BO MON CHAN BOAN HINH ANH DE THI LI THUYET CHAN DOAN HINH ANH Déi tugng: Céc lop chitng chi hd tr va co sé 2017 ‘Ngay thi: 18/10/2017 ‘Thoi gian lam bai: 45 phat Ho va tén hoc vie Lop: 1, Chdn, dogn hinh anh hay hinh anh hoe y khoa hign nay bao gom cae ky thuét: i, X quang, sigu dm, X quang cit I6p dién ton, eOng hung tir, y hoc hat nhan b. X quang, siéu &m, X quang eft lap dign todn, Ong hudng ti, ndi soi ©. X quang, sigu am, dién tim, dign ndo, dién ca, ho hap ky d. X quang, siéu im, X quang cit l6p din todin, y hoc hat nbn, ©. X quang, siéu am, X quang sé héa xda nén, cong huong tir hat nhan 2. Chtte ning cia chan doin hinh anh ngay nay gdm c6 a, Truy tim, phat hién bénh giai doan sém; chan don va theo di didu tri, xép giai doan +H Truy tim, pt ign bénh giai doan sém; chin dosn vi theo di digu tr; can thigp & didu trj bénh ©. Chan dodn va digu tr) 4. Truy tim, phat hin bénh va theo di didu tei ©. ‘Try tim, phét hign bénh giai doan sém; chin dodn va theo doi sau diéu tei 3. Ky thudt dieu tf nao sau day KHONG thude Iinh vye hinh anh hoc ean thiép a. Hay w bang song cao tan dud sigu am b, ‘Tac dong mach tr cung digu tri u xo tir cung “6. NOi soi cét polyp dai tran, 4. HIFU diéu tei ung thu tuyén tidn fige c. Lay huyét khdi trong tic dong mach cp tinh 4, Vai tro truy tim, phat hign bénh sém nao sau day KHONG phai ia ky thugt cla chin doan hinh anh: a. X quang ngue thing méi 6 - 12 thing b. Sigu am vi va X quang vii dinh kj c, N@i soi dai tring ao bang CT dinh ky db. NOi soi ‘cung va phét té bao Am dao ©. Sigu am dinh ky theo dOi u gan & nhém nguy co 5. Tén goi tiéng Anh eta nginh hinh anh hoc y khoa My hign nay thuréng sir dung Ii: a. Imaging Diagnosis b. Medical Imaging ©. Medical Images ¢, Diagnostic Imaging &. Radiology 6. Wilhem Conrad Rontgen phit minh ra tia X vio ngay nao: 08/11/1895 2212/1895 ¢. 23/01/1896 d. 03/02/1930 Sear Hinh X quang dau tin 1 inh chyp ban tay cit an up bin tay ciia bi Rontgen vio ngay: 2/12/1895 oh 23/01/1896 4, 03/02/1930 ©. 02/09/1945 ‘Khuynh huéng phén nganh ciia chin doén hinh anh ngay nay la: 1SS ‘a. Theo tirmg lowi hy thu X quang hay sigu dim hay CF Way MIRE Nay V bro 8 ‘Theo nhdmn KP thugt don gidn (X quany, sig dm) va phde fap (CT, MRK OS t ‘Theo he co quan ‘Theo edn dodn ohung va didy tr} chung: ©. Theo 2 nhoo ngudi trudng thanh va whi khow 9. Hung phat trién chuydn stu trong tueng lai eda chin do a, Minh thai vd chive ning. 'b, DO phan gidi binb anh ©, Phiin mam xt ty W Phan vi vi chiro niin oan hinh dah bao gin «. _& Mite giai philu bénh bye (10. Chién turge sir dung kp thug hinh dnt ndo dé chi dota 98 do ai quyét «tinh a. Ban gidm déc Yo Bie sTlam sing &. Bae sf sinh hoa huyét hoe 4. Ky thudt vien @. Bae sicchin doan hinh Anh 11. Nguyén tie chung khi chon Iya kj thug C'T hay MRI, nguyén the ndo sau diy SAL Dan gid voi hoa vi xo vita thanh mach MRE c6 wu diém hon CT ». Truring khiio sat rng va nbanh ld wu diém ca CP Dinh gid md mém, cde bg phiin it cit Ang khi chyp La wu thé cha MRE ‘Khao sit