GENERAL RADIOLOGY / RT/ NM

Contrast media Complication

IODINATED CONTRAST AGENTS

BARIUM SULFATE

SONOVUE

GADOLINIUM
(mc- Multihance, Dotarem)
The image shown here is used for:

● a) Teletherapy
● b) Brachytherapy
● c) Gamma knife
● d) Brachytherapy
Inverse Square Law

● MC side effect of Radiotherapy:

ELEMENT Half-life
18-FDG
● PET (Q)- 18-FDG
Tc● 99
Bone scan

I-123
I-124
I-125
I-131
Co-60 (Q)
Cs-137
Radium-226
CSF spread – Craniospinal irradiation (QQ)
Concept:

Tc99m + LIGAND
SPECT stands for

● a) Single Proton Emission Computed Tomography

● b) Single Positron Emission Computed Tomography
● c) Single Photon Emission Computed Tomography
● d) Simple Photon Emission Computed Tomography
Scan Use

Tc99m-DMSA
Tc99m-DTPA
Tc99m-MAG3
Tc99m-Methylene diphosphonate
(MDP)
Tc99m-HIDA
Tc99m-Pertechnate
I-123 scan
Bone scan

● Metastases
● Primary bone tumors
● Fracture
● Paget’s disease
● Osteomyelitis

● COLD SPOT-
Tc99m-HIDA scan
MAXIMUM PERMISSIBLE DOSE

OVERALL

LENS
SKIN, EXTREMITIES
Radiation Units

Entity SI Unit Conventional Unit

Radioactivity

Exposure

Absorbed dose
ABG RAD

Equivalent dose

Effective dose
PYQ RAPID FIRE
Q. What is the likely diagnosis for the image shown:

● A) Ureterocele
● B) Iliac crest fracture
● C) Foreign body
● D) Bladder stone
Q. Identify the incorrect pair of maximum radiation exposure limit
according to AERB
● a) General public- 1mSv/yr
● b) Occupational worker -2 mSv/yr
● c) Lens of occupational worker- 150msv/yr
● d) Skin of general public-50msv/yr
Q. All of the following can be used as iv contrast agent except:

● a) Iohexol
● b) Gadolinium
● c) Sonovue
● d) Barium
● e) Ioxaglate
Which of the following baseline investigations is performed before
CECT?
● a) X-ray abdomen
● b) RFT
● c) RBS
● d) LFT
Q. A 50 year old female came to the OPD with
complaints of dysphagia and chest pain. The
patient was further evaluated with barium
swallow which is shown below. What is the most
probable diagnosis:
a) Carcinoma esophagus
b) Diffuse esophageal spasm
c) Achalasia cardia
d) Oesophageal web
Q. A 35 year old male presented with pain and
swelling around wrist joint. There is no history of
injury. X ray is shown below:
a) Osteosarcoma
b) Rickets
c) Colle’s fracture
d) Giant cell tumor
Q. An elderly male presented with multiple bone
pains, anemia, renal failure, proteinuria and
hypercalcemia. Xray skull as shown in the image.
Most likely diagnosis?
a) Carcinoma prostate
b) Multiple myeloma
c) Primary hyperparathyroidism
d) Secondary hyperparathyroidism
Q. 60 years old lady presented in state of shock
and abdominal distension with history of peptic
ulcers. X-ray of chest is given below. Identify the
condition.
a. Perforation peritonitis
b. Pneumothorax
c. Pleural effusion
d. Hydropneumothorax
Q. What is the imaging modality given below?

a) CT enterocylsis
b) MRI
c) Barium enema
d) X ray
Q.What is the likely diagnosis?
• A) Hamartoma
• B) Carcinoid
• C) Ca lung
• D) TB
Q. What is the likely diagnosis based on the
image below
• A) Ectopic pregnancy
• B) Molar pregnancy
• C) Retained products of conception
• D) PCOD
Q. 35 year old female with thunderclap headache.
What is the likely diagnosis based on image?
• A) SDH
• B) EDH
• C) SAH
• D) IVH
 Q. A 70-year-old male presents with a history of
painful limp. There is no history of drug intake or
trauma. What is the most likely diagnosis based on
the given image?

