RADIO LONG QUIZ (Sec D)

1.

The most important feature that makes CT scan a

much better diagnostic test than X-ray in
neuroimaging is:
a. Ability to demonstrate the internal
structure of the brain
b. Does not nedd radiation
c. Shows physiology of brain cells
d. Unaffected by bone structures

2.

Skull X-ray is adequate in determining this type of

lesion.
a. Calcified brain tumors
b. Large intracranial vascular lesions
c. Linear skull fractures
d. Cerebral contusions

3.

Windowing in CT scan allows us to do this:

a. Show small lesions
b. Large intracranial vascular lesions
c. Create 3-D images of structures being
studied
d. Show contrast and non-contrast images of
anatomy

4.

This is NOT ideal for CT scan examination:

a. Large acute brain infarct
b. 2-3 hours old intracerebral hemorrhage
c. Pituitary gland
d. Skull fracture

5.

To make diagnosis of brain tumors and infections

more accurate, this method can be used with CT
scan of the brain:
a. Thin scan slices
b. Bigger field view
c. Windowing
d. Contrast-enhanced examination

6.

MRI is very good in evaluating this type of lesions

that CT scan may not be able to perform as well:
a. Pituitary microadenoma
b. Large brain infarcts
c. 1-week old hypertensive hemorrhages
d. Depressed fracture of the frontal bone

7.

8.

9.

The main drawback of MRI in early stroke

imaging:
a. Needs patient cooperation such as
remaining still during the study
b. Inability to demonstrate bone structures
c. Needs helium for cooling
d. Strong magnetic field is present
This is an advantage of CT scan in stroke imaging:
a. Wide availability
b. Can accommodate life support system
c. Fast imaging protocol
d. All of the above
When confronted with the possibility of a midline
posterior fossa tumor in a child, this is the most
ideal examination method for accurate diagnosis:
a. Multi-detector CT scan (64 slices)
b. Contrast enhanced CT scan
c. Contrast enhanced MRI
d. Angiography

10. This is the most ideal method of demonstrating

arterial occlusion in a middle cerebral artery region
stroke:
a. Multi-detector Ct scan (64 slices)

b.
c.
d.

Contrast enhanced CT scan

Contrast enhanced MRI
Angiography

11. This is the reason why the lentiform nucleus is

obscured in hyperacute infarct:
a. Depressed blood flow in the area
b. Cytotoxic edema
c. Vasogenic edema
d. Revascularization has occurred
12. This part of the infarcted brain is considered
salvageable:
a. Penumbra
b. Central core in the infracted zone
c. Cortex and subcortical white matter in the
convexity areas
d. Putamen
13. This is NOT an early sign of hyperacute infarction:
a. Hyperdense middele cerebral artery
b. Hyperdense insular cortex
c. Obscured lentiform nucleus
d. Sulcal effeacement
14. An important role of neuroimaging in stroke
management is:
a. Determine presence of hemorrhage
b. Show presence of brain atrophy
c. Demonstrate adequate CSF flow
d. Estimate brain volume
15. When there is hyperdense compound within a skull
fracture identified in a skull x-ray this condition is
most likely:
a. There is fracture present
b. Depressed fracture is likely
c. Fracture has crossed a venous sinus
d. Hematoma is present in the subdural
region
16. This method is needed to show presence of leptomeningitis in CT scan:
a. Thin scan slices
b. Bigger field of view
c. Windowing
d. Contrast enhanced examination
17. An extra-axial tumor can be observed when this is
noted in MRI or CT scan of the lesion:
a. Intense contrast enhancement is noted
b. There is vasogenic edema present
c. CSF is seen outline the tumor against
the surrounding cortex
d. Midline shift is noted
18. Metastatic nodules in the brain from the lungs or
colon will ______ due to this:
a. Absence of blood brain barrier in their
vascular network
b. Obstruction of blood brain barrier in the
surrounding normal brain
c. There are highly vascular
d. Arterio-venous shunts are very common
19. This is a feature of lacunar infarcts:
a. Commonly large enoughto encompass the
entire vascular region
b. Cortical areas are more commonly
involved
c. Does not involve the brain stem
d. Common in areas supplied by
perforating arterial branches

20. The hyperdense appearance of acute intracerebral

hemorrhage in CT scan is due to this:
a. Stagnant blood collections
b. Clot retraction resulting to
accumulation of globin particles
c. Ferritin particles in blood
d. Metal portion of blood
21. The most common site of hypertensive hemorrhage
in the brain is:
a. Frontal lobe
b. Brain stem
c. Putamen
d. Lateral ventricles
22. The commonly accepted cause of chronic
hypertensive hemorrhage is:
a. Undetected arterio-venous malformation
b. Microaneurysms called Charcot and
Bouchard aneurysm
c. Hemorrhagic conversion of previous
infarcts
d. Cause is not known

A 8. Staphylococcal pneumonia begins in the airways

rather than in the alveoli.
A 9. The classic radiographic appearance in whooping
cough is the shaggy heart pattern.
A 10. Klebsiella pneumonia can cause lobar expansion
producing a bulging fissure.
A 11. The gas content of a lung abscess depends on the
communication between the cavity and the airways.
B 12. The chest radiograph is a good screening method
to detect exposure to TB.
B 13. Intestinal ascariasis is easily diagnosed by a
barium enema study.
A 14. The cecum, ascending colon, and terminal ileum
are favored sites of amoebiasis.
B 15. Miliary TB usually presents as cannon ball
lesions.

23. Metastatic nodules in the brain from tumors in

distant sites is usually noted noted in this part of the
brain:
a. Any part of the brain
b. Brain stem
c. Deep white matter areas
d. At white matter seen at its junction with
the cortex
24. When vasogenic edema that accompanies brain
tumors indicates this condition:
a. Malignancy of at least grade 2 or over
b. Rapid tumor growth
c. Necrosis
d. Superimposed infections
JEM
25. A midline tumor in pediatric age group at the
posterior fossa is:
a. Medulloblastoma
b. PNET
c. Astrocytoma
d. Glioblastoma Multiforme
Write A if the statement is correct, B if the statement is
incorrect.
A 1. Generalized air trapping is commonly seen in
diseases that affect the smaller airways.
A 2. Furunculosis most commonly occur following
staphylococcal infection.
A 3. The radiographic hallmark of bronchiolitis is
pulmonary hperaeration.
A 4. Check valve type of partial bronchial obstruction
results in pulmonary overinflation.
A 5. Pulmonary bullae and pneumatocoele cannot be
differentiated radiographically.
A 6. Air bronchograms are visible within an air space
consolidation.
A 7. The radiographic differentiation of viral and
bacterial pneumonia can be made satisfactorily only
during the acute stages.