Radiology
Section C Batch 2008
GI Module, 3rd Shifting Exam
11.
Upper GIT, Liver, Biliary Tree and Pancreas
1.
This is not a characteristic of a true cyst on
ultrasound.
a. hyperechoic
b. no internal echoes
c. imperceptible wall
d. increased through transmission
2. Pneumoperitoneum on plain film is best identified on
this position:
a. supine
b. sitting
c. upright
d. prone
3. This is not seen on plain film:
a. ascites
b. calculi
c. needles
d. pancreatic enlargement
4. Zenker’s diverticulum is identified during:
a. Oral cholecystogram
b. Pancreatic CT scan
c. Hepatic sonogram
d. esophagography
5. This is a radiographic finding of achalasia during
esophagography
a. Dilated distal esophagus
b. Curly esophagus
c. Smooth tapered distal end
d. Non-dilated proximal esophagus
6. En profile, an ulcer on an UGIS is seen as:
a. Niche
b. Rounded filling defect
c. Concavity
d. Ovoid density
7. The presence of Hampton’s line in an ulcer is
indicative of:
a. Benign nature
b. Malignant nature
c. Indeterminate
d. All of the above
8. A patient presented with a high fever and
leucocytosis. Hepatic complex mass is most likely due
to:
a. Hemangioma
b. Tumor
c. Abscess
d. Adenoma
9. Gallstones are best seen in
a. Ultrasound
b. Nuclear scintigraphy
c. PTC
d. ERCP
10. CT features of early cirrhosis:
a. Enlarged caudate lobe
b. Small right hepatic lobe
c. Nodular hepatic contour
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d. Heterogeneous parenchyma
Gallbladder thickening is seen in:
a. Ascites
b. Liver dysfunction
c. Cholecystitis
d. All of the above
This is not a role of CT scan in acute pancreatitis:
a. Use as a screening test
b. Failure to respond to therapy
c. Complicated pancreatitis
d. Pancreatic necrosis determination
Normal size of the pancreatic duct on ultrasound:
a. 2-3 mm
b. 5-6 mm
c. 7-8 mm
d. 1-1.5 mm
CT findings in pancreatitis:
a. Pancreatic enlargement
b. Decreased density
c. Blurring of gland margin
d. All of the above
The best modality in cases of GB carcinoma is:
a. CT scan
b. Ultrasound
c. ERCP
d. T-tube cholangiogram
Patency of the bile ducts during T-tube
cholangiography is seen by:
a. Run-off into the duodenum
b. Simultaneous visualization of the pancreatic
duct
c. Hepatic extravasation of the dye
d. Backflow into the GB
Radiographic finding in pneumoperitoneum
a. Continuous diaphragm sign
b. Crispy bowel sign
c. Crescentic lucency beneath the right
hemidiaphragm
d. All of the above
Magenblasse on plain film is located at the:
a. RUQ
b. LUQ
c. RLQ
d. LLQ
Fasting prior to these examinations are needed
except in:
a. Esophagography
b. Sonography of the upper abdomen
c. UGIS
d. Contrast CT scan of the liver
Mercedes Benz sign can be seen on:
a. Plain film
b. Ultrasound
c. MRI
d. Nuclear scintigram
GI Bleeding: Diagnostic and Therapeutic Approaches
1.
Technitium 99m labeled RBCs for gastrointestinal
bleeding:
a. Effectively control the GIT bleeding
b.
c.
Can detect bleeding of 0.1 mL per minute
Accurate localization of the site of the
bleeding
d. Best performed after negative result of
angiography
2. Seldinger technique of angiography:
a. Cut-down exposure of the artery
b. Vessel opacification limited to the
antegrade blood flow
c. Selective contrast examination of the
arterial branches
d. Application limited to the vascular system
3. Most common percutaneous puncture site for
angiography
a. Brachial artery
b. Carotid artery
c. Common femoral artery
d. Radial artery
4. Ionic contrast medium:
a. Optiray (Ioversol)
b. Conray (Meglumine Iothalamate)
c. Ultravist (Iopromide)
d. Iopamiro (Iopamidol)
5. Best cather shape for abdominal aortography
a. Cobra catheter
b. Simmon’s cather
c. Berenstein catheter
d. Pigtail catheter
6. [can’t read the question]…on angiography
a. Guidewire
b. Catheter
c. Puncture needle
d. Contrast medium
7. Characteristic angiographic feature of cavernous
hemangioma:
a. Tumor staining
b. Neovascularity
c. Hypervascularity
d. Persistent contrast laking beyond the
venous phase
8. One of the indications of angiography for
preoperative delineation of:
a. Hypervascularities
b. Arterial supplies and draining veins
c. Tumor stainings
d. Neovascularities
9. Angiographic catheter suitable for superior
mesenteric artery cannulation:
a. Headhunter catheter
b. Pigtail catheter
c. Simmon’s catheter
d. Berenstein catheter
10. Diagnostic, palliative and/or therapeutic alternatives
to surgery:
a. Arteriography
b. Interventional radiology
c. Radiation oncology
d. Venography
11. The angiographic guidewire recommended for elderly
individuals:
a. Angled guidewire
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b. Straight guidewire
c. J-tip guidewire
d. Micro guidewire
The visceral vessel initially evaluated in
gastrointestinal bleeding presenting as hematochezia:
a. Gastroduodenal artery
b. Superior mesenteric artery
c. Celiac artery
d. Inferior mesenteric artery
The visceral vessel initially evaluated in
gastrointestinal bleeding presenting as melena:
a. Gastroduodenal artery
b. Superior mesenteric artery
c. Celiac artery
d. Inferior mesenteric artery
Angiography is indicated in cases of subarachnoid
hemorrhage for:
a. Assessement of mass lesions
b. Confirmation of vascular disease
c. Application of transcatheter intervention
d. Preoperative delineation
The percentage of hepatic artery supply to the liver:
a. 60%
b. 80%
c. 20%
d. 40%
The minimum amount of active gastrointestinal
bleeding that can be detected by angiography:
a. 0.1 cc/minute
b. 0.5 cc/minute
c. 1.0 cc/minute
d. 1.5 cc/minute
Source of gastrointestinal bleeding that can be
localized solely based on site of contrast
extravasation:
a. Tumor
b. Arteriovenous malformation
c. Angiodysplasia
d. Ulcer
Distinguishing feature of conventional angiogram as
compared to digital subtraction angiogram:
a. Seldinger technique
b. Direct needle puncture technique
c. Inclusion of the soft tissue and osseous
structures
d. Contrast pressure injector
The percentage of portal vein supply to the liver:
a. 60%
b. 80%
c. 20%
d. 40%
Initial angiographic evaluation of hematochezia is
facilitated through the:
a. Celiac artery
b. Inferior mesenteric artery
c. Superior mesenteric artery
d. Gastroduodenal artery