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.