1-Which of the following ultrasound marker is associated with A.

X rays
greatest increased risk for Trisomy 21 in fetus:
A. Echogenic foci in heart B. Gamma rays
B. Hyperechogenic bowel
C. Choroid plexus cysts C. Alpha rays
D. Nuchal edema
D. Beta rays
Correct answer : D. Nuchal edema
 
2-Which one of the following is the most preferred route to
perform cerebral angiography? Correct answer : C. Alpha rays
A. Transfemoral route
B. Transaxillary route 6-Egg on side appearance is characteristic of?
C. Direct carotid puncture
D. Transbrachial route A. Tetralogy of fallot

Correct answer : A. Transfemoral route B. Total anomalous pulmonary venous connection

3-Which one of the following tumors shows calcification on CT C. Patent ductus arteriosus
Scan:
A. Ependymoma D. Transposition of great arteries
B. Meduloblastoma
C. Meningioma  
D. CNS lymphoma
Correct answer : D. Transposition of great arteries
Correct answer : C. Meningioma
7-Best investigation for the detection of bone metastases is?
4-Which of the following substances are used to coat the walls
of a CT scan room for radiation shielding? A. X-ray
B. CT Scan
A. Tungsten C. MRI
D. Bone scan
B. Glass
Correct answer : D. Bone scan
C. Lead
8-Threshold radiation dose for haematological syndrome is?
D. Iron A. 1 Gy
B. 5 Gy
  C. 20 Gy
D. 100 Gy
Correct answer : C. Lead
Correct answer : A. 1 Gy
5-Most ionizing radiation among the following is?
9-The most important sign of signficant renal artery stenosis in 13-The technique employed in radiotherapy to counteract the
an angiogram is: effect of tumour motion due to breathing is known as
A. A percentage diameter stenosis > 70% A. Arc technique
B. Presence of collaterals B. Modulation
C. A systolic pressure gradient > 20 mm Hg across the lesion C. Gating
D. Poststenotic dilatation of the renal artery D. Shunting

Correct answer : B. Presence of collaterals Correct answer : C. Gating

10-The MR imaging in multiple sclerosis will show lesions in: 15-The gold standard for the diagnosis of osteoporosis is:
A. White matter A. Dual energy X-ray absorptiometry
B. Grey matter B. Single energy X-ray absorptiometry
C. Thalamus C. Ultrasound
D. Basal ganglia D. Quantitative computed tomography

Correct answer : A. White matter Correct answer : A. Dual energy X-ray absorptiometry

11-Gamma camera in Nuclear Medicine is used for: 16-The most sensitive imaging modality for diagnosis of ureteric
A. Organ imaging stones in a patient with acute colic is:
B. Measuring the radioactivity A. X-ray KUB region
C. Monitoring the surface contamination B. Ultrasonogram
D. RIA C. Non contrast CT scan of the abdomen
D. Contrast enhanced CT scan of the abdomen
Correct answer : B. Measuring the radioactivity
Correct answer : C. Non contrast CT scan of the abdomen
12-In Radionuclide imaging the most useful radio
pharamaceutical for skeletal imaging is: 17-Which one of the following has the maximum ionization
A. Gallium 67 potential?
B. Technetium sulphur colloid A. Electron
C. Technetium-99m B. Proton
D. Technetium—99m linked to Methylene disphosphonate C. Helium ion
D. Gamma ray
Correct answer : D. Technetium—99m linked to Methylene
disphosphonate Correct answer :C. Helium ion

12-Which one of the following radioisotope is not used as 18-All of the following radioisotopes are used as systemic
permanent implant: radionuclide except:
A. Iodine-125 A. Phosphorus
B. Palladium-103 B. Strontium
C. Gold-198 C. Iridium
D. Caesium-137 D. Samarium

