viv Ny Leal 5,15, ae ie gf atest (Apna cl at ) YeN4 a 0s Sib ag Ad A. Choose the correct answer (cach for 3 marks) Diameter of the needle used in core biobsy is: 25 Gaguge. 14 Gauge. 7 French 10 mm, POp>E Flexible guide wire core is made of: tainless steel. Aluminium. . Ceramic, D.Nittinol, > ee 3, 0.035 inch guide wire fits for .....Catheter: A. OF. B. 8F. Gu 2¥. D. 4F "i 4, Most proper wire for Intervention in Aorta is... A.Bensten B. Copra i C. Rosen F D.Chipa needle, 5. Permanent large vessel embolic agen AL Coi B. Gel Foam c. PVA D. Onyx. 6.Thrombolytic agents A. Gel Foam B. Coil C. Onyx D.Streptokinase. 7. The best modality for uterine fibroid embolization is... A. Alcohol, D.Emposphere“8. All those branches arise from the aorta except: ‘ACeeliac. B.SMA (superior mesenteric artery) ‘C.Renal arteries. D.Peronealatery. 9. Femoral puncture is characterized by all except: A.Large calibre. B. Easy to puncture C. Bony land mark. D. Less bleeding. 10. Complications of percutaneous cholangiogram are all except: A Peritoneal bile leak. B.Biliary fistula C. Hypertension. D. Peritonealloculated collection 11. Cirele of willis is formed by A. Coronary artery B.Subclavian artery. C. Basilar artery. . D. Posterior cerebellar artery 12, Needles types includes A.Biobsy needle. B. Fine needle C. Drainage catheter D. AandB 13.Absolute aleohol is used to treat A.Cerebral AVM. B. Cerebral AVF. C.Tumors. D.Splenic lacerations 14. Regular Superior vena cava drains A. Lower limbs. B. Portal Vein. C. Head and Neck. D. Pulmonary veins 15. All forms the portal system except A. Common iliac vein B, SMV C. Splenic Vein D.. Cystic vein16, All used in conventional intervention angiographyequipment except: A. Catheters B.Guide wires C.X-ray beam D. Magnetic resonance beam B.__Put(T) for true or (F) for False wh for 2 marks) 1 Inferior vena cava receives drainage of abdomen and chest only 2 Non-selective catheter use single end hole) 3. Dorsalispedis arise from posterior tibial artery () 4 Arch of aorta gives off three vessels () 5. Internal iliac artery is a branch of external iliac artery () 6 Common carotid artery divides into internal and external arteries (). 7 Vertebral arteries form the basilar system for the brain circulation () 8 Percutaneous biliary drainage requires a cover of antibiotic only before the procedure 9.3 F catheters equals 3 mm diameter (). F 10 18 Gauge cannule fits for 0.035 inch wire () 11 Hacmorrhage is not a usual complication of interventional procedure () 12 Right coronary artery is the main arterial supply of the left atrium. () 13 Left coronary artery gives off two main branches only () 14 Superior mesenteric artery is the main supply forthe rectum () 15 IVC is formed by the right common iliac and the left common as well () 16 Percutaneous biliary drainage is needed in patient with obstructive jaundice () Good Luckete sa pectly Mati gi: Atl eal ppbely Land Gy PAY capt gst aL (res) Huai) Chal ll pplys Gladal . Hele Gast elt pt gue: Aquat OB yy Glad! I-Choose the correct answer: 30 marks) LMRI disadvantage 7.Colour of water In TI: A. Claustrophobia A) white B) dark gray C) light gray B. Metallic object D) black C. High cost : D. Allofthe above Soe beet 2, Curved probe: A. short wavelength A. 2-5MHz Frequency of sound waves B. Able to enter deeper areas of the body C. Best for liver and kidneys D, Alllof the above 3. Bone appears white at x-ray film because it: ‘A. Highly absorbed of x-ray B. Poor absorption C. Reflect the x-ray beam D. Noon of the above 4, Ultrasound complication: A. Difficult for obese patient B. Operator dependent C. Real time examination D. A&B 5. Best image modalities for diagnosis of meniscal injury A. CT with contrast B. _ Fluoroscopic examination. Cc. MRI D. All of the above 6.Which of these imaging techniques use X-rays? A) Ultrasound B)MRI- C)CT D) All ofabove B. high frequency C. both A and B D. longest wavelength 9. Relatively low KV values are used in some x-ray procedures for the Purpose a. Increasing penetration. ‘b Increasing contrast sensitivity, c. Decreasing patient exposure, Decreasing area contrast. 10. When the smaller focal spot si xray tube is selected, you would expect: ‘a, Reduced scattered radiation. b. Improved visibility of anatomical detail. c. Increased image noise. 4d. Limited MA. 11. The value of CT number in housfeild unit is determined by .......++ A. matrix size c. tissue density dKV 12. Cooling agent of ». slice thickness a.helium —b. neon xenon argon1) Curved probe used to examined the depth organs on the human body ( ‘ut true se 2) Doppler ultrasound used on the examination of the blood vessels ( 3) X-rays cannot absorb or scattered by tissues in the human body. ( 2 4) An anti-scatter grid is placed between the patient and the X-ray detector.