MD Radiology Screening Exam MCQ September 2018

1. Regarding the oesophagus

a. If lower third is transitional epithelium it is called Barrets oesophagus
b. Boerhaaves syndrome is rupture of upper third of thoracic oesophagus
c. Secondary lymphoma is more common than primary
d. Achalasia is Wallerian degeneration of Aurebach’s plexus
e. Mallory Weis tear causes pneumomediastinum

2. Peptic ulcer disease

a. less than 50 associated with h pylori
b. less than 10% of duodenal ulcers are malignant
c. duodenal bulb ulcers are common in Zollinger Ellison syndrome
d. H pylori inhibits HCO3 production in the duodenum

3. Breast cancer
a. There is a 1 in 6 lifetime risk of developing breast carcinoma
b. Family history of ovarian carcinoma increases breast cancer risk
c. Post-menopausal obesity is a risk factor
d. BRCA single mutation confers increased risk to offspring of 75%

4. Menstrual cycle
a. Progesterone is the main hormone in luteal phase
b. Granulosa cells contain iron
c. Diagnosis of peri menopause is through oestrogen/progesterone levels
d. Corpus luteum continues to degrade in early pregnancy
e. Luteal phase depends on duration of corpus luteum

5. Familial polyposis syndromes

a. In Gardner’s there is 80% colonic involvement
b. Juvenile polyposis is associated with multiple polyps
c. Peutz jegher increases malignancy risk
d. Cowdens disease confers increased extra intestinal malignancy risk

6. Ultrasound is the investigation of choice in

a. Adrenal adenoma
b. Parathyroid adenoma
c. Portal vein thrombosis
d. Mesenteric adenitis
7. Statistics
a. SD=SEM/square root of n
b. ?Coefficient of variation is ..range
c. SEM is a much smaller number than SD

8. Patient with thrombocytopaenia 110, neutrophilia 11.5, mild jaundice, tender hepatomegaly,
fever, myalgia, arthralgia
a. HAV
b. EBV
c. Plasmodium falciparum
d. Dengue
e. Leptospirosis

9. Mesonephric duct gives rise to

a. Prostatic utricle
b. Trigone of bladder
c. Vas deferens
d. Ductus deferens
e. Ligament of ovary

10. Routine CXR

a. Parallel beam
b. Always erect
c. Always in deep inspiration

11. Thoracic duct

a. Begins at L1/2
b. Crosses from left to right at T5
c. Lies anterior to left phrenic nerve
d. Drains lymph from the abdominal viscera
e. Travels in trachea oesophageal groove

12. HRCT
a. Higher radiation dose than conventional CT
b. Imaging of choice in solitary pulmonary nodule
c. IOC in interstitial lung disease

13. Adrenal adenoma on CT/MRI

a. Low attenuation
b. Delayed wash out
c. Poorly circumscribed
14. Anaphylaxis
a. Hypertension is an early clinical finding
b. Initial drug of choice is IV hydrocortisone
c. IG E mediated
d. Salbutamol is contraindicated

15. Monozygotic twins

a. Dizygotic diamniotic is rare
b. Lambda sign in MC MA twins
c. Over 10% MC twins are at risk of TTTS
d. Risk of cord entanglement is higher

16. Spinal cord

a. Anterior septum is narrow
b. Posterior spinal cord receives additional supply from intercostal/lumbar arteries
c. Motor fibers travel in contralateral pyramidal tract
d. White matter is surrounded by grey matter
e. Spinal nerve is formed by dorsal and ventral primary rami at intervertebral foramen

17. Lower trunk of brachial plexus

a. Supplies muscles of hand
b. Supplies medial aspect of hand
c. Long thoracic nerve arises from it
d. Lies above the neck of first rib
e. Lies medial to 2nd part of brachial vein

18. Side effects of cisplatin

a. Hearing loss
b. Visual disturbance
c. Hypokalaemia
d. Hypermagnesemia

19. Meliodiosis
a. Caused by protozoan
b. Can spread along nerves
c. Ceftazidime prevents recurrence
d. Liver is primary organ of infection

20. Associations of RA
a. Sjogrens
b. Diabetes mellitus
c. Lymphoma
d. Thrombocytosis
21. Malrotation with volvulus in paediatric age group
a. 8 hr fasting prior to scan
b. Should detect where the caecum is
c. Barium contrast should be used
d. Plain AXR is a must
e. Corkscrew deformity is characteristic

22. PNS
a. Cholinergic neurons stimulate release from adrenal medulla
b. Cholinergic and noradrenergic release inhibit erection and ejaculation

23. Kidneys
a. Renal cortical blood flow is increased by prostaglandins
b. Both loops of Henle are impermeable to water
c. DCT contains hypertonic fluid
d. Daily Filtration volume is x8 TBW
e. GFR measured by substance freely filtered, secreted and reabsorbed.

24. Jugular vein

a. Superior petrosal sinus drains below jugular bulb
b. Cranial accessory nerve lies anterior to IJV
c. Anterior digastric lies lateral to IJV
d. Deep cervical nodes surround IJV

25. Dandy Walker syndrome

a. Posterior fossa is small
b. Cerebellar vermix is degenerate
c. Ventriculomegaly
d. Cystic dilation of temporal fossa

26. Neuroblastoma
a. Crosses the midline
b. Commonest in infancy
c. Brain metastases are common
d. Calcification is common
e. Commonly starts in the adrenals
27. Lung cancer
a. Women have a higher rate of lung cancer among non smokers
b. Small cell lung cancer is chemoresistant
c. Adenocarcinoma always occurs in the lung periphery

28. Shoulder
a. Deltoid aids in abduction over 90%
b. Shoulder capsule extends inferomedially to surgical neck of humerus
c. glenohumeral ligament lies lateral to long head of biceps

29. Ear
a. Reissners membrane separates two channels along the cochlea
b. Stapes is attached to the round window via the annular ligament
c. Long process of malleus is attached to middle ear
d. Inner ear lies in squamous part of temporal bone
30. Associated with malignancy
a. Pyoderma gangrenosum
b. Dermatomyositis
c. Acanthosis nigricans

31. Causes of acute respiratory distress 2 hrs after thyroidectomy

a. RLN palsy
b. Hypokalaemia
c. Haematoma
d. Tracheomalacia
e. Aspiration

32. LA
a. LA works by inhibiting Ca channels
b. 20% intralipid is the treatment for toxicity