Correct answer : D. Caesium-137 -Correct answer : C. Iridium

19-Phosphorus 32 emits:
A. Beta particles 24-The procedure of choice for the evaluation of an aneurysm is:
B. Alpha Particles A. Ultrasonography
C. Neutrons B. Computed tomography
D. X rays C. Magnetic resonance imaging
D. Arteriography
Correct answer : A. Beta particles
Correct answer : D. Arteriography
20-Which one of the following imaging techniques gives
maximum radiation exposure to the patient? 25-The most accurate investigation for assessing ventricular
A. Chest X-ray function is:
B. MRI A. Multislice CT
C. CT scan B. Echocardiography
D. Bone-scan C. Nuclear scan
D. MRI
Correct answer : C. CT scan
Correct answer : B. Echocardiography
21-The ideal timing of radiotherapy for Wilms tumour after
surgery is: 26-The most important sign of signficant renal artery stenosis in
A. Within 10 days an angiogram is:
B. Within 2 weeks A. A percentage diameter stenosis > 70%
C. Within 3 weeks B. Presence of collaterals
D. Any time after surgery C. A systolic pressure gradient > 20 mm Hg across the lesion
D. Poststenotic dilatation of the renal artery
Correct answer : A. Within 10 days
Correct answer : B. Presence of collaterals
22-Which of the following causes rib-notching in a chest
radiograph? 27-The MR imaging in multiple sclerosis will show lesions in:
A. Bidirectional Glenn shunt A. White matter
B. Modified Blalock Taussig shunt B. Grey matter
C. IVC occlusion C. Thalamus
D. Coarctation of aorta D. Basal ganglia

Correct answer : D. Coarctation of aorta Correct answer : A. White matter

23-Which is the objective sign of identifying pulmonary plethora 28-Spongy appearance with central sunburst calcification is seen
in a chest radiograph? in?
A. Diameter of the main pulmonary artery > 16 mm a) Pancreatic adenocarcinoma
B. Diameter of the left pulmonary artery > 16 mm b) Mucinous cystadenocarcinoma
C. Diameter of the descending right pulmonary artery > 16 mm c) Somatostatinoma
D. Diameter of the descending left pulmonary artery > 16 mm d) Serous cystadenoma

Correct answer : C. Diameter of the descending right pulmonary Correct answer : d) Serous cystadenoma
artery > 16 mm
29-A male was brought unconscious to the hospital with 34-Which of the following features on mammogram would
external injuries. CT brain showed no midline shift, but basal suggest malignancy?
cistems were compressed with multiple small hemorrhages. a) Well defined lesion
What is the diagnosis b) A mass of decreased density
a) Cortical contusion c) Areas of spiculated microcalcifications
b) Cerebral laceration d) Smooth borders
c) Multiple infarcts
d) Diffuse axonal injuries Correct answer : c) Areas of spiculated microcalcifications

Correct answer : d) Diffuse axonal injuries 35-A 40 years old female patient presented with recurrent
headaches. MRI showed an extra-axial, dural based and
30-Bone scan of a patient with Multiple Myeloma shows enhancing lesion. The most likely diagnosis is:
a) Diffusely increased uptake a) Meningioma
b) Diffusely decreased uptake b) Glioma
c) Hot spots c) Schwannoma
d) Cold spots d) Pituitary adenoma

Correct answer : d) Cold spots Correct answer :a) Meningioma

31-Most chemoresistant tumors among the following is 36-Plethoric lung fields are seen in all of the following
a) Synovial sarcoma conditions, except:
b) Osteosarcoma a) Atrial septal defect (ASD)
c) Malignant fibrous histiocytoma b) TAPVC (Total Anomalous Pulmonary venous connection)
d) Embryonal rhabdomyosarcoma c) Ebsteins’ anomaly
d) Ventricular septal defect
Correct answer : c) Malignant fibrous histiocytoma
Correct answer : c) Ebsteins’ anomaly
32-Most sensitive sonological indicator for aneuploidy is
a) Gestational sac volume 37-Which is the objective sign of identifying pulmonary plethora
b) Crown-rump length in a chest radiograph?
c) Nuchal translucency A. Diameter of the main pulmonary artery > 16 mm
d) Serum B HCG level B. Diameter of the left pulmonary artery > 16 mm
C. Diameter of the descending right pulmonary artery > 16 mm
Correct answer : c) Nuchal translucency D. Diameter of the descending left pulmonary artery > 16 mm

33-On MRI the differential diagnosis of spinal cord edema is: Correct answer : C. Diameter of the descending right pulmonary
a) Myelodysplasia artery > 16 mm
b) Myelomalacia
c) Myeloschisis 38-The procedure of choice for the evaluation of an aneurysm is:
d) Cord tumors A. Ultrasonography
B. Computed tomography
Correct answer : b) Myelomalacia C. Magnetic resonance imaging
D. Arteriography
Correct answer : D. Arteriography
Correct answer : c) Malignant fibrous histiocytoma
39-The most accurate investigation for assessing ventricular
function is: 44-Most sensitive sonological indicator for aneuploidy is
A. Multislice CT a) Gestational sac volume
B. Echocardiography b) Crown-rump length
C. Nuclear scan c) Nuchal translucency
D. MRI d) Serum B HCG level

