Bingo Powerpoint v3 Answers AZCOM radiology

7/26/2019 Bingo Powerpoint v3 Answers AZCOM radiology

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Radiology

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Question and Answer


2/76

B1A

The wrist is composed of eight carpal bones. Which of

the following is not a carpal bone?

A. Navicular

B. Trapezium

. uboid

!. "amate

#lide 1


3/76

B2

A

The lunate is the most common bone of the wrist todevelop avascular necrosis. Which carpal bone most

commonl$ can develop avascular necrosis after a

fracture?

A. Trapezium

B. Navicular

. %isiform

!. apitate

#lide 1


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B3A

#lide 1

The radial head fracture is the most common site for adult elbow

fracture. The most common site in the pediatric population is

which of the following&

A. 'lecranon

B. oronoid process

. "umerus supracond$lar

!. None of the above


5/76

B4A

#lide 1

The #alter("arris #$stem is utilized to describe pediatric )oint

fractures with open epiph$sis. Which #alter fracture can affect

the growth of the bone?

A. #alter T$pe 1

B. #alter T$pe *

. #alter T$pe +

!. #alter T$pe ,

-. #alter T$pe


6/76

B5A

#lide 1

This patient wal/s in for an

0(ra$ after being

discharged from hospitalthe previous wee/. What is

the first thing $ou should in

treating this patient?

A. ntubate the patient

B. Appl$ traction to hisnec/

. 2a/e sure the cervical

collar sta$s on.

!. !o nothing and let him

go home since he came

in on his own accord.


7/76

#lide 1

This pediatric patient come

into the -! after hurting their

foot pla$ing baseball. %ain isthe lateral part of the foot at

the arrow. What is the

pertinent finding?

A. 3racture

B. -piph$sis. Apoph$sis

!. %h$sis

B6A


8/76

#lide 1

B7AThe arrows are noting

what findings of the

elbow?

A. A fat pad from )oint

effusion

B. A )oint effusioin

. Torn muscle

!. nfection


9/76

#lide 1

%ediatric patient presents

after being a passenger in

an 24A. The ma5imummeasurement between

16* is different between

adults and children. The

ma5imum distance in

should should not e5ceed

how man$ mm.

A. * mm

B. mm

. 7 mm

!. 18 mm

B8A


10/76

B9A

#lide 1

A diabetic patient presents with swelling of the right

foot and a full thic/ness ulcer to the fifth metatarsal.

There is clinical concern for osteom$elitis. Which ofthe following studies would be most e5pedient and

sensitive for the diagnosis of osteom$elitis?

A. Nuclear bone scan

B. Three phase bone scan

. Nuclear medicine white blood cell stud$!. 29 without : with contrast


11/76

B10A

#lide 1

This t$pe of fracture in a

pediatric patient has a

uni;ue description. t canbe described as a&

A. Torus fracture

B. olles fracture

.


12/76

B11A

#lide 1

A fracture is t$picall$ described with certain

terminolog$. Which of the following terms is not

normall$ used to describe the features of a fracture?

A. Apposition

B. Angulation

. ompound

!. #imple


13/76

B12A

#lide 1

Anterior dislocations of the shoulder are the most

common glenohumeral dislocation. The events leading to

a posterior dislocation has been described to occur withwhich of the following.

A. Windsail surfing

B. nternet surfing

. -lectrocution

!. #lipping on ice


14/76

B13A

#lide 1

"ip fractures are not uncommon after a fall in the

elderl$ population. =ou get an 0(ra$ report after having

a * view 0(ra$ of the hip that is negative. =ou have ahigh suspicion that a fracture is present since the

patient can>t weight bear. Which of the following

e5ams would be most definitive to determine the

presence of a fracture.

A. ltrasoundB. omputed tomograph$ with contrast

. 29 without contrast

!. Nuclear medicine bone scan


15/76

#lide 1

%atient presents in

agonizing pain after

24A. The an/le shows

multiple obvious

abnormalities such as

fractures and

dislocation. Which of

the following is an

additional finding?

A. ompound fracture

B. Torus fracture

. #piral fracture

!.


16/76

#lide 1

The fracture of the

wrist is involving

which bone?