chite ning vi phiin tt li uu thé cla MRI Kho sit ede ecr quan tién quan eit dng ho hip, np tim, nh ding rN} 1 ew eh cha CT 12. Trong cap ctru da chéin thuong, k9 thugt hinh dinh nao s€ dip img tt nhit cho mye dich téng ké ban dau: X quang toiin thin JF CT toan thin e.Sigu m todn thin d. MRI toin thin e. X@hinh toan thin 13. Trong chn doan viém rudt thira ngity nay, ky thudt hinh anh no sau diy €6 49 chinh xe cao nhat: a, X quang bung khOng stim soan b. Siéuam bung CT bung ~ chau I. MRI bung ~ chau e. PET/CT . 14, Trong chin dodn viém rugt thira ngly nay, KY thudt hinh dink mio sau dy 10 Iya chon du tign: a. CT bung—ehiu b. MRI bung —chdu c. X quang bung khong stta soan Sigu am bung fe, PET/CT 15, Trong chin dodn chin thuong so nao do tai nan, ky thuft hinh anh no sau diy la Iya chon dau tién: i a, X quang so thing — nghiéng b. Chup mach eanh ad ¢, Sigu am xuyén so MRIs no FP aac ; t ndo sau day: Aa J Me son ms ae ign tir tr huang ewe 00 van te Ion va dp vo Bn Kim Tog cue b. Khi chim dign tr va dip vao bin kim logi tht dgng niing bién 461 99% thinh niet ining vit 1% thanb tia X.& Bong pt aX a bing chin kndag a tia bite xa dign tr, raya ime ‘ Saag fi txt ten deg thing ashen ma husng ‘UL BO xuyén thu cia tia X phu thuge cha ‘Cutng 49 dong dign Higu dign thé Dign tro Cong suée Hing sin xudt 18. Khi xuyén qua mét vat, chim tia X bj suy gidm cng nhieu néu: a. TY lg nude trong vat cing cao b. M6 cing nhidu mo, kh ning hép th tia X cing €20 @ Chiladly asytongeuyz cane 0 d, M6itrudng cing nhigu chét khi &, Cée chat o6 tinh phat quang cing cao 49, Tih ct py pt quang més khong eta tia X duge thdy 6 ode mubi: a. Barjt Lot Natri Phét-pho e. Kali St edu nto sau diy KHONG ding dé chin xa tir tia X khi thiét ke phOng chup x yéu vao: opp ee a, Viich chi i day > 3mm b. Be tong diy > 30cm cc. Vach hop chit ba-ryt day > 3em 4, Kinh chi ‘Tuimg gach day 10cm 2). Trong thuft ng mé t hinh X quang, hinh sng teén phim la hinh ¢6 mau e Den Tring 22, Trong thudt net m6 ta hinh X quang, inh ting €4m a9 trén phim 1 hin ©6 meu: @ Tring B. Den 23. Cée dim dQ co bin ca m6 eo the trén X quang quy woe 18. ‘a. Khi, mG, nude, mé mém, xvong @® Khi, ms, nude, xuong c. Khi, nude, md mém, xuong 4. Khi, nude, mé mém, xuong, thude edn quang Khi, nude, mé mém, xong, kim loai L ‘24, Tur thé chup X quang ngye thang théng thiong la tu the: ‘a, Tiy mye dich mudn khao sat béng tim hay nhu m6 phéi b, Tay mye dich mudn khéo st xuong tre hay edt sing ngye ‘Thing dimg, sau — trude d. Thing, tree — sau e. Dinh win 25. Kich thude vat cing thye Khis ‘a. Vt oiing gan bong, cng gin tam nhén b, Vat cing gan béng, cang xa tim nhan ‘Vat cing xa bong, cang xa tim nhan ‘Vat cng xa béng, cang gan tam nhin ‘Vit cang gin tim nhjin bat ky khoding céch 26, Trong thuét ngir mé ta hinh X quang, hinh. Khuyét trén phim 1a hinh: a. Lom vio dng bb. Thuémg gap trong tang Sng c. Nguyén nhan thueng do khoi u d, C6 thé do dé ép tir bén ngoaiTit ed ede edu tren déu ding 27. Trong thuat ng mé ta hinh X quang, hinh cng tan phim [8 hinh: @ Lbi ra khoi ba binh thuong cia tang ring ®. Bi vao trong long tang ring a #.