1.The overall heart size in tetralogy of Fallot is usually

a) Markedly enlarged

b) Normal or relatively small

c) Slightly enlarged

d) Moderately enlarged.



2. Diagnosis of aortic calcification is done by fluoroscopy by seeing

a) Side to side movement

b) Up and down movement

c) Combined movement

d) None



3.In Urinary tract tuberculosis, frequent finding on plain film of abdomen is

a) Mass

b) Ileus

c) Calcification

d) Psoas abscess



4.Pericardial calcification is caused by all except

a) Radiotherapy to the mediastinum        

b) Methysergide therapy

c) Anticoagulant therapy

d) Benign pericarditis        

e) Dermatomyositis



5.Cystic dilation of collecting tubules are seen in

a) Adult polycystic kidney

b) Medullary sponge kidney

c) Horse shoe shaped kidney

d) Nephroblastoma



6.During angiocardiography the mitral valve is best visualized in the

a) Frontal view

b) Lateral view     

c) Right anterior oblique view

d) None of the above.



7. The X-ray finding of small intestinal malabsorption syndrome are all except

a) Increased transit time 

b) mucosal atrophy

c) Dilatation of bowel

d) Flocculation of Barium



8. Right side of mediastinal shadow is not formed by

a) SVC

b) right innominate





9. Best mode of imaging for suspected uric acid calculi is

a) Plain film of abdomen

b) Ultrasonography

c) Intravenous pyelography

d) Radionuclides.



10. Solitary nodule lung cannot be

a) Tuberculoma

b) Neurofibroma

c) Bronchogenic carcinoma

d) Lymphoma



11. Angle of trachea is increased in which chamber of heart enlargement

a) Left atrium

b) Right atrium

c) Left ventricle

d) Right ventricl



12. Medusa lock appearance in X- ray seen in

a) ascariasis

b) Tapeworm

c) Hookworm       

d) Ascaris and tapeworm



13. Signs of increased intracranial tension in a child in a skull X-ray

a) Separation of the sutures

b) Tense anterior fontanelle

c) Silver beaten appearance of the bones

d) All of the above



14. Echoenecpahalography is most useful for detecting

a) Ventricular dilatation

b) Midline shift    

c) Epilepsy

d) Vascular lesions



15. X-rays are modified

a) Protons

b) Electrons

c) Neutrons

d) Positrons



16. "Sentinel loop" appearance on X-ray is seen

a) Acute pancreatitis      

b) Chronic pancreatitis    

c) Intestinal obstruction      

d) Acute appendicitis



17. The "Target Sign" sonographically means

a) Ovarian carcinoma

b) Ectopic kidney

c) Intussusception

d) Liver metastasis



18. Osteosclerotic bone secondaries are seen in

a) Carcinoma thyroid

b) Carcinoma prostate

C) Carcinoma stomach     

d) Carcinoma lung



19.Water soluble contrast media used for myelography is

a) Metrizamide

b) Dianosil

c) Conray

d) Iohexol



20.Most sensitive test for metastatic deposit is

a) Isotope scan

b) CT Scan

c) Skeletal survey

d) Tomography



21.Best imaging modality to diagnose liver mass is

a) Plain film

b) Angiography

c) C. T. Scan

d) Nuclear Scan




22.Characteristics of Benign tumour of lung in X -ray is

a) Size > 5 cms diameter

b) Cavitation

c) Peripheral location

d) Concentric dense calcification.




