Level 3 Semester 5

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1) CT is method of choice in examination of:
a) Brain tumors.
b) Head trauma.
c) Brain congenital anomalies
d) Epilepsy
e) Vascular malformations of brain.

2) Pneumothorax appears in X-rays as:

a) Radiolucent (black).
b) Radiopaque (white).
c) Air/fluid level
d) Mixed densities
e) Heterogeneous density

3) Barium examination of the small intestine is called:

a) Barium meal.
b) Barium follow through.
c) Barium enema
d) Barium swallow
e) Barium meal follow through

4) Flask-shaped enlarged cardiac shadow is diagnostic for:

a) Pericardial tumor
b) Pericarditis
c) Pericardial effusion
d) Pleural effusion
e) Bilharzial cor pulmonal

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5) The full length of corpus callosum appears in MRI:
a) Axial image
b) Coronal image
c) Sagittal image
d) All of these

6) The method of choice for imaging disc prolapse is:

a) MRI
b) CT scan
c) Isotopic scan
d) Plain radiography

7) Air fluid levels in abdominal plain radiography is characteristic sign of:

a) Malignant lesion of intestine
b) Pelvic mass
c) Pancreatic mass
d) Acute intestinal obstruction.

8) Hepatic focal lesion is best investigated by:

a) Conventional CT
b) Conventional MRI
c) Triphasic CT
d) Ultrasound

9) On MRI image the fluid appears on T1W1:

a) Hypertense (bright)
b) Hypotense
c) Isotense

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1) All the following appear hyperdense in CT examination except:
a) Bone
b) Blood
c) Fat
d) Calcification.

2) CT with contrast is needed to diagnose:

a) Stroke
b) Head trauma
c) Brain abscess
d) Fascial fracture

3) The following is not radiation dependent:

a) CT
b) MRI
c) X-ray

4) The first line of investigation for spinal trauma is:

a) CT
b) MRI
c) X-ray

5) The initial examination modality for the chest:

a) CT
b) MRI
c) X-ray

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6) TO assess the esophageal indentation by the left atrium and left ventricle
we use:
a) Chest x-ray PA view
b) Chest x-ray lateral view
c) MRI

7) Ba follow through used to assess:

a) Esophagus
b) Stomach
c) Small intestine
d) Large intestine

8) Hepatic focal lesions that show intense enhancement in arterial phase and
wash out in delayed phases:
a) Liver metastasis
b) Hepatocellular carcinoma
c) Hemangioma

9) Clover leaf deformity on barium meal indicate:

a) Stomach ulcer
b) Chronic duodenal ulcer
c) Perforated viscus
d) Cancer colon

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1- CT is the method of choice in examination of
a- Cerebral stroke
b- Brain congenital anomalies,
c- Epilepsy
d- Brain tumors.
e- Vascular malformations of the brain.

2- CT is the method of choice in examination of

a- Brain tumors
b- Head trauma
c- Brain congenital anomalies
d- Epilepsy
e- Vascular malformations of the brain.

3- Cerebral hemorrhage appears in CT as

a- lsodense.( similar to brain tissue)
b- Hypodense (dark than brain tissue
c- Hyperdense (bright than brain tissue)
d- Mixed density,
e- Heterogenous density.

4- Cerebral infarction appears in CT as:

a- Isodense (similar to brain tissue)
b- Hypodense (dark than brain tissue)
c- Hyperdense (bright than brain tissue)
d- Mixed density
e- Heterogenous density.

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5- Pneumothorax appear in x-ray as:
a- Radiolucent (black)
b- Radioopaque (white)
c- Air/fluid level,
d- Mixed densities,
e- Heterogenous density

6- Pleural effusion appear in -ray as:

a- Radiolucent (black),
b- Radio-opaque (white),
c- Air/fluid level,
d- Mixed densities,
e- Heterogenous density

7- Hydropneumothorax appear in -ray us:

a- Radiolucent (black),
b- Radio-opaque (white),
c- Air/fluid level,
d- Mixed densities,
e- Heterogenous density.

