Radiology Inservice Exam Question Bank
- 1.
![What is the MOST LIKELY diagnosis in this 30-year-old woman (Figures 1 and 2)?Figure 1-Transabdominal image of left ovaryFigure 2-Transabdominal image of right ovary - ProProfs]( "What is the MOST LIKELY diagnosis in this 30-year-old woman (Figures 1 and 2)?Figure 1-Transabdominal image of left ovaryFigure 2-Transabdominal image of right ovary")
What is the MOST LIKELY diagnosis in this 30-year-old woman (Figures 1 and 2)?Figure 1-Transabdominal image of left ovaryFigure 2-Transabdominal image of right ovary- A.
Polycystic ovary disease
- B.
Bilateral serous cystadenomas
- C.
Endometriosis
- D.
Ovarian hyperstimulation syndrome
- 2.
![You are shown images from a carotid ultrasound (Figures 3 and 4). What is the MOST LIKELY diagnosis? Figure 3-Left common carotid waveform Figure 4-Right common carotid waveform - ProProfs]( "You are shown images from a carotid ultrasound (Figures 3 and 4). What is the MOST LIKELY diagnosis? Figure 3-Left common carotid waveform Figure 4-Right common carotid waveform")
You are shown images from a carotid ultrasound (Figures 3 and 4). What is the MOST LIKELY diagnosis? Figure 3-Left common carotid waveform Figure 4-Right common carotid waveform- A.
Aortic valve stenosis
- B.
Intracranial AVM
- C.
Aortic valve incompetence
- D.
Distal left internal carotid artery occlusion
- 3.
![You are shown two images (Figures 5 and 6) from a second trimester ultrasound. What is the MOST LIKELY diagnosis? Figure 5-Axial transabdominal image of uterus Figure 6-Longitudinal view of lower uterine segment - ProProfs]( "You are shown two images (Figures 5 and 6) from a second trimester ultrasound. What is the MOST LIKELY diagnosis? Figure 5-Axial transabdominal image of uterus Figure 6-Longitudinal view of lower uterine segment")
You are shown two images (Figures 5 and 6) from a second trimester ultrasound. What is the MOST LIKELY diagnosis? Figure 5-Axial transabdominal image of uterus Figure 6-Longitudinal view of lower uterine segment- A.
Ectopic pregnancy
- B.
Partial molar pregnancy
- C.
Intrauterine pregnancy in uterus didelphys
- D.
Intrauterine pregnancy with exophytic fibroid
- 4.
![A 26-year-old woman presents with vaginal spotting (Figures 7 and 8). Which of the following BEST describes the findings? Figure 7-Sagittal endovaginal US of the uterus Figure 8-Coronal endovaginal US of the uterus - ProProfs]( "A 26-year-old woman presents with vaginal spotting (Figures 7 and 8). Which of the following BEST describes the findings? Figure 7-Sagittal endovaginal US of the uterus Figure 8-Coronal endovaginal US of the uterus")
A 26-year-old woman presents with vaginal spotting (Figures 7 and 8). Which of the following BEST describes the findings? Figure 7-Sagittal endovaginal US of the uterus Figure 8-Coronal endovaginal US of the uterus- A.
Intradecidual sac sign
- B.
Endometriotic cyst
- C.
Pseudogestational sac
- D.
Endometrial fluid collection
- 5.
![You are shown ultrasound images (Figures 9 and 10) of the right testis in a 41-year-old man. What is the MOST LIKELY diagnosis? Figure 9-Sagittal image of the right testis Figure 10-Transverse image of the right testis - ProProfs]( "You are shown ultrasound images (Figures 9 and 10) of the right testis in a 41-year-old man. What is the MOST LIKELY diagnosis? Figure 9-Sagittal image of the right testis Figure 10-Transverse image of the right testis")
You are shown ultrasound images (Figures 9 and 10) of the right testis in a 41-year-old man. What is the MOST LIKELY diagnosis? Figure 9-Sagittal image of the right testis Figure 10-Transverse image of the right testis- A.
Synchronous seminomas
- B.
Large B cell lymphoma
- C.
Cystic dilatation of the rete testis
- D.
Orchitis
- 6.
![You are shown ultrasound images (Figures 11 and 12) of the neck in a 50-year-old woman. Which of the following laboratory tests would be helpful to confirm your diagnosis? Figure 11-Sagittal US of the right neck Figure 12-Transverse US of the right neck - ProProfs]( "You are shown ultrasound images (Figures 11 and 12) of the neck in a 50-year-old woman. Which of the following laboratory tests would be helpful to confirm your diagnosis? Figure 11-Sagittal US of the right neck Figure 12-Transverse US of the right neck")
You are shown ultrasound images (Figures 11 and 12) of the neck in a 50-year-old woman. Which of the following laboratory tests would be helpful to confirm your diagnosis? Figure 11-Sagittal US of the right neck Figure 12-Transverse US of the right neck- A.
Serum parathormone level
- B.
Serum antithyroglobulin antibodies
- C.
Serum T3 and T4
- D.
Urine metanephrine and normetanephrine
- 7.
