Pediatric trauma on radiographs MCQs Radiology

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

1. The most common type of fracture in children is:
a) Greenstick fracture
b) Comminuted fracture
c) Spiral fracture
d) Pathologic fracture
Answer: a) Greenstick fracture


2. The “toddler’s fracture” is typically diagnosed using:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


3. The “Salter-Harris classification” is used to describe:
a) Growth plate fractures
b) Spinal fractures
c) Skull fractures
d) Joint dislocations
Answer: a) Growth plate fractures


4. An “epiphyseal injury” in a child is best evaluated by:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


5. The presence of a “Buckling” or “Bowing” fracture in children suggests:
a) Stress or incomplete fracture
b) Comminuted fracture
c) Dislocated joint
d) Pathologic fracture
Answer: a) Stress or incomplete fracture


6. The “Klein’s line” is used to assess:
a) Hip dysplasia
b) Elbow dislocation
c) Femoral head displacement
d) Knee fractures
Answer: c) Femoral head displacement


7. The “CT scan” is particularly useful in evaluating:
a) Complex fractures
b) Simple greenstick fractures
c) Soft tissue injuries
d) Joint subluxations
Answer: a) Complex fractures


8. In pediatric trauma, the “Tuning fork test” is used to assess:
a) Fracture location
b) Bone healing
c) Soft tissue injury
d) Joint stability
Answer: a) Fracture location


9. A “spiral fracture” in a child may indicate:
a) Twisting injury
b) Direct trauma
c) Pathologic condition
d) Compression injury
Answer: a) Twisting injury


10. The “radius” is most commonly fractured in:
a) Falls on an outstretched hand
b) Direct impact injuries
c) Sports injuries
d) Vehicular accidents
Answer: a) Falls on an outstretched hand


11. The “Skeletal survey” is used to evaluate:
a) Non-accidental trauma
b) Growth plate injuries
c) Fractures of the spine
d) Joint effusions
Answer: a) Non-accidental trauma


12. The presence of “metaphyseal corner fractures” in a child is highly suggestive of:
a) Child abuse
b) Osteomyelitis
c) Osteogenesis imperfecta
d) Normal trauma
Answer: a) Child abuse


13. For detecting “rib fractures” in infants, the most effective imaging modality is:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


14. In the case of “dislocated elbow” in children, the initial imaging study is usually:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


15. “Bucket handle fractures” are characteristic of:
a) Child abuse
b) Osteoporosis
c) Osteomyelitis
d) Sports injuries
Answer: a) Child abuse


16. The “Sunburst appearance” on X-ray is indicative of:
a) Osteosarcoma
b) Ewing sarcoma
c) Rhabdomyosarcoma
d) Neuroblastoma
Answer: a) Osteosarcoma


17. For evaluating “pelvic fractures” in children, the preferred imaging study is:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


18. The “triradiate cartilage” is used to assess:
a) Hip dislocations
b) Pelvic fractures
c) Growth plate injuries
d) Spinal injuries
Answer: c) Growth plate injuries


19. A “forearm fracture” with “displacement” in children often requires:
a) CT scan
b) MRI
c) X-ray
d) Ultrasound
Answer: c) X-ray


20. In assessing “spinal fractures” in pediatric trauma, the imaging modality of choice is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


21. “Growth plate fractures” in children are classified into:
a) Salter-Harris types
b) Greenstick types
c) Spiral types
d) Comminuted types
Answer: a) Salter-Harris types


22. The “Wind-blown” or “swiss-cheese” appearance on X-ray is associated with:
a) Ewing sarcoma
b) Osteomyelitis
c) Osteosarcoma
d) Rhabdomyosarcoma
Answer: b) Osteomyelitis


23. The “lateral X-ray of the elbow” in children is most useful for detecting:
a) Elbow dislocations
b) Wrist fractures
c) Femoral head fractures
d) Spine injuries
Answer: a) Elbow dislocations


24. The “anterior humeral line” is used to evaluate:
a) Elbow dislocation
b) Femoral head displacement
c) Shoulder dislocation
d) Wrist fracture
Answer: a) Elbow dislocation


25. The “Shenton’s line” is utilized to assess:
a) Hip dislocation
b) Elbow fracture
c) Wrist injury
d) Femoral head displacement
Answer: a) Hip dislocation