( 5) CT scans expose the patient to less ionized radiation than radiography) 6) An anti-scatler grid can reduce further the contribution of scattered X-rays to the image. (_) 7) The contrast agent refers to a chemical substance which is introduced into the body.( ) 8) Fluoroscopic imaging used to diagnosis of vascular structure and gastrointestinal system( —) 9) CT examination has a longer examination time in compare to MRI& ultrasound study) 10) CT study is better than MRI for brain soft tissue examination.() 11) digital detector converts the energy of the transmitted X-rays into light.) 12) X-ray mammography is used to detect small tumors or microcalcifications in the breast.(_) 13)On MRI examination patient can mobile freely during the examination (, ) 14) MRI study safe for patient with peace maker device( _) 15) X-ray beam has a higher intensity at the “eathode-end’ than at the ‘anode-end’( 16) A low radiation dose is especially important to avoid tissue damage. ( ) 17) X-rays belong to non- ionizing radiation ( 18) MRI examination depended on the concentration of nitrogen atoms on the tissue() 19) X-rays can cause chemical and biologic damage to living tissue.( 20) Curved probe used to examined the depth organs on the human body(—_) I1-Mateh: (10 marks) 1| X ray filter TACE 2 | Frequency of sound waves used from 2 the advantages of MRI —5 MHz to be able to enterdeeper areas of the body 3 | an example of intervention radiology Produce amount of radiation exceeds that of X- ray more than 1,000 times 4| No ionizing radiation is required ‘absorbs the weak x -ray waves, to avoid its absorption by the human body S|CT ‘Curved probe Good LuckCus) ephal pale y Lavell 39 o True or False 1- Pulmonary artery arisesfrom left ventricle. ( —) 2- MRI diffusion used in brain infarction. ( — ) 3+ Internal carotid artery is the main blood supply of the brain. = () 4- Subdural hemorrhage is limited to bone and not pass through mid fine. (_ 5+ White matter disease can diagnose by CT brain bewer than MRI. ( 6 Left lung is formed of 2 lobes. ( ) 7- CT petrous bone protocol requires bone window, ( ) 8 Benign tumor of muscle called rhabdomycsarcoma. ( ) 9. Hepatoma is benign tumor of liver. (—) 10- Spleen is present in right hypochondrium. ( —) 11- Pituitary gland protocol is coronal 5 mm thickness and interval. ( — ) 12-Esophagus begins at level of cervical vertebra 1. (—) 13-Hepatic veins thrombosis occurs in bud chiari syndrome. (°.') 14-CT enterography used for diagnosis of renal diseases. ( ) 15-Cholangiocarcinoma is associated with jaundice. ( ) 16- Medulla oblongata is the lower part of the brain stem. ( —) 17-Frontal lobe of the brain contains sensory areas. ( .% 18 HRCT used for diagnosis of interstitial lung disease. ¢ 19. Hepatic heamangoma characterized by early enhancement in the arterial phase. ( 20- Lateral view X ray nasopharynx is important for diagnosis of adenoid. ( ) © Choose: L- About CT urography, al! of the following true except. a- Urinary biadder should be full b- CT with contrast only done c- Can diagnose ureteric stone d- Can diagnose cancer urinary bladder 2+ All of the following diseases use MRI wrist protocol except. a- Avascular necrosis of sacphoid b- Median nerve entrapment c+ Carpal tunnel syndrome d- Tarsal tunnel syndrome 3+ The following is true about MRCP... a- Can diagnose biliary diseases b+ Done pre-surgical c- Can substitute diagnostic endoscopy d- All of the above 4- All of the following are rotator cuff muscles except... ‘a- Supra spinatus b+ Infraspinatus e- Sbscapularis de Triceps brachit5- All of the following can cause Common bile duct (CBD) obstruction except... ae Stones within b+ Tumors of head of pancreas c- Hepatitis d- CBD stricture 6- 70% of liver blood flow comes from. a+ Portal vein b- Hepatic artery e IVC d+ Superior mesenteric artery 7- Rapid arterial enhancement and early venous washout is characteristic pattern of aap .. in liver triphasic CT. a- Hemagioma b- HCC c Lipoma d- Portal vein thrombosis 8 Source of extradural hemorthage is .... a- Aneurysm rupture b- Brain stroke c- Middle meningeal artery d- Coup and contracoup 9- All of the following urgently used MRI petrous ... a seeee “ a- Choclear implant b- Acoustic neuroma c- Facial nerve neuroma d- All of the above. 