A. @unate

B. apitate

. Tri;uetrum

!. #caphoid

B15A


17/76

#lide +

The white outhemithora5 most li/el$

from&

A. Atelectasis of the

left lung

B. A large left pleural

effusion. A large left

pneumothora5

!. %neumonia in the

left lung

-. nilateral

pulmonar$ edema

I16A


18/76

#lide +

The white out hemithora5most li/el$ from&

A. Atelectasis of the right

lung

B. A large right pleural

effusion

. A large leftpneumothora5

!. %neumonia in the right

lung

-. nilateral pulmonar$

edema

I17A


19/76

I18A

#lide +


from&


left lung


effusion. A large right

pneumothora5

!. %neumonia in the

left lung

-. nilateral

pulmonar$ edema


20/76

#lide +

The white out

hemithora5 most li/el$

from&A. Atelectasis of the

left lung from

mucous plug


effusion

. A large rightpneumothora5

!. %neumonia in the

left lung

-. @eft lung atelectasis

from low l$ing -TT.

I19A


21/76

I20A

#lide +


from&


left lung


effusion. Atelectasis left lung

from mucous plug.

!. %neumonia in the

left lung

-. @eft lung removed

from prior surger$


22/76

I21A

#lide +

Which of the following is usuall$ not true regarding a portablehest 0(ra$&

A. The patient usuall$ ta/es a shallower inspiration than than

a %A chest.

B. The posterior lower lobes cannot be full$ assessed.

. The heart is the same size or smaller than the %A chest.!. t is more difficult to detect a compression fracture than a

two view chest.


23/76

I22A

#lide +

The most accurate e5am for detecting a

pulmonar$ embolus is which of the following&

A. A conventional %A and @ateral chest 0(ra$

B. ltrasound of the chest.

. 29 of the chest with contrast

!. T chest with contrast

-. T chest without contrast


24/76

I23A

#lide +

A patient presents with shortness of breath. A portable

chest 0(ra$ is performed in the -.!. Which of thefollowing descriptions ma$ correctl$ reflect the

causative s$mptoms&

A. Both lungs are clear without edema

B. #mall heart with a right sided aortic arch

. A right sided tension pneumothora5 with shift of theheart to the left

!. A less than right sided apical pneumothora5


25/76

I24A

#lide +

A patient is in chronic renal failure but not

undergoing dial$sis. The patient arrives in the -!

with shortness of breath after a long airplane flightfrom Brazil. =ou wish to evaluate for a pulmonar$

embolus. Which of the following is most

appropriate&

A. 29 chest with contrast

B. 29 chest without contrast

. 46Q scan with chest 0(ra$

!. T chest with contrast

-. T chest without contrast


26/76

I25A

#lide +

A radiolog$ report includes the description of irle$ B

lines. This findings is seen with which e5am?

A. ltrasound of the chest

B. 29 chest

. T chest

!. hest 0(ra$

-. 46Q scan


27/76

I26A

#lide +

A T scan of the chest with contrast facilitates the

diagnosis of all of the following e5cept&

A. Aortic dissection

B. %ulmonar$ embolism

. !etection of hilar l$mph nodes

!. 9ib fractures

-. %ulmonar$ vascular malformations


28/76

#lide +

The arrow is

directed towards a% line and what

anatomical

structure?

A. Ascending

aortaB. !escending

aorta

. #4

!. 4

-. 9ight mainstem

bronchus

I27A


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I28A

#lide +

The arrows are inpointing to what

diagnostic finding&

A. #/in fold

B. Tension

pneumothora5

. %ulmonar$ bulla!. %neumothora5

-. %leural effusion


30/76

I29A

#lide +

The oval mar/er is positioned in

which lobe?

A. 9ight pper @obeB. 9ight 2iddle @obe

. 9ight @ower @obe

!. @ingula


31/76

#lide +

The arrow shows in T of

the chest with contrast the

following&

A. Aortic aneur$sm

B. !escending aortic

dissection

. %artial thrombus of the

pulmonar$ arter$

!. Ascending aortic

aneur$sm and dissection

-. Ascending aortic

aneur$sm and pla;ue

I30A


32/76

N31A

#lide +

%atients presents to $our office with the chief

complaint persistent increasing dizziness at rest andpostural changes. Which cranial nerve and imaging

e5am would be best to evaluate?