8- The method of choice for examination of epilepsy is:

a- CT
b- Cerebral angiography
c- Isotope scan
d- Plain x-ray of the skull
e- MRI.

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9- The method of choice for examination o of brain congenital anomalies is:
a- CT
b- Cerebral angiography
c- c-Plain X-ray of the skull,
d- MRI
e- Isotope scan

10- Secondary pulmonary T.B. usually seen in:

a- Upper lung zone,
b- Middle lung zone,
c- Lower lung zone,
d- Mediastinal lymph nodes
e- Hilum of the lung.

11- The most common cause of pulmonary metastasis in women is:

a- Ovarian carcinoma,
b- Cancer colon
c- Hepatoma,
d- Pancreatic carcinoma,
e- Carcinoma of the breast.

12- Pulmonary metastasis appear in x-ray as:

a- Linear shadows
b- Dilated bronchi
c- Homogenous lobar opacity.
d- Cavity with air fluid level.
e- Multiple nodular shadows in one or both lungs.

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13- Barium examination of the esophagus is called
a- Barium meal
b- Barium enema
c- Barium swallow
d- Barium follow through
e- Barium meal follow through

14- Barium examination of the stomach is called:

a- Barium meal
b- Barium enema
c- Barium swallow
d- Barium follow through
e- Barium meal follow through.

15- Barium examination of the colon is called:

a- Barium meal
b- Barium enema
c- Barium swallow
d- Barium follow through
e- Barium meal follow through

16- Barium examination of the small intestine is called:

a- Barium meal
b- Barium enema
c- Barium swallow
d- Barium follow through
e- Barium meal follow through

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17- The diagnosis of homogenous opacity in a lobe of one lung is:
a- Bronchiectasis
b- Emphysema
c- Bronchogenic carcinoma
d- Lobar pneumonia
e- Pulmonary T.B

18- Mass in one hilum may be:

a- Bronchogenic carcinoma
b- Emphysema
c- Lung abscess
d- Pleural effusion
e- Bronchiectasis

19- Aneurysmal dilatation of main pulmonary artery, and proximal parts of its
two main branches occur in:
a- Mitral valve disease
b- Aortic valve disease,
c- Pericardial effusion,
d- Cardiomyopathy,
e- Bilharzial cor pulmonal.

20- Enlarged left atrium seen in:

a- Mitral valve disease,
b- Aortic valve disease
c- Pericardial effusion,
d- Cardiomyopathy
e- Bilharzial cor pulmonal

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21- Stenotic segment with shouldering in the rectosigmoid junction is:
a- Ulcerative colitis
b- Bilharzial polyposis
c- Crohn's disease
d- Carcinoma
e- Diverticular disease

22- The most common site of peptic ulcer is:

a- Transverse colon
b- Stomach
c- Duodenum
d- Esophagus
e- Rectum

23- The diagnosis of multiple filling defects in the colon is

a- Colonic carcinoma
b- Colonic polyposis
f- Diverticular disease of the colon
c- Crohn's disease
d- Ulcerative colitis

24- Flask-shaped enlarged cardiac shadow is diagnostic for:

a- Pericardial effusion
b- Mitral valve disease
c- Aortic valve disease
d- d-Pulmonary artery stenosis
e- Bilharzial cor pulmonal.

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25- Esophageal achalasia is diagnosed by:
a- Smooth narrowing of the middle third of the esophagus
b- Smooth narrowing of the lower end of the esophagus
c- Irregular narrowing of the middle third of the esophagus
d- Irregular narrowing of lower third of the esophagus
e- Multiple filling defects in barium swallow.

26- Intestinal diverticulosis appear as:

a- Multiple filling defects
b- Mucosal irregularity
c- Outpouching
d- Short segment stenotic lesions

27- Obliteration of costophrenic angle is present in:

a- Pneumonia
b- Pleural effusion
c- dung abscess,
d- Pneumothorax.

