Radiology Inservice Exam Question Bank

1383 Questions | Total Attempts: 92

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Radiology Quizzes & Trivia

Questions and Answers
  • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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?
    • 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?
    • 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?
    • 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?
    • 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?
    • A. 

      Ectopic pregnancy

    • B. 

      Molar pregnancy

    • C. 

      Spontaneous abortion

    • D. 

      Subchorionic hemorrhage