10- All of the following are true about pituitary gland except. a- Present in sella tursica b+ Dynamic MRI may done ¢- Coronal protoco! not done d+ Cavernous sinus present on both sides 11-Cavernous sinus thrombosis is common after ... a+ Infection of face and eye b- Infection of lung c Infection pharynx, d+ Infection of larynx and trachea 12- All of the following are true about brain CT except a+ Used in diagnosis of hemorrhage b- Used in diagnosis of infarction c+ Risk of radiation hazards d+ Preferred than MRI 13- About eye protocol all true except. a- Bone window done b+ Axial , coronal , sagittal 7 + TI,T2, 72 fat suppression d+ Contrast not used.14-Post-cricoid carcinoma arises from... a- Para-nasal sinus b+ Oropharynx c+ Tongue & Trachea 15- About nasal angiofibroma the following is true ... a- Occurs in adults be need contrast for diagnosis c+ Cause nasal bleeding d- All of the above 16- The thickness of slices in High resolution CT... a- Imm b- 10mm cc 20mm. d- 30mm 17- Angiography is used for assessment of... ‘a. Areteriovenous malformations 'b. Arteriovenous fistula. c. Atherosclerotic vascular disease. 4. All of the above, 18-Best Modality to diagnose knee meniscal tear is. a. MRI with contrast. b. X-ray 6. CT without contrast. . d. Ultrasound. "> 19-Contrast in MRI brain done in ‘a Inflammation b- Tumors & Multiple sclerosis d- All of above 20- Renal Tumors are commonly assessed by. a. Multi-phasic CT study. b. CT enterography. c. CT bone window. 4. CT Colonography.ela sagen Hat Bt gla pally Aaa GIG Higa GB a saby pall ghee 2 Bll (rey) yeaa! Cl all aglys Glad ele: on3tl ol pail fgade dual Chih ys Glade! Choose the correct answer: 1-Doppler is used to a) The study form, determine the diameter of the blood vessels, traffic blood flow b) Determine the size, area, perimeter, contour, volume of an organ ) Study organs and Abdomenal organs 4) Determination of parenchymatous organ echogenicity 2, In ultrasonography diagnostic device are used, the frequency of which of a) Less than | MHZ b) 1-20MHZ ¢)More than20 MHZ. d)None of the above 3. in breast ultrasound, the malignant lesion characterized by a) Irregular outline )Posterior shadow c)Microcalcification d)AIll of the above 4, Indication of scrotal ultrasound a) Detection of congenital and acquired hydrocele b) Detection of testicular tumor _c)Detection of varicocelle d)AIll of the above 5, Fluid at ultrasound examination is a) White —_b) Black )Gray None of the above 6. Red and blue color in Doppler study mean a) Arterial is red, venous is blue _b)Arterial is blue, venous is red ” ©)Red is the direction of flow toward the probe and blue a way Blue is the direction of flow toward the probe and red is a way 7. An ultrasound beam passing through the body a) is attenuated b)produces heating of tissues ¢) can be reflected d) produces ionization 8. Ultrasound used for diagnosis a) has a frequency in the region 2 to 10 kHz _b)has a velocity in air of 1500 ms will not travel through a vacuum _d)is produced and detected by a transducer 9.Which of the following sound frequencies would include diagnostic ultrasound? a) 10Hz —b) 10KHz ~—c) 100 kHz. 4)10 MHz 10. The fundamental operating principle of medical ultrasound transducers is a) Snell’s law b) ALARA principle c) piezoelectric effect d) impedance effect 11. A sound wave which has frequency higher than upper limit of human hearing is a) infra sonic) ultrasonic) supersonic __d) megasonic 12. Continuous Wave (CW), Pulsed Wave (PW) and Color Flow (CF) are terms used for which kind of ultrasound? a) 3D ultrasound b) Dynamic Ultrasound —_c)Doppler Ultrasound d) advanced13. The probe used for imaging the heart is a) Linear Probe b) Curvilinear Probe ¢) Phase Array Probe d) Endoc: 14 - The following is an image of a curvilinear probe. What is best imaged with a curvilinear probe? a) Superficial structures and vessels _b) trans abdominal imaging ©) Cardiac imaging 4) transvaginal and transrectal imaging 15-What property of sound waves acts like the principle of ultrasound? a) Reflection and Refraction b) Reflection only c) Refraction onlyd) Propagation 16. Which of the following medical imaging modality other than ultrasound does not use any form of radiation? a)PET Scan b) SPECT Scan c)CT Scand) MRT 17. For which of these areas can the ultrasound be taken for an infant but not for an adult? a) Cranium b) Chest c) Arms d)Legs 18. A piezoelectric crystal is used to produce the ultrasound waves. What kind of ultrasound is produced? ‘ a) Pressure wave ultrasound b) Electrical wave ultrasound c) Sound wave ultrasound 4) Simple ultrasound 19.The ion of liver ultrasound: a) Right Abdominal pain b)Jaundice c)Nausea &vomiting d) all of the above 20. The ultrasonic sign of simple ovarian cyst: a) Round shape of the lesion b)Thick wall of the lesion )Presence of mural nodule in the cyst d) multiple septation inside the cyst Put true or fals 1) Endoscopic ultrasound detect early superficial changes of the intestinal mucosa ( ) 2) Endoscopic ultrasound can detect extra mural extension (—_) 3) Endoscopic capsule detect the deep and the extra luminal lesions () 4) 3-6 MHz for curvilinear ultrasound transducer) 5) Linear transducer from 5-7 MHZ. ( 7 6) Biliary ultrasound done for patient with left upper quadrant pain( —_). 