WITH IMAGES

X RAY
1. Chest X-ray in Ptn. with difficult swallowing
a- mediastinal mass
b- Bochdalic hernia
c- Zenker's diverticulum
d- Other option

2. Lesion at right cardio-phrenic angle, chest x- ray,

CT shows fat density and another Q about post.
Mediastinal lesion:
a. Lipothymoma
b. Morgagni hernia.
c. Pericardial cyst.
d. Bockalic hernia.

3. Chest PA & lateral ask about site of lesion:

a. Right upper lobe.
b. Right lower lobe.
c. Right middle.
d. Pleural. (the lesion was nearly elliptical,
mostly encysted pleural effusion

4. AP & lat where is the lesion: acc to image

a. middle lobe lesion
b. lower
c. upper
d. lingual
5. Image lateral chest x ray pointing to
IVC

6. Image CXR lateral view only with arrow pointing

towards :
a. aortic arch

7. Lateral chest and point to aorto-pulmonary

window
a. Right hilar vascularity.
b. Right superior pulmonary vein.
c. Left pulmonary artery
8. Lateral chest x ray pointing to:.(hilar shadow)
a. RT hilar vascular opacity
b. LT pulmonary vein

9. Xray AP & lat :

a. middle lobe

10. Image : X ray where tip of central line

a. SVC
11. Image : X ray where tip of CVP line ( it crosses to
the opposite side ) – black arrows
a. Left SVC
b. Aortic arch
c. Pericardial sinus

12. Image X ray chest ETT, chest tube

a. No need for chest tube
b. No need for ETT
c. ETT need to be pushed down
d. Chest tube needs adjustement

The end of the tube should not abut the

mediastinum

13. X-ray ICU with ETT tube in the right main

bronchus and subsequent total left lung collapse
Total Lt. lung collapse due to malposition of
ETT into Rt. main bronchus

14. chest xray of neonate shows two lines (likely

umbilical) one towards the umbilicus ([Link]
from midline).The other towards the left
hypochondrium with bifid end (away from the
patient). (I see no nasogastric tubes):
a. abnormal umbilical arterial line
b. abnormal umbilical venous line.
c. nasogastric tube abnormal position.

15. Chest x ray image in neonate showing left

mediastinal & tracheal shift with hyper inflated
right lung
a. left bronchial obstruction by foreign
body
b. right congenital lobar emphysema.
c. left bronchopneumonia
d. left lung collapse
 16. Lucent RT lung , shift to left side , LT huge
opacity:
a. LT lung pneumonia
b. RT congenital emphysema (if neonate)
c. RT tension pneumothorax .(if adult )

17. Image left lung multiple emphysematou bullae

a- congenital lobar emphysema
( mostly in LUL )
b- emphysemtous malformation
c- ruptured bullae....
d- cystic adenomatoid malformation

18. 3 day old infant, premature 31 week, devlop

respiratory distress after 3 days (image)
a. IPE (interstitial pulmonary emphysema)
b. Surfactant deficiency.
c. Pneumonia
d. Meconium aspiration.
‫سؤال عليه خالف و يحتاج الر مراجعة‬

19. Plane X-ray for

esophageal atresia

20. X ray chest patient has bilateral emphysema and

complain from fever &cough
‫؟؟؟؟‬ a-carcinoma
b-metastasis
c-Asperagilloma = A symptomatic (cavitary
lesion in Rt
d-emphysematous bullea
21. Old female chest x ray image (with CT image
with left diaphragmatic copula higher than the
right one) :
a. LT. upper lobe collapse
b. encysted effusion
c. LT. Diphragmatic paralysis

22. X ray with left lung collapse and shift of

mediastinum to the left:
a. foreign body

23. X ray chest image of a child showing increased

opacity of the left hemithorax with ipsilateral
mediastinal shift and elevation of the left
diaphragmatic copula and crowding of ribs with
hyperinflation of the right hemithorax
a- LT lung collapse due to foreign body
b- Rt congenital lober emphysema
b- Lt lung consolidation

24. AP and lateral films right inverted goldes S sign,

elavated horizontal fissure
Right upper lobe collapse

25. Chest x-ray shows PA Luftsichel sign

Left upper lobe collapse.