26. The presence of “transversal metaphyseal fractures” is often seen in:
a) Non-accidental trauma
b) Osteomyelitis
c) Osteogenesis imperfecta
d) Normal trauma
Answer: a) Non-accidental trauma


27. The imaging study of choice for detecting “stress fractures” in children is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


28. “Children with suspected non-accidental trauma” should have a:
a) Skeletal survey
b) Routine X-ray
c) CT scan
d) MRI
Answer: a) Skeletal survey


29. “Traction apophysitis” is best assessed using:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


30. For suspected “spinal cord injury” in pediatric trauma, the imaging modality of choice is:
a) MRI
b) X-ray
c) CT scan
d) Ultrasound
Answer: a) MRI


31. The “prevertebral soft tissue swelling” on X-ray is indicative of:
a) Cervical spine injury
b) Elbow fracture
c) Femoral head displacement
d) Wrist injury
Answer: a) Cervical spine injury


32. “Radial head subluxation” in children is commonly detected using:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


33. The “appearance of bone marrow edema” in pediatric trauma is most commonly associated with:
a) Acute injury
b) Chronic injury
c) Bone tumors
d) Congenital abnormalities
Answer: a) Acute injury


34. The “lateral view” of the knee is used to detect:
a) Patellar dislocation
b) Femoral head displacement
c) Shoulder fracture
d) Pelvic injury
Answer: a) Patellar dislocation


35. In assessing “clavicular fractures” in children, the preferred imaging modality is:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


36. The “Osgood-Schlatter disease” is characterized by:
a) Tibial tuberosity pain
b) Femoral head pain
c) Patellar pain
d) Elbow pain
Answer: a) Tibial tuberosity pain


37. For evaluating “hip dysplasia” in infants, the initial imaging study is:
a) Ultrasound
b) X-ray
c) CT scan
d) MRI
Answer: a) Ultrasound


38. The “anterior posterior (AP) X-ray of the shoulder” is used to assess for:
a) Shoulder dislocations
b) Femoral fractures
c) Spinal injuries
d) Hip dislocations
Answer: a) Shoulder dislocations


39. The “femoral head ossification” on X-ray in children is used to evaluate:
a) Hip development
b) Wrist fractures
c) Spine alignment
d) Elbow fractures
Answer: a) Hip development


40. “Supracondylar humeral fractures” are best evaluated with:
a) X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) X-ray


41. The “buckle fracture” or “torus fracture” typically appears as:
a) Bulging of the cortex
b) Complete break through the bone
c) Multiple small fractures
d) Bone erosion
Answer: a) Bulging of the cortex


42. The “Scaphoid fracture” in children is commonly missed on:
a) Initial X-ray
b) MRI
c) CT scan
d) Ultrasound
Answer: a) Initial X-ray


43. “Fractures of the tibial tuberosity” are characteristic of:
a) Osgood-Schlatter disease
b) Patellar tendinitis
c) Elbow dislocation
d) Femoral head displacement
Answer: a) Osgood-Schlatter disease


44. The “alignment of the femoral head” is critical in assessing for:
a) Hip dysplasia
b) Elbow dislocation
c) Tibial fractures
d) Wrist injuries
Answer: a) Hip dysplasia


45. In cases of “pediatric trauma,” the “Lateral X-ray” of the spine is useful for detecting:
a) Fractures
b) Dislocations
c) Joint effusions
d) Soft tissue injuries
Answer: a) Fractures


46. The “posterior-anterior (PA) X-ray” view is best for assessing:
a) Rib fractures
b) Hip fractures
c) Elbow dislocations
d) Shoulder injuries
Answer: a) Rib fractures


47. The “CT scan” is particularly valuable in evaluating:
a) Complex fractures
b) Simple greenstick fractures
c) Soft tissue injuries
d) Joint subluxations
Answer: a) Complex fractures


48. The “AP and lateral views” of the pelvis are useful in detecting:
a) Pelvic fractures
b) Wrist injuries
c) Spine injuries
d) Femoral head displacement
Answer: a) Pelvic fractures


49. “Shenton’s line” is primarily used to assess:
a) Hip alignment
b) Shoulder dislocations
c) Elbow fractures
d) Wrist injuries
Answer: a) Hip alignment


50. The “anterior humeral line” is used to assess for:
a) Elbow fractures
b) Hip fractures
c) Wrist fractures
d) Shoulder injuries
Answer: a) Elbow fractures