• A) AVN
• B) TB hip
• C) Ankylosing spondylitis
• D) RA
Q. What is the likely diagnosis?
• A) CT- AD PCKD
• B) MR-AD PCKD
• C) CT-AR PCKD
• D) MR-AR PCKD
Q. A 16 year old male with fever and altered
mental status. All of the following are true about
the pathology shown except:

a) CSF analysis may have RBC +

b) Associated with myasthenia gravis
c) Behavioral abnormalities are associated
d) Blooming may be seen on Susceptibility
weighted MRI
Q. Which of the following is radiologically true about Lipoma:
1. Low attenuation on CT
2.Hypo-intense on T1-MRI
3.Anechoic on USG
4.Hyper intense on T2-MRI

a. 1 and 4 are correct

b. 3 and 4 are correct
c. 1 and 3 are correct
d. 2 and 3 are correct
Q. A 45-year-old patient presented with complaints of chronic
pelvic pain. The pelvic MRI is shown here. What is the likely
diagnosis?

• a) Intramural leiomyoma
• b) Adenomyosis
• c) Pelvic inflammatory disease
• d) Ashermann syndrome
 Q. 39-year-old male with recurrent episodes of
pain abdomen and jaundice. MRCP is shown
here. Likely diagnosis?
• a) Primary biliary cirrhosis
• b) Primary sclerosing cholangitis
• c) Oriental cholangitis
• d) Caroli disease
Q. 45-year-old male with cough
and dyspnea since 15 days. All
are differentials except:

a) TB
b) COVID-19
c) Histoplasmosis
d) Metastases
Q. While doing USG of a neonate who has
difficulty in urinating, this appearance is
noted in the lower abdomen. What is the
best investigation to confirm the diagnosis?

• a) IVP
• b) RGU
• c) MCU
• d) RGP
Q. A patient presented with a history of blunt trauma
to the chest and abdomen. On USG examination in M
mode the following finding is seen. What could be the
likely diagnosis?
• A) Pleural effusion
• B) Bronchial obstruction
• C) Normal study
• D) Pneumothorax
Q. A 29-year-old male with
hematuria. What is the likely
diagnosis?
▸a) Renal oncocytoma
▸b) Simple renal cyst
▸c) Bosniak type 4 cyst
▸d) Renal angiomyolipoma
Q. A 56 year old male presents with sudden onset
right hemiplegia. What is the likely diagnosis?

• a) Hypertensive hemorrhage
• b) Berry aneurysm rupture
• c) Pontine hemorrhage
• d) Intraventricular hemorrhage
Q. 30-year-old male presents to ED
after RTA. BP is 116/75mm Hg and
pulse is 80 bpm. eFAST at
hepatorenal pouch is shown here.
What is the next step?
a) DPL
b) Exploratory laparotomy
c) NCCT abdomen
d) CECT abdomen
Q. A 45-year-old female presents with abnormal uterine
bleeding. USG is shown here. What is the likely
diagnosis?

• a) Ovarian dermoid
• b) Endometrial hyperplasia
• c) Endometrial carcinoma
• d) Endometrial polyp
Q. A 45-year-old female with
persistent headache and nasal
congestion. Diagnosis?
• a) Adenocarcinoma maxillary sinus
• b) Mucocele
• c) Allergic fungal sinusitis
• d) Wegener's granulomatosis
Q. Which of the following is most
radioresistant phase of cell cycle?
A. G1
B. G2
C. S
D. M
Q. A 35 year old male with fever, weight loss
since 6 months. Diagnosis based on image?
• A) GI TB
• B) Diverticulosis
• C) Carcinoma colon
• D) Ulcerative colitis
Q. Identify the sign
shown in the image
• A) Saw tooth sign
• B) Apple core sign
• C) Corkscrew appearance
• D) String sign
Q. A 35 year old trumpet blower presents with a
neck swelling. What is the likely diagnosis?
• A) Laryngocele
• B) Thyroglossal cyst
• C) Brachial cleft cyst
• D) Carotid body tumor
Q. Mark the correctly labelled
structure

a-Globus pallidus b
a
.
b-Occipital cortex .
c.

c-Lentiform nucleus d
.

d-Caudate
 Q. A 45 year old male presents with sudden onset
colicky pain abdomen with vomiting. Supine AXR is
shown here. Diagnosis?
• A) Proximal SBO
• B) Distal SBO
• C) LBO
• D) Pseudo-SBO
Q. A 26 year old male with back ache, morning
stiffness and reddening of eyes. X- ray of the
patient is given below, Identify the diagnosis of
this patient?