23.Scalloping of the edges of sigmoid colon on barium enema is seen in

a) Diverticulitis

b) Crohn's disease

c) Pneumatosis intestinalis  

d) Ulcerative colitis




24. Widening of the C loop in X-ray is diagnostic of

a) Chronic pancreatitis

b) Carcinoma head of pancreas  

c) Periampullary carcinoma

d) Calculi in the ampulla of vater




25. AH are features of Medulloblas toma except

a) Radio resistant

b) Highly radio sensitive

c) Occurs in first decade

d) Coarctation of aorta d)TDT




26. Notching of ribs on X- ray is seen in

a) PDA

b) ASD

c) Ebsteins anomaly

d) Coarctation of aorta




27. Contrast used for MRI


b) Radium

c) Iridium





28. Saw tooth appearance on abdominal X-ray is seen in

a) Prediverticular state

b) Multiple polyposis

c) Spastic colon      

d) Ischemic enteritis




29. Increased radiolucency of one sided hemithorax may be caused by all except

a) Obstructive emphysema

b) Pneumothorax

c) Expiratory film       

d) Patient rotation




30. Gas in biliary tract is not due to

a) Perforated gastric ulcer 

b) Necrotizing enterocolitis

c) Biliary surgery 

d) Post-gastrectomy





31. Egg shell calcification in hilar region is seen in

a) Penumoconiosis

b) T. B.

