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FRCR Part 1 - MCQ Paper 3

Submitted by Vinay Duddalwar

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1. 

A denser nephrogram in an intravenous pyelography study can be obtained by

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a.

using non ionic contrast

b.

using a sodium based as opposed to meglumine based contrast

c.

using a larger volume of contrast

d.

dehydrating the patient

e.

more rapid injection of a given concentration and volume of contrast

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2. 

The left phrenic nerve

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a.

lies anterior to the left scalenus anterior

b.

lies posterior to the subclavian artery

c.

lies posterior to the brachial plexus

d.

traverses the diaphragm through the oesophageal hiatus

e.

passes posterior to the left hilum

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3. 

Regarding veins of the thorax

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a.

the first three intercostal veins on the right drain into the left subclavian vein

b.

a left sided superior vena cava usually drains into the left atrium

c.

the left bronchial veins drain into the left subclavian vein

d.

the azygos vein drains into the superior vena cava within the pericardial sac

e.

the left superior pulmonary vein is anterior to the left pulmonary artery

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4. 

The use of Glucagon in double contrast barium studies

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a.

is contraindicated in diabetes mellitus

b.

is contraindicated in insulinoma

c.

is contraindicated in phaeochromocytoma

d.

has a longer lasting effect than Buscopan (Hyoscine)

e.

may lead to anaphylaxis

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5. 

Regarding the pituitary gland

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a.

the pars anterior can be distinguished from the pars posterior on MR scans

b.

the normal pituitary stalk enhances on post Gadolinium MR scans

c.

it is supplied totally by extradural branches of the internal carotid artery

d.

the pars anterior develops from foregut

e.

calcification within the gland can be a normal phenomenon

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6. 

In the fetus

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a.

the umbilical vein carries unoxygenated blood from the fetus to the placenta

b.

the ductus arteriosus closes in the third trimester.

c.

the adrenals are larger in size in comparison to the kidneys than in an adult

d.

midgut herniation into the umbilical coelom (extrembryonic coelom) is a normal phenomenon till the third trimester.

e.

the right ventricular wall is thicker than the left ventricular wall ; this is reversed gradually after birth

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7. 

Regarding the pancreas

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a.

the spleen can be used as an acoustic window during ultrasonography

b.

it is isoechoic to the liver ultrasonically in adults

c.

the duct of Wirsung is the duct of the ventral pancreatic bud

d.

it lies in the posterior pararenal space of the retroperitoneum

e.

imaging modality of choice for evaluating trauma is ultrasound

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8. 

Regarding the elbow

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a.

the anterior humeral line passes through the posterior third of the capitellum in a standard set of xray views

b.

the posterior fat pad may be seen on the lateral radiograph in 10% of normal adults

c.

a line through the radial shaft is projected through the middle third of the capitellumin a lateral radiograph

d.

the centre for the medial epicondyle appears before the centre for the lateral epicondyle

e.

the ulnar nerve passes anterior to the medial epicondyle

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9. 

The following statements are correct

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a.

The pharynx extends from the base of the skull to C3 vertebral level

b.

The pharyngobasilar fascia is pierced only by the eustachian tube

c.

The fossae of Rosenmuller lie anterior to the openings of the eustachian tubes

d.

The parapharyngeal space contains the external jugular vein

e.

The valleculae lie posterior to the epiglottis

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10. 

The following statements are correct

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a.

A cavum septum pellucidum is seen in 10% of adults

b.

The common carotid artery bifurcates at C7 level

c.

The superior orbital fissure is best seen on an Occipito frontal 20o cranially angulated view

d.

The ascending pharyngeal artery passes through the jugular foramen

e.

The lesser wing of the sphenoid forms a margin of both the superior and the inferior orbital fissures

TFD

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