A) Rheumatoid arthritis
B) Psoriatic arthritis
C) Ankylosing spondylitis
D) Paget’s disease
Q. A 35 year old male presented with severe
pain abdomen. What is the likely diagnosis?
• A) Perforation peritonitis
• B) Obstruction
• C) Acute pancreatitis
• D) Boerhave syndrome
 Q. A newborn baby presents with respiratory
distress. Diagnosis based on image
• A) Congenital diaphragmatic hernia
• B) Hiatal hernia
• C) RDS
• D) TTNB
Q. A 35 year old female presented with fever, expectoration and difficulty
breathing. HRCT of chest was performed and shown. What is the likely diagnosis?

a. Mediastinal mass
b. Pleural effusion
c. Diaphragmatic hernia
d. Consolidation with air bronchogram
Q. 45 year old male had RTA. Patient is stable but
complaining of mild chest pain and dyspnea. CXR
is shown below. What is the diagnosis?
a) Hemothorax
b) Pneumothorax
c) Lung contusion
d) Diaphragm tear
Q. A 34-year-old woman landed up in AIIMS
emergency after a road traffic accident with GCS
of 3. She was intubated and sent for NCCT which
was found to be normal. What is the most likely
diagnosis?
• A. SAH
• B. EDH
• C. Cerebral contusion
• D. DAI
Q. What is the least useful investigation to confirm
the diagnosis of the patient with following
condition?
a) Timed barium swallow
b) UGIE
c) Manometry
d) 24-hr pH monitoring
Q. Identify the sign shown in the image
• A) Saw tooth sign
• B) Apple core sign
• C) Corkscrew appearance
• D) String sign
Q. What does the following X ray depict?

a. Pleural effusion
b. Tension pneumothorax
c. Emphysema
d. Bronchiectasis
Q. A 30 year old female presenting with sterile
pyuria. Radiograph is shown identify the
diagnosis?

A) Nephrocalcinosis
B) Putty kidney
C) Staghorn calculus
D) Psoas Calcification
Q. Identify the view given in the X-ray?

a. Towne view
b. Water’s view
c. Coldwell view
d. Basal view
Q. Which of the following is most likely to be seen due to rupture of saccular
aneurysm in brain?

a. Subdural Haemorrhage
b. Subarachnoid Haemorrhage
c. Hydrocephalous
d. Intracerebral Haemorrhage
Q. A 45-year-old male presents to the trauma centre post-RTA.
HE is conscious, talking and vitals are stable. CXR is shown.
Which of the following procedures would you do next?

A. NG tube
B. Log roll
C. ICD tube drainage
D. Epidural anaesthesia
Q. A child presents with cyanosis. Xray of the
patient is given below identify the diagnosis?

A) Cottage loaf, truncus arteriosus

B) Snowman sign, Supracardiac TAPVC
C) Egg on side, TGA
D) Boot shaped heart, TOF
Q. A 30-year man post-RTA with flank ecchymoses
with stable vitals. Which of the following
investigations is the best to localize the site of
bleed?

A) Xray
b) CECT
c) USG
d) RGU
Q. A 35 year old female presents to you with history of nausea and
vomiting. She is undergoing IVF treatment. What is the likely
diagnosis?

a) PCOD
b) Theca-Lutein cyst
c) OHSS
d) Mucinous cystadenoma
Q. Most radiosensitive bone tumor
• A) Enchondroma
• B) Osteosarcoma
• C) Ewing sarcoma
• D) Osteochondroma
Q. 36 year old male underwent a road traffic
accident. NCCT was performed. What is the likely
diagnosis?

a) EDH
b) SDH
c) SAH
d) Cerebral contusion
Q. A 35 year old male with RTA with BP 90/60mm
Hg. What is the next appropriate investigation?

a) eFAST
b) CECT
c) MRI
d) DPL
Q. Identify the MRI sequence

a) SWI
b) Proton density
c) ADC
d) Gradient echo