1.
The most radiosensitive tissue is
Correct Answer
B. Bone marrow
Explanation
Bone marrow is the most radiosensitive tissue because it contains a high number of rapidly dividing cells, such as stem cells and progenitor cells. These cells are highly susceptible to damage from ionizing radiation, which can lead to a decrease in the production of blood cells and impair the immune system. Damage to the bone marrow can result in severe health effects, including anemia, increased risk of infection, and bleeding disorders. Therefore, protecting the bone marrow from radiation exposure is crucial in radiation therapy and other situations involving ionizing radiation.
2.
Kerely B-lines represent
Correct Answer
D. Thickened interlobular septa
Explanation
Kerely B-lines are commonly seen on chest X-rays and represent thickened interlobular septa. These septa are the connective tissue partitions that separate the lobules of the lungs. When they become thickened, it can be a sign of various lung conditions, such as interstitial lung disease or pulmonary edema. The presence of Kerely B-lines indicates an abnormality in the lung tissue and can help in diagnosing the underlying cause of the condition.
3.
Water lily appearance is chest X-ray suggestive of
Correct Answer
C. Hydatid cyst
Explanation
A water lily appearance on a chest X-ray is suggestive of a hydatid cyst. Hydatid cysts are caused by a parasitic infection called echinococcosis, which is commonly found in areas where livestock is raised. The cysts typically form in the liver or lungs and can have a characteristic appearance on imaging, resembling a water lily. This appearance is due to the cyst's internal structure, which consists of multiple daughter cysts surrounded by a thick outer wall. Treatment usually involves surgical removal of the cyst and antiparasitic medications.
4.
Lymphography is most commonly employed for
Correct Answer
B. Hodgkin's disease
Explanation
Lymphography is most commonly employed for Hodgkin's disease because it helps in identifying the spread and involvement of lymph nodes in this type of cancer. Lymphography involves injecting a contrast dye into the lymphatic system and taking X-ray images to visualize the lymphatic vessels and lymph nodes. Hodgkin's disease is a type of lymphoma that primarily affects the lymphatic system, so lymphography can be useful in determining the extent of the disease and planning appropriate treatment strategies.
5.
Inverted 3 or epsilon appearance of duodenal loop in lesions of head of pancreas
Correct Answer
A. Frostberg sign
Explanation
The Frostberg sign refers to the inverted appearance of the duodenal loop in lesions of the head of the pancreas. This sign is named after the radiologist, Dr. Frostberg, who first described it. In cases where there is a tumor or lesion in the head of the pancreas, it can cause compression or displacement of the duodenal loop, leading to its inverted appearance on imaging studies. This sign is helpful in diagnosing pancreatic head lesions and can aid in determining the extent and location of the lesion.
6.
Bead cystogram is used for the diagnosis of
Correct Answer
B. Stress incontinence
Explanation
A bead cystogram is a diagnostic procedure that involves injecting contrast material into the bladder to visualize its structure and function. Stress incontinence is a condition characterized by the involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. By performing a bead cystogram, healthcare professionals can assess the integrity of the bladder and identify any abnormalities or weaknesses that may contribute to stress incontinence. Therefore, a bead cystogram is used for the diagnosis of stress incontinence.
7.
Meckel's diverticulum is best diagnosed by
Correct Answer
D. Tc99 pertechnetium scan
Explanation
Meckel's diverticulum is a small pouch that forms in the wall of the small intestine. It is best diagnosed by a Tc99 pertechnetium scan. This scan involves injecting a small amount of radioactive material into the bloodstream, which is then absorbed by the diverticulum if present. The radioactive material can be detected using a special camera, allowing doctors to visualize the diverticulum and confirm the diagnosis. X-ray, ultrasound, and CT scan may also provide some information, but they are not as effective as the Tc99 pertechnetium scan in diagnosing Meckel's diverticulum.
8.
Widening of the C-loop in X-ray is diagnostic of
Correct Answer
B. Carcinoma head of pancreas
Explanation
The widening of the C-loop in X-ray is diagnostic of carcinoma head of pancreas. This is because the C-loop refers to the duodenal loop, which is the part of the small intestine that is closest to the head of the pancreas. In cases of carcinoma in the head of the pancreas, the tumor can cause obstruction and enlargement of the C-loop, leading to the characteristic widening seen on X-ray. This finding is not typically seen in chronic pancreatitis, periampullary carcinoma, or calculi in the ampulla of Vater.
9.
Hilar dance on fluroscopy is seen in
Correct Answer
A. ASD
Explanation
Hilar dance on fluoroscopy refers to the abnormal movement of the hilar region of the lungs during breathing. This is commonly seen in patients with ASD (atrial septal defect). ASD is a congenital heart defect where there is a hole in the wall separating the two upper chambers of the heart. The increased blood flow through the defect causes the hilar region to move more prominently on fluoroscopy. This finding is not typically associated with the other conditions mentioned (TOF, VSD, TGV).
10.
Following are radiological changes in Tetralogy of Fallot, except
Correct Answer
B. Cardiomegaly
Explanation
Tetralogy of Fallot is a congenital heart defect characterized by four abnormalities, including a ventricular septal defect, pulmonary stenosis, overriding aorta, and right ventricular hypertrophy. Cardiomegaly refers to an enlarged heart, which is a common finding in Tetralogy of Fallot due to the increased workload on the right ventricle. Therefore, the correct answer is "Cardiomegaly". The other options, such as a prominent cardiac apex, prominent pulmonary trunk, and normal right atrial shadow, are all associated with Tetralogy of Fallot.
