bingo powerpoint v3 answers azcom radiology
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Radiology
Bingo
Question and Answer
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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
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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$lar
!. None of the above
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B4A
#lide 1
The #alter("arris #$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
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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$s on.
!. !o nothing and let him
go home since he came
in on his own accord.
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#lide 1
This pediatric patient come
into the -! after hurting their
foot pla$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$sis
B6A
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#lide 1
B7AThe arrows are noting
what findings of the
elbow?
A. A fat pad from )oint
effusion
B. A )oint effusioin
. Torn muscle
!. nfection
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#lide 1
%ediatric patient presents
after being a passenger in
an 24A. The ma5imummeasurement between
16* is different between
adults and children. The
ma5imum distance in
should should not e5ceed
how man$ mm.
A. * mm
B. mm
. 7 mm
!. 18 mm
B8A
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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$!. 29 without : with contrast
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B10A
#lide 1
This t$pe of fracture in a
pediatric patient has a
uni;ue description. t canbe described as a&
A. Torus fracture
B. olles fracture
.
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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
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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
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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
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#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
!.
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#lide 1
The fracture of the
wrist is involving
which bone?
A. @unate
B. apitate
. Tri;uetrum
!. #caphoid
B15A
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#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
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#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
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I18A
#lide +
The white outhemithora5 most li/el$
from&
A. Atelectasis of the
left lung
B. A large left pleural
effusion. A large right
pneumothora5
!. %neumonia in the
left lung
-. nilateral
pulmonar$ edema
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#lide +
The white out
hemithora5 most li/el$
from&A. Atelectasis of the
left lung from
mucous plug
B. A large left pleural
effusion
. A large rightpneumothora5
!. %neumonia in the
left lung
-. @eft lung atelectasis
from low l$ing -TT.
I19A
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I20A
#lide +
The white outhemithora5 most li/el$
from&
A. Atelectasis of the
left lung
B. A large left pleural
effusion. Atelectasis left lung
from mucous plug.
!. %neumonia in the
left lung
-. @eft lung removed
from prior surger$
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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.
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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
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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$mptoms&
A. Both lungs are clear without edema
B. #mall heart with a right sided aortic arch
. A right sided tension pneumothora5 with shift of theheart to the left
!. A less than right sided apical pneumothora5
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I24A
#lide +
A patient is in chronic renal failure but not
undergoing dial$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
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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
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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
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#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
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I29A
#lide +
The oval mar/er is positioned in
which lobe?
A. 9ight pper @obeB. 9ight 2iddle @obe
. 9ight @ower @obe
!. @ingula
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#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
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N31A
#lide +
%atients presents to $our office with the chief
complaint persistent increasing dizziness at rest andpostural changes. Which cranial nerve and imaging
e5am would be best to evaluate?
A. N 4 and T of the brain with contrast
B. N 4 and T of the brain with contrast
. N 4 and 29 brain without contrast!. N 4 and 29 brain without and with contrast
-. N 4 and 29 brain without and with contrast
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#lide +
%atient presents with leftsided wea/ness. The pertinent
T finding is&
A. Acute intracranial bleed
B. 2idline shift
. #ubdural hematoma!. -dema of an ischemic
infarct
N32A
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N33A
#lide +
%atient presents with left sidedwea/ness. The pertinent T
finding is&
A. Acute intracranial bleed
from infarct
B. 2idline shift. #ubdural hematoma
!. -dema of an ischemic
infarct
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N34A
#lide +
The primar$ 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
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#lide +
The primar$ finding of the
T brain is&
A. -pidural hematoma
B. Acute brain infarct
. 2eningioma
!. #ubdural hematoma
-. Brain abscess
N35A
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#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
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#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
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#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
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N39A
#lide +
The arrow is pointing to
what anatomic structure?
A. isterna magna
B. +rdventricle
. ,thventricle
!. %ineal gland
-. %ontine cistern
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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
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#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
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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!.
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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$
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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
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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
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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
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#lide +
This radiograph is
demonstrating what
portion of the
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#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$dronephrosis
!. 3ree air-. #ubcutaneous edema
G48A
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#lide +
This male complains of pain shooting into his
right scrotum. =ou identif$ 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. "$dronephrosis
B. Ascites
. #mall bowelobstruction
!. @arge bowel
obstruction
-. Bowel
perforation
G49A
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G50A
#lide +
This radiograph of the abdomen was ta/en inwhat position?
A. pright
B. %rone
. @eft lateral decubitus
!. 9ight lateral decubitus
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#lide +
This radiograph is an
e5ample&
A. pper
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#lide +
This clinical s$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
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#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
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#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
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#lide +
The pertinent findings of this
B is which of thefollowing&
A. !istended small bowel of
obstruction
B. A distended bladder
. An appendolith!.
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G56A
#lide +
What pertinent anatom$ is commonl$ e5cluded
when ordering a T abdomen?
A. idne$s
B. Aortic bifurcation
. Appendi5
!. #pinal cord conus
-.
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G57A
#lide +
Which of the following studies is the e5am of choicefor assessing right upper ;uadrant pain in a patient
who has fasted at least + hours?
A. Nuclear medicine biliar$ scan
B. T abdomen without contrast
. 29%!. ltrasound
-. -9%
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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
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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
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#lide +
The arrow is directed to
what patholog$?
A. !iverticulitis
B. !ilated ureter fromdistal stone
. rohns disease
!. Appendicitis
-. %soas abscess
G60A
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O61A
#lide +
0(ra$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
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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
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O63A
#lide +
The most common intravenous contrast
used in radiolog$ for T and 0(ra$s
contains which radiodense material?
A. Barium sulfate
B. 2agnesium
. odine
!. @ead
-. 3erritin
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O64A
#lide +
A pregnant patient presents with histor$ 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
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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
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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$6Appropriateness(
riteria
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O67A
#lide +
=ou are ordering an e5amination in a patient with a
histor$ 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$l
B. %rednisone GsteroidH
. Ativan
!. imetidine
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O68A
#lide +
%rior to performing an interventional radiolog$
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
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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
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O70A
#lide +
A patient with bulimia and anore5ia presents withupper abdominal pain. The pancreas enz$mes are
abnormal. s statureC which of the
following e5ams would be first choice to assess the
pancreas?
A. 29
B. ltrasound
. T
!. -9%
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O71A
#lide +
9adiation safet$ 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$
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%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$C an esophogram is ordered.
9adiologist identifies an obstruction mass thatloo/s li/e food at the
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%atient presents with hematuria without flan/
pain. An ultrasound of the /idne$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$dronephrosis
can e5ist in the presence of a small ureteral
stone.
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nterventional radiologist is a subspecialt$ 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$
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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