— C6 hai cau tric cing dim d9, cing mat phil d. Cé hai cfu tric cling dém 49, khéc mat phiing thay 13 be phan chong lan e: Cahai ciu c vad déu ding 28. May X quang chyp mach xéa nn - DSA la viet it cua tir: Direct Subsequence Angiography ® Digital subtraction Angiography ‘c. Digital Subsequential Angiography 4d. Direet Subtraction Angioradiology ©. Direct Selling Association Z 29. ar hay hé thdng X quang nao sau dy KHONG durge xem la X quang ky thuat s6 cR b. DR ©. DSA 4. Analogue Fluoroscopy ¢, Tim nhan TFT hay CCD. 30. X quang qui trde ngiy nay gin nhu khong con chi dinh trong: a, Tam sodt ung thu vi ’. Chup ngye thing trong kham site khde inh ky ¢. Khao sit hinh théi durimg tigu hoa d, Kio sét bénh Iy xuong ‘Chin thuong di 31. Siét am e6 ban chit la ‘&. Song im thanh c6 tin s6 tir 20 hertz dén 20 kiloherz b. Seng dign tircé cOng suit a 1 Megawatt tro [én ¢, Séng am thanh c6 tin 36 tir d&n 20 hertz dd. Séng din tr c6 curdmg 40 tir | ilojoules tré 1én @B Séng am thanh o6 thn str 20 kilohertz te len 32. Chon cfu SAL 3: Song aim lan teuyén trong chit rin nhanh hon trong chat 16ng , Séng am lan truyén trong chat léng nhanh hon trong chat khi Song Am lan truyén tt trong moi truémg chén khong ‘Van téc lan truyén cla sng siéu am trong mé mém co thé ngudi trung binh |i 1540 mévgiy ce. Van tbo lan truyn ota séng. 4m tong msi taxing chan khong la 0 meU 33, Song 4m ding trong chan doan thuemg 06 tin s8 : > 20KkHz > 1 MHZ fe. >20MH2 . > 40 MHz €, 20> 20.000 He. p 34. Cfc kiéu higm thj hinh anh trén siéu 4m bao gm a. Mode A, B, Doppler b. Mode B, TM, Doppler c. Mode C, B, TM 4d, Mode TM, Doppler Mode A, B va TM 435, Sigh am ding trong chin dodn e6 tinh chit an todn do khing ¢6 téc dung sinh hoe trén co thé ngubi do ede nha sin xuat tun thi nghiém nght cfc yeu 16 mao sau d a, Tansb b. Chis6co ce. Chisé nhigt d, Bude sing @ Adcdine36. Gino dign 4m hoc duge dinh nghta a. Be mpc edetang ere: é a dign gitta 2 tang nim ké nhaw \ol tiép gtdp gitta 2 moi trudng cé 46 tre khang Am khéc nha xxly ra hign tung phin xg avy ra hién tuong khuéch tan (tan xa) a 'u am phai duge Iya chon ty theo myc dich khio sét, phy thude vio ee youtd ©. Noi chi 37. Dau dd 4 DOndng, tu cia vingcd b. Tin é dings San kMoatt ©. Hinh thai déu do é Kha ning tiép cn cia du do (khe gian sudm, Am dao, long trgc tring...) Tat ci cfc eau tren dbu ding 38. Cée linh vie nio sau day KHONG durge tmg dung trong siéu am chin dodn a. MO mém va ede tang trong xoang bung b. Trong long trye tring, im dao ©, Trong long mach mau Tinh tudi xuong, ¢. Khop 39. Higu img ap dien duge ting dung trong a. BO phan phat song am b.B, b} phan nhgn sng am phan hdi ¢. BO phan hau xtr ly hinh anh iu dd siéu am ngay nay diroe str dung cha yéu la logi: a Co khi véi rotor xoay quanh truc Dién tir (cong, phing, r& quat...) ©. Nhvra déo Ceramic Hop kim, 41. Ung dung rong rai nhét va c6 gi vue: Nhi khoa va sin khoa Bung