Special Radiological Procedures for Biliary and Reproductive Systems PDF

Summary

This document appears to be a medical exam or practice exam covering special radiological procedures for biliary and reproductive systems. It includes a series of multiple-choice questions. The questions cover various topics within the field.

Full Transcript

Special Radiological Procedures for Biliary and Reproductive Systems Hussein Shakir Abdzaid ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– 1. Which imaging technique allows for multiple liver scans after a single contrast injection due to...

Special Radiological Procedures for Biliary and Reproductive Systems Hussein Shakir Abdzaid ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– 1. Which imaging technique allows for multiple liver scans after a single contrast injection due to fast imaging times ? A. MRI B. ultrasound C. Helical CT scan D. PET scan E. Fluoroscopic screening 2. Hepatic arterial phase and FSE T2-weighted sequences are the most sensitive sequences for the detection of……… A. Hepatic fat B. Hepatic metastases C. Hepatic abscess D. Hepatic biliary stones E. Hepatic hematoma 3. One of the indication of post-operative T tube cholangiography is......... A. Acute hepatitis B. to exclude biliary tract calculi C. Gallstones D. Pancreatitis E. Hepatocellular carcinoma 4. Which technique is used to demonstrate the intra- and extrahepatic biliary tree and pancreatic duct ? A. TI GRE sequence B. Heavily T2 sequence C. Fat suppression sequence D. T2 FSE sequence E. T2 sequence 5. The fasting or fluid restriction in ultrasound of the liver is required …….. A. For the patient who has a history of kidney disease B. For the patient who has a history of liver lesion C. For the patient who has abnormal liver-function tests D. When the gallbladder should also be examined E. When portal vein should also be assessed 6. After the infusion of a cholangiography agent for computed tomographic cholangiography, how long should the CT scan be obtained ? A. Immediately after the infusion of the contrast agent B. 10 minutes after the infusion of the contrast agent C. 20 minutes after the infusion of the contrast agent D. 35 minutes after the infusion of the contrast agent E. 50 minutes after the infusion of the contrast agent 7. All of the followings are indications of ultrasound of the gallbladder and biliary except ……… A. Stones B. Jaundice C. Fever of unknown origin D. Dysphagia E. Right upper quadrant pain 8. What is the characteristic enhancement pattern of hemangiomas in liver CT during arterial phase ? A. Peripheral continuous enhancement B. Central nodular enhancement C. Peripheral discontinuous nodular enhancement D. Centripetal ‘fill-in’ enhancement E. open ring enhancement 9. Most liver metastases on T1-weighted images are ……. -1- PixelDiagnost? Special Radiological Procedures for Biliary and Reproductive Systems Hussein Shakir Abdzaid ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– A. Hyper- to isointense B. Isointense to hypo C. Hypo to isointense D. Isointense to hyper E. All of the above 10. Which magnetic resonance imaging pulse sequence is commonly used for investigating patients with suspected fatty liver ? A. Tl-weighted spoiled gradient echo (GRE) with in phase/out-of-phase imaging B. Magnetization-prepared T1-weighted GRE with breath-hold technique C. T2-weighted fast spin-echo sequence D. T1-weighted GRE fat-suppressed volume acquisition E. Diffusion-weighted imaging (DWI) sequence 11. According to ultrasound of the pancreas the body of the pancreas is located………. To the splenic vein in a transverse epigastric scan. A. Anterior B. Posterior C. Superior D. Inferior E. Both B and C 12. Which equipment is necessary for performing intra-operative cholangiography ? A. Operating table with CR/DR available B. Mobile ultrasound machine C. Magnetic resonance imaging machine D. Computed tomography imaging machine E. None of the above 13. Regarding to the examination of pancreas….. cost and time implications. A. MRI B. MRCP C. MR angiography D. CT E. plain film 14. What complications can arise due to the technique of injecting contrast medium during percutaneous transhepatic cholangiography ? A. Biliary leaks B. Adverse reactions are impossible C. No complications are associated with this technique D. Septicaemia with high injection pressures E. Prior to therapeutic intervention 15. Regarding biliary drainage, what is a potential complication can occur during the passage of a guidewire above the stricture ? A. Sepsis B. Blockage of catheters C. Perforation of bile duct D. Dislodgement of catheters E. Arterial occlusions 16. In the intraoperative cholangiography, glucagon, propantheline or amyl nitrite should be used A. During removal the T-tube B. Before removal of the T-tube C. When contrast medium flow freely into the duodenum D. When there are no filling defects E. When a spasm of the sphincter of Oddi is occurrence -2- PixelDiagnost? Special Radiological Procedures for Biliary and Reproductive Systems Hussein Shakir Abdzaid ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– 17. What information can be obtained from contrast-enhanced spoiled GRE images in magnetic Resonance angiography ? A. Liver function B. Blood vessel details C. Bowel structure D. Pancreatic enzyme levels E. Renal function 18. ……… is used to localize small lesions (e.g. islet cell tumours prior to resection). A. Endoscopic ultrasound B. Intraoperative ultrasound C. Transabdominal ultrasound D. Colour Doppler ultrasound E. Both A & C 19. During what phase does single-phase contrast-enhanced computed tomography image the liver ? A. Arterial phase B. Portal phase C. Delayed phase D. Late venous phase E. Equilibrium phase 20. Regarding MRCP on magnetic resonance imaging of the biliary tree and pancreatic duct : A. It uses heavily T2-weighted images B. It is noninvasive C. It can demonstrate the presence of stones and the level and cause of obstruction D. All of the above E. None of the above 21. During intraoperative cholangiography, one of the following equipment’s must be used : A. CT scan B. MRI C. Fluoroscopy D. Mobile X ray E. Ultrasound 22. The volume of intravenous contrast used in computed tomography of the pancreas typically ranges from: A. 50 to 75 mL B. 100 to 150 mL C. 200 to 250 mL D. 300 to 350 mL E. 150 to 250 mL 23. Which of the following is not a routine indication for a plain film of the hepatobiliary system ? A. Detection of air within the biliary tree B. Detection of air within the portal venous system C. Detection of opaque calculi D. Detection of pancreatic calcification E. Assessment of liver function 24. Contraindications of percutaneous extraction of retained biliary calculi include : A. Small T-tube (

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