RADIOLOGY Multiple Choice Questions :- 9.

Best mode of imaging for suspected uric acid calculi is

a) Plain film of abdomen
1.The overall heart size in tetralogy of Fallot is usually b) Ultrasonography
a) Markedly enlarged c) Intravenous pyelography
b) Normal or relatively small d) Radionuclides.
c) Slightly enlarged Ans:c
d) Moderately enlarged. 10. Solitary nodule lung cannot be
Ans:b a) Tuberculoma
2.Diagnosis of aortic calcification is done by fluoroscopy b) Neurofibroma
by seeing c) Bronchogenic carcinoma
a) Side to side movement d) Lymphoma
b) Up and down movement Ans:d
c) Combined movement 11. Angle of trachea is increased in which chamber of
d) None heart enlargement
Ans:a a) Left atrium
3.In Urinary tract tuberculosis, frequent finding on plain b) Right atrium
film of abdomen is c) Left ventricle
a) Mass d) Right ventricl
b) Ileus Ans:a
c) Calcification 12. Medusa lock appearance in X- ray seen in
d) Psoas abscess a) ascariasis
Ans:c b) Tapeworm
4.Pericardial calcification is caused by all except c) Hookworm
a) Radiotherapy to the mediastinum d) Ascaris and tapeworm
b) Methysergide therapy Ans:a
c) Anticoagulant therapy 13. Signs of increased intracranial tension in a child in a
d) Benign pericarditis skull X-ray
e) Dermatomyositis a) Separation of the sutures
Ans:e b) Tense anterior fontanelle
5.Cystic dilation of collecting tubules are seen in c) Silver beaten appearance of the bones
a) Adult polycystic kidney d) All of the above
b) Medullary sponge kidney Ans:d
c) Horse shoe shaped kidney 14. Echoenecpahalography is most useful for detecting
d) Nephroblastoma a) Ventricular dilatation
Ans:b b) Midline shift
6.During angiocardiography the mitral valve is best c) Epilepsy
visualized in the d) Vascular lesions
a) Frontal view Ans:a
b) Lateral view 15. X-rays are modified
c) Right anterior oblique view a) Protons
d) None of the above. b) Electrons
Ans:c c) Neutrons
7. The X-ray finding of small intestinal malabsorption d) Positrons
syndrome are all except Ans:b
a) Increased transit time 16. “Sentinel loop” appearance on X-ray is seen
b) mucosal atrophy a) Acute pancreatitis
c) Dilatation of bowel b) Chronic pancreatitis
d) Flocculation of Barium c) Intestinal obstruction
Ans:a d) Acute appendicitis
8. Right side of mediastinal shadow is not formed by Ans:a
a) SVC 17. The “Target Sign” sonographically means
b) right innominate a) Ovarian carcinoma
c)RA b) Ectopic kidney
d)RV c) Intussusception
Ans:d d) Liver metastasis
Ans:c
18. Osteosclerotic bone secondaries are seen in 27. Contrast used for MRI
a) Carcinoma thyroid a)GDPA
b) Carcinoma prostate b) Radium
C) Carcinoma stomach c) Iridium
d) Carcinoma lung d)TDT
Ans:b Ans:a
19.Water soluble contrast media used for myelography is 28. Saw tooth appearance on abdominal X-ray is seen in
a) Metrizamide a) Prediverticular state
b) Dianosil b) Multiple polyposis
c) Conray c) Spastic colon
d) Iohexol d) Ischemic enteritis
Ans:a Ans:b
20.Most sensitive test for metastatic deposit is 29. Increased radiolucency of one sided hemithorax may
a) Isotope scan be caused by all except
b) CT Scan a) Obstructive emphysema
c) Skeletal survey b) Pneumothorax
d) Tomography c) Expiratory film
Ans:b d) Patient rotation
21.Best imaging modality to diagnose liver mass is Ans:c
a) Plain film 30. Gas in biliary tract is not due to
b) Angiography a) Perforated gastric ulcer
c) C. T. Scan b) Necrotizing enterocolitis
d) Nuclear Scan c) Biliary surgery
Ans:d d) Post-gastrectomy
22.Characteristics of Benign tumour of lung in X -ray is Ans:a
a) Size > 5 cms diameter 31. Egg shell calcification in hilar region is seen in
b) Cavitation a) Penumoconiosis
c) Peripheral location b) T. B.