A. N 4 and T of the brain with contrast

B. N 4 and T of the brain with contrast

. N 4 and 29 brain without contrast!. N 4 and 29 brain without and with contrast

-. N 4 and 29 brain without and with contrast


33/76

#lide +

%atient presents with leftsided wea/ness. The pertinent

T finding is&

A. Acute intracranial bleed

B. 2idline shift

. #ubdural hematoma!. -dema of an ischemic

infarct

N32A


34/76

N33A

#lide +

%atient presents with left sidedwea/ness. The pertinent T

finding is&

A. Acute intracranial bleed

from infarct

B. 2idline shift. #ubdural hematoma

!. -dema of an ischemic

infarct


35/76

N34A

#lide +

The primar$ reason for obtaining a T scan of the

brain in a patient presenting with s$mptoms of

acute infarct is&

A. To determine if there is a s/ull fracture

B. Assess for h$drocephalus

. To determine if there is a non(acute infarct

!. To determine if there is an acute bleed

-. To evaluate for a c$stic h$groma


36/76

#lide +

The primar$ finding of the

T brain is&

A. -pidural hematoma

B. Acute brain infarct

. 2eningioma

!. #ubdural hematoma

-. Brain abscess

N35A


37/76

#lide +

The arrows point to linear

low densitiesC which are&

A. A cranial fractureC B

cranial suture

B. B cranial fractureC A

cranial fracture

. A : B cranial sutures!. A : B cranial fractures

N36A


38/76

#lide +

This patient received

impact in)ur$ b$ a baseball

to the side of the s/ull. The

finding is&

A. #ubdural hematoma

B. -pidural hematoma

. 2eningioma

!. Brain tumor

-. Brain abscess

N37A


39/76

#lide +

This 17 $ear old female

presents to the -! with

headache. While tal/ing to herC

she goes into respirator$

arrest. The pertinent findings

include&

A. 2idline shiftB. erebral edema

. Brain abscess

!. All the above

N38A


40/76

N39A

#lide +

The arrow is pointing to

what anatomic structure?

A. isterna magna

B. +rdventricle

. ,thventricle

!. %ineal gland

-. %ontine cistern


41/76

N40A

#lide +

The most sensitive stud$ for identif$ing an acute

infarction of the brain is which of the following&

A. T brain with contrast

B. T brain without or with contrast

. 29 without contrast with diffusion weighted

imaging

!. 29 brain without and with contrast-. 29 brain with contrast onl$ with diffusion

weighted imaging


42/76

#lide +

This 29 of the brain was

performed with contrast

and shows the presence

of a tumor. What

anatomic structure is

associated with this

mass?

A. isterna magna

B. ,th

ventricle. %repontine cistern

!. nternal auditor$

canal

-. 2astoid sinus

N41A


43/76

N42A

#lide +

maging of the brain with contrast usuall$

re;uires obtaining renal function tests to

determine ade;uate function. Which contrastagent re;uires the greatest or best renal

function?

A. Barium

B. Technicium pertechnetate

. odine!.


44/76

N43A

#lide +

Angiograph$ of the brain and carotid arteries

can be done without 4 contrast with which

following modalities?

A. omputed tomograph$ angiograph$

B. 2agnetic resonance angiograph$

. ltrasound doppler with +(!

!. Nuclear medicine flow stud$

-. atheter based angiograph$


45/76

N44A

#lide +

A patient falls from a 7 foot ladder removing his

hristmas lights from his house. "e sa$s he landed

on his bac/. "e has severe bac/ pain. 3ractures b$

0(ra$ of the thoracic and lumbar spine at the TDC

T1* and @1 levels. "is pain is not the same at all

levels. "is brain is cleared. Which of the following

e5ams ma$ be best to determine which level is

acute?

A. Bone scan

B. 0(ra$ tomograph$

. omputed tomograph$

!. 29

-. ltrasound


46/76

N45A

#lide +

A college student who lives in the dorm comes to the

-! with the complaint of a severe headache. A non(

contrast T e5am is performed and is reportednormal. A 29 with contrast is performed and

reported normal. A further ph$sical e5am reveals

some rigidit$. Which of the following conditions ma$

be present and still have a normal T and 29 e5am?

A. #ubarachnoid bleedB. %neumocephalus

. %ituitar$ macroadenoma

!. 2eningitis

-. Active multiple sclerosis


47/76

G46A

#lide +

An inpatient has a speech patholog$ evaluation in

radiolog$ and received barium contrast of various

viscosities as part of the e5am protocol. Theattending calls radiolog$ and wants to order a T

abdomen with contrast. What is the problem in

doing this stud$?

