ​the​ ​following​ ​is​ ​acute/deterministic​ ​effect?

A-​ ​High​ ​level​ ​of​ ​radiation​ ​over​ ​short​ ​period​ ​of​ ​time.
B-​ ​High​ ​level​ ​of​ ​radiation​ ​over​ ​long​ ​period​ ​of​ ​time.
C-​ ​low​ ​level​ ​of​ ​radiation​ ​over​ ​long​ ​period​ ​of​ ​time.
D-​ ​low​ ​level​ ​of​ ​radiation​ ​over​ ​short​ ​period​ ​of​ ​time.

Q2:​ ​Which​ ​of​ ​the​ ​following​ ​is​ ​a​ ​characteristic​ ​of​ ​Chronic/Stochastic/Probabilistic
effect?
A-​ ​Severity​ ​increases​ ​with​ ​increasing​ ​the​ ​dose.
B-​ ​Severity​ ​of​ ​the​ ​effect​ ​is​ ​not​ ​dose​ ​related.
C-​ ​Can​ ​not​ ​be​ ​predicted​ ​with​ ​certainty
D-​ ​Has​ ​threshold​ ​to​ ​be​ ​effected.

Q3:​ ​Which​ ​of​ ​the​ ​following​ ​is​ ​an​ ​example​ ​of​ ​Stochastic​ ​effect?
A-​ ​Cataract
B-​ ​Erythema
C-​ ​Infertility
D-​ ​Genetic​ ​effect

Q4:​ ​On​ ​which​ ​amount​ ​of​ ​exposure​ ​to​ ​radiation​ ​the​ ​patient​ ​will​ ​suffer​ ​from​ ​CNS
symptoms​ ​and​ ​could​ ​die​ ​within​ ​1-2days?
A-​ ​200​ ​rem
B-​ ​400​ ​rem
C-​ ​1000​ ​rem
D-​ ​5000​ ​rem

Q5:​ ​The​ ​radiologist​ ​wears​ ​…………....​ ​to​ ​know​ ​the​ ​amount​ ​of​ ​exposure:
A-​ ​Film​ ​packet
B-​ ​Thermoluminescent​ ​Dosimeter(TLD)
C- Geiger-Müller (GM) Detector
D-​ ​Scintillation​ ​Detector

Q6:​ ​Radon​ ​produced​ ​by​ ​decay​ ​of​ ​Uranium​ ​and​ ​Thorium,​ ​this​ ​is​ ​an​ ​example​ ​of;
A-​ ​Radioactivity​ ​Manmade​ ​source
B-​ ​Radioactivity​ ​Naturally​ ​source
C-​ ​Neither

Q7:​ ​Which​ ​of​ ​following​ ​is​ ​the​ ​most​ ​widely​ ​used​ ​Radioactive?
A-​ ​Radon
B-​ ​Carbon​ ​14
C-​ ​Technetium
D-​ ​Potassium​ ​-40

Q8:​ ​All​ ​the​ ​following​ ​statements​ ​is​ ​correct​ ​regarding​ N

​ on-ionic​ ​contrast​​ ​media​ ​except;
A-​ ​Does​ ​not​ ​dissociate
B-​ ​Does​ ​not​ ​increase​ ​in​ ​blood​ ​osmolality
C-​ ​Less​ ​reaction
D-​ ​Create​ ​hypertonic​ ​condition
Q9:​ ​In​ ​the​ ​Negative-contras​t​ ​the​ ​organ​ ​become​ ​………..​ ​Because​ ​of​ ​………….​ ​;
A-​ ​Radiolucent​ ​-​ ​High​ ​atomic​ ​weight
B-​ ​Radiolucent​ ​-​ ​Low​ ​atomic​ ​weight
C-​ ​Radiopaque​ ​-​ ​High​ ​atomic​ ​weight
D-​ ​Radiopaque​ ​-​ ​Low​ ​atomic​ ​weight

Q10:​ ​What’s​ ​the​ ​method​ ​of​ ​administration​ ​of​ ​the​ ​Barium​ ​enema?
A-​ ​Intrathecal
B-​ ​Retrograde
C-​ ​Intravenous
D-​ ​Oral