d) Concentric dense calcification. c) Sarcoidosis
Ans:d d) Aneurysms
23.Scalloping of the edges of sigmoid colon on barium Ans:a
enema is seen in 32. Basal ganglia calcification is not seen in
a) Diverticulitis a) Wilson’s disease
b) Crohn’s disease b) Berry anerurysm
c) Pneumatosis intestinalis c) Cysticercosis
d) Ulcerative colitis d) Hemangioma
Ans:c Ans:a
24. Widening of the C loop in X-ray is diagnostic of 33. Calcification of meniscal cartilage is a feature of
a) Chronic pancreatitis a) Acromegaly
b) Carcinoma head of pancreas b) Hyperparathyroidism
c) Periampullary carcinoma c)Reiter’s syndrome
d) Calculi in the ampulla of vater d) Pseudo gout
Ans:b Ans:d
25. AH are features of Medulloblas toma except 34. Sun ray appearance is seen in
a) Radio resistant a) Osteoclastoma
b) Highly radio sensitive b) Fibrous dysplasia
c) Occurs in first decade c) Osteosarcoma
d) Coarctation of aorta d)TDT d) Chondrosarcoma
Ans:a Ans:c
26. Notching of ribs on X- ray is seen in 35. Investigation of choice in Traumatic paraplegia is
a) PDA a) MRI
b) ASD b) CT Scan
c) Ebsteins anomaly c) Myelography
d) Coarctation of aorta d) Spine X – ray
Ans:d Ans:a
36. Interosseous skeletal tumour is best diagnosed by 45. Multiple translucent cysts on X- ray are found in the
a) Plain X-ray chest. Differential diagnosis includes all except
b) NMR a) Congenital diaphragmatic hernia
c) CT scan b) Congential adenomatoid bronchogenic diseases
d) CT with scintiscan c) Lobar agenesis
Ans:b d) Bilateral multiple cysts
37. Notching of Ribs is seen in Ans:c
a) Tuberculosis 46. Onion peel appearance is seen in
b)VSD a) C iteoclastoma
c) Coarctation of aorta b) Chondrosarcoma
d) Bronchiectasis c) Osteosarcoma
Ans:c d) Ewings sarcoma
38.Laminated appearance of X-ray is suggestive of Ans:d
a) Ewing’s sarcoma 47. IVU is not done in
b) Osteoid osteoma a) Multiple myeloma
c) Osteoclastoma b) Secondaries in bone
d) Multiple myeloma c) Leukaemia
Ans:a d) Renal tumours
39.Full colonic preparation of Barium Enema is contra Ans:a
indicated in all except 48. When bones show a ‘Bone within bone’ appearance
a) Acute exacerbation of ulcerative colitis this is indicative of
b) Irritable bowel syndrome a) Sickle cell anemia
c) Hirschsprung’s disease b) Bone infarction
d) Colonic obstruction c) Osteopetrosis
Ans:b d) Chronic myelogenous leukaemia
40.Right border of the heart in a chest X-ray, is not Ans:c
formed by 49. The best view to visualize minimum
a)fVC pneumoperitoneum is
b)SVC a) Ap view of abdomen
c) Right atrium b) Erect film of abdomen
d) Aorta c) Right lateral decubitus with horizontal beam
Ans:d d) Left lateral decubitus with horizontal team
41. Pulmonary embolism is best diagnosed by Ans:d
a) X-ray chest 50. In fluorescein angiography, dye is injected in
b) Enzyme estimation a) Anterior cubital vein
c) Radionucleus b) Femoral artery
d) Blood gas analysis c) Femoral vein
Ans:c d) Aorta
42. Right lung is seen to best advantage on the following Ans:a
view 51. All of the following are true about iodinated
a) Right posterior oblique intravascular contrast media xcept
b) Right anterior oblique a) They are used in digital subtraction angiography
c) Left anterior oblique b) They are radio opaque
d) Lateral c) They can cause anaphylactic reactions
