Pediatric imaging protocols MCQs Radiology

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

1. The primary concern in pediatric imaging protocols is:
a) Minimizing radiation dose
b) Maximizing imaging speed
c) Using the highest resolution possible
d) Increasing contrast
Answer: a) Minimizing radiation dose


2. Pediatric imaging protocols often use:
a) Lower radiation doses compared to adults
b) Higher radiation doses compared to adults
c) The same radiation doses as adults
d) No radiation at all
Answer: a) Lower radiation doses compared to adults


3. The recommended imaging protocol for a child with suspected appendicitis is:
a) Ultrasound first
b) X-ray first
c) CT scan first
d) MRI first
Answer: a) Ultrasound first


4. In pediatric chest X-rays, the technique typically used is:
a) Lower dose with higher sensitivity
b) Higher dose with lower sensitivity
c) Standard adult protocol
d) No specific pediatric adjustments
Answer: a) Lower dose with higher sensitivity


5. For evaluating a pediatric patient with potential fractures, the imaging protocol usually includes:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


6. The imaging protocol for detecting developmental dysplasia of the hip in infants often uses:
a) Ultrasound
b) X-ray
c) CT scan
d) MRI
Answer: a) Ultrasound


7. When imaging pediatric patients with a known history of cancer, the protocol should:
a) Follow specialized cancer surveillance guidelines
b) Use standard adult protocols
c) Avoid imaging
d) Maximize radiation dose
Answer: a) Follow specialized cancer surveillance guidelines


8. In pediatric brain imaging, the preferred modality to reduce radiation exposure is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


9. Pediatric imaging protocols often include:
a) Age-appropriate adjustment of exposure parameters
b) Uniform exposure parameters for all ages
c) No adjustments based on patient age
d) Increased exposure parameters for better imaging
Answer: a) Age-appropriate adjustment of exposure parameters


10. For evaluating congenital heart defects in infants, the best imaging protocol is:
a) Echocardiography
b) X-ray
c) CT scan
d) MRI
Answer: a) Echocardiography


11. The primary imaging technique for suspected osteomyelitis in children is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


12. The protocol for assessing pediatric abdominal pain typically starts with:
a) Ultrasound
b) X-ray
c) CT scan
d) MRI
Answer: a) Ultrasound


13. In pediatric imaging, the “sensitive period” for radiation effects is:
a) Infancy and early childhood
b) Adolescence
c) Adulthood
d) Old age
Answer: a) Infancy and early childhood


14. The imaging protocol for evaluating soft tissue masses in children often involves:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


15. The use of “computed radiography” in pediatric imaging is:
a) Typically minimized due to higher dose
b) Commonly used as a first-line imaging technique
c) Preferred for all pediatric cases
d) Not recommended
Answer: a) Typically minimized due to higher dose


16. For assessing congenital anomalies of the kidney and urinary tract, the recommended imaging protocol is:
a) Ultrasound
b) X-ray
c) CT scan
d) MRI
Answer: a) Ultrasound


17. The recommended imaging technique for evaluating suspected non-accidental trauma in children is:
a) Skeletal survey
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Skeletal survey


18. For evaluating pediatric patients with symptoms of pneumothorax, the preferred initial imaging modality is:
a) Chest X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Chest X-ray


19. The imaging protocol for assessing fractures in neonates often includes:
a) Lower dose X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Lower dose X-ray


20. The “target sign” on ultrasound is associated with:
a) Intussusception
b) Appendicitis
c) Pyloric stenosis
d) Duodenal atresia
Answer: a) Intussusception


21. The recommended imaging protocol for suspected hydrocephalus in infants is:
a) Ultrasound
b) X-ray
c) CT scan
d) MRI
Answer: a) Ultrasound


22. Pediatric imaging protocols for detecting scoliosis often use:
a) Low-dose X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Low-dose X-ray


23. For imaging suspected congenital diaphragmatic hernia, the preferred technique is:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


24. The imaging protocol for evaluating bone age typically involves:
a) Hand and wrist X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Hand and wrist X-ray


25. The protocol for detecting pediatric soft tissue tumors often includes:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


26. In the case of suspected retinoblastoma, the imaging technique of choice is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


27. The imaging protocol for suspected appendicitis in a child often includes:
a) Ultrasound first
b) X-ray first
c) MRI first
d) CT scan first
Answer: a) Ultrasound first


28. For evaluating the presence of necrotizing enterocolitis in premature infants, the preferred imaging modality is:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


29. Pediatric imaging protocols for congenital anomalies of the brain often utilize:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


30. For suspected croup in children, the recommended imaging technique is:
a) Lateral neck X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Lateral neck X-ray


31. The imaging modality of choice for evaluating a suspected vascular malformation in children is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


32. The “barium swallow study” in pediatric patients is used to assess:
a) Gastrointestinal tract disorders
b) Bone fractures
c) Brain tumors
d) Kidney function
Answer: a) Gastrointestinal tract disorders


33. For diagnosing congenital spinal disorders in children, the preferred imaging modality is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


34. The imaging protocol for evaluating suspected foreign bodies in pediatric patients often starts with:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


35. In assessing pediatric patients with potential traumatic brain injury, the initial imaging modality is:
a) CT scan
b) X-ray
c) MRI
d) Ultrasound
Answer: a) CT scan


36. The imaging modality used to assess pediatric patients with suspected clubfoot is:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


37. The “snowstorm appearance” seen on X-ray in pediatric patients is indicative of:
a) Ewing sarcoma
b) Osteosarcoma
c) Neuroblastoma
d) Rhabdomyosarcoma
Answer: a) Ewing sarcoma


38. The imaging technique most commonly used for follow-up of congenital hydrocephalus is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: d) Ultrasound


39. For evaluating suspected pediatric pelvic fractures, the imaging protocol typically includes:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


40. The preferred imaging modality for assessing bone marrow pathology in children is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


41. The “double bubble sign” seen on X-ray is associated with:
a) Duodenal atresia
b) Intussusception
c) Pyloric stenosis
d) Gastroesophageal reflux
Answer: a) Duodenal atresia


42. In assessing congenital brain malformations in children, the first imaging study often used is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


43. The imaging protocol for suspected biliary atresia in infants often starts with:
a) Ultrasound
b) X-ray
c) CT scan
d) MRI
Answer: a) Ultrasound


44. The preferred imaging method for suspected congenital heart disease in newborns is:
a) Echocardiography
b) X-ray
c) CT scan
d) MRI
Answer: a) Echocardiography


45. For evaluating suspected retinoblastoma, the imaging modality of choice is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


46. The initial imaging for suspected pneumothorax in pediatric patients is:
a) Chest X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Chest X-ray


47. The imaging study most commonly used to evaluate for developmental hip dysplasia is:
a) Ultrasound
b) X-ray
c) CT scan
d) MRI
Answer: a) Ultrasound


48. The imaging protocol for suspected congenital diaphragmatic hernia in infants includes:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


49. For evaluating suspected craniosynostosis in infants, the preferred initial imaging study is:
a) CT scan
b) X-ray
c) MRI
d) Ultrasound
Answer: a) CT scan


50. The imaging protocol for assessing pediatric neuroblastoma often includes:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI