Imaging for acute conditions (stroke, pulmonary embolism) MCQs Radiology

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 14, 2024

1. The imaging study of choice for the rapid diagnosis of an acute ischemic stroke is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

2. For detecting acute pulmonary embolism, the initial imaging test is typically:
a) CT scan with contrast
b) X-ray
c) MRI
d) Ultrasound
Answer: a) CT scan with contrast

3. The rapid imaging study used to identify acute hemorrhagic stroke is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

4. For evaluating suspected acute pulmonary embolism in patients with contraindications to CT, the alternative imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) X-ray
c) MRI
d) Ultrasound
Answer: a) Ventilation-perfusion (V/Q) scan

5. The imaging technique best suited for rapid diagnosis of acute stroke in patients with a known history of allergy to contrast media is:
a) MRI
b) CT scan
c) X-ray
d) Ultrasound
Answer: a) MRI

6. The preferred imaging modality for acute evaluation of stroke symptoms within the first few hours of onset is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

7. For rapid diagnosis of acute pulmonary embolism in a pregnant patient, the imaging modality of choice is:
a) Ultrasound
b) CT scan with contrast
c) X-ray
d) MRI
Answer: a) Ultrasound

8. The initial imaging study for suspected acute stroke in patients who are unable to receive IV thrombolytics is:
a) MRI
b) CT scan
c) X-ray
d) Ultrasound
Answer: a) MRI

9. The imaging modality used to assess the presence of acute pulmonary embolism in a patient with renal impairment is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) X-ray
d) MRI
Answer: a) Ventilation-perfusion (V/Q) scan

10. The best imaging technique for rapid evaluation of acute ischemic stroke to identify potential thrombolysis candidates is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

11. For diagnosing acute pulmonary embolism, the imaging study that is typically avoided in patients with renal disease is:
a) CT scan with contrast
b) X-ray
c) MRI
d) Ventilation-perfusion (V/Q) scan
Answer: a) CT scan with contrast

12. The imaging technique of choice for evaluating acute stroke in patients with contraindications to MRI contrast agents is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

13. For suspected acute stroke where differentiation between ischemic and hemorrhagic stroke is needed, the initial imaging study is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

14. The initial imaging study for suspected acute pulmonary embolism that involves radiation exposure is:
a) CT scan with contrast
b) X-ray
c) MRI
d) Ventilation-perfusion (V/Q) scan
Answer: a) CT scan with contrast

15. The rapid imaging study used for detecting acute ischemic stroke in the setting of an acute headache is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

16. For evaluating suspected pulmonary embolism in a patient with previous allergic reactions to contrast media, the alternative imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

17. The imaging modality best suited for rapidly assessing acute ischemic stroke in a patient presenting with acute focal neurological deficits is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

18. For a patient presenting with acute dyspnea and suspected pulmonary embolism, the preferred initial imaging study is:
a) CT scan with contrast
b) X-ray
c) MRI
d) Ventilation-perfusion (V/Q) scan
Answer: a) CT scan with contrast

19. The imaging technique of choice for assessing acute hemorrhagic stroke is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

20. For patients with suspected acute pulmonary embolism and contraindications to contrast medium, the preferred imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

21. The imaging modality used for rapid diagnosis of acute ischemic stroke in the presence of a pacemaker or metal implants is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

22. For evaluating a patient with suspected acute pulmonary embolism and elevated creatinine levels, the initial imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) X-ray
d) MRI
Answer: a) Ventilation-perfusion (V/Q) scan

23. The imaging study best suited for assessing the extent of an acute ischemic stroke for possible intervention is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

24. For suspected pulmonary embolism in patients who cannot undergo CT scan, the imaging modality of choice is:
a) Ventilation-perfusion (V/Q) scan
b) X-ray
c) MRI
d) Ultrasound
Answer: a) Ventilation-perfusion (V/Q) scan

25. The initial imaging study for evaluating acute stroke symptoms when there is a known allergy to contrast agents is:
a) MRI
b) CT scan
c) X-ray
d) Ultrasound
Answer: a) MRI

26. For rapid diagnosis of acute pulmonary embolism with high suspicion and normal renal function, the imaging study of choice is:
a) CT scan with contrast
b) X-ray
c) MRI
d) Ventilation-perfusion (V/Q) scan
Answer: a) CT scan with contrast

27. The preferred imaging technique for rapid assessment of acute ischemic stroke in an emergency setting is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

28. For evaluating suspected acute pulmonary embolism in patients with asthma, the imaging modality of choice is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

29. The imaging study used for the initial assessment of an acute stroke when MRI is not available is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

30. For rapid diagnosis of suspected acute pulmonary embolism in a patient with an allergy to iodine contrast, the imaging study of choice is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

31. The imaging modality used for immediate evaluation of acute ischemic stroke in the context of recent anticoagulation therapy is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

32. For quick assessment of suspected acute pulmonary embolism with a history of renal impairment, the imaging study of choice is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

33. The imaging technique of choice for detecting acute hemorrhagic stroke in the setting of a head trauma is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

34. For rapid diagnosis of acute pulmonary embolism in a patient with a history of chronic lung disease, the preferred imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

35. The initial imaging study used to evaluate an acute stroke with a high risk of bleeding complications is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

36. For rapid evaluation of suspected acute pulmonary embolism in a patient with recent surgery, the preferred imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

37. The imaging modality of choice for acute evaluation of stroke when there is a concern for contrast-induced nephropathy is:
a) MRI
b) CT scan
c) X-ray
d) Ultrasound
Answer: a) MRI

38. For detecting acute pulmonary embolism in patients with compromised renal function, the best imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

39. The imaging study best suited for immediate diagnosis of acute ischemic stroke with a contraindication to contrast media is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

40. For a rapid assessment of suspected acute pulmonary embolism in patients with a history of anaphylaxis, the imaging study of choice is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

41. The preferred imaging modality for acute evaluation of stroke symptoms in patients with an implanted device is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

42. For immediate imaging of suspected acute pulmonary embolism with a known contrast allergy, the study of choice is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

43. The imaging modality used for acute diagnosis of stroke with a known history of allergy to gadolinium-based contrast agents is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

44. For suspected acute pulmonary embolism in a patient with a recent history of radiation exposure, the preferred imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

45. The initial imaging study for assessing acute ischemic stroke when CT is not available is:
a) MRI
b) X-ray
c) Ultrasound
d) CT scan
Answer: a) MRI

46. The imaging technique of choice for the rapid diagnosis of pulmonary embolism in a patient with a pacemaker is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

47. For rapid diagnosis of acute ischemic stroke in a patient presenting with sudden onset of symptoms, the imaging study of choice is:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: a) CT scan

48. The preferred imaging modality for assessing suspected acute pulmonary embolism in a patient with a recent history of severe allergic reaction is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

49. The initial imaging study for suspected acute stroke when the patient has renal impairment and cannot receive contrast is:
a) MRI
b) CT scan
c) X-ray
d) Ultrasound
Answer: a) MRI

50. For immediate assessment of suspected pulmonary embolism in a patient with high suspicion and a history of asthma, the best imaging study is:
a) Ventilation-perfusion (V/Q) scan
b) CT scan with contrast
c) MRI
d) X-ray
Answer: a) Ventilation-perfusion (V/Q) scan

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