c) Sarcoidosis

d) Aneurysms





32. Basal ganglia calcification is not seen in

a) Wilson's disease     

b) Berry anerurysm

c) Cysticercosis   

d) Hemangioma




33. Calcification of meniscal cartilage is a feature of

a) Acromegaly

b) Hyperparathyroidism    

c)Reiter's syndrome

d) Pseudo gout




34. Sun ray appearance is seen in

a) Osteoclastoma        

b) Fibrous dysplasia       

c) Osteosarcoma       

d) Chondrosarcoma




35. Investigation of choice in Traumatic paraplegia is

a) MRI

b) CT Scan

c) Myelography

d) Spine X - ray 




36. Interosseous skeletal tumour is best diagnosed by

a) Plain X-ray

b) NMR

c) CT scan

d) CT with scintiscan 




37. Notching of Ribs is seen in

a) Tuberculosis


c) Coarctation of aorta       

d) Bronchiectasis





38.Laminated appearance of X-ray is suggestive of

a) Ewing's sarcoma     

b) Osteoid osteoma

c) Osteoclastoma   

d) Multiple myeloma




39.Full colonic preparation of Barium Enema is contra indicated in all except

a) Acute exacerbation of ulcerative colitis

b) Irritable bowel syndrome

c) Hirschsprung's disease

d) Colonic obstruction




40.Right border of the heart in a chest X-ray, is not formed by



c) Right atrium

d) Aorta




41. Pulmonary embolism is best diagnosed by

a) X-ray chest

b) Enzyme estimation

c) Radionucleus

d) Blood gas analysis




42. Right lung is seen to best advantage on the following view

a) Right posterior oblique

b) Right anterior oblique

c) Left anterior oblique

d) Lateral




43. Early change of pulmonary edema in CXR

a) Batswing appearance     

b) Pleural effusion

c) Kerley B lines

d) Ground glass lung field




44. Investigation to differentiate between pericardial effusion and heart dialation includes    

a) X-ray        

b) Fluoroscopy

c) Echocardiogram

d) CT scan




45. Multiple translucent cysts on X- ray are found in the chest. Differential       diagnosis includes all except

a) Congenital diaphragmatic hernia

b) Congential adenomatoid bronchogenic  diseases

c) Lobar agenesis

d) Bilateral multiple cysts




46. Onion peel appearance is seen in

a) C iteoclastoma        

b) Chondrosarcoma

c) Osteosarcoma

d) Ewings sarcoma




47. IVU is not done in

a) Multiple myeloma   

b) Secondaries in bone      

c) Leukaemia

d) Renal tumours




48. When bones show a 'Bone within bone' appearance this is indicative of

a) Sickle cell anemia

b) Bone infarction

c) Osteopetrosis

d) Chronic myelogenous leukaemia





49. The best view to visualize minimum pneumoperitoneum is

a) Ap view of abdomen

b) Erect film of abdomen

c) Right lateral decubitus with horizontal beam     

d) Left lateral decubitus with horizontal team




50. In fluorescein angiography, dye is injected in

a) Anterior cubital vein

b) Femoral artery

c) Femoral vein    

d) Aorta





51. All of the following are true about iodinated intravascular contrast media xcept

a) They are used in digital subtraction angiography

b) They are radio opaque

c) They can cause anaphylactic reactions

d) They are used in magnetic resonance imaging

e) They are excreted mainly by the kidneys





52. Rib notching is produced by

a) Coarctation of Aorta

b) Neurofibromatosis

c) Superior vena caval obstruction 

d) All of the above




53. Widening of the C loop in X- ray is diagnostic of

a) Chronic pancreatitis 

b) Carcinoma head of pancreas 

c) Periampullary carcinoma

d) Calculi in the ampulla of vater




54.   Which of the following is not a contra indication for I VP?

a) Renal infection        

b) Hyperpyrexia   

c) Multiple myeloma

d) Skeletal metastases




55.Perihilar fluffy opacities on chest x-ray is seen in

a) Pulmonary embolism

b) Pericardial effusion

c) Pulmonary arterial hypertension

d) Pulmonary venous hypertension




56.An aneurysm of the sinus of Valsalva usually arise from

a) Right aortic sinus

b) Left aortic sinus

c) Posterior aortic sinus

d) pulmonary outflow tract       

e) Right ventricle





57.Sequestration lung is best diagnosed by


b) M.R.I.

c) Barium swallow

d) Angiography 




58.Superior Orbital fissure best view is

a) Plain AP view

b) Cladwell

c) Townes

d) Basal view




59.Which imaging method is ideal in evaluating hypertension ?

a) Angiography

b) Colour flow Doppler

c) M. R. angio      

d) C. T scan




60.Commonest cause of intracranial calcification is

a) Pineal calcification

b) Intracranial aneurysm    

c) Meningioma    

d) Tuberculoma





61. Isotope used in myocardial perfusion scan is

a) Technetium

b) Thallium

c) Stannous pyrophosphate

d) Gallium 




62. Best diagnostic procedure in acute pancreatitis is

a) CT Scan

b) Ultrasound

c) M. R. I.

d) Pipida scan




63. The most common cause of spontaneous pneumothorax is

a) Rupture of subpleural blebs

b) Pulmonary tuberculosis

c) Bronchial adenoma

d) Bronchogenic carcinoma




64. Bull's eye lesion in ultrasonography is seen in

a) Candidiasis

b) Aspergillosis

c) Sporotrichosis

d) Cryptococcosis





65. Newborn Chest x-ray with Respiratory distress shows multiple air containing    lesions in Left Hemithorax and mediastinal shift is suggestive of

a) Neonatal emphysema

b) Diaphragmatic hernia

c) Pneumatocele

d) congential lung fcysts




66. Radiologically appreciable earliest sign of osteomyelitis is

a) Loss of muscle and fat planes

b) Periosteal reaction

c) Callus formation

d) Presence of sequestrum




67. Hilar dance on fluoroscopy is seen in








68.Obliteration of Left heart border in PA chest X-ray is suggestive of

a) Lingular pathology

b) Left upper lobe lesion

c) Left hilar lymph nodes

d) Left lower lobe lesion




69.Which of the following is the best test for screening a case of proximal internal carotid artery stenosis

a) Digital subtraction angiography

b) Magnetic resonance angiography

c) colour Doppler ultrasonography

d) CT angiogram




70.In a case of renal failure with total anuria, ultrasound was found to be normal. Next line of investigation is