26. X ray chest AP, lat, ptn. young complain of not

remembre diagnosis
a-lingular atelectatic band
b-aortic rupture
 Plain xray (PA, lat) with right upper lobe opacity
27. not very clear but in lateral I think it shows
uplift of horizontal fissure, the diagnosis:
???????
a. right upper lobe collapse
b. right upper lobe
c. encysted effusion
[Link] don’t remember and far.

28. Left lower cavitary lung lesion image

Abscess with pleural effusion.

Left lateral chest xray , which is right

29. a. right rib larger than left rib
b. oesophagus anterior to the trachea.
c. pulmonary artery above aortic arch.
d. heart is larger than right lateral view
30. CXR lateral view show irregular ring of
calcifications.
a. Annular mitral calcification
b. Aortic.
c. Pericardial

31. Chest X-ray PA-LAT (patchy opacity of left upper

lobe, the outline of ascending aorta not clearly
seen) lateral view there is effusion:
a. Left upper lobe collapse.
b. Left lower lobe collapse.
c. Pleural effusion.
d. Rupture aortic aneurysm

32. Chest x ray image showing

a- hydropneumothorax with pulmonary
pathology
b- pleural effusion
 33. X-ray chest PA , lucent air at LT cardiac border :
a. pneumomediastinum

34. X-ray chest PA :

a. Pneumopericardium

35. X ray adult grossly enlarged hilar vascular

shadows with peripheral prunning
a- Pulmonary arterial HTN
b- primary venous hypertension
c- Lung disease with secondary venous HTN

36. Chest X-ray posterior mediastinal mass. CT

abdomen. Symmetrical paravetebral soft tissue
masses:
a. Extramedulary hematopioesis.
b. Thymoma.
c. Teratoma.

CT
37. CT chest, arrow towards bronchus asking about According to the image , select the
(left lung): segment :
a. Medial basal. [Link]
b. Posterior basal. hopulmonary-segments-annotated-
c. Anterior basal. ct-1?lang=us
 38. HRCT:
bone algorism

39. Axial CT chest :

Pectus exacavatum
New

40. CT Lung pulmonary window

a. Herniated lung
b. Horseshoe lung
c. Congenital lobar …‫مش فاكر‬

‫ صوره زى دى انا شوفت‬posterior lungs ‫قريبين من بعض‬

‫زى دى بالضبط وفى خط فاصل بينهم‬box

41. CT chest (image of upper mediastinum) shows

aortic arch, svc, trachea, lymph nodes(beside
SVC) >> point at the lymph node.

(The structure is non enhancing)

42. CT chest
arrow at right aortic Arch .
43. Chest axial CT :
a- dessecting aortic aneurysm
b- double SVC
c- mediastinal hematoma

( the structure is enhancing )

44. Axial image of upper chest cuts, pointed to the

azygous >> options:
a. lymph node.
b. azygous vein

45. Patient after accident with chest trauma, first he

did x-ray chest (2 images) what is the
information given by CT not evaluated at CXR:
a. Lung contusion
b. Rib fractures.
c. RT penumothorax.
d. CVL need reposition

46. CT at level of alveolar margin and Pt. complain of

recurrent chest infection and fever
a- Septic emboli
b- Fungal infection
c- Aspergillosis

47. Case with 1 cut CT chest showing post. segment

RT. LL large consolidation & other axial CT neck
showing thrombus at the Lt carotid
a. infective thrombus
b. pulmonary embolism
c. carotid thrombus with pulm. embolism
d. two other options)
48. Lemierre syndrome: images one in neck shows
left internal jugular thrombosis and other in the
lung shows septic emboli like this images, he ask
about what is in the ct chest:
a. septic emboli

( Lemierre syndrome is one of the causes of

septic pulmonary emboli)

49. CT image of
pulmonary embolism.

50. Pregnant female with pulmonary HPT.

Investigations confirmed absence of pulmonary
embolism
CT chest >> dilated pulmonary arteries
a. Primary pulmonary hypertension
b. Chronic thromboembolic pulmonary dis.
51. mosaic appearance of the chest (insp and
expiratory) lucent areas in inspiratory film with
less vessels and increase density in expiratory
film. What is the diagnosis:
a. air trapping
b. chronic pulmonary embolism
c. IPF(interstitial pulmonary fibrosis).

