1-Which of the following ultrasound marker is associated with greatest increased

risk for Trisomy 21 in fetus:

A. Echogenic foci in heart
B. Hyperechogenic bowel
C. Choroid plexus cysts
D. Nuchal edema

Correct answer : D. Nuchal edema

2-Which one of the following is the most preferred route to perform cerebral
angiography?
A. Transfemoral route
B. Transaxillary route
C. Direct carotid puncture
D. Transbrachial route

Correct answer : A. Transfemoral route

3-Which one of the following tumors shows calcification on CT Scan:

A. Ependymoma
B. Meduloblastoma
C. Meningioma
D. CNS lymphoma

Correct answer : C. Meningioma

4-Which of the following substances are used to coat the walls of a CT scan room
for radiation shielding?

A. Tungsten

B. Glass

C. Lead

D. Iron

Correct answer : C. Lead

5-Most ionizing radiation among the following is?

A. X rays

B. Gamma rays

C. Alpha rays

D. Beta rays

Correct answer : C. Alpha rays

6-Egg on side appearance is characteristic of?

A. Tetralogy of fallot
B. Total anomalous pulmonary venous connection

C. Patent ductus arteriosus

D. Transposition of great arteries

Correct answer : D. Transposition of great arteries

7-Best investigation for the detection of bone metastases is?

A. X-ray
B. CT Scan
C. MRI
D. Bone scan

Correct answer : D. Bone scan

8-Threshold radiation dose for haematological syndrome is?

A. 1 Gy
B. 5 Gy
C. 20 Gy
D. 100 Gy

Correct answer : A. 1 Gy

9-The most important sign of signficant renal artery stenosis in an angiogram is:
A. A percentage diameter stenosis > 70%
B. Presence of collaterals
C. A systolic pressure gradient > 20 mm Hg across the lesion
D. Poststenotic dilatation of the renal artery

Correct answer : B. Presence of collaterals

10-The MR imaging in multiple sclerosis will show lesions in:

A. White matter
B. Grey matter
C. Thalamus
D. Basal ganglia

Correct answer : A. White matter

11-Gamma camera in Nuclear Medicine is used for:

A. Organ imaging
B. Measuring the radioactivity
C. Monitoring the surface contamination
D. RIA

Correct answer : B. Measuring the radioactivity

12-In Radionuclide imaging the most useful radio pharamaceutical for skeletal
imaging is:
A. Gallium 67
B. Technetium sulphur colloid
C. Technetium-99m
D. Technetium—99m linked to Methylene disphosphonate
Correct answer : D. Technetium—99m linked to Methylene disphosphonate

12-Which one of the following radioisotope is not used as permanent implant:

A. Iodine-125
B. Palladium-103
C. Gold-198
D. Caesium-137

Correct answer : D. Caesium-137

13-The technique employed in radiotherapy to counteract the effect of tumour motion

due to breathing is known as
A. Arc technique
B. Modulation
C. Gating
D. Shunting

Correct answer : C. Gating

15-The gold standard for the diagnosis of osteoporosis is:

A. Dual energy X-ray absorptiometry
B. Single energy X-ray absorptiometry
C. Ultrasound
D. Quantitative computed tomography

Correct answer : A. Dual energy X-ray absorptiometry

16-The most sensitive imaging modality for diagnosis of ureteric stones in a

patient with acute colic is:
A. X-ray KUB region
B. Ultrasonogram
C. Non contrast CT scan of the abdomen
D. Contrast enhanced CT scan of the abdomen

Correct answer : C. Non contrast CT scan of the abdomen

17-Which one of the following has the maximum ionization potential?

A. Electron
B. Proton
C. Helium ion
D. Gamma ray

Correct answer :C. Helium ion

18-All of the following radioisotopes are used as systemic radionuclide except:

A. Phosphorus
B. Strontium
C. Iridium
D. Samarium

-Correct answer : C. Iridium

19-Phosphorus 32 emits:
A. Beta particles
B. Alpha Particles
C. Neutrons
D. X rays

Correct answer : A. Beta particles

20-Which one of the following imaging techniques gives maximum radiation exposure
to the patient?
A. Chest X-ray
B. MRI
C. CT scan
D. Bone-scan

Correct answer : C. CT scan

21-The ideal timing of radiotherapy for Wilms tumour after surgery is:
A. Within 10 days
B. Within 2 weeks
C. Within 3 weeks
D. Any time after surgery

Correct answer : A. Within 10 days

22-Which of the following causes rib-notching in a chest radiograph?

