Imaging Modalities for Abdominal Pain
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Questions and Answers

Which of the following imaging modalities is most commonly used for the initial evaluation of abdominal pain?

  • X-ray
  • MRI
  • Ultrasound (correct)
  • CT
  • A 60-year-old male with unexplained weight loss undergoes a CT scan. The scan reveals a mass in the pancreas. Which of the following is the most likely diagnosis?

  • Peptic ulcer disease
  • Pancreatic cancer (correct)
  • Acute cholecystitis
  • Pancreatitis
  • Which of the following findings is most consistent with acute cholecystitis on ultrasound?

  • Pericholecystic fluid
  • Gallstones with shadowing
  • Dilated common bile duct
  • All of the above (correct)
  • In the context of gastrointestinal radiology, which type of contrast is commonly used in CT imaging of the abdomen?

    <p>Iodine-based contrast</p> Signup and view all the answers

    Which of the following is the preferred imaging method for detecting gallstones?

    <p>Ultrasound</p> Signup and view all the answers

    In the context of gastrointestinal imaging, what does a "double-contrast barium enema" provide?

    <p>Visualization of the bowel wall and lesions</p> Signup and view all the answers

    What is the most common complication seen with a barium enema study?

    <p>Perforation of the bowel</p> Signup and view all the answers

    All stones are radio opaque on X rays films.

    <p>True</p> Signup and view all the answers

    Acute pancreatitis is a complication of gall stones.

    <p>True</p> Signup and view all the answers

    Dysphagia is a symptom of gastric pathology.

    <p>False</p> Signup and view all the answers

    CT scan is superior to ultrasound in the diagnosis of a liver mass and cancer of the liver.

    <p>True</p> Signup and view all the answers

    Iodine contrast is used for MRI.

    <p>False</p> Signup and view all the answers

    Ultrasound is the best modality in diagnosis of liver cancer.

    <p>False</p> Signup and view all the answers

    Gall stones, polyps and acute cholecystitis can be diagnosed by using ultrasound

    <p>True</p> Signup and view all the answers

    It is safe to use CT scan in pregnant woman to diagnose gall bladder stones.

    <p>False</p> Signup and view all the answers

    Bowel perforation is a complication of Barium enema.

    <p>True</p> Signup and view all the answers

    Spleenomegaly can be diagnosed by ultrasound.

    <p>True</p> Signup and view all the answers

    Most of the liver tumers are primary cancers and not secondaries .

    <p>True</p> Signup and view all the answers

    Pancreatic cancers can be presented with jaundice.

    <p>True</p> Signup and view all the answers

    Gall bladders polyps moves inside the gallbladder on moving the patient on ultrasound scanning.

    <p>True</p> Signup and view all the answers

    Renal failure is not a contraindication in using contrast with the CT scan.

    <p>False</p> Signup and view all the answers

    The transducers prop size 3.5hz is suitable for all abdominal examinations.

    <p>False</p> Signup and view all the answers

    CT Angio is a good modality for the diagnosis of arterial disease.

    <p>True</p> Signup and view all the answers

    Barium swallow is good to diagnose achalasia and colonic polyps.

    <p>True</p> Signup and view all the answers

    The MRI is the best way to measure the side of the gall bladder.

    <p>True</p> Signup and view all the answers

    Which of the following is the imaging modality of choice for assessing hepatic lesions?

    <p>MRI with contrast</p> Signup and view all the answers

    What is the most sensitive imaging technique for diagnosing acute pancreatitis?

    <p>Abdominal ultrasound</p> Signup and view all the answers

    Which imaging modality is used to evaluate the esophagus in cases of dysphagia?

    <p>Barium swallow</p> Signup and view all the answers

    Which of the following can be best evaluated using CT enterography?

    <p>Crohn's disease</p> Signup and view all the answers

    Which imaging study would be most appropriate to assess the presence of a hepatic abscess?

    <p>CT scan</p> Signup and view all the answers

    What type of contrast material is used for an MRI of the gastrointestinal system?

