Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

MCQ
1-An x-ray is a bundle of electromagnetic energy called…
A) Proton.
B) Electron.
C) Photon.
D) Nucleus.

2-A Tungsten anode is used in an X-ray tube, because…

A) High melting point.
B) High atomic Number.
C) It is a metal.
D) Low atomic number.

3-In an X-ray tube, when electrons hit the Tungsten anode, most of their
kinetic energy is lost as...
A) Photons.
B) Heat.
C) Static energy.
D) X-ray.

4-Lead is a useful shielding material for x-rays because..

A) It has high melting point.
B) It has high atomic number.
C) It scatters X-ray photons.
D) It is reflects X-ray photons.

5- The biological hazards of x-ray are due to

A) Primary x-ray.
B) Secondary x-ray.
C) Scattered radiation.
D) Non-ionizing radiation.

6-Who is exposed the most to biological effect of x-ray?

A) Females.
B) Fetuses.
C) Infants.
D) Children.

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7. Which type of imaging modality uses rotating x-ray source and detectors? A)
Helical CT scan.
B) MRI.
C) Fluoroscopy.
D) Angiography.

8-Hounsfield units represent which of the following?

A) Tissue intensity.
B) Tissue density.
C) Tissue echogenicity.
D) Tissue perfusion.

9-The disadvantages of ultrasonography.

A) Operator-dependant.
B) Cannot penetrate bone.
C) Has relatively poor quality in gaseous abdomen.
D) All of the above.

10-Contraindications of MRI include:

A) Claustrophobia.
B) Intracranial aneurysms.
C) Cardiac pacemakers.
D) All of the above.

11- If you have a patient with metastatic cancer breast to the bones:-
What is the modality that is likely used for diagnosing extent of bony lesionsa. X-
Ray.
b. CT.
c. Isotopic bone scan.
d. MRI.

12. Contraindications to MRI

a) cardiac pacemaker.
b) metallic Foreign Body.
c) Postoperative
d) (a) and (b)

13. A 47 years old man with accidentally discovered renal mass at abdominal
ultrasonography and MRI was requested. Which of the following is
considered as absolute contraindication to MRI?
A. Bronchial asthma B. Cardiac pacemakers
c. Femoral artery stent
d. Renal failure

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

14- Before you perform CT scan of the abdomen with oral and IVcontrast the
patient should have:
A) Normal kidney function.
B) Normal liver function.
C) Normal kidney and liver function.
D) Normal blood picture.

15. Plain radiography is least useful in the diagnosis of:

A) Intestinal obstruction.
B). Urinary calculi.
C). Pneumoperiteum.
D) Solid organs and metastatic diseases.

16. What is the most sensitive imaging investigation for staging of colon
cancer diagnosed at colonoscopy?
A) CT of the chest, abdomen and pelvis.
B) Abdominal ultrasound scan.
C) Double-contrast barium.
D) FDG PET/CT.

17. Regarding DEXA:

A) It does not use ionizing radiation.
B) It can be safely used in pregnant females.
C) It is used to diagnose osteoporosis.
D) It has the disadvantage of being operator dependant.

18. Fluoroscopy is used in all the following except:

A) Angiography.
B) Ascending cystography.
C) Double-contrast barium.
D) Detection of breast mass.

19. The appearance of acute intracranial acute haemorrhage in

CT will be:-
a- Hyperdense (bright).
b- Hypodense (Dark).
c- Signal void.
d- Isodense

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

20. Regarding the CT; which of the following is incorrect:-

a- widely available.
b- Can be used in patients with MR-incompatible hardware.
c- Not sensitive to the presence of acute haemorrhage and calcification.
d- Sensitive to bone fractures.

21. Regarding CT; all of the followings are correct except:-

a- Exposed to ionizing radiation.
b- Exposed to iodine based contrast agents.
c- Images of the brainstem and posterior fossa are often degraded by “streak
artifacts” from dense bone.
d- Insensitive to detection of bone fractures.

22- The preferred and first imaging modality of choice for studying all acute
head injuries is:-
a- CT
b- MRI
c- X ray
d- Ultrasound.

23-The first-line imaging modality for cerebral aneurysm detection is:-

a- CT Angiography.
b- Conventional angiography.
c- Ultrasound
d- PET/CT.

24- Infarctions are demonstrated earlier and are more obvious on:-
a- CT.
b- MRI.
c- Ultrasound.
d- X ray

25- The best examination to perform in most cases of suspected acute

intracranial haemorrhage is:-
a- CT
b- MRI
c- Ultrasound
d- X ray.

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

26- The imaging modality of choice for better assessment of intra-cranial

infections is:-
a- CT scan bone window.
b- Contrast enhanced MRI.
c- X ray.
d- Ultrasound.