11.
Tracheal bifurcation is best visualised on which standard view of the chest
Correct Answer
A. Left anterior oblique
Explanation
The left anterior oblique view of the chest provides the best visualization of the tracheal bifurcation. This view allows for optimal imaging of the trachea as it is positioned obliquely to the left side of the chest. By angling the X-ray beam from the front and left side, the left anterior oblique view provides a clear and detailed image of the tracheal bifurcation, which is the point where the trachea splits into the left and right main bronchi.
12.
Pleural effusion without evident lung infiltration is most often due to
Correct Answer
D. Tuberculosis
Explanation
Pleural effusion without evident lung infiltration is most often due to tuberculosis. This is because tuberculosis can cause inflammation and fluid buildup in the pleural space, leading to pleural effusion. Other causes such as viral pleurisy, carcinoma, and lymphoma can also result in pleural effusion, but tuberculosis is the most common cause in the absence of lung infiltration.
13.
Features of increased ICT are following , except
Correct Answer
D. Osteosclerosis
Explanation
Increased ICT (Intracranial Pressure) can lead to various changes in the skull and surrounding structures. Suture separation occurs when the sutures between the bones of the skull widen due to increased pressure. Erosion of the post.clinoid process and ant. clinoid process refers to the erosion or thinning of specific bony structures in the skull base, which can be caused by increased pressure. However, osteosclerosis is the opposite of erosion; it refers to abnormal thickening or increased density of bone. Therefore, osteosclerosis is not a feature of increased ICT.
14.
Signs of increased intracranial tension in a child in a skull X-ray
Correct Answer
D. All of the above
Explanation
The signs of increased intracranial tension in a child in a skull X-ray include separation of the sutures, a tense anterior fontanelle, and a silver beaten appearance of the bones. These signs indicate that there is an increase in pressure within the skull, which can be caused by conditions such as hydrocephalus or brain tumors. The separation of the sutures suggests that the skull bones are expanding to accommodate the increased pressure, while a tense anterior fontanelle indicates increased fluid accumulation in the brain. The silver beaten appearance of the bones refers to the thinning and scalloping of the skull bones, which is another sign of increased intracranial pressure.
15.
Disseminated small nodules with calcification in chest suggest
Correct Answer
C. Cryptococosis
Explanation
The presence of disseminated small nodules with calcification in the chest is suggestive of cryptococosis. Cryptococosis is a fungal infection caused by the Cryptococcus fungus, commonly found in soil contaminated with bird droppings. It primarily affects the lungs but can also spread to other organs. The development of small nodules with calcification is a characteristic finding in cryptococosis, which helps differentiate it from other fungal infections such as histoplasmosis, aspergillosis, and coccidioidomycosis.
16.
Dye used for myelography is
Correct Answer
B. Myodil
Explanation
Myodil is a dye commonly used for myelography, which is a diagnostic procedure that involves injecting a contrast dye into the spinal canal to visualize the spinal cord and nerves. It helps to detect any abnormalities or blockages in the spinal cord or nerve roots. Myodil is a non-ionic oil-based contrast medium that was widely used in the past for myelography. However, it has been discontinued due to its association with adverse effects such as arachnoiditis, a painful inflammation of the spinal cord.
17.
The 'String of beads' or sausage appearance of the renal artery is due to
Correct Answer
C. Medial fibroplasia with aneurysms
Explanation
The 'string of beads' or sausage appearance of the renal artery is due to medial fibroplasia with aneurysms. This condition is characterized by the thickening and narrowing of the arterial wall, leading to the formation of multiple aneurysms or dilations along the artery. The appearance of the artery resembles a string of beads or a sausage due to the alternating areas of narrowing and dilation caused by the fibroplasia. Fibromuscular hyperplasia, subadventitial fibroplasia, and outercoat fibroplasia with aneurysms are not associated with this specific appearance.
18.
The most radiosensitive tissue is
Correct Answer
B. Bone marrow
Explanation
Bone marrow is the most radiosensitive tissue because it contains a high number of rapidly dividing cells, such as hematopoietic stem cells, which are responsible for producing blood cells. These rapidly dividing cells are more susceptible to damage caused by ionizing radiation. Radiation exposure can lead to DNA damage and cell death in the bone marrow, which can result in decreased production of blood cells and increased risk of radiation-related illnesses, such as leukemia. Therefore, protecting the bone marrow from radiation is crucial in minimizing the harmful effects of radiation on the body.
19.
Earliest sign in Rheumatoid Arthritis is
Correct Answer
B. Periarticular osteoporosis
Explanation
Periarticular osteoporosis is the earliest sign in Rheumatoid Arthritis. This refers to the loss of bone density around the joints, which can be seen on imaging tests such as X-rays. This occurs due to inflammation and destruction of the joint tissues caused by the autoimmune response in Rheumatoid Arthritis. Other signs such as decreased joint space, reduced joint space, and periarticular soft tissue swelling may develop later in the disease process.
20.
Thickness of skull is increased in
Correct Answer
C. Hyperparathyroidism
Explanation
In hyperparathyroidism, there is an overproduction of parathyroid hormone (PTH) by the parathyroid glands. PTH plays a role in regulating calcium levels in the body. In hyperparathyroidism, the excessive PTH leads to increased bone resorption, where calcium is released from the bones into the bloodstream. This can result in weakening of the bones and an increase in bone density, including the skull. Therefore, the thickness of the skull is increased in hyperparathyroidism.