52. CT chest: mosaic pattern of attenuation: The two

images: one image lung window shows [Link]
if any mosaic appearance with central few lucent
areas with central dense dotes. The Mediastinal
window shows right sided dense tubular
structure extended from the right hilum, with no
filling defects(may be similar to this image).
What is the diagnosis:
a. chronic pulmonary embolism
b. pulm oedema
c. pneumonia.

53. Halo sign:

invasive apergilloma

54. Image showing tree in bud appearance & asking

about tree in bud). is it CT chest ??
 55. Chest Axial CT Weight Loss And Night Fever
(Small Nodules Periphrally)
a. Milliary TB
b. Tree En Bud
c. Pn
d. TB Rosen Marry

56. History TB cavity with life threating

complication
New Rasmussen aneurysm

57. post contrast CT (chest xray) ‫وحشة قوي و صغيرة‬,

nodule parahilar very small, otherwise clear
chest :
a. solitary nodule (I THINK WRONG)
b. sacroid
c. normal

58. Regarding middle lobe of the right lung(CT axial

image)
cystic bronchiectasis
 59. CT lung:
Bronchiectasis

60. Male ptn. with lung CT showing innumerable

cysts and small areas of honeycombing:
New a. NSIP
b. Desquamative
c. Lymphangiomyomatosis

61. Images CXR PA view (‫& ) صورة صغيرة مش واضحة‬

CT axial (have some bronchiectasis) :
a. Kartagner syndrome
b. Sawyer James Syndrome
c. Campbell syndrome

62. CT and HRCT chest showing basal reticulations (

lung window ) and pleural calcifications ( med.
window ) . normal cardiac enzymes
a. Asbestosis
b. Silicosis
c. Lipoid pneumonia
d. Idiopathic pulmonary fibrosis

63. CT showing heavy high densities within the

lungs :
a. Silicosis
b. Sarcoidosis
c. Pneumoconiosis
d. Alveolar proteinosis
64. Sjogren disease and disease in the chest cause
multiple small pneumatocele (with images
shows small cysts):
a. histocytosis
b. lymphangiomyomatosis
c. idiopathic interstitial pneumonia
d. proteinases

65. CT axial image of

Usual interstitial pneumonia

66. Characteristic radiologic finding in non specific

interstitial pneumonia
a. Pleural plaques.
b. Subpleural sparing
c. Centrilobular nodules
d. Upper lobe predominance

67. CT image axial with bilateral lower lobe

pneumonia.
a. Lipoid pnemonia
b. Organized pneumonia.
c. Chronic eosinophilic pneumonia.
(a or b according to image in the exam)
68. CT chest right pleural effusion with multiple
bilateral nodules
metastasis

69. CT abdomen chronic chest pain and shortness of

breath ; (I saw plural effusion+ enhancing
nodules)
a. T.B
b. adenoma
c. aspergilloma
d. Mesothelioma
70. CT image of classic fibrosing mediatinitis, with
history ‫انا مش فكراها‬

Fibrosing mediatinitis

71. Image of upper chest axial CT with two small ‫طاملا فوق مستوى القلب يبقى‬
structure after contrast , one enhanced and the Cyst of thymic origin
other one not . seen at midline beside vertebra
and ask:
a. Thymic cyst
b. Pericardial cyst ‫الصوره مش ظاهر فيها القلب‬

72. CT mass in anterior mediastinium

Typical lymphoma

73.1- Patient post cardiac operation, axial CT chest:

layering fluid densities at right side, I saw the
descended aorta dilated with hyper-dense
surrounding hematoma:
a. Hemo-throax
b. Hydro-pneumothorax.
c. Post pulmonectomy syndrome
74. Suddenly comatosed patient in the home with
image like this choices are
a- aortic dissection
b-Ascending aortic dissection with
hemopericardium