27- The following imaging modality allows visualization of intra-spinal

anatomy with much higher contrast resolution:-
a- CT
b- MRI
c- X ray
d- Ultrasound

28-The initial examination for the evaluation of spine trauma:-

a- PET/CT
b- MRI
c- X ray.
d- Ultrasound.

29- The first imaging modality of choice in cases of suspected

thyroid disease:-
a- Enhanced MRI.
b- Ultrasound.
c- CT
d- X ray.

30- In patients with suspected metastatic spinal marrow and meningeal

lesions; the following is the modality of choice:-
a- Plain film.
b- CT.
c- Contrast enhanced MRI.
d- Ultrasound.

31. Regarding X ray the following is true except:

A) scattered when passing through tissue.
B) are not absorbed by tissues.
C) air offers the least resistance to its passage.
D) can be used to diagnose osteoporosis.

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

32. MRI:
A) Works on nitrogen atoms.
B) offers less soft tissue details than CT.
C) excellent modality for assessment of sports injury.
D) contraindicated in patients with cardiac diseases.

33. Regarding ultrasonography all are true except:

A) is relatively cheap available imaging modality.
B) can be used to assess thyroid disorders.
C) can be used safely in pregnant females.
D) Initial imaging modality to assess fractures in children.

34. Regarding Doppler ultrasonography all are true except:

A) is a special type of ultrasonography that use radio frequency
to diagnose vascular diseases.
B) is operator dependant.
C) cannot penetrate bones.
D) is a non invasive and cheap available imaging modality.

35. Regarding conventional radiography:

A) uses non ionizing radiation.
B) better than MRI in initial evaluation of fractures.
C) operator dependant.
D) is an expensive available imaging modality.

36. PET/CT:
A) is a novel imaging modality used to diagnose neoplastic diseases.
B) combines anatomical and metabolic information.
C) uses radioactive tracer.
D) all the above.

37. Advantages of CT scan include:

a) More sensitive than plain x-rays.
b) Show bone and soft tissues.
c) images may be obtained in Coronal and Sagittal planes.
d) All of above.

38- The most effective content of the body that affects the MRI image
appearance is:-
a) Water (Hydrogen).
b) Carbon.
c) Sodium.
d) Calcium

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

39-In PET CT, for functional imaging in cancer cases, the

radiopharmaceutical used is
A) Fluorodeoxyglucose (FDG).
B) Gadolinium.
C) Omnipaque.
D) Technetium.

40- If you have a patient with a painful knee joint: Which cheap and available
first modality will you ask for examination:-
a. X-ray.
b. U.S.
c. CT
d. MRI

41- The standard two views in musculoskeletal X-ray examination are:

a) Both oblique views.
b) A.P., lateral and both oblique views.
c) A.P. and lateral views.
d) All of the above.

42- Barium swallow diagnoses disorders of:

a) colon.
b) stomach.
c) oesophagus.
d) small bowel.

43- CT enterography:
a) is used for imaging of small bowel disorders.
b) no need to use oral contrast media.
c) can be done in patient with liver disease.
d) a and c.

44- A bed ridden 55-year-old male complaining of tachypnea and tachycardia.

The proper imaging investigation to rule out pulmonary embolism is:
A) High Resolution CT of the chest.
B) CT chest with IV contrast
C) CT pulmonary angiography
D) MRI

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

8. A 45-year-old male suspected to have bronchial stenosis.

The appropriate investigation is:
A) CT chest
B) HRCT
C) MRI
D) Virtual bronchoscopy

49. The best modality to study a lung lesions is:

A) Chest x-ray PA view.
B) CT chest.
C) MRI chest.
D) US Chest.

50. The best modality to detect pleural calcification is

A) Chest x-ray PA view
B) CT chest
C) MRI chest
D) US Chest

51. The best modality to study mediastinum lesions is

A) Chest x-ray PA view
B) CT chest with IV contrast
C) HRCT
D) US Chest

52. The best modality to detect interstitial disease is

A) Chest x-ray PA view
B) CT chest with IV contrast
C) MRI chest
D) High resolution CT of the lungs

53. The following is true except:

A) Chest x-ray PA view is used in routine check-up.
B) MRI shows excellent detail of the lung anatomy.
C) PET/CT is used for malignancy staging.
D) High resolution computed tomography (HRCT) is used to
assess interstitial lung disease.

54. The best imaging modality to diagnose posterior urethral

valve in a 12 years old male is:
a. Ascending and micturating cystourethrography (ACU).
b. Plain X-ray of the urinary tract (KUB).
c. Barium enema.

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

d. Ultrasonography (US).

55. In all of the following modalities, the patient is exposed to ionizing

radiation EXCEPT:
a. Intravenous pyelography (IVU).
b. Ultrasound (US).
c. Computed tomography (CT).
d. Plain X-ray.