A. There is actuall$ no issue in doing the T

stud$.B. The 4 contrast will react with the oral

contrast that the patient received

. The contrast given b$ speech will result in

strea/ artifacts and limits detail of small

structures

!. The oral contrast that would be given to T

will result in diarrhea


48/76

#lide +

This radiograph is

demonstrating what

portion of the


49/76

#lide +

The patient shows

e5tensive retroperitoneal

adenopath$ )ust diagnosedb$ percutaneous biops$ as

l$mphoma. %atient )ust

returned from -9%

complaining of abdominal

pain. What is the critical

finding?

A. leus

B. 9etroperitoneal

adenopath$

. 9ight h$dronephrosis

!. 3ree air-. #ubcutaneous edema

G48A


50/76

#lide +

This male complains of pain shooting into his

right scrotum. =ou identif$ a hernia on ph$sical

e5am and was confirmed b$ T which was

ordered to determine if a ureteral stone was

present which can give radiating pain. What is

the potential complication of this T finding?

A. "$dronephrosis

B. Ascites

. #mall bowelobstruction

!. @arge bowel

obstruction

-. Bowel

perforation

G49A


51/76

G50A

#lide +

This radiograph of the abdomen was ta/en inwhat position?

A. pright

B. %rone

. @eft lateral decubitus

!. 9ight lateral decubitus


52/76

#lide +

This radiograph is an

e5ample&

A. pper


53/76

#lide +

This clinical s$mptom most

fre;uentl$ occurs in older

patients with complaint of

@@Q pain. The primar$

diagnosis would be which

of the following?

A. #mall bowel obstruction

B. @arge bowel obstruction

. ntususception

!. !iverticulitis

G52A


54/76

#lide +

The supine abdominal 0(ra$

shows abnormal bowel pattern.This presentation is

characteristic for which of the

following&

A. @arge bowel obstruction

B. #mall bowel obstruction

. olonic volvulus

!. Bowel perforation

G53A


55/76

#lide +

This image was ta/en at 7 hours after the patient

began drin/ing barium. The finding is an e5ampleof&

A. #mall bowel intususception

B. #mall bowel obstruction

. #mall bowel foreign bod$

!. olonic obstruction

G54A


56/76

#lide +

The pertinent findings of this

B is which of thefollowing&

A. !istended small bowel of

obstruction

B. A distended bladder

. An appendolith!.


57/76

G56A

#lide +

What pertinent anatom$ is commonl$ e5cluded

when ordering a T abdomen?

A. idne$s

B. Aortic bifurcation

. Appendi5

!. #pinal cord conus

-.


58/76

G57A

#lide +

Which of the following studies is the e5am of choicefor assessing right upper ;uadrant pain in a patient

who has fasted at least + hours?

A. Nuclear medicine biliar$ scan

B. T abdomen without contrast

. 29%!. ltrasound

-. -9%


59/76

G58A

#lide +

The reason for wanting a patient fasting prior to

evaluating the gallbladder with ultrasound is

which of the following&

A. 3asting permits the patient to become

slightl$ more s/inn$ before the e5am.

B. 3asting minimizes the patient from vomiting

on the sonographer

. 3asting /eeps the bell$ from being bloated!. 3asting improves visibilit$ of the gallbladder

lumen b$ permitting increase gallbladder

distention


60/76

G59A

#lide +

n the nited #tatesC the most commonC rapid and

sensitive e5am for detecting appendicitis is b$ which

modalit$?

A. ltrasound

B. Appendiceal barium enema

. #mall bowel follow through

!. omputed tomograph$

-. 29


61/76

#lide +

The arrow is directed to

what patholog$?

A. !iverticulitis

B. !ilated ureter fromdistal stone

. rohns disease

!. Appendicitis

-. %soas abscess

G60A


62/76

O61A

#lide +

0(ra$s were discovered in 1DE b$ a ph$sicistC who

subse;uentl$ earned a Nobel %rice. What is the nameof that individual?

A. Albert -instein

B. Wilhelm 9ontgen

. Ni/ola Tesla

!. 2a5 %lanc-. -nrico 3ermi


63/76

O62A

#lide +

The father of osteopath$ was an 2.!. and created

the first osteopathic medical school in 2issouri in

1DE*. That individual>s was?

A. Fohns "op/ins

B. !aniel %almer

. #amuel "ahnemann

!. Andrew #till

-. Benedict @ust


64/76

O63A

#lide +

The most common intravenous contrast

used in radiolog$ for T and 0(ra$s

contains which radiodense material?