Correct answer : B. Echocardiography Correct answer : c) Nuchal translucency

40-Spongy appearance with central sunburst calcification is seen 45-On MRI the differential diagnosis of spinal cord edema is:
in? a) Myelodysplasia
a) Pancreatic adenocarcinoma b) Myelomalacia
b) Mucinous cystadenocarcinoma c) Myeloschisis
c) Somatostatinoma d) Cord tumors
d) Serous cystadenoma
Correct answer : b) Myelomalacia
Correct answer : d) Serous cystadenoma
46-Which of the following features on mammogram would
41-A male was brought unconscious to the hospital with suggest malignancy?
external injuries. CT brain showed no midline shift, but basal a) Well defined lesion
cistems were compressed with multiple small hemorrhages. b) A mass of decreased density
What is the diagnosis c) Areas of spiculated microcalcifications
a) Cortical contusion d) Smooth borders
b) Cerebral laceration
c) Multiple infarcts Correct answer : c) Areas of spiculated microcalcifications
d) Diffuse axonal injuries

Correct answer : d) Diffuse axonal injuries 47-Plethoric lung fields are seen in all of the following
conditions, except:
42-Bone scan of a patient with Multiple Myeloma shows a) Atrial septal defect (ASD)
a) Diffusely increased uptake b) TAPVC (Total Anomalous Pulmonary venous connection)
b) Diffusely decreased uptake c) Ebsteins’ anomaly
c) Hot spots d) Ventricular septal defect
d) Cold spots
Correct answer : c) Ebsteins’ anomaly
Correct answer : d) Cold spots
48-Which is the objective sign of identifying pulmonary plethora
43-Most chemoresistant tumors among the following is in a chest radiograph?
a) Synovial sarcoma A. Diameter of the main pulmonary artery > 16 mm
b) Osteosarcoma B. Diameter of the left pulmonary artery > 16 mm
c) Malignant fibrous histiocytoma C. Diameter of the descending right pulmonary artery > 16 mm
d) Embryonal rhabdomyosarcoma D. Diameter of the descending left pulmonary artery > 16 mm
 a) CT scan
Correct answer : C. Diameter of the descending right pulmonary b) MRI
artery > 16 mm c) FNAC
d) MIBG scan
49-The procedure of choice for the evaluation of an aneurysm is:
A. Ultrasonography Correct answer : c) FNAC
B. Computed tomography
C. Magnetic resonance imaging 54-Most common hormone deficiency seen after intracranial
D. Arteriography radiation therapy?
a) Prolactin
Correct answer : D. Arteriography b) Gonadotropins
c) ACTH
50-The most accurate investigation for assessing ventricular d) Growth hormone
function is:
A. Multislice CT Correct answer : d) Growth hormone
B. Echocardiography
C. Nuclear scan 55-Which of the following is true regarding hereditary
D. MRI pancreatitis?
A. Autosomal recessive disorder
Correct answer : B. Echocardiography B. Has 80% penetrance
C. Accounts for about 30% of cases of chronic pancreatitis
51-A young male is brought unconscious to the hospital with D. IgG4 concentrations are elevated
external injuries. CT brain showed no midline shift. Basal cistern
was compressed with multiple small haemorrhages. What is the Correct answer : B. Has 80% penetrance
likely diagnosis?
A. Cerebral contusion 56-Most common type of teratoma of the testis is?
B. Cerebral laceration A. Teratoma differentiated
C. Multiple infarcts B. Malignant teratoma intermediate
D. Diffuse axonal injuries C. Malignant teratoma anaplastic
D. Malignant teratoma trophoblastic
Correct answer : Diffuse axonal injuries, It is associated with
unconsciousness and CT scan shows multiple petechial Correct answer : B. Malignant teratoma intermediat
haemorrhages.
57-Most common cause of lobar hemorrhage in elderly age
52-Which of these tumors is least radiosensitive group ?
a) Ewing’s sarcoma A: Hypertension
b) Osteosarcoma B: Vascular malformation
c) Wilm’s tumor C: Coagulopathy
d) Neuroblastoma D : Amyloid angiopathy

Correct answer : b) Osteosarcoma Correct Answer: D : Amyloid angiopathy

53-The diagnostic procedure not done in case of 58-Which nutritional deficiency is associated with hereditary
pheochromocytoma. ataxia?
A. Vitamin B12
B. Vitamin B1
C. Vitamin E
D. Vitamin C

Correct answer: C. Vitamin E

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