Radiology Teaching Survey

Breast

1. What is the initial evaluation for a woman, forty years of age with a palpable breast lump?
a. Image-guided fine needle aspiration
b. Image-guide core biopsy
c. Diagnostic mammography
d. US breast
e. MRI breast

Cardiovascular

2. Which investigation should be used to assess the risk of coronary artery disease in an asymptomatic patient?
a. No imaging required
b. Transthoracic echocardiography
c. X-ray chest
d. Transoesophageal echocardiography
e. CTA coronary arteries with contrast

General Surgery

3. Identify the most appropriate imaging for a typical abdominal pain, with increased anylase and lipase in a patient
presenting for the first time.
a. CT abdomen without contrast
b. MRI abdomen
c. Chest x-ray
d. US abdomen
e. Abdominal x-ray

Orthopaedics

4. What is the most appropriate imaging investigation for an adult who has turned heavily on his ankle, is unable to
bear weight immediately after the injury, and has point tenderness over the medial malleolus?
a. No imaging required
b. X-ray ankle (AP, lateral and mortise)
c. CT ankle without contrast
d. MRI ankle
e. US ankle

Neurology

5. First-line imaging for a suspected acute cervical spine trauma. Imaging indicated by clinical criteria (NEXUS or
CCR). No myelopathy or neuropathy specified.
a. CT cervical spine without contrast
b. CT cervical spine with contrast
c. MRI cervical spine without contrast
d. MRI brain and cervical spine
e. Cervicocerebral arteriography
Paediatrics

6. Identify appropriate imaging, if any, for a moderate or severe head injury (GCS ≤13) or minor head trauma with
high-risk factors (eg altered mental status, clinical evidence of basilar skull fracture) in an 11-year-old child.
a. X-ray head
b. Arteriography cerebral
c. MRI head without contrast
d. Imaging not appropriate
e. CT head without contrast

Respiratory

7. What is the most appropriate initial imaging investigation for a 40-year-old patient with recurrent haemoptysis
(>30 pack-year history)?
a. Pulmonary arteriography
b. CT Pulmonary angiogram
c. X-ray chest
d. Bronchial arteriography
e. No imaging required

Urology

8. What is the most appropriate imaging for patients with painless frank haematuria with a normal cystoscopy?
a. X-ray intravenous urography
b. CT urography
c. US kidneys and bladder
d. Arteriography kidney
e. X-ray abdomen and pelvis (KUB)

Vascular

9. What is the most appropriate initial imaging for a suspected case of acute mesenteric ischaemia?
a. Arteriography of the abdomen
b. X-ray abdomen
c. US abdomen
d. CTA abdomen with contrast
e. MRI abdomen without contrast

Gynaecology

10. What is the most appropriate imaging for a clinically-suspected adnexal mass in a girl of reproductive age?
a. US pelvis transvaginal
b. CT pelvis with contrast
c. MRI pelvis without contrast
d. CT pelvis without contrast
e. FDG-PET/CT whole body
Interventional

11. What is the most appropriate procedure for an elderly patient with a history of abdominal pain after meals for
the past few months and weight loss? CT scan of the abdomen shows aortic atherosclerotic disease and suggests
SMA origin stenosis with occlusion of coeliac origin and an occluded inferior mesenteric artery (IMA).
a. Surgical bypass or endarterectomy
b. Systemic anticoagulation
c. Supportive measures only
d. MRI abdomen without contrast
e. Angiography with possible angioplasty

Interventional

12. What is the most appropriate management for an adult patient with a 7-day history of right flank pain, fever,
and leucocytosis? Urinalysis is positive for blood CT scan shows a 10 mm stone in the right ureter without
hydronephrosis.
a. Medical management
b. Retrograde ureteral stenting
c. Percutaneous nephrostomy
d. Anterograde ureteral stenting
e. Nephrostomy and delayed surgery