28- Hydrocephalus appears as:

a- Dilatation of the ventricular system
b- Dilatation of the cortical sulci
c- Compression of the ventricular system.

29- In MRIT2 of the brain the CSF appears:

a- White (bright)
b- Grey,
c- Black

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30- In MRI TI of the brain the CSF appears:
a- White (bright)
b- Grey
c- Black

31- The full length of corpus callosum appears in MRI in:

a- Sagittal image
b- Axial image
c- Coronal image
d- None of these

32- Regarding the esophagus which statement is true:

a- Isotope scan is the examination of choice to detect local spre of cancer
esophagus.
b- Barium filled outpouching from oesophageal wall is diagnostic for
oesophageal varices.
c- Irregular narrowing, mucosal destruction and shouldering are diagnostic
sings of cancer oesophagus by barium Swallow.

33- The method of choice for imaging of the spinal cord is:
a- Plain radiography
b- CT scan
c- Isotope scan
d- MRI

34- The method of choice for imaging disc prolapse is:

a- MRI
b- CT scan
c- Isotope scan
d- Plain radiography

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35- Loss of cardiac waste is a sign of:
a- Left ventricular enlargement.
b- Left atrial enlargement
c- Right ventricular enlargement
d- Right atrium enlargement

36- Widening of the carina is a sign of:

a- Left atrial enlargement
b- Left ventricular enlargement
c- Right atrial enlargement
d- Right ventricular enlargement.

37- Which is true sign of left ventricular enlargement:

a- Displacement and indentation of lower oesophagus
b- Obliteration of retrosternal air.
c- Dense central opacity,
d- Double contour

38- Multiple air fluid levels in abdominal plain radiography is 6characteristic

sign of:
a- Malignant lesion of intestine
b- Pelvic mass
c- Pancreatic mass,
d- Acute intestinal obstruction.

39- Hepatic focal lesion is best investigated by:

a- Conventional CT
b- Conventional MRI.
c- Triphasic CT
d- Ultrasound.

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40- The peripheral smooth enhancing ring of focal brain lesion is characteristic
sign of:
a- Brain Tumors
b- Brain abscess
c- Congenital vascular lesion
d- Metastatic lesion

41- The anatomical structures forming the are brain stem:

a- Pons
b- Medulla
c- Mid brain
d- None of the above
e- Ali of the above

42- On MRI image the fat appears on TIWI:

a- Hyperintense (bright)
b- Hypointense
c- Isointense

43- The best imaging modality of pituitary gland lesion

a- C.T
b- MRI
c- Plain radiography
d- Ultrasound

44- The most easier non-invasive technique for abdominal examination is:
a- C.T
b- MR
c- US
d- Conventional

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45- Posterior displacement of the lower 1/3 esophagus is a sign of left atrial
enlargement on left lateral view with barium.

46- Flask shaped heart appears on pericardial effusion.

47- Flask shaped heart appears on multivalvular lesion.

48- Left atrium.is enlarged in cases of mitral stenosis.

49- Left ventricular enlargement is a sign of cor pulmonale.

50- Cor pulmonale is a cause of cardiomegaly.

51- Pleural effusion means fluid in the pericardial space.

52- Pleural effusion appear on plain x ray chest as obliteration of the

costophrenic angle.

53-Pumonary metastasis appear on plain x ray chest as non-homogenous

fibrotic opacity

54- Pulmonary secondaries appear as multiple well-defined variable size

subpleural nodules

55- Hydrocephalus means dilatation of the ventricular system.

56- Subacute intracranial hemorrhage appear on CT as hypodense area

57- Cancer colon appear on barium enema as irregular filling defect with
apple core sign.

58- Barium swallow is the examination of choice for cancer stomach

59-Barum meal is the examination of choice to diagnose duodenal ulcer.

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 1- Cancer esophagus

A- Barium meal used in examination of 2- Gall bladder stones

B- Barium swallow used in examination of 3- Duodenal uclear

C- Barium enema used in examination of 4- Pneumonia

D- Ultrasound used in examination of 5- Head trauma

6- Cancer colon