cfip ngogi khoa ¢. Détquy va chin thuong so no. 4. Ung budu Tim mach {gui ta thug n6i "khi li ké thd cia sigu am” la do: a, Séng siéu 4m khéng lan truyén trong méi trrmgkhi 3 Kha ning tn xq cia song siéu am trong moi trang khi eét manh ( chinh xéc cao nhat ciia siéu am hién nay la trong Tinh, Chénh Ich 9 tro khaing im git khi va. m6 mém rit cao i. Chénh léch toc dé lan truyén cita s6ng am gitta khi va mé mém rit cao e. Chénh Igch d@ tro hap thy nang lugng_ am giita khi va m6 mém rat cao 43. Dé trinh khi chen vao gitra dau dé va bé mai da hay bé mat tang hay thanh cae khoang, ye6i ta thuémg ding: Gel sigu am .. 6 im bé mat tgng khi siéu am trong md ¢, Do nude mudi sinh ly vao é bung khi sidu dm trong md d. Tai gel hay t6i nuée ¢, Tht ca céc cfu trén déu ding 44, pone chs luge chan doén viém rug thira edp, kj thudt hinh anh nio sau dy durge twa chon dau tién: a. X quang bung khéng chufin bi va néu cin 66 thé ding can quang, b. X quang cit |6p din toin (CT scanner) | é Cong huéng tir Siu amP atdp nhay 45, Kidu hien thj hinh inh sid dm théng dung wb hign nay 1a mode’ aA @» oC 4 ™ eM 46, Siew dm can thigp KHONG sir dung trong myc dich: a. Sin thigt b. Choe hit eé bho bing kim nhd Fidy u bing sng 080 thn Theo ddi duvmg di eba catheter trong chyp mech Diin lau djch hay cto 6 dp xe 47, Song dm 6 bin chat : a, La sing co hoe, 66 tinh phiin xa, khiie xa, tin xa, truyén nang lugng cho moi truémg va ion héa n6, b. La song hinh sin, 6 tinh phan xq, khite xq, tin x9, truyén ning lugng cho méi trudng va ion héa né, cc. La sng eg hye, 66 tinh phin xa, Khiie xq, tin xa, khOng thé dan hoi, truyén nang ugng cho méi truimg vi Khéng ion hoa. La séng corhge, e6 tinh phin xa, khiic x9, tin xa, 66 thé din hdi, truyén nding lugng cho mai trugmg va ion héa, @ Li séng co hoe, c6 tinh phin xa, khiie xa, tan xa, o6 thé din hdi, truyén nding Ign cho méi trumg va khdng ion hb. 48. Toc di truyén cita song aim : a. Phy thude vao m@t dd phan tr, mat dQ cing day thi song am truyén céng nhanh, tht trong méi truéng nue, kém trong méi truemg khi. >. Phy thuge vao mat 49 phan tir, mgt d cing day thi séng &m truyén cdng nhanh, St trong chat rin, kém nhat trong nude. ©. Phy thude vio mét d6 phan tr, mét dQ cing thua thi song am truyén cing nhanh, st trong nude, kém trong chat ran. Phy thuge vao m@t do phan tir, mat d} cang day thi s6ng 4m truyén cang nhanh, tt trong chit fin, kém nbdt trong chit Kh. ©. (b) & (@) ding, i én dudi cho cau 49 : A Sir dung ¥ (1) va (2) bén dudi cho cau 49 : od & f (1) Tro khang am cia moi trutmg Z=p x € (p : ty trong eta méi trudng ; C : tbe 9 truyén ca séng m trong mdi truéng) (2) Z phy thue vito tan sé séng, tinh chat vat ly ctia mé ma s6ng lan qua. 49. Nhan xét vé ngi dung cla (1) va (2): (1) ding, (2) sai ) ding, @) ding ‘e. (1) sai, (2) dang 4. (1) sai, (2) ding @, (1) sai, (2) sai 50. Vé sir khéc bigt cia tré khang am gitta 2 moi ‘trug (AZ): 4. AZ céng I6n thi mot phan lon nding Igng song siéu am di xudng méi truémg bén durdi mat phan a ‘va