1​ ​>​ ​A
2​ ​>​ ​B
3​ ​>​ ​D
4​ ​>​ ​D
5​ ​>​ ​B
6​ ​>​ ​B
7​ ​>​ ​C
8​ ​>​ ​D
9​ ​>​ ​B
10​ ​>​ ​B

L3:​ ​CVS​ ​+​ ​Resp​ ​(Anatomy)

Q1:​ ​If​ ​we​ ​have​ ​a​ ​pathology​ ​located​ ​in​ ​upper​ ​zone​ ​we​ ​can’t​ ​see​ ​the​ ​lesion​ ​except​ ​in
_____​ ​view.
A-​ ​AP​ ​view.
B-​ ​PA​ ​view.
C-​ ​lateral​ ​view.

Q2:​ ​What​ ​is​ ​the​ ​difference​ ​between​ ​Rt​ ​and​ ​Lt​ ​lung?
A-​ ​major​ ​fissure​ ​only​ ​in​ ​the​ ​Rt.
B-​ ​major​ ​fissure​ ​only​ ​in​ ​the​ ​Lt.
C-​ ​minor​ ​fissure​ ​only​ ​in​ ​the​ ​Rt.
D-​ ​minor​ ​fissure​ ​only​ ​in​ ​th​ ​Lt.

Q3:​ ​What​ ​is​ ​the​ ​best​ ​view​ ​for​ ​evaluating​​ ​the​​ ​septal​​ ​and​​ ​lateral​​ ​walls​​ ​and​​ ​apex​​ ​of​​ ​the​
​left​ ​ventricle?(MRI).
A-​ ​Vertical​ ​long​ ​axis​ ​view.
B-​ ​Horizontal​ ​long​ ​axis​ ​view.
C-​ ​Short​ ​axis​ ​view.
D-​ ​aortic​ ​view.

1​ ​>​ ​C
2​ ​>​ ​C
3​ ​>​ ​B
L4:​ ​Resp.​ ​Diseases

Q1:​ ​Air-Bronchogram​ ​sign​​ ​in​ ​chest​ ​x-ray​ ​indicate​ ​which​ ​of​ ​the​ ​following?
A-​ ​Pleural​ ​effusion
B-​ ​Obstructive​ ​atelectasis
C-​ ​Pneumonia
D-​ ​Pneumothorax

Q2:​ ​Why​ ​the​ ​radiologist​ ​prefer​ ​PA​ ​view​ ​instead​ ​of​ ​AP​ ​view?
A-​ ​increase​ ​magnification​ ​of​ ​heart.
B-​ ​increase​ ​radiation​ ​dose​ ​to​ ​sensitive​ ​organs.
C-​ ​reduce​ ​magnification​ ​of​ ​heart.
D-​ ​unclear​ ​visualise​ ​maximum​ ​areas​ ​of​ ​lung.
Q3:​ ​Patient​ ​came​ ​to​ ​ER​ ​with​ ​history​ ​of​ ​hemoptysis​ ​and​ ​weight
loss​ ​for​ ​the​ ​last​ ​two​ ​weeks,​ ​we​ ​did​ ​a​ ​chest​ ​X-ray​ ​for​ ​him​ ​and​ ​the
result​ ​was:​ ​(see​ ​the​ ​picture​ ​).
- So​ ​what​ ​is​ ​the​ ​most​ ​likely​ ​diagnosis?
A-​ ​Lung​ ​mass
B-​ ​Emphysema
C-​ ​Heart​ ​failure
D-​ ​Pneumonia

Q4:​ ​patient​ ​came​ ​to​ ​ER​ ​with​ ​sharp​ ​and​ ​stabbing​ ​chest​ ​pain​ ​that​ ​worsens​ ​on
breathing​ ​or​ ​with​ ​deep​ ​inspiration.​ ​From​ ​the​ ​CXR​ ​what​ ​is
the​ ​most​ ​likely​ ​finding​ ​in​ ​this​ ​patient?
A-​ ​Contralateral​ ​shifting​ ​of​ ​trachea.
B-​ ​Consolidation.
C-​ ​Normal​ ​chest​ ​X-ray.
D-​ ​Decrease​ ​in​ ​lung​ ​volume.

