Two-Week VC Med Student Post Assessment

Two-Week Virtual Curriculum

Post-Assessment Quiz
Questions provided by the American College of Radiology Radiology-TEACHES program post-assessment module. For additional information and to participate in the program https://www.acr.org/Clinical-Resources/Radiology-TEACHES.

NOTE: Only one exam submission is permitted with this exam.
Name*
Email*
Valid email required to provide credit.
Institution / Program*
Faculty Email*
Please enter the email of the faculty to be notified of completion
Please provide a valid faculty email
Please verify that you are human*
1. A 29-year-old female presents for anterior cruciate ligament reconstruction. She is otherwise asymptomatic and has no history of cardiopulmonary disease. What would be most appropriate preoperative regarding imaging examinations for this patient?*

No imaging.An AP portable preoperative chest x-ray.An AP portable chest x-ray prior to discharge home.PA and lateral preoperative chest x-ray.PA and lateral chest x-ray prior to discharge home.
2. A 65-year-old male with history of coronary artery disease and congestive heart failure is preparing for low back surgery. What would be most appropriate regarding imaging examinations for this patient?*

No imaging.An AP portable preoperative chest x-ray.An AP portable chest x-ray prior to discharge home.PA and lateral preoperative chest x-ray.PA and lateral chest x-ray prior to discharge home
3. A 36-year-old female presents with shortness of breath. There are no clinical signs of DVT, and PE is not the most likely diagnosis. Her heart rate is 103. Hemoptysis is not seen. She has no history of surgery, PE, DVT, or malignancy. The modified Wells criteria is 1.5 and the d-dimer is negative. What would be most appropriate regarding imaging examinations for this patient?*

No imaging.X-ray of chest.CT Angiography (PE protocol).CT Chest without contrast.MRI Chest with and without contrast.
4. A 69 year-old female presents with shortness of breath and chest pain. No history of PE or DVT. Heart rate of 108. Recent surgery for breast cancer. Asymmetric lower extremity edema. No hemoptysis. Congestive heart failure and pulmonary embolism are equally suspected. (Modified Wells score is 7).What would be most appropriate regarding imaging examinations for this patient?*

No imaging.X-ray of chest.CT Angiography (PE protocol).CT Chest without contrast.MRI Chest with and without contrast.
5. A 61 year-old male presents with shortness of breath and chest pain. No history of PE or DVT. Heart rate 95. No recent surgery or immobilization. No clinical signs of DVT. On chest x-ray there is a right effusion and atelectasis. No hemoptysis. No history of cancer. (Modified Wells score is 0). The d-dimer is positive. What would be most appropriate regarding imaging examinations for this patient?*

No imaging.X-ray of chest.CT Angiography (PE protocol).CT Chest without contrast.MRI Chest with contrast.
6. A 69-year-old female presents with shortness of breath and chest pain. She had a femoral neck fracture two weeks ago and subsequent surgical fixation. She has a low probability of pulmonary embolus based on the Wells’ Criteria. What would be the most appropriate next step for the work-up of this patient?*

No imagingObtain a D-dimerCT chest without contrastCT chest with contrast (PE protocol)CT chest with and without contrast
7. In which clinical scenario would a chest x-ray be most appropriate?*

A 62-year-old female in-patient is post-op day 2, status fixation of a femoral neck fracture. She is otherwise asymptomatic and has no history of cardiopulmonary disease.A 63-year-old male with a family history of cardiopulmonary disease is being admitted to the hospital for a diabetic foot ulcer. He is otherwise asymptomatic.A 45-year-old male with a 20 pack-year smoking history presenting for rotator cuff surgery. He is otherwise asymptomatic and has no history of cardiopulmonary disease.A 75 year old female presenting for a hernia repair. She is otherwise asymptomatic and has no history of cardiopulmonary disease.An intubated infant in a pediatric ICU has been clinically stable for the past 24 hours. The chest x-ray yesterday was unchanged compared to priors.
8. A 71-year-old female presents with a complaint of chronic dyspnea, her history is otherwise unremarkable. You suspect a pulmonary etiology. The routine PA and lateral chest x-ray is abnormal, interstitial lung disease is suspected. What would be the most appropriate regarding imaging evaluation of this patient?*

No further imaging is indicatedNuclear medicine ventilation perfusion scan (V/Q), (Tc-99m)CT chest without contrastCT chest without contrast, high resolutionCT chest with contrast, pulmonary angiography (CT PA)
9. Regarding the use of intravenous (IV) contrast for a CT: Which clinical scenario would benefit from IV contrast?*