a) Retrograde pyelography

b) IVP

c) Anterograde pyelography

d) DTPA renogram




71. In the plain film of the abdomen small bowel obstruction can be diagnosed by

a) Central location

b) Volvulae connivantes can be made out

c) In the erect film, air fluid levels

d) All of the above




72.The following is not true of MRI

a) Imaging perfusion of brain

d) Superior to CT scan for bone scanning

c) Blood vessels visualized without contrast

b) presence of Hydrogen ions




73.Hydrocephalus in children, first seen is

a) Sutural diastesis     

b) Post clinoid erosion

c) Large head       

d) Thinned out vault




74. The characteristic X-ray feature of Pancoast tumour is

a) Coin shadow

b) Apical consolidation

c) Apical mass lesion with erosion of neck of 1 & 2 ribs      

d) Hilar mass




75.In nephrogram, one sees

a) Renal capillaries      

b) Renal pelvis     

c) Only renal cortex

d) Collecting tubules




76.Ultrasonogram is not useful in

a) CBD stones at the distal end of the CBD   

b) Breast cyst

c) Ascites

d) Full Bladder




77.Suprasellar calcification is seen in

a) Craniopharyngioma

b) Meningioma


d) Conray 540




78.IVP is done using



c) Calcified pineal gland     

d) Pituitary adenoma




79. Calcification in Heart Wall is suggestive of

a) Scleroderma

b) Carcinoid Syndrome      

c) Fibroelastosis     

d) Endomyocardial ibrosis




80.Contrast used in liver scan is

a) Biligraffin

b) 1131 Rose Bengal

c) Gallium 238      

d) Thallium 201




81.Best position for chest X-ray to detect Left Pleural effusion is

a) Left lateral

b) Supine

c) Left lateral decubitus     

d) Right lateral decubitus




82.The number of carpal bones seen in a radiograph of an infant is









83.Investigation of choice to demonstrate vesico ureteric reflex


b) Ultra sound     

c) contrast MCU

d) Cystoscopy




84.Parallel shotgun appearance on ultrasound is seen in

a) Portal hypertension

b) Biliary ascariasis

c) Obstructive jaundice

d) Sclerosing cholangitis




85.Radiolucent munilocular cyst of the body of mandible is

a) Abscess

d) Adamantinoma

c) Dentigerous cyst

d) Adamantinoma





86)Best method of detecting minimal bronchiectasis is 

a) Abscess

b) Dental cyst

c) Dentigerous cyst

d) Radio nuclide lung scan




87.The photosensitive material used in X-rays films consists of

a) Cellulite

b) Silver bromide

c) Zinc sulphide

d) Cadmium tungstate




88.Water lilly appearance in chest X-ray is suggestive of

a) Bronchiectasis     

b) Bronchopleural fistula   

c) Hydatid cyst       

d)Sequestration cyst lung




89. Retroperitoneal air is not manifested by air along

a) Psoas margins        

b) Perinephric area

c) Along spleen

d) Adrenals




90.The cause of homogenous opacity on X-ray is all except

a) Pleural effusion       

b) Diaphragmatic Hernia    

c) Massive consolidation  





91.1ntracranial calcification in skull X-rays may be

a) Pineal calcifications    

b) Dural calcifications    

c) Cysticercosis

d) All of the above




92.Absolute contraindication of IVP is

a) Allergy to drug

b) multiple myeloma 

c) Blood urea more than 200mg

d) Idiosyncracy





93.Parasites that may show calcification on radiographs include

a) Cysticercosis

b) Guinea worm


d) Loa Loa




94.Investigation of choice for Multiple sclerosis

a) MRI

b) CT Scan

c) X-ray





95.Investigation of choice to diagnose sub arachnoid haemorrhage

a) MRI angiography   

b) 4 vessel carotid angiography       

c) CT scan

d) T2 wave MR




96.Pulmonary embolism is best diagnosed by


b) Perfusion scan

c) Angiography

d) Plain X-ray




97.Radiological signs of perforated viscus include

a) Gas under the dome of the diagphram

b) Falciform ligament is visualized

c) Air surrounding the bowel is present

d) All of the above




98.Stryker's view is used in shoulder joint to visualize

a) Muscle calcification

b) Recurrent subluxation

c) Sub acromial calcification

d) Bicipital groove



99. The investigation of choice in acute renal failure with complete anuria and    normal USG 

a) Renal angiography


c) IVP    

d) Retrograde pyelography



100. 'H'shaped vertebra is seen in

a) Phenylketonuria      

b) Sickle cell anemia    

c) Hemangioma   

d) Osteoporosis