![You are shown two images (Figures 13 and 14) of the left adnexa in a 30-year-old woman with acute pelvic pain. What is the MOST LIKELY diagnosis? Figure 13-Gray scale ultrasound of the left ovary Figure 14-Doppler image of the left ovary - ProProfs]( "You are shown two images (Figures 13 and 14) of the left adnexa in a 30-year-old woman with acute pelvic pain. What is the MOST LIKELY diagnosis? Figure 13-Gray scale ultrasound of the left ovary Figure 14-Doppler image of the left ovary")
You are shown two images (Figures 13 and 14) of the left adnexa in a 30-year-old woman with acute pelvic pain. What is the MOST LIKELY diagnosis? Figure 13-Gray scale ultrasound of the left ovary Figure 14-Doppler image of the left ovary- A.
Pyosalpinx
- B.
Cystadenocarcinoma
- C.
Ovarian torsion
- D.
Ectopic pregnancy
- 8.
![You are shown two images (Figures 15 and 16) of the left ovary in a young woman. What is the MOST LIKELY diagnosis? Figure 15-Gray scale ultrasound of the ovary Figure 16-Doppler ultrasound image of the ovary - ProProfs]( "You are shown two images (Figures 15 and 16) of the left ovary in a young woman. What is the MOST LIKELY diagnosis? Figure 15-Gray scale ultrasound of the ovary Figure 16-Doppler ultrasound image of the ovary")
You are shown two images (Figures 15 and 16) of the left ovary in a young woman. What is the MOST LIKELY diagnosis? Figure 15-Gray scale ultrasound of the ovary Figure 16-Doppler ultrasound image of the ovary- A.
Ectopic pregnancy
- B.
Chocolate cyst
- C.
Ovarian torsion
- D.
Cystadenocarcinoma
- 9.
![You are shown two images (Figures 17 and 18) of a patient with right upper quadrant pain. What is the MOST LIKELY diagnosis? Figure 17-Gray scale ultrasound image from right upper quadrant Figure 18-Doppler ultrasound of right upper quadrant - ProProfs]( "You are shown two images (Figures 17 and 18) of a patient with right upper quadrant pain. What is the MOST LIKELY diagnosis? Figure 17-Gray scale ultrasound image from right upper quadrant Figure 18-Doppler ultrasound of right upper quadrant")
You are shown two images (Figures 17 and 18) of a patient with right upper quadrant pain. What is the MOST LIKELY diagnosis? Figure 17-Gray scale ultrasound image from right upper quadrant Figure 18-Doppler ultrasound of right upper quadrant- A.
Acute cholecystitis
- B.
Portal vein thrombosis
- C.
Choledocholithiasis
- D.
Cholangiocarcinoma
- 10.
![A 40-year-old man presents with a scrotal mass (Figures 19 and 20). What is the MOST LIKELY diagnosis? Figure 19-Gray scale ultrasound of the scrotum Figure 20-Doppler image of the scrotum - ProProfs]( "A 40-year-old man presents with a scrotal mass (Figures 19 and 20). What is the MOST LIKELY diagnosis? Figure 19-Gray scale ultrasound of the scrotum Figure 20-Doppler image of the scrotum")
A 40-year-old man presents with a scrotal mass (Figures 19 and 20). What is the MOST LIKELY diagnosis? Figure 19-Gray scale ultrasound of the scrotum Figure 20-Doppler image of the scrotum- A.
Seminoma
- B.
Lymphoma
- C.
Epididymo-orchitis
- D.
Scrotal abscess
- 11.Which of the following measurements provides the BEST estimate of gestational age in a normal mid-first-trimester pregnancy?
- A.
Yolk sac diameter
- B.
Crown-rump length
- C.
Mean sac diameter
- D.
Biparietal diameter
- 12.Concerning Doppler imaging of the abdominal vasculature which of the following is CORRECT?
- A.
The portal vein should be hepatopedal and nonpulsatile.
- B.
The hepatic veins should be hepatopedal and pulsatile.
- C.
The hepatic artery should be pulsatile with a high resistance waveform.
- D.
The splenic vein has a waveform most similar to normal hepatic veins.
- 13.Regarding Budd-Chiari syndrome which of the following is CORRECT?
- A.
Ascites is rare.
- B.
It is secondary to acute portal vein thrombosis.
- C.
The caudate lobe can be spared.
- D.
Intrahepatic collaterals most commonly extend from the hepatic veins to the portal venous system.
- 14.Concerning hepatic cavernous hemangioma which of the following statements is TRUE?
- A.
Regardless of their size cavernous hemangiomas appear as a uniformly echogenic homogeneous hepatic mass.
- B.
All patients with suspected hepatic hemangioma based on characteristic ultrasound appearance should have a confirmatory CT or MRI scan.
- C.
There is an association between thrombocytopenia and cavernous hemangioma.
- D.
A well-recognized sonographic appearance of hemangioma is that of an echogenic center surrounded by a hypoechoic rim.
- 15.Which of the following is the MOST common ovarian neoplasm found in pregnancy?
- A.
Corpus luteum cyst
- B.
Ovarian tumor of low malignant potential
- C.