7). Arterial Doppler ultrasound done for diagnosis superficial thrombophlebitis ( ) 8) Normal thyroid gland has a heterogeneous ultrasound appearance ( 9) Thyroid ultrasound can detect Retrosternal extension. ( ) 10) Breast ultrasound technique is radiaVantiradial methods ( —) 11) Ultrasound indication is to detect and measure distance of the object (_) 12) The gel allows the transchcer to glide easily, and improves the transmission of the signals ( 13) Ultrasound criteria for liver cirrhosis are shrunken size and coarse echopatten( 14) Ultrasound criteria for hepatoceliular carcinoma mostly on top of circhotic liver) 15) Elastrography is the term used when ultrasound is used to assess elastrography (Hath gb: Huts (as) gla pslally Anal Gili gaye ash Cla sally sy palll coalge Sahat Ayamcall Ag iil) ante a glys Glael ‘el: ons (Ajeet cals) OV i A Principle of ultrasound examination: I-Put true or false: (each question Y marks) Y) US cannot evaluate hydrocele properly( ) Y) Fibroids are the most common solid malignant uterine neoplasms of myometrial origin () Y) The appearance of the endometrium depends on which part of a woman's menstrual cycle( ) £) US is hardly detect small isoechoic lesions in the breast( ) ©) Power Doppler is particularly useful when examining superficial structures, like thyroid( ) ‘\) Gall bladder is seen hyperechoic in US(_ ) Y) Piezo-electric effect is converting one type of energy to another( ) IL-Choose the correct answer: (each question * marks) \. What property of sound waves acts like the principle of ultrasound? a) Reflection and Refraction c) Refraction only b) Reflection only 4) Propagation . For which of these areas can the ultrasound be taken for an infant but not for an adult? a) Cranium c) Arms b) Chest 4) Legs Y. Additional functions can be added to the US a) YD US imaging c) contrast-enhanced US b) elastography d) All are true . When pelvic ultrasound is done, why is it advised to have a full bladder? a) To have a good acoustic window b) To increase the water content ©) To lower impedance 4) To allow for better propagation of waves ae©, What does the red dot on the probe help within the produced image? a) To check if the correct probe was used b) To check the probe orientation ) To check the depth of the probe that was used 4) To check the plane of the image. ‘\. Increase the echogenicity of the vessels wall of the portal veins occur on: a) Liver fibrosis ©) Alcoholic intoxication b) Liver cirrhosis 4d) Intoxication of other causes Y. The indication of liver ultrasound: a) Right upper quadrant pain c) Nausea and vomiting b) Jaundice 4d) Alllof the above 4, Theultrasonicsign of simple ovarian cyst: a) Round shape of the lesion b) Thick wall of the lesion ¢) Presence of mural nodule in the eyst d) Presence of multiple septation inside the cyst 4. The main radiological methods of diagnosis thyroid gland lesions in children is a) X-ray c) Ultrasound b)CcT d)MRI \+, ‘The indication of thyroid ultrasonography are: a) To detect the size of the thyroid gland , b) To differentiate cystic from solid nodules c) To detect the integrity of the capsule. 4) Alll of the above 1%, In TVS/endovaginal exam.;. a) A probe ¥.° MHZ is used ©) UBis full b) UB is emptied. 4) Power Doppler cannot be used. 1, The sonographic appearance of renal stone is a) Well defined solid hyperechoic structure with posterior acoustic shadow. b) Well defined anechoic cystic lesion with solid nodule ©) Well defined hypoechoic solid lesion with central nidus 4) Nor of the above. \¥, Ultrasonic wave i a) The collision of electronic flow from the anode surface b) Piezoelectric effect ©) In the spontaneous decay of nuclei 4) Excitation of proton in a magnetic field<\4, The benefit of ultrasound: a) Noninvasive, painless b) The relative, speed, informative method c) The availability, cheap, suitable for children 4) All of the above \e, Visualization object on ultrasound depended on a) Ability to pass an object, absorbed or reflects waves b) From the physical density of the object ¢) From the proton density of the object ¢) From elasticity and elastic properties of the object 1%, Absolute contraindication to ultrasound is a) Conduct artificial respiration b) Patient body temperature above ¥* degree ¢) Blood pressure below ¥+/¢+ and high creatinine level d) No absolute contraindication 1¥, Doppler is used to . a) The study form, determine the diameter of the blood vessels, traffic blood flow ) Determine the