Q5:​ ​Patient​ ​came​ ​to​ ​ER​ ​with​ ​history​ ​of​ ​sudden​ ​onset​ ​chest​ ​pain,​ ​dyspnea,
rapid​ ​heart​ ​rate​ ​and​ ​cough,​ ​CXR​ ​was​ ​performed.
- What​ ​is​ ​the​ ​most​ ​likely​ ​diagnosis​ ​?

A-​ ​Hydropneumothorax.
B-​ ​Pleural​ ​effusion.
C-​ ​Lung​ ​mass.
D-​ ​Emphysema.

1​ ​>​ ​C
2​ ​>​ ​C
3​ ​>​ ​A
4​ ​>​ ​D
5​ ​>​ ​A
L5:​ ​CVS​ ​Diseases

Q1:​ ​Patient​ ​come​ ​to​ ​the​ ​ER​ ​has​ ​SOB​ ​and​ ​sudden​ ​pleuritic​ ​chest​ ​pain,​ ​u​ ​take​ ​a​ ​Hx​ ​and
u​ ​found​ ​out​ ​she’s​ ​a​ ​teacher​ ​and​ ​on​ ​oral​ ​contraceptive,​ ​CXR​ ​is​ ​Normal,​ ​What​ ​is​ ​ur​ ​next
step?
A-​ ​Do​ ​high​ ​resonant​ ​CT
B-​ ​Do​ ​CT​ ​angiogram
C-​ ​Do​ ​MRI
D-​ ​Do​ ​TEE

Q2:​ ​What’s​ ​ur​ ​diagnosis?

A-​ ​Pulmonary​ ​embolism

B-​ ​Myocardial​ ​infarction

C-​ ​Congestion​ ​heart​ ​failure

D-​ ​Aortic​ ​aneurysm

Q3:​ ​ ​Which​ ​of​ ​following​ ​modality​ ​is​ ​commonly​ ​used​ ​to​ ​diagnose​ ​acute​ ​pulmonary
embolism?
A-​ ​X-ray​ ​with​ ​contrast
B-​ ​CT​ ​angiogram
C-​ ​MRI
D-​ ​Ultrasound

Q4:​ ​On​ ​CXR,​ ​there’s​ ​Cephalization​​ ​(upper​ ​lobe​ ​vessels​ ​equal​ ​or​ ​larger​ ​than​ ​size​ ​of​ ​the
lower​ ​vessels),​ ​this​ ​characteristic​ ​most​ ​likely​ ​belong​ ​to​ ​….​ ​?

A-​ ​Normal​ ​CXR

B-​ ​Pulmonary​ ​arterial​ ​hypertension

C-​ ​Pulmonary​ ​venous​ ​hypertension

D-​ ​Pulmonary​ ​venous​ ​hypertension

Q5:​ ​Patient​ ​come​ ​to​ ​the​ ​ER​ ​bc​ ​of​ ​dyspnea​ ​&​ ​cyanosis,​ ​CXR​ ​reveal​ ​diffuse
consolidation​ ​large​ ​area​ ​as​ ​in​ ​the​ ​PIC.​ ​What’s​ ​ur​ ​differential​ ​diagnosis?

A-​ ​Pneumonia

B-​ ​Acute​ ​pulmonary​ ​edema

C-​ ​intraparenchymal​ ​bleeding

D-​ ​Bronchitis

​ rthopnea,​ ​and
Q6:​ ​Patient​ ​with​ ​dyspnea,​ ​chest​ ​pain​ ​(discomfort,​ ​pressure​ ​like),​ o
feeling​ ​of​ ​chest​ ​fullness,​ ​CXR​ ​revealed​ ​that​ ​CTR​ ​is​ ​more​ ​than​ ​50%,​ ​what’s​ ​the
most​ ​likely​ ​finding​ ​after​ ​seeing​ ​the​ ​CT​ ​?

A-​ ​ ​Valve​ ​regurgitation

B-​ ​Pericardial​ ​effusion

C-​ ​Pulmonary​ ​venous​ ​hypertension

D-​ ​None​ ​of​ ​the​ ​above

1​ ​>​ ​B
2​ ​>​ ​A
3​ ​>​ ​B
4​ ​>​ ​C
5​ ​>​ ​B
6​ ​>​ ​B