tiép tue cho thém thong tin vé edu tric bén dui. AZ vira di thi JGn nang lugng séng siéu Am di xudt ruin; ri phan cach va tiép tye Ga thém théng tin vé cdu soca mane ae me ©. AZ cng nhé thi mot phan nhé nang lugng s6ng siéu am di xuéng mdi truém, duréi mat phin cach us io Recto thém théng tin vé cfu trac ben ‘wd, = AZ cang lon thi mot pt © nang Iueng song siéu am di xudng mdi tring bé: i ben -100HU ¢. -400-> -600HU -1000HU 58, Nhu mé phi c6 gid tri HU vio khoang: a. 0 20HU b. -60> -100HU -400 > -600HU 1000HU F 59. Mé méeé gid trj HU vio khong: a, 0-> 20HU @-60> -100nu -400 > -600HU 6. -1000HU 60. Nuée c6 gid trj HU vio khodng: 0 20HU. b. 40> 60HU ©. 60> 100HU d. 400 1000HU 61. M6 mém c6 gid tri HU vao khoding: 0. 20HU 40> 6OHU ¢. 60> 100HU 4. 400 > 1000HU 62, Xuong c6 gid tri HU vio khoang:0 0-9 200 b, 40-9 OOHU © 60> 1OOHU 400 > 100K) , 63. KY thupt iF inh Anh no thutny dupe dling trong bh 17 Wore phé thang, (kh 4K thudt hinh chibu eutmy A ¢ @D {5 shudt hinh ctidu euemy 9 ui © K¥ thus hide thi bing bé mat KY thupt hidn thi bé mbt the tieh 4. Chup eft Kp vi inh Kho s6t tht che obec quan a Chin thuong #9 no a thidu wa, NGOS TRS b. Pink, boe thch ding mych chs 6, Kho st che u phi, u tung tht 4 i ring 65. Uw diém eda chyp cht Idp vi tinh, CHON CAU SAS ‘Trinh sy ehbng hinh b, BO twomg phan hinh anh cao ¢, The gian khio sit rdt nhanh aii nhiben aiiea % queng apt ude 66, Phim chup Xquang ngye thing thé sau trudc, bén nds hit Dinh vom hoanh (T) dugi cung sau xucong suzom 10 b, Dinh vom hoanh (1) dudi cung truce xaromg sist @ Dinh vam hots () dub cung sau xuong sutm 10 Dinh vor hoanh (P) dudi cung trade xuomg sui 67. Phim ehyp thé nghiéng (P), hai vim hodnh thuomg 4. Song song nhau b. Clit naw 68. Khi nghi ngi x¢p hoc dong de thay thing va nghiéng, cn yéu clu chup them a. Thé chéch truce (P) hoc chéch trude (T) b. Thé chéch sau (P) hotie chéch sau (T) ©, Thd dinh won 4. Thé nim nghiéng tia chiéu ngang ©. Chyp thi the ra 69. Myc dich chyp thi the ra: a. Tim tt khi phdi khu tris hay lan t62 b, Tim trin khi mang phi lung it ¢. Tim tran dich mang phdi lugng it d. Ava B ding e. BvaC ding 70, Phan chia thay va phan thiy phdi, chon cAu sai é Phéi (P) chia thanh 3 thay: thiy trén, thity gitra va thy phi (P) hoe thixy lar Phdi (1) chia thanh 3 thay: thiy trén, thy lui va thy due ¢, Phdi (P) gbm 10 phan thuy d, Phdi (T) gdm & phan thay 71. Phan bé mgch mau tn phim Xquang ngye thing thé sau — treéc, ch a, Gidi hyn dé nhin thay mech mau phi la 1,Scm ti thinh a: b. Kich thude mach méu ving day / ving dinh = 1/2 ©, 86 lugng mach mau 6 1/3 dudi nhigu hon & 1/3 gitta va 13 trén d, Ludn d6i xdng tuoi mau hai bén 72. Vj tei dling cha ndi khi quan: a. Trén carina # 3-4em b. Trén carina # 4-5em cc. Ngang mite dau gin xuong din d. Ava C dingniga eating 2B. pee eg teang, NUMEN|M G ving sau xuomg dn ei, cin ehyp thém phim a. Nebieng tii b. Chéch trude tri. ©. Dinh won, 4. Nim nghiéng trai, hur ba 74, Tu tl nh nhs chp Xap age ag te a. img thang, thinh neue trai 4p