size, area, perimeter, contour, volume of an organ ¢) Study organs and Abdomenal organs 4) Determination of parenchymatous organ echogenicity 1A, In US diagnostic device are used, the frequency of which of a) Less than ’ MHZ ©) More than ¥+ MHZ + b) 1-¥+ MHZ d) None of the above 14. in breast ultrasound, the malignant lesion characterized by a) Irregular outline ©) Microcalcification b) Posterior acoustic shadow 4) All of the above Ys. Indication of scrotal ultrasound a) Detection of congenital and acquired hydrocele b) Detection of testicular tumor c) Detection of varicocelle d) All of the above Y‘, Fluid at ultrasound examination is a) White c) Gray b) Black d) None of the above YY, Red and blue color in Doppler study mean a) Arterial is red, venous is blue b) Arterial is blue, venous is red c) Red is the direction of flow toward the probe and blue a way d) Blue is the direction of flow toward the probe and red is a way NeAil papell Mat gh: att ela ppl Kasay Rphial Latily geahiial yi dati aly: Gaal) (rey Rpered ctl all ah olatal Hele cat eh pat Jaane: doa Chih yy Glad! Chose the correct answer: 1. The following is benign renal cyst except a)Infantile polycystic kidney b)Simple cortical cyst ©)Para pelvic cyst Cystic renal cell carcinoma 2, Spread of bronchogenic carcinoma by: a) Trans bronchial b)Lymphatic extension ¢)Blood extension d)AII of the above 3. Meningioma is a) Intra axial brain tumor b)Extra axial brain tumor b) Take homogenous, intense enhancement ——d)b& ¢ 4. CT chest can diagnosis a)Metastatic deposits _b)Pulmonary anomalies c)Chest trauma d)Alll of the above 5. Ascites in MRI examination appear. a)Low Ti, high T2 b) High Tl, highT2 c)High TI, low T2 )All of the above 6, The most effect method for evaluation Pulmonary Embolism: a) MRI angiography b)CT pulmonary angiography c)MRS spectroscope d)AII of above 7. Pneumonia means : a) Infective consolidation _b) Neoplastic consolidation ©)Cavitary hung lesion «Pleural collection 8. Hepatocellular carcinoma can easily diagnosed by: : a) CT abdomen —b)MRI angiography c)Triphasic CT examination d) Isotop scanning 9. Splenomegaly occur due to a)Infection b) Blood disease c) Part of Portal hypertension d) All of above 10. Peumoperitoncum mean....... At the peritoneal eavity : a)Air or gas b)Fluid ©) Blood d)Urine 11. Subphrenie abscess mean .......collection : a)under stomach —b) under diaphragm —c) above diaphragm —_d)pelvic 12. The rotator cuff muscle of shoulder include the following muscles except: a) Supra-spinatous b) Infra-spinatous c)Teres minor —_d)sartorius 13. Types of intra-cranial hemorrhage are the following except: a)Epidural —b) Subgalial —_c) Subarachnoid) Subdural 14, Examination of intra-cranial vascular system known as aJMRV &MRA b)MRS_—C)MRU-—d) MRI ASLP 15, Tumors of the meninges called. J a)Neurofibroma b) glioma c) ependymoma _—_d) meningioma 16. The enhancement of the hepatic hemangioma occurs in -phases a)Arterial —b) Delayed ~—¢) Porto-venous. §— d) B&C 17. 75% of liver blood flow comes from... | Portal vein b) IVC c) Superior mesenteric artery d) Hepatic artery 18. Source of Intra-axial hemorrhage is .. Fz 7 a)Aneurysm rupture b)Trauma —¢) Hypertension _) All of the above 19. CSF signal high in. a)Tl b)T2 ©)STAIR d)FLAIR20. The most common malignant tumor of liver is. a)Mets b)Hemangioma —c) HCC_d) None of the above 21. Interstitial lung disease best diagnosed by. a)CT Chest b)MRI—c)HRCT ~—_d)all of the above 22. Best Modality to diagnose knee meniscal tear is...... a)JMRI—b) X-ray) Ultrasound CT 23. Source of extradural hemorrhage is .. ‘a)Aneurysm — b)venous sinus ¢) Middle meningeal artery d) tumor 24. The most effective methodic for evaluation of renal stones is, a)MRUT —b)CTUT ce) MRCP d)all of the above 25. In Bronchiectasis it affect mainly .... lobe a)Upper b) lower —c) middle d)all of the above 26. CT of male patient with bloody septum show large irregular mass mostly ; ‘a)Bronchogenic carcinoma b) consolidation c)hydatid cyst d)none of above 27.CT chest highly sensitive to assess the esophageal lesions that include : a)Varices b) Neoplasm c)TOF —_—_ all of the above 28. Dilatation of fallopian tube known as : a)Hydrosalpinx b)hydrocele _c) hydronephrosis d) A&B 29. Bony erosion of scutum is noted in : a)Hemangioma —b)cholesteatoma _c) medulloblastoma d) AML. 30. Type III salter-harris fractures involve growth plate at : a) Metaphysis b)Epiphysis c) Diaphysis_ d) A&B Put true or false: |. Pericardial effusion is accumulation of fluid around lung(—) . Ovarian torsion means multiple ovarian cysts ( ) . Ascites at MRI appear low at TI and high at T2 (—) |. Extradural hemorrhage is limited to bone and cross the sutures.( 1 2. 