1. An old man presents with shortness of breath. CXR shows consolidation .

Which additional
radiological finding is most likely to suggest a diagnosis of klebsiella pneumonia than lieogennella
pneumonia?
a. Bulging fissure
b. Medistinal lymphadenopathy
c. Pleural effusion
d. Pneumothorax
e. Septal thickening

2. Medulloblastoma
a. Exclusively in children
b. Don’t caseate
c. Mostly supra tentoreal
d. Spreads by drop mets to spine

3. A female 16yrs presents with acute flank pain and haematuria. Her USG shows echogenic masses
in the cortical parenchyma with fat density. On CT it shows focal contrast enhancement.
a. Angiomyolipoma
b. Focal renal cell carcinoma
c. Oncocytoma
d. Acute pyelonephritis
e. Cyst

4. During thyroid scintigraphy focal contrast uptake seen in the sublingual structure ?
a. RCC
b. Cyst
c. Fibrosis
d. Sublingual thyroid

5. Evidence of left upper lobe collapse on CXR. On CT in which of the following directions will the left
upper lobe collapse?
a. Anteriorly and laterally
b. Anteriorly and medially
c. Inferiorly and medially
d. Posteriorly and medially
e. Superiorly and medially

6. Paiient with bronchorrea and peripherally placed mass on CT. It is increasing in size on
subsequent CXR in size. Most likely?
a. Alveolar cell CA
b. Bronchogenic CA
c. Small cell CA
d. Large cell CA

7. A young female had an HRCT done for SOB . It has mediastinal lymphadenopathy , demonstrates
well defined nodular opacities found subpleurally and around the bronchovascular bundles .
There is mid to upper zone distribution with some air trapping. Most likely diagnosis
a. Acute extrinsic allergic alveolitis
b. LCH
c. LAM
d. Sarcoidosis
 e. UIP

8. A patient with cough , weight loss, fatigue and fever. HRCT thin walled cysts within the lung
parenchyma. What additional finding is most likely to suggest a diagnosis of LCH than LAM?
a. Smoking history
b. Female sex
c. Increasing lung volume
d. No zonal predeliction
e. Pleural effusion

9. A child presents with leucocoria with an intra orbital enhancing conal mass. He has a pet DOG.
Most likely diagnosis?
a. Retinoblastoma
b. PHPV
c. Toxocariasis
d. Coats disease
e. Retrolental fibroplasia

10. A 40 yr old gives H/O suicidal attempt in which he took all of his prescribed tablets. After few
hours he is found unconscious. Ct showed hypodense area at the parieto occipital junction and
medial frontal lobe. What is the likely medicine he took?
a. Anti psychotic
b. Anti hypertensive
c. Anti epileptic
d. Anti biotic

11. Thyroid scintigraphy , radioisotope given thru which route

a. I/V
b. Oral
c. Sublingual
d. Intra-thyroid

12. A child with hypoplastic right lung , small hilum seen on X ray with an opacity extending from
hilum to right hemidiaphragm?
a. Congenital venolobar syndrome
b. Schimitar Syndrome
c. Trevors Disease

13. Which of the following will not show decreased attenuation with reticulations in the basal
segments
a. Alveolar protienosis
b. Bronchiectasis
c. Rheumatoid lung

14. Anterior mediastinal mass with fat density, which feature will suggest terataoma
a. Calcification
b. Homogenous density
c. Fat density

15. A child with gloved finger appearance with peri hilar lucencies and lymphadenopathy
a. CWP
 b. Silicosis
c. Cystic fibrosis

16. Child with abdominal pain per-technitate scan showed uptake in right iliac fossa along with
uptake in stomach? Most likely
a. Acute appendicitis
b. Urachal cyst
c. Meckels diverticulum

17. Patient of polycythemia rubra vera under goes venesection. There is H/O abdominal pain. Ct
shows “ Spider Web appearance “ in arterial phase
a. Budd Chiari Syndrome
b. Osler-Weber Rendu Syndrome

18.Anterior indentation of esophagus- Abb left pulmonary artery(pulmonary sling)

19. Posterior indentation of esophagus- Abb right subclavian artery

20. Coartcation of Aorta affects – 3-8 ribs

21. Patient with a lytic lesion in the 4th Metacarpal. Primary carcinoma will be from
a. Liver
b. Lung
c. Kidney
d. Breast
e. Bladder

22. Stage II tumor of gastric origin. Most likely

a. Limited to mucosa
b. Limited to sub mucosa
c. Limited to Serosa
d. Advanced to distal organs

23. A female with swelling over the ankle joint. Which feature would be the earliest sign of
osteomyelitis on X ray?
a. Intra cortical break
b. Endosteal erosions
c. Periosteal reaction
d. Soft tissue swelling

24. A lytic expansile lesion showing rapid uptake on Tc-MDP. Most likely lesion
a. Mets from Bladder
b. Mets from Bronchus
c. GCT

25. On x ray lumbar spine lateral view , central anterior beaking is seen in
a. Scheurmanns disease
b. Morique Syndrome
c. Hurler Syndrome
d. Down Syndrome
e. Achondroplasia
26. Le-Forte Type II- Lat alveolar ridge, medial orbital margin and nasal bone (Pyramidal)

27. A patient with declining Renal function after transplantation. A MAG-3 renogram shows normal
perfusion and decreased exertion. Which of the following processes is likely?
a. Acute Rejection
b. Ch Rejection
c. ATN
d. RVT
e. Cyclosporin toxicity

28.Multigravida pregnant – third trimester with painless vaginal bleeding. Most likely cause –
Placenta Previa

29.Early pregnancy with no fetal pole and open OS- Inevitable abortion

30. A female with prior H/O of PID , 6 wks amenorrhea and increasing Beta HCG- Ectopic pregnancy

31. Rocker Bottom foot with – Arthrogyroposis

32.A child with flabby anterior abdominal wall and VUR- Prune belly or Eagle beret Syndrome

33. Female with dysmenorrhea and enlarged uterus- Endometrial thickness measures 12mm. Most
likely
a. Adenomyosis
b. Endometrial Ca

34. An adrenal mass of 25 HU. Next investigation will be .

a. CT in venous and delayed phase (60 sec and 15 mins)
b. USG Guided biopsy
c. CT guided biopsy
d. USG

35.CT Scan is better in detecting – Lung

36. Patient with VHL shows bunch of grapes mass with isolated side duct dilatation-
a. IPMT
b. Adenocarcinoma
c. Insulinoma
d. Pancreatic cystadenoma

37.Child with triangular cord sign on USG- Biliary atresia

38.BPD taken at the level of – Mid thalamus and cavum septum pellucidum

39.Parinaud syndrome associated with – Pineal gland tumor

40. Features suggestive of Psoriasis rather than RA- Normal bone density, periosteal reaction