A. Bidirectional Glenn shunt
B. Modified Blalock Taussig shunt
C. IVC occlusion
D. Coarctation of aorta

Correct answer : D. Coarctation of aorta

23-Which is the objective sign of identifying pulmonary plethora in a chest

radiograph?
A. Diameter of the main pulmonary artery > 16 mm
B. Diameter of the left pulmonary artery > 16 mm
C. Diameter of the descending right pulmonary artery > 16 mm
D. Diameter of the descending left pulmonary artery > 16 mm

Correct answer : C. Diameter of the descending right pulmonary artery > 16 mm

24-The procedure of choice for the evaluation of an aneurysm is:

A. Ultrasonography
B. Computed tomography
C. Magnetic resonance imaging
D. Arteriography

Correct answer : D. Arteriography

25-The most accurate investigation for assessing ventricular function is:

A. Multislice CT
B. Echocardiography
C. Nuclear scan
D. MRI

Correct answer : B. Echocardiography

26-The most important sign of signficant renal artery stenosis in an angiogram is:
A. A percentage diameter stenosis > 70%
B. Presence of collaterals
C. A systolic pressure gradient > 20 mm Hg across the lesion
D. Poststenotic dilatation of the renal artery

Correct answer : B. Presence of collaterals

27-The MR imaging in multiple sclerosis will show lesions in:
A. White matter
B. Grey matter
C. Thalamus
D. Basal ganglia

Correct answer : A. White matter

28-Spongy appearance with central sunburst calcification is seen in?

a) Pancreatic adenocarcinoma
b) Mucinous cystadenocarcinoma
c) Somatostatinoma
d) Serous cystadenoma

Correct answer : d) Serous cystadenoma

29-A male was brought unconscious to the hospital with external injuries. CT brain
showed no midline shift, but basal cistems were compressed with multiple small
hemorrhages. What is the diagnosis
a) Cortical contusion
b) Cerebral laceration
c) Multiple infarcts
d) Diffuse axonal injuries

Correct answer : d) Diffuse axonal injuries

30-Bone scan of a patient with Multiple Myeloma shows

a) Diffusely increased uptake
b) Diffusely decreased uptake
c) Hot spots
d) Cold spots

Correct answer : d) Cold spots

31-Most chemoresistant tumors among the following is

a) Synovial sarcoma
b) Osteosarcoma
c) Malignant fibrous histiocytoma
d) Embryonal rhabdomyosarcoma

Correct answer : c) Malignant fibrous histiocytoma

32-Most sensitive sonological indicator for aneuploidy is

a) Gestational sac volume
b) Crown-rump length
c) Nuchal translucency
d) Serum B HCG level

Correct answer : c) Nuchal translucency

33-On MRI the differential diagnosis of spinal cord edema is:

a) Myelodysplasia
b) Myelomalacia
c) Myeloschisis
d) Cord tumors

Correct answer : b) Myelomalacia

34-Which of the following features on mammogram would suggest malignancy?

a) Well defined lesion
b) A mass of decreased density
c) Areas of spiculated microcalcifications
d) Smooth borders

Correct answer : c) Areas of spiculated microcalcifications

35-A 40 years old female patient presented with recurrent headaches. MRI showed an
extra-axial, dural based and enhancing lesion. The most likely diagnosis is:
a) Meningioma
b) Glioma
c) Schwannoma
d) Pituitary adenoma

Correct answer :a) Meningioma

36-Plethoric lung fields are seen in all of the following conditions, except:
a) Atrial septal defect (ASD)
b) TAPVC (Total Anomalous Pulmonary venous connection)
c) Ebsteins’ anomaly
d) Ventricular septal defect

Correct answer : c) Ebsteins’ anomaly

37-Which is the objective sign of identifying pulmonary plethora in a chest

radiograph?
A. Diameter of the main pulmonary artery > 16 mm
B. Diameter of the left pulmonary artery > 16 mm
C. Diameter of the descending right pulmonary artery > 16 mm
D. Diameter of the descending left pulmonary artery > 16 mm

Correct answer : C. Diameter of the descending right pulmonary artery > 16 mm

38-The procedure of choice for the evaluation of an aneurysm is:

A. Ultrasonography
B. Computed tomography
C. Magnetic resonance imaging
D. Arteriography

Correct answer : D. Arteriography

39-The most accurate investigation for assessing ventricular function is:

A. Multislice CT
B. Echocardiography
C. Nuclear scan
D. MRI

Correct answer : B. Echocardiography

40-Spongy appearance with central sunburst calcification is seen in?

a) Pancreatic adenocarcinoma
b) Mucinous cystadenocarcinoma
c) Somatostatinoma
d) Serous cystadenoma

Correct answer : d) Serous cystadenoma

41-A male was brought unconscious to the hospital with external injuries. CT brain
showed no midline shift, but basal cistems were compressed with multiple small
hemorrhages. What is the diagnosis
a) Cortical contusion
b) Cerebral laceration
c) Multiple infarcts
d) Diffuse axonal injuries

Correct answer : d) Diffuse axonal injuries

42-Bone scan of a patient with Multiple Myeloma shows

a) Diffusely increased uptake
b) Diffusely decreased uptake
c) Hot spots
d) Cold spots