3 4, 5, Restricted diffusion is seen in abscesses, epidermoid cyst.( 6. Spleen is present in left hypochondrium( 7, HIRCT used for diagnosis of interstitial lung disease( 8. CT petrous bone protocol not requires contrast.( —) 9. Subarachnoid hemorrhage source is venous sinuses. ( 10. Renal angiomyolipoma is composed of fat, muscle and blood vessels (_) 11, Hemangioma is The most common malignant tumor of liver) 12, Renal Tumors are commonly assessed by CT enterography ( 13. The adrenal gland Presentin sella tursiea ( 14, MRL is the best modality for para nasal sinuses imaging ( 15. Tumors of cranial nerves called ependymoma ( )jaan gh (TIN) tl pay nad ii 1 a sath cyisly dean Fata Ayace Aci aalaal als Gaia Kp) Rath peal cl ee Caan aba) Bae ow YeN8 gai gui | Cty UE olay Put true or false: }) Trachea-esophageal fistula may be congenital or acquired( _) ¥) Pericardial effusion is accumulation of fluid around the heart () ¥) Ascites at MRI examination appear hypointense at T) and hyperintense at TY (—) £) MRU is MRI evaluation of the biliary tree(__) °) CT is the best modalities in diagnosis of pancreatic calcification( ‘) Ovarian torsion means multiple ovarian cysts ( ) Y) Arachnoid cyst is similar to epidermoid cyst in MRI examination ( ) % 4) Liver metastasis may be hypervascular or hypovascular( ) *) Renal angiomyolipoma is hypervascular lesion(_) ) +) Examination of intracranial vascular system known as MRA &MRV( +) Choose the correct answer: \. The following is benign renal cyst except a) Infantile polycystic kidney b) Simple cortical eyst ©) Para pelvic cyst 4) Cystic renal cell carcinoma ¥. MRI evidence of chronic pancreatitis a) Multi foci of calcification b) Irregular, dilated main pancreatic duct | ©) Enlarged pancreatic size with irregular outline 4) A&b -\-¥, Types of intracranial hemorrhage all of the following except: a) Subarachnoid hemorrhage. b) Subdural hemorrhage ) Intra cerebral hemorrhage 4) Subgalial hematoma {, Best image modalities to diagnosis bone tumor is: a) Plain x-ray ) Ultrasound b) MRI 4) Isotope scan *, The most malignant brain tumour is a) Ganglioglioma ©) Glioblastoma multiform b) Anaplastic astrocystoma d) Meningioma \. Spiral CT urogram can detect a) Presence of stones and its size b) Stone density c) Backpressure changes d) Alll of the above Y, Ideal MRI enterography the bowel should be: a) Dilated > ¥.¢ cm ©) Collapsed b) Dilated <¥.° cm d) None of the above A, The subdural hematoma a) Between the pia matter and the brain b) Between the skull and the dura matter ©) Between the subarachnoid space 4) Intra ventricular 4. Spread of bronchogenic carcinoma by: a) Trans bronchial c) Blood extension b) Lymphatic extension 4) All of the above \s. Uterine congenital anomalies a) Bicomuate uterus ©), Hydrosalpinx b) Biseptate uterus d) A&b 1), MRI perfusion useful in diagnosis of a) Metastatic deposit ©) Depth of the tumor b) Tumor neoangiogenesis 4d) Alllof the above ‘¥. CT chest can diagnosis a) Metastatic deposits ©) Chest trauma b) Pulmonary anomalies d) All of the above\Y, Meningioma is a) Intra axial brain tumor b) Extra axial brain tumor c) Take homogenous, intense enhancement d) b&c \, complication of aortic aneurysm a) thrombosis c) compression on the surrounded structure b) rupture 4d) all of the above 1, trachea-esophageal fistula can be diagnosed with a) Doppler ultrasound b) Barium swallows with gastrographin ¢) Isotope scan d) All of the above \"\, Hepatocellular carcinoma pattern of enhancement a) Peripheral nodular enhancement at the arterial phase with continuous fill in at the delayed phase b) Arterial enhancement with washout at the delayed phase ) Delayed enhancement d) Non enhanced lesion 1Y, Portal hypertension characterized by ; a) Dilated portal vein with varices b) Ascites ©) Splenomegaly 4) Allof the above 1A. Liver cirrhosis characterized with a) Imegular margin and prominent caudate lobe b) Smooth outline with prominent caudate lobe ©) Shrunken caudate lobe 4) Hepatomegaly )4.CT can differentiate ascites from hemoperitoneum by: a) Location ©) CT atenuation b) Size d) All of the above ¥+. Osteosarcoma characterized by: a) Sunburst periosteal reaction b) Cortical destruction c) Wide transitional zone 4) All of the above =(rs) (Aa eekly dat iy Put true or false: \) Trachea-esophageal fistula may be congenital or acquired( _) ¥) Pericardial effusion is accumulation of fluid around the heart O *) Ascites at MRI examination appear hypointense at T) and hyperintense at TY ( 7 £) MRU is MRI evaluation of the biliary tree) °) CT is the best modalities in diagnosis of pancreatic calcification( —) ) Ovarian torsion means multiple ovarian cysts ( ) Y) Arachnoid cyst is similar to epidermoid cyst in