Ans:b d) They are used in magnetic resonance imaging
43. Early change of pulmonary edema in CXR e) They are excreted mainly by the kidneys
a) Batswing appearance Ans:d
b) Pleural effusion 52. Rib notching is produced by
c) Kerley B lines a) Coarctation of Aorta
d) Ground glass lung field b) Neurofibromatosis
Ans:c c) Superior vena caval obstruction
44. Investigation to differentiate between pericardial d) All of the above
effusion and heart dialation includes Ans:d
a) X-ray 53. Widening of the C loop in X- ray is diagnostic of
b) Fluoroscopy a) Chronic pancreatitis
c) Echocardiogram b) Carcinoma head of pancreas
d) CT scan c) Periampullary carcinoma
Ans:c d) Calculi in the ampulla of vater Ans:b
54. Which of the following is not a contra indication for I 63. The most common cause of spontaneous
VP? pneumothorax is
a) Renal infection a) Rupture of subpleural blebs
b) Hyperpyrexia b) Pulmonary tuberculosis
c) Multiple myeloma c) Bronchial adenoma
d) Skeletal metastases d) Bronchogenic carcinoma
Ans:d Ans:a
55.Perihilar fluffy opacities on chest x-ray is seen in 64. Bull’s eye lesion in ultrasonography is seen in
a) Pulmonary embolism a) Candidiasis
b) Pericardial effusion b) Aspergillosis
c) Pulmonary arterial hypertension c) Sporotrichosis
d) Pulmonary venous hypertension d) Cryptococcosis
Ans:d Ans:a
56.An aneurysm of the sinus of Valsalva usually arise 65. Newborn Chest x-ray with Respiratory distress shows
from multiple air containing lesions in Left Hemithorax and
a) Right aortic sinus mediastinal shift is suggestive of
b) Left aortic sinus a) Neonatal emphysema
c) Posterior aortic sinus b) Diaphragmatic hernia
d) pulmonary outflow tract c) Pneumatocele
e) Right ventricle d) congential lung fcysts
Ans:a Ans:b
57.Sequestration lung is best diagnosed by 66. Radiologically appreciable earliest sign of
a)C.TScan osteomyelitis is
b) M.R.I. a) Loss of muscle and fat planes
c) Barium swallow b) Periosteal reaction
d) Angiography c) Callus formation
Ans:d d) Presence of sequestrum
58.Superior Orbital fissure best view is Ans:a
a) Plain AP view 67. Hilar dance on fluoroscopy is seen in
b) Cladwell a)ASD
c) Townes b)TOF
d) Basal view c)VSD
Ans:d d)TGV
59.Which imaging method is ideal in evaluating Ans:a
hypertension ? 68.Obliteration of Left heart border in PA chest X-ray is
a) Angiography suggestive of
b) Colour flow Doppler a) Lingular pathology
c) M. R. angio b) Left upper lobe lesion
d) C. T scan c) Left hilar lymph nodes
Ans:c d) Left lower lobe lesion
60.Commonest cause of intracranial calcification is Ans:a
a) Pineal calcification 69.Which of the following is the best test for screening a
b) Intracranial aneurysm case of proximal internal carotid artery stenosis
c) Meningioma a) Digital subtraction angiography
d) Tuberculoma b) Magnetic resonance angiography
Ans:a c) colour Doppler ultrasonography
61. Isotope used in myocardial perfusion scan is d) CT angiogram
a) Technetium Ans:c
b) Thallium 70.In a case of renal failure with total anuria, ultrasound
c) Stannous pyrophosphate was found to be normal. Next line of investigation is
d) Gallium a) Retrograde pyelography
Ans:b b) IVP
62. Best diagnostic procedure in acute pancreatitis is c) Anterograde pyelography
a) CT Scan d) DTPA renogram
b) Ultrasound Ans:b
c) M. R. I.