A. Barium sulfate

B. 2agnesium

. odine

!. @ead

-. 3erritin


65/76

O64A

#lide +

A pregnant patient presents with histor$ of !4T andshortness of breath. =ou are concerned for a

pulmonar$ embolus. Which of the following tests

most fre;uentl$ used toda$ would result in the

lowest radiation dose to the fetus?

A. Nuclear 46Q scanB. Nuclear perfusion scan

. TA chest with 4 contrast

!. 29 of the chest


66/76

O65A

#lide +

A pregnant patient presents with fever and

right lower ;uadrant pain. Which e5am

would be first choice to assess for

appendicits?

A. T abdomen6 pelvis with 4 contrast

B. T abdomen6 pelvis without 4 contrast

. 29 of the abdomen6 pelvis

!. ltrasound of the abdomen6pelvis

-. #ingle contrast barium enema


67/76

O66A

#lide +

=ou are unsure which radiolog$ e5am to order

in a patient with particular s$mptoms. Whichof the following evidence based resources

would be the best resource that stratifies the

appropriateness of the e5am on a scale of 1(E?

A. magewisel$.org

B. magegentl$.org. 9adiolog$info.org

!. A9.org6Qualit$(#afet$6Appropriateness(

riteria


68/76

O67A

#lide +

=ou are ordering an e5amination in a patient with a

histor$ of contrast allerg$ manifested b$ hives.

Which of the following drugs is not usuall$ used for

pre(medicating the patient prior to receiving

contrast?

A. Bendadr$l

B. %rednisone GsteroidH

. Ativan

!. imetidine


69/76

O68A

#lide +

%rior to performing an interventional radiolog$

procedureC the patients blood clotting factors areevaluated. %latelets is one of the factors that can affect

bleeding complications with percutaneous drainage

procedures and biopsies. The lower limits most commonl$

accepted b$ interventional radiolog$ is which of the

following?

A. *C888 platelets per microliter

B. 8C888

. 188C888

!. 18C888


70/76

O69A

#lide +

!iabetic patients can be challenging to image whengadolinium intravenous contrast is re;uired. Which of

the following is a potential complication if a patient

with diminished renal function with


71/76

O70A

#lide +

A patient with bulimia and anore5ia presents withupper abdominal pain. The pancreas enz$mes are

abnormal. s statureC which of the

following e5ams would be first choice to assess the

pancreas?

A. 29

B. ltrasound

. T

!. -9%


72/76

O71A

#lide +

9adiation safet$ should be a consideration for

all ionizing imaging studies. There areguidelines that spell out how much occupational

radiation an individual should be e5posed. A

patient needs to be held to facilitate obtaining

an 0(ra$. Who should be first choice to hold the

patient?

A. The ordering ph$sician

B. The radiolog$ technologist

. The radiologist

!. The famil$ member or careta/er

-. The )anitor in radiolog$


73/76

O72A

#lide +

%atient presents to the -! with substernal pain

after eating stea/ and had the sensation that

something is stuc/ in his throat. After clearing for

a cardiac etiolog$C an esophogram is ordered.

9adiologist identifies an obstruction mass thatloo/s li/e food at the


74/76

O73A

#lide +

%atient presents with hematuria without flan/

pain. An ultrasound of the /idne$s is ordered and

the ultrasound report states the /idne$s appear

within normal limits without mass or

h$dronephrosis. Which of the following should be

of greatest concern?

A. A normal ultrasound e5cludes the possibilit$ ofa mass.

B. A normal ultrasound can e5ist in the presence

of renal carcinoma.

. t is unli/el$ a stone is a cause of hematuria

since there was never an$ pain and there is no

prior histor$ of stones from the patient.!. A normal ultrasound without h$dronephrosis

can e5ist in the presence of a small ureteral

stone.


75/76

O74A

#lide +

nterventional radiologist is a subspecialt$ in radiolog$.

ndividuals in this subspecialt$ can t$picall$ do all ofthe following procedures e5cept for one procedure.

Which of the following procedures is not normall$

accomplished b$ interventional radiologist?

A. @ung biops$

B. Arterial and venous stenting. Tumor ablation with internal radiation

!. Abscess drainage

-. oronar$ arter$ angiograph$


76/76

O75A

#lide +

A patient has multiple 0(ra$s ta/en in the A. A

pregnant nurse refuses to care for the patientsince she is fearful that residual radiation can

harm her 1sttrimester fetus. "ow much radiation

can remain after multiple portable 0(ra$s?

A. 8 rad J There is no residual radiation for

diagnostic 0(ra$sB. 8. rad

. 1 rad

!. rads

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