MRI examination ( ) * 4) Liver metastasis may be hypervascular or hypovascular( ) 8) Renal angiomyolipoma is hypervascular lesion(_, ) )+) Examination of intracranial vascular system known’ as MRA &MRV( +) Choose the correct answer: }. The following is benign renal cyst except a) Infantile polycystic kidney b) Simple cortical cyst ) Para pelvic cyst 4d) Cystic renal cell carcinoma '. MRI evidence of chronic pancreatitis a) Multi foci of calcification b) Irregular, dilated main pancreatic duct ©) Enlarged pancreatic size with irregular outline d) A&b -\-+. ‘Types of intracranial hemorrhage all of the following except: 1) Subarachnoid hemorrhage. b) Subdural hemorrhage ¢) Intra cerebral hemorrhage d) Subgalial hematoma 4, Best image modalities to diagnosis bone tumor is: a) Plain x-ray ©) Ultrasound b) MRI 4) Isotope scan ©, The most malignant brain tumour is a) Ganglioglioma ¢) Glioblastoma multiform b) Anaplastic astrocystoma d) Meningioma +, Spiral CT urogram can detect a) Presence of stones and its size b) Stone density c) Backpressure changes d) Allof the above V, Ideal MRI enterography the bowel should be: a) Dilated > ¥.° em ©) Collapsed b) Dilated <¥.2 cm 4) None of the above A, The subdural hematoma * a) Between the pia matter and the brain b) Between the skull and the dura matter c) Between the subarachnoid space 4) Intra ventricular 4. Spread of bronchogenic carcinoma b; a) Trans bronchial ©) Blood extension b) Lymphatic extension 4) Allof the above ys, Uterine congenital anomalies a) Bicomuate uterus c) Hydrosalpinx b) Biseptate uterus d) A&b 1), MRI perfusion useful in diagnosis of a) Metastatic deposit ©) Depth of the tumor b) Tumor neoangiogenesis 4) All of the above \Y. CT chest can diagnosis a) Metastatic deposits c) Chest trauma b) Pulmonary anomalies d) All of the above1, Meningioma is a) Intra axial brain tumor b) Extra axial brain tumor ©) Take homogenous, intense enhancement d) b&c ‘4, complication of aortic aneurysm a) thrombosis ©) compression on the surrounded structure b) rupture d) all of the above \*, _ trachea-esophageal fistula can be diagnosed with a) Doppler ultrasound b) Barium swallows with gastrographin ©) Isotope scan d) Alll of the above ‘\, Hepatocellular carcinoma pattern of enhancement a) Peripheral nodular enhancement at the arterial phase with continuous fill in at the delayed phase b) Arterial enhancement with washout at the delayed phase ) Delayed enhancement ) Non enhanced lesion * \Y, Portal hypertension characterized by é a) Dilated portal vein with varices b) Ascites c) Splenomegaly 4) All of the above 1A, Liver cirrhosis characterized with a) Irregular margin and prominent caudate lobe b) Smooth outline with prominent caudate lobe ©) Shrunken caudate lobe 4) Hepatomegaly )4.CT can differentiate ascites from hemoperitoneum by: a) Location ©) CT atenuation b) Size 4) All of the above 1+,Osteosarcoma characterized by: a) Sunburst periosteal reaction b) Cortical destruction ©) Wide transitional zone d) All of the above yeial pphly Laval Aig Hyatt) Ail) sala ay Giacil ae iz (Apmail cael al ) OU, Ler Yt ToN4 gd ays 1-MATCH : (18 MARKES ) 1- Applied research a- the statistical analysis of a large collection of results from : individual studies to develop a single conclusion . 2- Case control Studies b- Compare the risk of developing the disease when exposed to the risk factor to that in the absence of the risk factor. 3 Convenience sample | e- focuses on finding solutions to existing problems. | 4- Meta-analysis d- can be used to study multiple exposures that may be related to a single outcome 5- Bioethics e- use a sample of patients available at a particular time/place, for example patients who attend an asthma clinic 6- Relative Risk (RR): f- is a way of understanding and examining the moral aspects of biomedical research and Practice. 2- COMPLETE: (24 MARKES ) 1- Types of observational descriptive epidemiological study design are oes and 2- Types of cohort studies are 3- Two main types of sampling methods are: .. and . 