vio hop chuta phim (cassette. b. img thang, thinh ngue phai ap vio hop chia phim (cassette). © Bing thing, thinh ngue true trdi Ap vio hp chia phim (cassette), to gée 450 v6i hp chita phim, 4. Diimg thing, thinh ngye sau tri dp vao hp chira phim (cassette), tao g6e 450 véi hop chira phim, 75. Butmg cong Damoiseau: a. La dirimg cong dm, phia ngoai bién huéing lén cao v8 phia néich b, Lun gap trong tran dich ming pho ©. Ciavab du ding d, Clava déu sai 76. Trén Xquang ney, hinh anh mi a. Xep phoi. b, Tran dich mang phéi. ©, Bong déc phdi. 4d. bvac ding ¢. Titod déu ding 77. Thé chup X quang neve thuimg dire six dung nha a, Thing dig truée-sau, b. Thing dig sauctrude. c. Chéch, d. Nghigng. 78. Hign tuyng cng hucme (resonance) trong Cong huéng tir xy ra khi: a. Tan sO séng RF on hon tan s6 chuyén dong dao cia proton H™ @ Tinsé séng RF cing tan s6 chuyén dong dio cita proton H™ c. Tn s6 séng RF nhé hon tan 56 chuyén dng dio cia proton H” 79. Trén cOng huéng tir (MRI), thoi gianT! [a thoi gian cin thiét dé: a. Lay tin hiéu Lap lai chudi xung @ Phuc hoi vector tu héa theo tryc doc (Mz) d. Mat vector tir héa theo true ngang r 80. Trén ong hung tir (MRI, thei gian T2 la thoi gian cin thiét dé: a. Lay tin higu b. Lap lei. chudi xung ¢. Phuc hdi vector tir héa theo truc ngang (Mxy) @ Mit vector tirhéa theo truc ngang (Mxy) E , 81. Hinh T2W (chudi xung Spin Echo) la hinh cdc cu tréc chira NUGC sé c6 mau tring trén phim, a. Ding b. Sai 82. Trén cong hudng tir (MRD), cau tric nao sau day s® 66 tin higu CAO trén ca T1W va T2W: a, Dich nfo tiy B® va ©. V6 xuong 4. Khi 83. Trén cOng huéng tir (MRI), edu trie T2W: a. Dich nfo tiy 19t bén phé trutmg co thé doz iy sé c6 tin higu THAP trén ca T1W vab Mo c. Ty xuong _@ Khi 4 ‘G4! Trén hinh MRI, céc day ching (day ching xuong banh che, g’n got, day chang vang...) tin higu ‘Thép trén T1W, thép trén T2W ‘Thap trén TW, cao trén T2W ©. Cao trén T1W, cao trén T2W Cao trén T1W, thap trén T2W 85. Trén cong huomg tir (MRD), khdi mau ty ban cp mudn sé c6 tin higu ? @) Cao tren ef TIW va T2W Thap tren ca TIW va T2W ©. Cao trén T1W va thip trén T2W 4. Thap trén THW vA cao trén T2W 86, Trén MRI, ving nhu m6 nfo phi né trong nhoi mau nfo sé cé tin hiéu: ‘Thap TIW, thip T2W Thap TIW, cao T2W Cao T1W, cao T2W d. Cao TIW, thap T2W 87. Trén MRI, nang (cyst) gan sé ¢6 tin higu: a. Thap TIW, thap T2W b. Cao TIW, cao T2W c. Thdp TLW, cao T2W_ d. Cao T1W, thap T2W 88. Viing phil né xung quanh t6n thyemg a ving: a. Nam bén trong ton thong, khong bat thudc tong phan, tin higu cao ten hinh T2W b, Nim bén ngoai tén thuong, khéng bat thuéc tuong phan, tin higu thap trén hinh T2W c. Nam bén ngoai tén thong, khéng bat thuéc tuong phan, tin hiéu cao trén hinh T2W d. Nam bén ngoai t6n thucng, bat thudc tong phan, tin higu thdp trén hinh TLW. 89. Vé nguyén ly tgo hinh, khic vi CT, MRI la kg thuat: ‘ a. Khong ding tia xp b. Coding tia xa 90. MRI tét hon CT trong danh gid cfc cfu trie nao sau day: a, Phoi b. Xuon; c. Tuy song d. Ong tiéu hoa