75. Axial CT lung base lung window+ abdominal x

ray+angio show like tumor blush at right supra
renal boy 13 ys old with recurrent chest
infection there are two basal sub pleural nodules
but lung window with no definite calcification
a. Immotile cilia syndrome
b. Round atelectasis
c. Neuroblastoma
d. Hydatid

76. Image of V/Q scan of lung and degree of

probability of pulmonary embolism….
High probability.
 TEXTS
77. Sternoclavicular joint :
AP with cephalic angulation 400

78. Acromioclavicular joint :

Stress view
AP with cephalic angulation 150 ( it is the correct answer if stress view not
included in choices )

79. view with minimal cardiac shadow :

New a. AP
b. PA
c. Lateral

80. Most common Cause of sleep apnea in child:

a. Hypertrophy adenoid tonsils
b. Hypertrophy of palatine tonsil
c. Don’t exactly remember

81. For Epiglottitis, which statement is false :

a- Usually caused by bacterial infection.
b- Accompained by high fever and drooling.
c- Shows thickened any epiglottic fold.
d- Subglottic narrowing is more common than croup.
e- Fluoroscopy is better than plain lateral neck radiography.

82. The most common pattern of oesophageal atresia is associated with (tricky one).
a. Contrast study showing fistula between trachea and upper esophagus (F)
b. Gaseless abdomen (F)
c. Trachea is non aerated due to congenital canalization defect (f)
d. Lower lobe pneumonia is commonly found >> due to aspiration

83. Tracheal Bronchus :

a- Left upper lobe
b- Right upper lobe
c- Left lower lobe
d- Right lower lobe

84. Most common lobe affected in congenital lobar emphysema :

Left upper lobe

85. Most common lobe affected in Sequestration :

Left lower lobe
86. Extra lobar sequestration all are true except:
a. Common site right.
b. Arterial supply from aorta
c. Venous drainage via portal vein
d. If connected with bronchial Tree...
87. Extra lobar sequestration "least":
a. More common in male
b. Venous drainage to portal vein
c. 5% clubbing
d. Presentation at 1st day of birth.
e. Causes respiratory distress.

88. what is separating medial segment of right lower lobe from others:
a- azygos fissure
b- hemiazygos fissure
c- transverse or oblique fissure
d- Inferior accessory fissure

89. Ligament separate pleural from peritoneal fluid:

Coronary ligament

90. Ligament separate peritoneal fluid from left pleura:

a. falciform
b. ligament teres
c. phrenic-colic
d. hepato-dudenal ligament

91. Internal mammary lymph nodes draining of :

chest wall

92. Normal chest of neonate

a. thymus reach lat wall is abnormal
b. elevated left diaphragm more than rt is abnormal
c. PA is more diagnostic than AP
d. cardiothoracic ratio in neonates is greater than adult

93. Haller index definitions

Transverse diameter on the AP diameter

94. 3 day old infant, premature 31 week, develop respiratory distress after 3 days- image:
a. IPE (interstitial pulmonary emphysema) >> If surfactant present from first day
treated by mechanical ventilation result in IPE
b. Surfactant deficiency (if will be from first day).
c. Pneumonia.
d. Meconium aspiration.
95. Child X-ray: history of preterm + distress + improvement then deterioration than was left
pneumothorax ……
a. TTN.
b. Respiratory distress syndrome.
c. Pneumonia.

96. X-ray chest neonate (tachypnea at 4 th day after 3 days’ full relief ) :
Transient tachypnea of newborn

97. Most serious complication in child RTA (road traffic accident):

a. pleural effusion
b. traumatic diaphragmatic hernia
c. bronchial obstruction by mucous plug.

98. Child with previous operation for esophageal dysplasia has sudden respiratory distress (
X-ray shows lucent area at the right cardiac border) diagnosis:
a. Rupture esophagus with Pneumomediastinum.
b. Pleural effusion.
c. Pneumonia.

