1-Which of the following ultrasound        4-Which of the following substances are
marker is associated with greatest         used to coat the walls of a CT scan room
increased risk for Trisomy 21 in fetus:    for radiation shielding?
A. Echogenic foci in heart
B. Hyperechogenic bowel
                                           A. Tungsten
C. Choroid plexus cysts
D. Nuchal edema
                                           B. Glass
Correct answer : D. Nuchal edema
                                           C. Lead
2-Which one of the following is the most
                                           D. Iron
preferred route to perform cerebral
angiography?
A. Transfemoral route
B. Transaxillary route
C. Direct carotid puncture                 Correct answer : C. Lead
D. Transbrachial route
                                           5-Most ionizing radiation among the
                                           following is?
Correct answer : A. Transfemoral route
                                           A. X rays
3-Which one of the following tumors
shows calcification on CT Scan:
A. Ependymoma                              B. Gamma rays
B. Meduloblastoma
C. Meningioma                              C. Alpha rays
D. CNS lymphoma
                                           D. Beta rays
Correct answer : C. Meningioma
                                           Correct answer : C. Alpha rays
                                             8-Threshold radiation dose for
                                             haematological syndrome is?
6-Egg on side appearance is characteristic
of?                                          A. 1 Gy
                                             B. 5 Gy
A. Tetralogy of fallot                       C. 20 Gy
                                             D. 100 Gy
B. Total anomalous pulmonary venous
connection
                                             Correct answer : A. 1 Gy
C. Patent ductus arteriosus
                                             9-The most important sign of signficant
                                             renal artery stenosis in an angiogram is:
D. Transposition of great arteries           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
Correct answer : D. Transposition of great
                                             artery
arteries
                                             Correct answer : B. Presence of collaterals
7-Best investigation for the detection of
bone metastases is?
                                             10-The MR imaging in multiple sclerosis
                                             will show lesions in:
A. X-ray
                                             A. White matter
B. CT Scan
                                             B. Grey matter
C. MRI
                                             C. Thalamus
D. Bone scan
                                             D. Basal ganglia
Correct answer : D. Bone scan
                                             Correct answer : A. White matter
11-Gamma camera in Nuclear Medicine is
                                            13-The technique employed in
used for:
                                            radiotherapy to counteract the effect of
A. Organ imaging                            tumour motion due to breathing is known
                                            as
B. Measuring the radioactivity
                                            A. Arc technique
C. Monitoring the surface contamination
                                            B. Modulation
D. RIA
                                            C. Gating
                                            D. Shunting
Correct answer : B. Measuring the
radioactivity                               Correct answer : C. Gating
12-In Radionuclide imaging the most         15-The gold standard for the diagnosis of
useful radio pharamaceutical for skeletal   osteoporosis is:
imaging is:
                                            A. Dual energy X-ray absorptiometry
A. Gallium 67
                                            B. Single energy X-ray absorptiometry
B. Technetium sulphur colloid
                                            C. Ultrasound
C. Technetium-99m
                                            D. Quantitative computed tomography
D. Technetium—99m linked to Methylene
disphosphonate
                                            Correct answer : A. Dual energy X-ray
                                            absorptiometry
Correct answer : D. Technetium—99m
linked to Methylene disphosphonate
                                            16-The most sensitive imaging modality
                                            for diagnosis of ureteric stones in a
12-Which one of the following               patient with acute colic is:
radioisotope is not used as permanent
                                            A. X-ray KUB region
implant:
                                            B. Ultrasonogram
A. Iodine-125
                                            C. Non contrast CT scan of the abdomen
B. Palladium-103
                                            D. Contrast enhanced CT scan of the
C. Gold-198
                                            abdomen
D. Caesium-137
                                            Correct answer : C. Non contrast CT scan
Correct answer : D. Caesium-137             of the abdomen
17-Which one of the following has the       20-Which one of the following imaging
maximum ionization potential?               techniques gives maximum radiation
                                            exposure to the patient?
A. Electron
                                            A. Chest X-ray
B. Proton
                                            B. MRI
C. Helium ion
                                            C. CT scan
D. Gamma ray
                                            D. Bone-scan
Correct answer :C. Helium ion
                                            Correct answer : C. CT scan
18-All of the following radioisotopes are
used as systemic radionuclide except:       21-The ideal timing of radiotherapy for
                                            Wilms tumour after surgery is:
A. Phosphorus
                                            A. Within 10 days
B. Strontium
                                            B. Within 2 weeks
C. Iridium
                                            C. Within 3 weeks
D. Samarium
                                            D. Any time after surgery
-Correct answer : C. Iridium
                                            Correct answer : A. Within 10 days
19-Phosphorus 32 emits:
                                            22-Which of the following causes rib-
A. Beta particles
                                            notching in a chest radiograph?