Endometrioma
- D.
Ovarian cystic teratoma
- 16.Concerning Mirizzi syndrome which of the following statements is TRUE?
- A.
It refers to obstruction of the common hepatic duct by an impacted cystic duct stone.
- B.
It is a clinical syndrome of painless jaundice in an elderly patient.
- C.
Ultrasound of the liver shows pneumobilia.
- D.
It is associated with primary sclerosing cholangitis.
- 17.Which of the following ultrasound imaging features is MOST suspicious for papillary thyroid carcinoma?
- A.
Ill-defined hyperechoic nodule
- B.
Nodule with honeycomb pattern of cystic change and thin hypoechoic rim
- C.
Hypoechoic nodule with microcalcifications
- D.
Oval nodule with peripheral eggshell calcification
- 18.Concerning renal vascular pathology and renal arterial Doppler imaging which of the following statements is TRUE?
- A.
Renal artery stenosis is the underlying cause of hypertension in almost 50% of adult women.
- B.
Measurement of the peak systolic velocity in the main renal artery is considered the most accurate parameter for the sonographic diagnosis of hemodynamically significant renal artery stenosis.
- C.
A parvus tardus appearance of the arterial waveform in the intrarenal arterial branches of the kidney is an indication of ipsilateral renal vein thrombosis.
- D.
For accurate measurements of the peak systolic velocity in the main renal arteries the Doppler angle should be kept above 60 degrees.
- 19.Which of the following is the MOST LIKELY cause for a unilateral enlarged kidney?
- A.
Chronic pyelonephritis
- B.
Reflux nephropathy
- C.
Acute renal vein occlusion
- D.
Renal artery stenosis
- 20.Which of the following is the MOST sensitive and specific ultrasound finding in ectopic pregnancy?
- A.
Echogenic free fluid in cul-de-sac
- B.
Nonovarian complex adnexal mass
- C.
Fluid within the endometrial cavity
- D.
Ring of fire sign on a color Doppler image
- 21.
![You are shown a sagittal image of the gallbladder (Figure 1) and a Doppler image of the main portal vein (Figure 2). What is the MOST LIKELY diagnosis? - ProProfs]( "You are shown a sagittal image of the gallbladder (Figure 1) and a Doppler image of the main portal vein (Figure 2). What is the MOST LIKELY diagnosis?")
You are shown a sagittal image of the gallbladder (Figure 1) and a Doppler image of the main portal vein (Figure 2). What is the MOST LIKELY diagnosis?- A.
Acute cholecystitis
- B.
Congestive heart failure
- C.
Hepatitis
- D.
Adenomyomatosis
- 22.
![You are shown three images of the right adnexa (Figures 3-5). What is the MOST LIKELY diagnosis? - ProProfs]( "You are shown three images of the right adnexa (Figures 3-5). What is the MOST LIKELY diagnosis?")
You are shown three images of the right adnexa (Figures 3-5). What is the MOST LIKELY diagnosis?- A.
Hemorrhagic cyst
- B.
Dermoid
- C.
Ovarian carcinoma
- D.
Ovarian torsion
- 23.
![You are shown a Doppler image of the left common carotid artery (Figure 6) and of the left internal carotid artery (Figure 7). What is the MOST LIKELY diagnosis? - ProProfs]( "You are shown a Doppler image of the left common carotid artery (Figure 6) and of the left internal carotid artery (Figure 7). What is the MOST LIKELY diagnosis?")
You are shown a Doppler image of the left common carotid artery (Figure 6) and of the left internal carotid artery (Figure 7). What is the MOST LIKELY diagnosis?- A.
Subclavian steal syndrome
- B.
Vasculitis
- C.
Distal internal carotid artery stenosis or occlusion
- D.
Aortic valve regurgitation
- 24.
![You are shown a longitudinal image (Figure 8) of the right lower quadrant in a young man with pain and anorexia. What is the MOST LIKELY diagnosis? - ProProfs]( "You are shown a longitudinal image (Figure 8) of the right lower quadrant in a young man with pain and anorexia. What is the MOST LIKELY diagnosis?")
You are shown a longitudinal image (Figure 8) of the right lower quadrant in a young man with pain and anorexia. What is the MOST LIKELY diagnosis?- A.
Intussusception
- B.
Small bowel lymphoma
- C.
Ureterolithiasis
- D.
Appendicitis
- 25.
![A patient who is 10 weeks pregnant by dates presents to the ER because she is passing blood clots. You are shown two pelvic ultrasound images (Figures 9 and 10). What is the MOST LIKELY diagnosis? - ProProfs]( "A patient who is 10 weeks pregnant by dates presents to the ER because she is passing blood clots. You are shown two pelvic ultrasound images (Figures 9 and 10). What is the MOST LIKELY diagnosis?")
A patient who is 10 weeks pregnant by dates presents to the ER because she is passing blood clots. You are shown two pelvic ultrasound images (Figures 9 and 10). What is the MOST LIKELY diagnosis?- A.
Ectopic pregnancy
- B.
Molar pregnancy
- C.
Spontaneous abortion
- D.
Subchorionic hemorrhage
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