99. Cause of upper lobe lung vascularity diversion

a) Mitral stenosis (or any cause of cardiogenic pulm. edema)
b) cushing syndrome
c) pneumothorax
d) pulmonary H

100. Most common cause of tracheal displacement in females:

a-Thyroid enlargement.
b-Thyroid inflammatory disease.
c-Marked pleural effusion

101. Chronic rejection of lung transplantation :

a. Bronchiolitis obliterans
b. Interstitial thickening

102. Very long question: child with leukemia had bone marrow transplantation then came with
respiratory distress and pain , did CT chest multiple nodules (no image)
a. fungal pnemonia
b. GVHD graft versus host disease ( pulmonary type )

103. The intial X-ray findings on pulmonary embolism :

a. normal x-ray
b. pleural effusion
c. changes in vascularity
 104. Patient suspected pulmonary embolism & will do V/ Q scan what should be done before
exam:
X- ray before 12 hours

105. Pulmonary embolism :

can be diagnosed by V/Q mis match

106. Regarding diagnosis of pulmonary embolism by V/Q:

a. >2 ventilation-perfusion mismatch.
b. >2 ventilation-x-ray mismatch.

107. Regarding pulmonary embolism:

a- plain x-ray showing majority of cases are abnormal
???? b- CTA is limited to show sub-segmental pulmonary embolism
c- CTA is commonly showing pulmonary infaraction
d- CTA has the same accuracy as conventional angiography in the diagnosis of sub-
segmental pulmonary embolism

108. Elevated right hemidiaphragm in a 40 years patient:

a- Eventration is most common cause.
b- If flouroscopy shows diaphragmatic paresis, CT mediastinum should be done.
c- Pleural effusion is excluded.
d- Ultrasound abdomen can help.

109. pleural effusion:

a) transudate indicate infection (x exudates)
b) Subpulmonary effusion causing lateral displacement of diaphragmatic hump
c) Blunted posterior phrenic recess indicate at least 200 cc (right 250)
d) on lateral ray 20cc of fluid can be visualized.

110. Cystic fibrosis:

a- calcification in pancreas 30%
b- Micro gallbladder
c- Fatty pancreas
d- chronic liver disease in 70%

111. 13. Regarding lung carcinoma:

a. pancoast tumor is adenocarcinoma.
b. increase risk with pulmonary angiographic studies.

112. Basal area with soft tissue and air Which mass in the chest show air lucency within
a- Bochdalek hernia
b- Fat
c- pericardial cyst
d- Fat necrosis
113. Regarding Bochdalek Hernia
a- It is right sided.
B-not a known cause for respiratory distress.
C- It is a cause of radio opaque hemithorax

114. Congenital diaphragmatic hernia , its severity depends on:

a. Degree of lung hypoplasia
b. RT or LT
c. Other two options.

115. Question about Lemierre syndrome without images.

116. sign of acute hypersensitivity pneumonia

a. local node into upper lobe.
b. in lower lobe
c. bilateral diffuse.

117. The most accurate sign of pulmonary edema:

a) septal lines
b) consolidiation
c) enlarged heart
d) upper lobe diversion vessels

118. Regarding cardiogenic pulmonary edema

a- cannot be differentiated from non cardiogenic pulmonary edema in x ray
b- in 75% of cases it presents with perihilar consolidation
c- Associated with upper lobe diversion of pulmonary arterie
d- I am not able to remember the 4th choice exactly but I think it was it represents 75
% of causes of pulmonary edema

119. Characteristic to cryptogenic organizing pneumonia:

a. reverse halo sign.

120. Patient with multiple lower lobe pulmonary nodules with halo around cavitary lesion:
a. Aspiregilloma
b. Invasive aspiregilloma
c. Semi aspiregilloma

121. Patient complain from fever & cough , X-ray chest patient has bilateral emphysema and,
cavitary lesion in Rt:
a. carcinoma
b. metastasis
c. aspergilloma
d. emphysematous bullea
 122. Image of bronchiactasis and the patient have fever and hypnosis :
New a. Fungal
b. Brochiactasis
c. Aspergilloma

123. Patient with hemoptysis and history of TB with apical cavitary lesion with nodule fixed in
supine & prone position
a. Mycetoma (fungus ball) (aspergilloma) with abnormal lung, TB most common.
b. Bronchogenic cyst.