B. Alpha Particles
                                            A. Bidirectional Glenn shunt
C. Neutrons
                                            B. Modified Blalock Taussig shunt
D. X rays
                                            C. IVC occlusion
                                            D. Coarctation of aorta
Correct answer : A. Beta particles
                                            Correct answer : D. Coarctation of aorta
23-Which is the objective sign of
identifying pulmonary plethora in a chest
                                            26-The most important sign of signficant
radiograph?
                                            renal artery stenosis in an angiogram is:
A. Diameter of the main pulmonary
                                            A. A percentage diameter stenosis > 70%
artery > 16 mm
                                            B. Presence of collaterals
B. Diameter of the left pulmonary artery
> 16 mm                                     C. A systolic pressure gradient > 20 mm
                                            Hg across the lesion
C. Diameter of the descending right
pulmonary artery > 16 mm                    D. Poststenotic dilatation of the renal
                                            artery
D. Diameter of the descending left
pulmonary artery > 16 mm
                                            Correct answer : B. Presence of collaterals
Correct answer : C. Diameter of the
descending right pulmonary artery > 16      27-The MR imaging in multiple sclerosis
mm                                          will show lesions in:
                                            A. White matter
24-The procedure of choice for the          B. Grey matter
evaluation of an aneurysm is:
                                            C. Thalamus
A. Ultrasonography
                                            D. Basal ganglia
B. Computed tomography
C. Magnetic resonance imaging
                                            Correct answer : A. White matter
D. Arteriography
Correct answer : D. Arteriography
                                            28-Spongy appearance with central
                                            sunburst calcification is seen in?
25-The most accurate investigation for      a) Pancreatic adenocarcinoma
assessing ventricular function is:
                                            b) Mucinous cystadenocarcinoma
A. Multislice CT
                                            c) Somatostatinoma
B. Echocardiography
                                            d) Serous cystadenoma
C. Nuclear scan
D. MRI
                                            Correct answer : d) Serous cystadenoma
Correct answer : B. Echocardiography
29-A male was brought unconscious to          32-Most sensitive sonological indicator
the hospital with external injuries. CT       for aneuploidy is
brain showed no midline shift, but basal
                                              a) Gestational sac volume
cistems were compressed with multiple
small hemorrhages. What is the diagnosis      b) Crown-rump length
a) Cortical contusion                         c) Nuchal translucency
b) Cerebral laceration                        d) Serum B HCG level
c) Multiple infarcts
d) Diffuse axonal injuries                    Correct answer : c) Nuchal translucency
Correct answer : d) Diffuse axonal injuries   33-On MRI the differential diagnosis of
                                              spinal cord edema is:
                                              a) Myelodysplasia
30-Bone scan of a patient with Multiple
Myeloma shows                                 b) Myelomalacia
a) Diffusely increased uptake                 c) Myeloschisis
b) Diffusely decreased uptake                 d) Cord tumors
c) Hot spots
d) Cold spots                                 Correct answer : b) Myelomalacia
Correct answer : d) Cold spots                34-Which of the following features on
                                              mammogram would suggest
                                              malignancy?
31-Most chemoresistant tumors among
                                              a) Well defined lesion
the following is
                                              b) A mass of decreased density
a) Synovial sarcoma
                                              c) Areas of spiculated microcalcifications
b) Osteosarcoma
                                              d) Smooth borders
c) Malignant fibrous histiocytoma
d) Embryonal rhabdomyosarcoma
                                              Correct answer : c) Areas of spiculated
                                              microcalcifications
Correct answer : c) Malignant fibrous
histiocytoma
35-A 40 years old female patient              38-The procedure of choice for the
presented with recurrent headaches. MRI       evaluation of an aneurysm is:
showed an extra-axial, dural based and
                                              A. Ultrasonography
enhancing lesion. The most likely
diagnosis is:                                 B. Computed tomography
a) Meningioma                                 C. Magnetic resonance imaging
b) Glioma                                     D. Arteriography
c) Schwannoma
d) Pituitary adenoma                          Correct answer : D. Arteriography
Correct answer :a) Meningioma
                                              39-The most accurate investigation for
                                              assessing ventricular function is:
36-Plethoric lung fields are seen in all of
the following conditions, except:             A. Multislice CT
a) Atrial septal defect (ASD)                 B. Echocardiography
b) TAPVC (Total Anomalous Pulmonary           C. Nuclear scan
venous connection)                            D. MRI
c) Ebsteins’ anomaly
d) Ventricular septal defect                  Correct answer : B. Echocardiography
Correct answer : c) Ebsteins’ anomaly
                                              40-Spongy appearance with central
37-Which is the objective sign of             sunburst calcification is seen in?
identifying pulmonary plethora in a chest     a) Pancreatic adenocarcinoma
radiograph?