56. Magnetic Resonance Imaging (MRI) has the following criteria EXCEPT:
a. Multiplanar images are obtained.
b. High soft tissue characterization.
c. Fast, available and inexpensive.
d. Lack of ionizing radiation.

57. Indications of plain X-ray of the urinary tract include all of the following
EXCEPT:
a. To assess radio-opaque urinary calculi.
b. To detect calcifications.
c. Preliminary to IVP.
d. To diagnose vesicoureteric reflux.

58. Plain X-ray of the urinary tract:

a. detects calcifications and stones.
b. in modern practice has been replaced by plain CT of the urinary tract.
c. Both (a) and (b).
d. None of the above.

59. The advantages of Ultrasound (US) include all the following

EXCEPT:
a. Non invasive.
b. No exposure to ionizing radiation.
c. Real time.
d. Gives accurate excretory functional information of the kidneys.

60. For proper assessment of the urinary bladder wall by ultrasound, the
patient is advised to have:
a. A full bladder.
b. An empty bladder.
c. A Foley's catheter within.
d. A fat free meal.

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

61. Regarding ultrasonography, in assessment of breast lesion

the following is true:
a. evaluates masses in patients with dense breast.
b. guide interventional procedures.
c. complementary to mammography in uncertain nonpalpable lesions.
d. all of the above.

61. Regarding Hysterosalpingography all are true except:

a. used to investigate infertility.
b. delineates uterine cavity and Fallopian tubes.
c. done at the ovulation phase at the mid of the menstrual cycle.
d. done under fluroscopy.

62. Biopsy taken from a bony likely neoplastic lesion is mostly performed
under the following guidance:
a) Fluoroscopic X-ray guidance.
b) CT guidance.
c) Ultrasound guidance.
d) MRI guidance.

63- All of the following modalities carries the risk of exposure to ionizing
radiation except:
a- US
b- X-ray
c- CT
d- Renal scan

64- All of the followings are advantages of US examination

except:
a- Inexpensive
b- Widely available
c- Radiation exposure
d- No need of sedation

65- The main disadvantage of MR examination is:

a- Lack of ionizing radiation
b- Long examination and need of sedation for children.
c- Good soft tissue resolution
d- Examination in axial, sagittal and coronal plane (Multiplanar imaging).

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

66- The contraindications of MR examination include the following:

a- Pace maker.
b- Old Aneurysmal clip.
c- Intraocular foreign body
d- All of the above

67-A 6 years old child with foreign body (coin) ingestion, the imaging modality
of choice is:
a- US
b- MRI
c- X-ray.
d- Ba meal.

68- MR cholangiopancreatography is used to image:

a- Biliary system
b- Urinary system
c- Respiratory system
d- Bowel

69- The imaging modalities that are used for imaging congenital heart disease
include:
a- MSCT
b- MRI
c- Echo
d- All of the above

70- A 7-year old child with respiratory distress and suspecting pneumonia, the
initial imaging modality is:
a- Ultrasound
b- CT scan
c- MRI
d- Plain x-ray

71- Recent MR techniques used in brain imaging include:

a- MR diffusion
b- MR spectroscopy
c- MR perfusion
d- All of the above

72- CT enterography examination is used to image the:

a- Urinary system
b- Biliary system
c- Respiratory system

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

d- Bowel diseases.

73- All of the followings are correct about PET/CT examination except:
a- Combine PET &CT examination
b- Provides metabolic & anatomic information
c- No radiation exposure.
d- Preferable modality in malignant lesions

74- In Hodgkin lymphoma, the best imaging modality to assess disease spread
is:
a- Ultrasound
b- CT scan
c- MRI
d- PET/CT scan

75- All of the followings modalities can be used for assessment of an osteolytic
lesion of the femur except:
a- Plain x ray
b- Non contrast CT scan
c- MRI
d- Ultrasonography

76- Regarding CT angiography the following is true except:

a- Intra venous iodinated contrast is given.
b- Needs a multislice CT machine.
c- Can be done in patient with renal impairment
d- Has largely replaced diagnostic conventional angiography.

77- MRI can be used in the assessment of the following medical disorders
except:
a- Congenital anomalies of the brain.
b- Interstitial diseases of the lungs.
c- Inflammation of the dorsal spinal cord.
d- Brain tumours.

78- Computed Tomography can be used in the assessment of the following

except:
a- Fractures of the pelvis.
b- Diseases of the lung.
c- Inflammation of the dorsal spinal cord.
d- Intra cranial hemorrhage.

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

79- Regarding the use of MRI in paediatric neurological disorder all are true
except:
a- Ideal modality for this age group as it avoids the use of ionizing radiation.
b- Needs sedation and anaesthesia.
c- Lacks soft tissue characterization and details.
d- Relative expansive and not present in rural areas.