124. Middle aged African female with eye proplem SOB image bilateral hilar adenopathy
a. Sarcoid
b. TB
c. Cancer
125. What is suggestive sarcoid than T.B
a- pleural effussion
b- calcified pulmonary lesion
c- Negative mantoux test

126. 70 years old female patient complaining cough, hemoptysis and weight loss . diagnosis :
a. TB
b. Sarcoid
c. Wagner granulomatosis

127. Pt with HIV + fever + cough:

a. Kaposi sarcoma
b. Lymphoma
c. TB
d. Pneumonia

128. Empyema characterized by :

a. fluid level on xray.
b. malignant lesion may arise from its wall.
c. on CT surrounding fat is hyperechoic.
129. Empyema
a- air fluid level is diagnostic
b- hilar lymphadenopathy is common
c- May predispose to mesothelioma in the wall
d- Right upper lobe collapse

130. Indian 30 years ♀ →manifestation showing RT upper lobe consolidation which support
primary TB than 2ry TB
a- LN
b- scarring
c- cavitaion
131. Most comon sign of 1ry TB:
a- cavity in upper lobe
b- Hilar lymphadenopathy

132. Regardaring pulmonary TB:

a. commonly cavitary in primary
b. initial lesion in 10% present in apicoposterior segment of upper lobe and apical
segment of lower lobe in primary TB.
c. Effusion cannot be the only manifestation of primary Tb pleural
d. Millary TB occur in both the primary and post primary TB.

133. 1ry TB :
a. commonly cavitary in primary
b. intial lesion in 10% present in apicoposterior segment of upper lobe and apical
c. segment of lower lobe
d. effusion canot be the only manifestation of primary TB pleural
e. Miliary TB occur in primary more than post primary

134. T.B cavity with hemoptysis & hypotension , what is the next step:
a. RF ablation of the cavity
b. catheter & emblolization of the PULM. A
c. Cath. & embol. Of bronchila a.
d. Cath & embol. Of phrenic a
e.

135. Regarding miliary

a- TB spare apices
b- pleural effusion
c- septal lines
d- Randomly distributed nodules.

136. Least common cause of egg shell calcification in L.N :

a. Silicosis.
b. Coal worker Pneumoconiosis.
c. Sarcoidosis.
d. T.B

137. Lymph node calcification commonly seen in:

a- lymphoma
b- Sarcoidosis
c- Sclerderma
138. Calcification in lung
a- occur in chicken box
b- occur in giant cell pneumonia
c- in untreated nonhodgkin lymphoma
d- in sarcoid pulmonary nodule

139. Amiodrone toxicity in chest radiograph:)

peripheral areas of consolidation with upper lobe predominance .

140. IPF
Honeycombing

141. Regarding IPF:

a. The most common findings in HRCT are ground glass appearance
b. Subpleural opacity at mid and upper lung lobes.
c. decreased lung volume

142. Radiologic findings in chronic esinophilic pneumonia

a. Subpleural.
b. Widely distributed patchy opacities
c. Pulmonary edema.
d. Lower lobes affection.

143. Chronic oesinophilic pneumonia

Non-segmental air space consolidation (reverse bat wing appearance)-peripheral
predilection-mainly upper zone and subpleural
a. Non-segmental peripheral of airspace consolidation.
b. Pulmonary odema

144. Chronic eosinophic pneumonia

non-segmental peripheral of airspace consolidation
pulmonary odema

145. 25 years female patient with SLE . fever , cough and dyspnea since 25 days . symptoms
increase from first day of illness . HRCT revealed bilateral groung glass and centrilobular
nodules at lower lobes . also , thin walled cysts are seen . diagnosis ?
a. Acute interstitial pneumonia
b. Acute lymphocytic pneumonitis
c. Nonspecific interstitial pneumonia
d. Desquamatibe interstitial pneumonia
146. A 67 yrs male with long years of smoking and lung creptitation, what gives the mosaic
chest CT appearance ??
a. cryptogenic organising pneumonia
b. hypersentivity pneumonia
c. desqumative interstitial pneumonia
d. eosinophilic
N.B: Two smoking-related ILD :
Respiratory bronchiolitis–interstitial lung disease (RB-ILD)
Desquamative interstitial pneumonia