3- TRUE OR FALSE: (18 MARKES ) 1- To estimate prevalence of a health condition or prevalence of a behavior, or risk factor the researcher conduct a Cross- Sectional Study ( ) 2- Quantitative study design aims to measure the magnitude ( ) 3- The cohort study is one type of observational descriptive epidemiological study Ge) 4- If Relative Risk (RR) < 1 that means that risk is high in exposed and exposure is harmful cy 5- If the purpose of your study was to determine effectiveness of new treatment, the study design of choice is the cross sectional study() 6- Qualitative research does not test hypothesis ee al)4- McQ: ( 20 MARKES ) 1- The elements of the research question that needed are: a- Patients or populations to be studied. b-Intervention/exposure c-Comparison group(s)/Control group d-Outcome/ what are you measuring e- All of the above 2- All of these sampling methods is a probability-based sample except: a- Snowball sampling b- Systematic random sampling c- Stratified random sampling d- Multi stage cluster sampling e- None of the above 3- Non Probability form of sampling is a- Random Sampling b- Non Random Sampling c- Probability Sampling d- Systematic Sampling, e- None of the above 4- What makes research ethical? a- Valuable scientific question b- Informed consent c- Respect enrolled subjects d- All of the above 5- A Cross- Sectional Study is conducted when: a- To estimate prevalence of a health condition b- To learn about characteristics such as knowledge c- To monitor trends over time d- None of the above ead gly cLadlly Call Ss| popedil) Gall ean 2 Ayacl PA ope 9 Lana Gs e 1 CAM Eayay Cengl b : Lal i) Kpapakil ala pyle Cladal Fetus dap Pl pt Bays Av Agua oy dase Question (1): COMPLETE: (24 marks) 1- The types of research are .... 2- Types of cohort studies are 3. Types of Observational Analytical Epidemiological Stady Designs ar and 4- Interpretation of Relative Risk (RR): [fit is = risk factor and risk of disease occurrence that means no association between ‘5- The measurement of Association in Cohort Studies is ..... 6- The prevalence of prostate cancer has increased in your country over the last 5 years. You want to examine the association between calcium intake and prostate cancer risk. You have limited time and funding to conduct this study. Questions: 1 2 study would be conducted is the measure of association to calculate for this study 7- Data collection techniques inctude: 8. ‘A sample where each member or unit i the study population has an equal chance of being selected is known as .. Question (2): Choose true (T) or false (F) for the following statements: (20 marks) IS Statements. TF Ethical clinical research should answer a valuable question ‘A convenient sample is considered as a probability sample. ‘The cohort study is one type of observational descriptive epidemiological study (Qualitative research does not test hypothesis The interval scale begins at true zero point Vulnerable research subjects arc individuals who are able to consent The research question must not be too broad or general ‘Non- probability sampling methods include snowball sampling methods Ne} 00 | a} on |e} os ea me |Z Itis extremely important that sample be representative of entire group The ordinal scale places things into named categories,Question (3) MCQ: (24 marks) 1- The elements that the research question has needed are: ‘a- Patients and Comparison group(s) - Intervention/exposure ‘¢- Outcome/ what are you measuring 4. All of the above 2- A research method that determines if a program or campaign was implemented as designed a- process evaluation ‘b-qualitative ¢- mean d- rationale 3-Non Probability form of sampling is a- Random Sampling b- Non Random Sampling c- Probability Sampling d- Systematic Sampling 4- In cohort studies, risk is estimated by: a. Odds ratio », Relative risk . Relative contribution 4. Prevalence rate 5-Which one is the not measure of dispersion: (@) The Range (©) 50th Percentile (b) Inter-Quartile Range (d) Variance 6. The Studies lie on the top of Evidence Based Medicine Pyramid are: a Case reports b- Case control c- Cohort study - Randomized controlled double blind study 7-The percentage of the sample that returned the completed surveys is called: ‘a- Response rate b- Sample c- Research questions d- Sampling frame " 8 A complete list of all members of the target population is: ‘ax Response rate b- Sample ©- Validity d- Sampling frame 1 Daa ae 4 5 6 7 8 Question (4): Matching the correct answer from column " "to "A": (12 marks) A B 1 | Quantitative | A | It provides a snapshot of the present with findings that are data limited in scope. 2 | Cross-sectional |B | A study that collects data from the same population (but study different samples) at different points in time 3 | Applied research | C | Data that is numerical and can be ‘counted’. Eg. responses to close-ended questions in a survey. 4 | In-Depth D | Arreliable measure is one which when repeated gives a similar interviews result on each occasion. 3 | Longitudinal | | Research carried out for practical applications and problem- study _| solving functions. 6 | Reliability F | A method of qualitative data collection used when the phenomenon under study cannot be directly observed or measured. Interviewers will ask people for their opinions, views, experiences, feelings etc. on the topic, issue or phenomenon under study.