Correct answer : d) Cold spots

43-Most chemoresistant tumors among the following is

a) Synovial sarcoma
b) Osteosarcoma
c) Malignant fibrous histiocytoma
d) Embryonal rhabdomyosarcoma

Correct answer : c) Malignant fibrous histiocytoma

44-Most sensitive sonological indicator for aneuploidy is

a) Gestational sac volume
b) Crown-rump length
c) Nuchal translucency
d) Serum B HCG level

Correct answer : c) Nuchal translucency

45-On MRI the differential diagnosis of spinal cord edema is:

a) Myelodysplasia
b) Myelomalacia
c) Myeloschisis
d) Cord tumors

Correct answer : b) Myelomalacia

46-Which of the following features on mammogram would suggest malignancy?

a) Well defined lesion
b) A mass of decreased density
c) Areas of spiculated microcalcifications
d) Smooth borders

Correct answer : c) Areas of spiculated microcalcifications

47-Plethoric lung fields are seen in all of the following conditions, except:
a) Atrial septal defect (ASD)
b) TAPVC (Total Anomalous Pulmonary venous connection)
c) Ebsteins’ anomaly
d) Ventricular septal defect

Correct answer : c) Ebsteins’ anomaly

48-Which is the objective sign of identifying pulmonary plethora in a chest

radiograph?
A. Diameter of the main pulmonary artery > 16 mm
B. Diameter of the left pulmonary artery > 16 mm
C. Diameter of the descending right pulmonary artery > 16 mm
D. Diameter of the descending left pulmonary artery > 16 mm

Correct answer : C. Diameter of the descending right pulmonary artery > 16 mm

49-The procedure of choice for the evaluation of an aneurysm is:

A. Ultrasonography
B. Computed tomography
C. Magnetic resonance imaging
D. Arteriography

Correct answer : D. Arteriography

50-The most accurate investigation for assessing ventricular function is:

A. Multislice CT
B. Echocardiography
C. Nuclear scan
D. MRI

Correct answer : B. Echocardiography

51-A young male is brought unconscious to the hospital with external injuries. CT
brain showed no midline shift. Basal cistern was compressed with multiple small
haemorrhages. What is the likely diagnosis?
A. Cerebral contusion
B. Cerebral laceration
C. Multiple infarcts
D. Diffuse axonal injuries

Correct answer : Diffuse axonal injuries, It is associated with unconsciousness and

CT scan shows multiple petechial haemorrhages.

52-Which of these tumors is least radiosensitive

a) Ewing’s sarcoma
b) Osteosarcoma
c) Wilm’s tumor
d) Neuroblastoma

Correct answer : b) Osteosarcoma

53-The diagnostic procedure not done in case of pheochromocytoma.

a) CT scan
b) MRI
c) FNAC
d) MIBG scan

Correct answer : c) FNAC

54-Most common hormone deficiency seen after intracranial radiation therapy?

a) Prolactin
b) Gonadotropins
c) ACTH
d) Growth hormone

Correct answer : d) Growth hormone

55-Which of the following is true regarding hereditary pancreatitis?

A. Autosomal recessive disorder
B. Has 80% penetrance
C. Accounts for about 30% of cases of chronic pancreatitis
D. IgG4 concentrations are elevated

Correct answer : B. Has 80% penetrance

56-Most common type of teratoma of the testis is?

A. Teratoma differentiated
B. Malignant teratoma intermediate
C. Malignant teratoma anaplastic
D. Malignant teratoma trophoblastic

Correct answer : B. Malignant teratoma intermediat

57-Most common cause of lobar hemorrhage in elderly age group ?

A: Hypertension
B: Vascular malformation
C: Coagulopathy
D : Amyloid angiopathy

Correct Answer: D : Amyloid angiopathy

58-Which nutritional deficiency is associated with hereditary ataxia?

A. Vitamin B12
B. Vitamin B1
C. Vitamin E
D. Vitamin C

Correct answer: C. Vitamin E

59-Facial nerve exits the skull via?

A. Foramen ovale
B. Stylomastoid foramen
C. Foramen rotundum
D. Jugular foramen

Correct answer: B. Stylomastoid foramen

60-Identify the wrong statement regarding Bell’s palsy:

A. It is the most common form of facial paralysis
B. Paralysis is usually preceded by pain behind the ear
C. MRI reveals swelling and enhancement of gasserian ganglion
D. Presence of incomplete paralysis in first week is the most favourable prognostic
sign

Correct answer: C. MRI reveals swelling and enhancement of gasserian ganglion

61-Identify the unmatched pair?

A. Superior orbital fissure – CN III, IV, V1, VI
B. Foramen ovale – CN V2
C. Jugular foramen – CN IX, X, XI
D. Lateral wall of cavernous sinus – CN III, IV, V1, VI

Correct answer: B. Foramen ovale – CN V2