147. Types of hypersensitivity pneumonias

• farmer's lung (bird fancier's lung: pigeon fancier's lung )
• cheese worker’s lung
• bagassosis
• mushroom worker’s lung
• malt worker’s lung
• maple bark disease
• hot tub lung
• organic chemicals such as isocyanates found in paint hardeners
• from immunosuppressant used in organ transplantation: e.g. sirolimus/everolimus

148. Pathgnomonic for tension pneumothorax:

a. Bilateral Invert diaphragm
b. Invert hemidiaphragm
c. Cardiomegally
d. Prominent hilar shadow

149. Empyema :
a. air fluid level is diagnostic
b. hilar lymphadenopathy is common
c. May predispose to mesothelioma in the wall
d. Right upper lobe collapse

150. 28-Regarding to emphysema:

a-alpha1 antitrypsin are common with panacinar emphysema
b- emphysematous bullae are centrally located
c- lower lobe bullae are less symptomatic

151. Pleural mets with calcifications:

a. Ovarian
b. Colonic
c. Breast
 152. In lung cancer
a- 75 % is asymptomtic
b- pancoast tumor is adenocarcinoma
c- adenocarcimo is central
d- X-ray scans of lungs are apredisposing factor

153. what type of lung cancer that more to cavitate

a- small cell
b- large cell
c- adeno
d- squamous cell carcinoma

154. Regarding CT of bronchial Tree:

a- Elderly ptn. are common than children with FB obstruction specially those in ICU
b-Air bronchogram present in bronchoalveolar carcinoma

155. what is the most likely primary tumor in patient with calcified lung metastssis on chest x-
ray:

a- Thyroid
b- leukemia
c- SCC of the neck
d- not remember the 4th

156. Source of pulmonary metastasis , If with calcification the answer is

New Thyroid papillary

157. Regarding Lymphoma

a- Extra-nodal is more common in non-hodgkin than Hodgkin
b- LNs has homogenous enhancement with contrast CT
c- calcification on LNs is more before TTT

158. what is the most likely 1ry tumor in patient with calcified lung metastssis on chest x-ray:
a- Thyroid
b- leukemia
c- SCC of the neck

159. Patient with chest pain and tearing pain in the throax migrating to ?? :
a- pulmonary embolism
b- pulmonary edema
c- mediastinitis
d- aortic syndrome
160. Most sensitive x ray position in effusion:
a. AP
b. PA
c. lateral
d. Decubitus portable

161. View for pleural effusion:

a. Lateral
b. Supine.
c. AP
d. PA

162. In HRCT of the lung

a- indicated in PE (chronic embolism)
b- basal atelectatic artifact done with CT; patient prone

163. According to the HRCT chest

a- to improve mediastinuim view; window level should be below zero
b- to improve lung view; window level should be centered below zero
c- to improve the mediastinuim view increase the window width
tomography better than high resolution in detection of periphral pul lesion

164. Question about ttt of pulmonary cavity:

Not percutaneous ablation

165. Images CXR PA & Lat. show right posterior lower focal lesion; asking about next step
a. CT

166. T.B cavity with hemoptysis & hypotension , what is the next step:
a. RF ablation of the cavity
b. Catheter & emblolization of the PULM. A (my answer)
c. Cath. & embol. Of bronchial a.
d. Cath. & embol. Of phrenic a

167. PTN. with recent ortho operation developed dyspnea ,with impaired renal function how to
exclude embolic lung disease
a. V/Q TEST
b. MRI
c. dialysis after iodinated contrast.
d. CT pulmonary angiography
168. Diabetic patient , long story…., suspect PE and go to CTA, renal function elevated :
A. go to V/Q scan.
B. Hemodialysis can remove effect of contrast
C. contrast will cause minimal nephrotoxicity
D. metformin can taken after dialysis.