d) Pipida scan
Ans:a
71. In the plain film of the abdomen small bowel 80.Contrast used in liver scan is
obstruction can be diagnosed by a) Biligraffin
a) Central location b) 1131 Rose Bengal
b) Volvulae connivantes can be made out c) Gallium 238
c) In the erect film, air fluid levels d) Thallium 201
d) All of the above Ans:b
Ans:d 81.Best position for chest X-ray to detect Left Pleural
72.The following is not true of MRI effusion is
a) Imaging perfusion of brain a) Left lateral
d) Superior to CT scan for bone scanning b) Supine
c) Blood vessels visualized without contrast c) Left lateral decubitus
b) presence of Hydrogen ions d) Right lateral decubitus
Ans:a Ans:c
73.Hydrocephalus in children, first seen is 82.The number of carpal bones seen in a radiograph of
a) Sutural diastesis an infant is
b) Post clinoid erosion a)0
c) Large head d)5
d) Thinned out vault c)3
Ans:b b)2
74. The characteristic X-ray feature of Pancoast tumour e)6
is Ans:c
a) Coin shadow 83.Investigation of choice to demonstrate vesico ureteric
b) Apical consolidation reflex
c) Apical mass lesion with erosion of neck of 1 & 2 ribs a)IVP
d) Hilar mass b) Ultra sound
Ans:c c) contrast MCU
75.In nephrogram, one sees d) Cystoscopy
a) Renal capillaries Ans:c
b) Renal pelvis 84.Parallel shotgun appearance on ultrasound is seen in
c) Only renal cortex a) Portal hypertension
d) Collecting tubules b) Biliary ascariasis
Ans:d c) Obstructive jaundice
76.Ultrasonogram is not useful in d) Sclerosing cholangitis
a) CBD stones at the distal end of the CBD Ans:c
b) Breast cyst 85.Radiolucent munilocular cyst of the body of mandible
c) Ascites is
d) Full Bladder a) Abscess
Ans:a d) Adamantinoma
77.Suprasellar calcification is seen in c) Dentigerous cyst
a) Craniopharyngioma d) Adamantinoma
b) Meningioma Ans:d
c)Conray480 86)Best method of detecting minimal bronchiectasis is
d) Conray 540 a) Abscess
Ans:a b) Dental cyst
78.IVP is done using c) Dentigerous cyst
a)Conray240 d) Radio nuclide lung scan
b)Conray380 Ans:c
c) Calcified pineal gland 87.The photosensitive material used in X-rays films
d) Pituitary adenoma consists of
Ans:c a) Cellulite
79. Calcification in Heart Wall is suggestive of b) Silver bromide
a) Scleroderma c) Zinc sulphide
b) Carcinoid Syndrome d) Cadmium tungstate
c) Fibroelastosis Ans:b
d) Endomyocardial ibrosis
Ans:b
88.Water lilly appearance in chest X-ray is suggestive of 98.Stryker’s view is used in shoulder joint to visualize
a) Bronchiectasis a) Muscle calcification
b) Bronchopleural fistula b) Recurrent subluxation
c) Hydatid cyst c) Sub acromial calcification
d)Sequestration cyst lung d) Bicipital groove
Ans:c Ans:b
89. Retroperitoneal air is not manifested by air along 99. The investigation of choice in acute renal failure with
a) Psoas margins complete anuria and normal USG
b) Perinephric area a) Renal angiography
c) Along spleen b) DPTA
d) Adrenals c) IVP
Ans:c d) Retrograde pyelography
90.The cause of homogenous opacity on X-ray is all Ans:b
except 100. ‘H’shaped vertebra is seen in
a) Pleural effusion a) Phenylketonuria
b) Diaphragmatic Hernia b) Sickle cell anemia
c) Massive consolidation c) Hemangioma
d)Emphysema d) Osteoporosis
Ans:d Ans:b
91.1ntracranial calcification in skull X-rays may be
a) Pineal calcifications
b) Dural calcifications
c) Cysticercosis
d) All of the above
Ans:d
93.Parasites that may show calcification on radiographs
include
a) Cysticercosis
b) Guinea worm
c)Amoebiasis
d) Loa Loa
Ans:a
94.Investigation of choice for Multiple sclerosis
a) MRI
b) CT Scan
c) X-ray
d)EEG
Ans:a
95.Investigation of choice to diagnose sub arachnoid
haemorrhage
a) MRI angiography
b) 4 vessel carotid angiography
c) CT scan
d) T2 wave MR
Ans:b
96.Pulmonary embolism is best diagnosed by
a)ECG
b) Perfusion scan
c) Angiography
d) Plain X-ray
Ans:c
97.Radiological signs of perforated viscus include
a) Gas under the dome of the diagphram
b) Falciform ligament is visualized
c) Air surrounding the bowel is present
d) All of the above
Ans:d