    <p>Gadolinium</p> Signup and view all the answers

    What is the primary role of abdominal ultrasound in gastrointestinal imaging?

    <p>Imaging gallstones and liver pathology</p> Signup and view all the answers

    Study Notes

    Imaging Modalities for Abdominal Pain

    • Ultrasound is the initial imaging modality for abdominal pain.

    Pancreatic Mass Diagnosis

    • A 60-year-old male with unexplained weight loss and a pancreatic mass likely has pancreatic cancer.

    Acute Cholecystitis Findings

    • Pericholecystic fluid on ultrasound is a key finding for acute cholecystitis.

    Gastrointestinal CT Contrast

    • Iodine-based contrast is used in CT imaging of the abdomen.

    Gallstone Detection

    • Ultrasound is the preferred method for detecting gallstones.

    Barium Enema Imaging

    • Double-contrast barium enema provides detailed imaging of the bowel wall and lesions.

    Common Barium Enema Complications

    • Perforation of the bowel is the most common complication of a barium enema study.

    Radiopaque Gallstones

    • Not all gallstones are radiopaque on X-rays.

    Acute Pancreatitis and Gallstones

    • Acute pancreatitis can be a complication of gallstones.

    Dysphagia and Diagnostic Imaging

    • Dysphagia is a symptom of gastric pathology.

    CT Scan Superior to Ultrasound

    • CT scan is superior to ultrasound in diagnosing liver masses and liver cancers.

    Ultrasound for Liver Cancer Diagnosis

    • Ultrasound is not the best modality for diagnosing liver cancer.

    Diagnosing Gallstones, Polyps, and Cholecystitis

    • Ultrasound can diagnose gallstones, polyps, and acute cholecystitis.

    Pregnancy and CT Scans

    • CT scans are not recommended for pregnant patients for diagnosing gall bladder stones.

    Liver Tumors

    • Most liver tumors are primary, not secondary.

    Jaundice and Pancreatic Cancer

    • Pancreatic cancers can present with jaundice.

    Gallbladder Polyps on Ultrasound

    • Gallbladder polyps can move inside the gallbladder on ultrasound scanning.

    Renal Failure and CT Contrast

    • Renal failure is not a contraindication for using contrast in a CT scan.

    Ultrasound Transducer Sizes

    • 3.5Hz transducers are suitable for most abdominal examinations.

    Arterial Disease Diagnosis

    • CT Angiography is a good modality to diagnose arterial disease.

    Barium Swallow and Achalasia

    • Barium swallow is good to diagnose achalasia and colonic polyps.

    Gallbladder Dimensions Measurement

    • MRI is the best way to measure the size of the gallbladder.

    Cholecystitis and Pericholecystic Fluid

    • Thickening of the gallbladder wall and pericholecystic fluid are indicative of cholecystitis.

    Assessing Hepatic Lesions

    • MRI with contrast is the modality of choice for evaluating hepatic lesions.

    Acute Pancreatitis Imaging

    • CT is the most sensitive imaging technique for diagnosing acute pancreatitis.

    Esophageal Imaging for Dysphagia

    • Barium swallow is used to evaluate the esophagus in cases of dysphagia.

    CT Enterography Evaluation

    • CT enterography can evaluate Crohn's disease.

    Hepatic Abscess Imaging

    • CT scan is the best imaging method to assess for hepatic abscess.

    Gastrointestinal MRI Contrast

    • Gadolinium is the contrast used for gastrointestinal MRI.

    Abdominal Ultrasound in Gastrointestinal Imaging

    • Abdominal ultrasound is used to assess bowel motility, gallstones, and liver pathology as well as detecting soft tissue tumours.

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    Description

    This quiz explores various imaging techniques used for diagnosing abdominal pain. It covers the initial imaging modalities, assessments for pancreatic masses, and imaging findings relevant to acute cholecystitis and gallstones. Whether you are a medical student or a healthcare professional, test your knowledge on these critical imaging strategies.

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