169. Neonate in ICU develop pulmonary interstitial emphysema, what should you do next:
a. Extubation.
b. Stop ventilation.
c. Shifting from high frequency ventilation to conventional ventilation.
d. Shifting from conventional frequency ventilation to high ventilation. +_resolve
spontaneously.

170. child in big accident, xray image shows widened mediastinium, what to do:
a. CTA
b. surgery

171. ER patient with severe injury presented with widening of superior mediastinum in AP
chest Xray, presented also by interscapular pain & tachycardia, the next step is:
a- conventional or CT aortic angiography
b- perfusion- ventilation radionuclide scans for possible thromboemboli
c- Skeletal syurvey searching for fracture especially thoracic vertebrea
d- Radiographs to demonstrate ocult sternal fracture

172. Contraindication for intrathoracic biopsy:

a. huge lung lesions.
b. multiple lung lesions.
c. lymph node in mediastinum
d. pulmonary hypertension

173. Haller index indicated surgical intervention:

a. 2.5
b. 2.8
c. 3.2
d. 3.6

174. Numbers of right lung segments

10 segments

175. Pleural effusion least amount to obliterate the angle ( facts ) :

• in AP 200 cc
• in lateral 50 cc
• lateral decubitus 20 ml
176. Male smoker do HRCT chest.. Slice thickness should be :
a. 0.1mm
b. 1 mm
c. 3 mm
d. 5 mm

177. Recent guideline of lung cancer with CT about:

a. 1.5
b. 2
c. 3
d. 5

178. left lung field mass (NSCL cancer) involving vascular structures, left main bronchus,
ipsilateral enlarged LNS, not extending to right side or distant metastasis, what
percentage survival for 5 years :
a. 3%
b. 7% (T4N2 M0)stage IIIB
c. 17%
d. 25%

179. Fat parentage in pulmonary hematoma

a. 05
b. 15
c . 35
d. 75

This is the term used in the question (hematoma) , but we think he means
(hamartoma) . so if question hematoma >> choose least parcentahe . if hamartoma >> 35%

180. Percent of calcification in lung hematoma(‫ مش‬fat %)

a. 5 %
b. 20%
c. 50%
d. 70%
e. 80 %

181. Child 10 year do chest xray, what the dose of radiation relative to adult dose :
a. 100%
b. 55%
c. 45%
d. 35%
182. Patient with HIV complain from fever, cough (chest infection) make ESR high, amount of
CD4:
a. 50-100 cell/cm3
b.100-150
c. more 200

183. Pre-vertebral soft tissue thickness in children

a. 1/ 4
b. 2/4
c. 3/ 4 of vertebral body

184. Lateral X-ray, soft tissue measurement:

C1 < 7 mm.
C6 < 14 mm

185. Sweyre james $ :

Unilateral hyper lucency

186. Haller index definitions

Transverse diameter on the AP diameter

187. Lemierre syndrome: images one in neck shows left internal jugular thrombosis and other
in the lung shows septic emboli like this images, he ask about what is in the ct chest:
Septic emboli

188. Images CXR PA view (‫ & ) صورة صغيرة مش واضحة‬CT axial (have some bronchiectasis) :
a. Kartagner syndrome
b. sawyer James Syndrome
c. Campbell syndrome
d. Another 4th choice I don’t remember

189. what is suggestive sarcoid than T.B

a. pleural effussion
b. calcified pulmonary lesion
c. Negative mantoux test

190. Most serious complication in child RTA (road traffic accident):

a. pleural effusion
b. traumatic diaphragmatic hernia
c. bronchial obstruction by mucous plug
191. most common sign of pulmonary thromboembolism
a. Hampton hump
b. Fleishner
c. Wstermar
if pleural effusion present in choices >> choose it

192. what is the most likely primary tumor in patient with calcified lung metastssis on chest x-
ray:
a- Thyroid
b- leukemia
c- SCC of the neck

193. Most common cause of tracheal displacement in females:

a-Thyroid enlargement.
b-Thyroid inflammatory disease.
c-Marked pleural effusion

194. Least common cause of upper lobe fibrosis:

a. Bleomycin.
b. Ankylosing spondylitis.
c. Sarcoidosis.
d. Progressive massive fibrosis