80-Regarding the use of ultrasonography in pediatric disorder the following is

true except:
a- Ideal modality for this age group as it avoids the use of ionizing radiation.
b- Needs sedation and anaesthesia.
c- US is used for initial assessment of liver, spleen, kidneys.
d- Relative inexpensive and available.

81-The contraindicated imaging modality in a patient with renal impairment

include:
a- CT angiography.
b- MR angiography.
c- Arterial Doppler both lower limbs.
d- Barium meal.

82- The modality that can be safely performed in a patient with renal failure
is:
a- Ultrasonography.
b- Non contrast CT.
c- Barium enema.
d- All the above.

83- The modality that can be used in assessment of trauma of the dorsal spine
is:
a- MRI.
b- Non contrast CT.
c- Plain X-ray.
d- All the above.

84- A child with a cardiac pace maker can safely undergo the following
investigations except:
a- CT angiography of the aorta.
b- MRI.
c- Ultrasonography.
d- PET/CT.

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

85- The initial non-invasive imaging modality to assess congenital heart

disease in a male infant is:
a- Echocardiography
b- CT scan of the heart.
c- Cardiac MRI
d- Cardiac catheterization.

86. What is this diagnostic imaging modality called?

a. Ultrasonography.
b. Non contrast CT.
c. Post contrast CT.
d. MRI.

87. What is this diagnostic imaging modality called?

a. Ultrasonography.
b. Non contrast CT.
c. Post contrast CT.
d. MRI.

88. What is this diagnostic imaging modality called?

a. Plain X-ray (PUT).
b. Non contrast CT.
c. Post contrast CT.
d. MRI.

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

89- Patient presenting with left side hemiplegia

showing:-
a- Cerebral infarction.
b- Intra-cerebral and intraventricular
hemorrhage.
c- Cerebral abscess.
d- Normal calcification.

90- Patient presenting with left side hemiplegia

showing:-
a- Infarction.
b- Intra-cerebral hemorrhage
c- Abscess.
d- Normal CT scan.

91. What is this diagnostic imaging modality called?

a. x-ray knee AP view
b. x-ray knee lateral view
c. MRI knee
d. CT knee

92. What is this diagnostic imaging modality called?

a. x-ray knee AP view
b. x-ray knee lateral view
c. MRI knee
d. CT knee

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

93. What is this diagnostic imaging modality called?

a. x-ray knee AP view
b. x-ray knee lateral view
c. MRI knee
d. CT knee

94. What is this diagnostic imaging modality called?

a. MRI brain axial T2WI
b. MRI brain axial T1WI
c. MRI sagittal T 2WI
d. CT brain

95. What is this diagnostic imaging modality called?

a MRI brain axial T2WI
b. MRI brain axial T1WI
c. MRI sagittal brain T1WI
d. CT brain

96. What is this diagnostic imaging modality called?

a. mammogram.
b. MRI breast
c. US breast
d. none of the above

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

97. What is this diagnostic imaging modality called?

a. US abdomen
b. CT brain
c. MRI knee
d. X-ray chest

98. What is this diagnostic imaging modality called?

a. x-ray chest
b. x-ray knee lateral view
c. MRI chest
d. CT chest

99. What is this diagnostic imaging modality called?

a. x-ray knee AP view
b. x-ray knee lateral view
c. bone scan
d. CT knee

100. What is this diagnostic imaging modality called?

a. x-ray knee AP view
b. x-ray knee lateral view
c. Hysterosalpingogram
d. plain x-ray abdomen

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Radiology & clinical pathology MCQs ]MTI UNIVERSITY BASED ON KASR AINY[

1 C 21 D 41 C 61 D 81 A
2 A 22 A 42 C 62 B 82 D
3 B 23 A 43 D 63 A 83 D
4 B 24 B 44 C 64 C 84 B
5 C 25 A 45 A 65 B 85 E
6 B 26 B 46 B 66 D 86 B
7 A 27 B 47 B 67 C 87 A
8 B 28 C 48 D 68 A 88 A
9 D 29 B 49 B 69 D 89 B
10 D 30 C 50 B 70 D 90 A
11 C 31 B 51 B 71 D 91 A
12 D 32 C 52 D 72 D 92 B
13 B 33 D 53 B 73 C 93 C
14 A 34 A 54 A 74 D 94 A
15 D 35 B 55 B 75 D 95 C
16 D 36 D 56 C 76 C 96 A
17 C 37 D 57 D 77 B 97 A
18 D 38 A 58 C 78 C 98 A
19 A 39 A 59 D 79 C 99 C
20 C 40 A 60 A 80 B 100 C
SECOND 61 -C

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