                                              b) Mucinous cystadenocarcinoma
A. Diameter of the main pulmonary
artery > 16 mm                                c) Somatostatinoma
B. Diameter of the left pulmonary artery      d) Serous cystadenoma
> 16 mm
C. Diameter of the descending right           Correct answer : d) Serous cystadenoma
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
41-A male was brought unconscious to          44-Most sensitive sonological indicator
the hospital with external injuries. CT       for aneuploidy is
brain showed no midline shift, but basal
                                              a) Gestational sac volume
cistems were compressed with multiple
small hemorrhages. What is the diagnosis      b) Crown-rump length
a) Cortical contusion                         c) Nuchal translucency
b) Cerebral laceration                        d) Serum B HCG level
c) Multiple infarcts
d) Diffuse axonal injuries                    Correct answer : c) Nuchal translucency
Correct answer : d) Diffuse axonal injuries   45-On MRI the differential diagnosis of
                                              spinal cord edema is:
                                              a) Myelodysplasia
42-Bone scan of a patient with Multiple
Myeloma shows                                 b) Myelomalacia
a) Diffusely increased uptake                 c) Myeloschisis
b) Diffusely decreased uptake                 d) Cord tumors
c) Hot spots
d) Cold spots                                 Correct answer : b) Myelomalacia
Correct answer : d) Cold spots                46-Which of the following features on
                                              mammogram would suggest
                                              malignancy?
43-Most chemoresistant tumors among
                                              a) Well defined lesion
the following is
                                              b) A mass of decreased density
a) Synovial sarcoma
                                              c) Areas of spiculated microcalcifications
b) Osteosarcoma
                                              d) Smooth borders
c) Malignant fibrous histiocytoma
d) Embryonal rhabdomyosarcoma
                                              Correct answer : c) Areas of spiculated
                                              microcalcifications
Correct answer : c) Malignant fibrous
histiocytoma
47-Plethoric lung fields are seen in all of
the following conditions, except:
                                              50-The most accurate investigation for
a) Atrial septal defect (ASD)                 assessing ventricular function is:
b) TAPVC (Total Anomalous Pulmonary           A. Multislice CT
venous connection)
                                              B. Echocardiography
c) Ebsteins’ anomaly
                                              C. Nuclear scan
d) Ventricular septal defect
                                              D. MRI
Correct answer : c) Ebsteins’ anomaly
                                              Correct answer : B. Echocardiography
48-Which is the objective sign of
                                              51-A young male is brought unconscious
identifying pulmonary plethora in a chest
                                              to the hospital with external injuries. CT
radiograph?
                                              brain showed no midline shift. Basal
A. Diameter of the main pulmonary             cistern was compressed with multiple
artery > 16 mm                                small haemorrhages. What is the likely
                                              diagnosis?
B. Diameter of the left pulmonary artery
> 16 mm                                       A. Cerebral contusion
C. Diameter of the descending right           B. Cerebral laceration
pulmonary artery > 16 mm
                                              C. Multiple infarcts
D. Diameter of the descending left
                                              D. Diffuse axonal injuries
pulmonary artery > 16 mm
                                              Correct answer : Diffuse axonal injuries, It
Correct answer : C. Diameter of the
                                              is associated with unconsciousness and
descending right pulmonary artery > 16
                                              CT scan shows multiple petechial
mm
                                              haemorrhages.
49-The procedure of choice for the
                                              52-Which of these tumors is least
evaluation of an aneurysm is:
                                              radiosensitive
A. Ultrasonography
                                              a) Ewing’s sarcoma
B. Computed tomography
                                              b) Osteosarcoma
C. Magnetic resonance imaging
                                              c) Wilm’s tumor
D. Arteriography
                                              d) Neuroblastoma
Correct answer : D. Arteriography
                                              Correct answer : b) Osteosarcoma
53-The diagnostic procedure not done in      56-Most common type of teratoma of the
case of pheochromocytoma.                    testis is?
a) CT scan                                   A. Teratoma differentiated
b) MRI                                       B. Malignant teratoma intermediate
c) FNAC                                      C. Malignant teratoma anaplastic
d) MIBG scan                                 D. Malignant teratoma trophoblastic
Correct answer : c) FNAC                     Correct answer : B. Malignant teratoma
                                             intermediat
54-Most common hormone deficiency
seen after intracranial radiation therapy?   57-Most common cause of lobar
                                             hemorrhage in elderly age group ?
a) Prolactin
                                             A: Hypertension
b) Gonadotropins
                                             B: Vascular malformation
c) ACTH
                                             C: Coagulopathy
d) Growth hormone
                                             D : Amyloid angiopathy
Correct answer : d) Growth hormone
                                             Correct Answer: D : Amyloid angiopathy
55-Which of the following is true
regarding hereditary pancreatitis?           58-Which nutritional deficiency is
                                             associated with hereditary ataxia?
A. Autosomal recessive disorder
                                             A. Vitamin B12
B. Has 80% penetrance
                                             B. Vitamin B1
C. Accounts for about 30% of cases of
chronic pancreatitis                         C. Vitamin E
D. IgG4 concentrations are elevated          D. Vitamin C
                                             Correct answer: C. Vitamin E
Correct answer : B. Has 80% penetrance
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