Evaluation of the lung parenchyma for detection of a lung noduleEvaluation of the osseous structures for detection of a fractureEvaluation of the kidneys for detection of a renal stoneEvaluation of the brain for detection of an acute intracranial hemorrhageEvaluation of the solid abdominal organs for detection of a traumatic laceration
10. A 45-year-old male is brought to the Emergency Department via ambulance in stable condition after a motor vehicle accident, he was a restrained driver. He is complaining of chest pain, which on physical exam, localizes to the left anterior chest wall over the 5th to 8th Routine upright PA and lateral chest x-rays are normal. What would be most appropriate for this patient?*

No imaging.CT of the chest without intravenous contrast.CT of the chest with intravenous contrast.CT of the head without intravenous contrast and CT of the chest, abdomen and pelvis with intravenous contrast.CT of the head and cervical spine without intravenous contrast and CT of the chest, abdomen and pelvis with intravenous contrast.
11. A 40 year old female presents with a 1 day history of right upper quadrant pain and fever. She has a positive Murphy’s sign on physical exam and an elevated white blood cell (WBC) count. You suspect acute cholecystitis. What would be the most appropriate regarding imaging evaluation of this patient?*

X-ray abdomenUltrasound abdomenCT abdomen without intravenous contrastCT abdomen with and without intravenous contrastMRI abdomen with and without intravenous contrast
12. A 68 year old female with a history of breast carcinoma presents with recent onset of a severe headache, nausea, and vomiting. What would be most appropriate regarding imaging examinations for this patient?*

No imaging.CT of the head without contrast.CT of the head with contrast.MRI of the brain without contrast.MRI of the brain with and without contrast.
13. A 32-year-old patient with a history of migraine headaches presents with recurrence of his migraine headaches. No associated seizure or neurologic deficit. What would be most appropriate regarding imaging examinations for this patient?*

No imaging.CT of the head without contrast.CT of the head with contrast.MRI of the brain without contrast.MRI of the brain with and without contrast.
14. A 44-year-old female presents with sudden onset of a severe headache, which she states, is the worst headache of her life. What is the appropriate imaging for this patient?*

No imaging.CT of the head without contrast.CT of the head with contrast.MRI of the brain without contrast.MRI of the brain with and without contrast.
15. Concerned parents bring a 1 year old male for evaluation after he fell off of a changing table and hit his head on the floor. The child is somnolent and slow to respond to verbal stimulus. What is the appropriate imaging for this patient?*

No imaging.CT of the head without contrast.CT of the head with contrast.MRI of the brain without contrast.MRI of the brain with and without contrast.
16. Concerned parents bring a 2 year old female for evaluation after she fell off of a bed and hit her head on the floor. There was no loss of consciousness or vomiting. The patient is scared, but consolable and responds to verbal communication. What is the appropriate imaging for this patient?*

No imaging.CT of the head without contrast.CT of the head with contrast.MRI of the brain without contrast.MRI of the brain with and without contrast.
17. Which is the correct ranking of examinations from LOWEST radiation dose to HIGHEST radiation dose to the patient?*

X-ray, CT, PET-CT, ultrasoundX-ray, MRI, CT, PET-CTMRI, X-ray, CT, PET-CTX-ray, CT, X-ray, PET-CT, MRIUltrasound, X-ray, MRI, CT
18. Intravenous administration of what substance in patients with acute or chronic renal failure (dialysis dependent and/or GFR) puts the patient at risk for developing nephrogenic systemic fibrosis (NSF)?*

Metformin-containing medicationsIodine-containing medicationsIodinated contrast agentsGadolinium contrast agentsFluoro-2-Deoxyglucose (F-18 FDG)
19. A 19-year-old construction worker is brought to the Emergency Department via ambulance after reportedly falling 25 feet at the jobsite. He has ecchymosis and lacerations involving his head, chest, and abdomen. His is groaning, but not answering questions or following verbal commands. His blood pressure is 90/50 mmHg. What would be most appropriate for this patient?*

No imaging.CT of the abdomen and pelvis with intravenous contrast.CT of the chest, abdomen and pelvis with intravenous contrast.CT of the head without intravenous contrast and CT of the chest, abdomen and pelvis with intravenous contrast.CT of the head and cervical spine without intravenous contrast and CT of the chest, abdomen and pelvis with intravenous contrast.
20. A 45-year-old male is brought to the Emergency Departmentvia ambulance in stable condition after a motor vehicle accident, he was arestrained driver. He is complaining of chest pain, which on physical examlocalizes to the left anterior chest wall over the 5th to 8th Routine uprightPA and lateral chest x-rays are normal.*

No imaging.CT of the chest without intravenous contrast.CT of the chest with intravenous contrast.CT of the head without intravenous contrast and CT of the chest, abdomen and pelvis with intravenous contrast.CT of the head and cervical spine without intravenous contrast and CT of the chest, abdomen and pelvis with intravenous contrast.
Score

Two-Week Virtual Curriculum