Chest Radiology Practice Questions

Question 1

A patient of road traffic accident presents to the emergency with increasing restlessness and difficulty in breathing. The respiratory rate is 26 breaths/minute; there are distended neck veins; trachea is deviated to the right side with hyper-resonant note and absence of breath sounds on the left side. Which of the following statements are correct?

1. The most probable clinical diagnosis is left tension pneumothorax

2. Immediate chest decompression using wide bore cannula in left 2nd intercostal space is to be done

3. Immediate chest X-ray should be done to confirm the clinical diagnosis

4. Definitive chest tube insertion in left fifth intercostal space should be done

Accepted Answer

1, 2 and 4

Answer

2, 3 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Question 2

Which of the following findings are seen in a high-resolution CT scan of fungal pneumonia?

1. Interlobular septations
2. Peripheral wedge-shaped consolidation
3. Pleural effusion
4. Cavitatory lesions with surrounding ground glass opacities

Accepted Answer

1,2,4

Answer

1,2,3

Answer

2,3,4

Answer

1,3,4

Question 3

Chest CT shows bilateral ground-glass opacities with crazy paving pattern and preserved bronchial markings. Likely diagnosis?

Accepted Answer

Pulmonary alveolar proteinosis

Answer

Edema

Answer

ARDS

Answer

Pneumonia

Question 4

Blunt trauma to right side of chest, hyperresonance on right side on percussion, dyspnea, tachypnea. Heart rate-100, BP-120/80, best initial diagnostic step is

Accepted Answer

Chest X-ray

Answer

Needle decompression

Answer

O2 inhalation

Answer

IV fluids

Question 5

Investigation of choice in bronchiectasis?

Accepted Answer

HRCT

Answer

Bronchoscopy

Answer

Chest X-ray

Answer

MRI

Question 6

What does the 'Kerley B lines' appearance on a chest X-ray indicate?

Accepted Answer

Pulmonary edema

Answer

Pulmonary fibrosis

Answer

Pneumonia

Answer

Pleural effusion

Question 7

A chest X-ray shows a 'silhouette sign' with opacity obscuring the right heart border. Which lobe of the lung is most likely affected?

Accepted Answer

Right middle lobe

Answer

Right upper lobe

Answer

Right lower lobe

Answer

Left lower lobe

Question 8

A study was conducted to evaluate the diagnostic accuracy of ECG for detecting myocardial infarction. The results are shown in the 2x2 table below:

Myocardial Infarction
                    Present    Absent    Total
ECG Positive         45       8,000     8,045
ECG Negative          5      32,000    32,005
Total                50      40,000    40,050

Consider the following statements:
I. Sensitivity is 90%.
II. Specificity is 80%.

Which of the statements given above is/are correct?

Accepted Answer

Both I and II

Answer

Neither I nor II

Answer

II only

Answer

I only

Question 9

Under RNTCP, the target for case detection through quality sputum microscopy is at least:

Accepted Answer

70%

Answer

95%

Answer

85%

Answer

60%

Question 10

What does this CT chest image show?

Accepted Answer

Segmental collapse

Answer

Consolidation

Answer

Pneumothorax

Answer

Pleural effusion

Chest Radiology

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Normal Chest Radiographic Anatomy

Radiographic Signs in Chest Imaging

Pulmonary Infections

Chronic Obstructive Pulmonary Disease

Interstitial Lung Diseases

Pulmonary Neoplasms

Pleural Diseases

Mediastinal Pathology

Congenital and Developmental Chest Anomalies

Pulmonary Vascular Diseases

Chest Trauma Imaging

Post-Surgical Chest Imaging

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About Chest Radiology for NEET-PG

Lessons in Chest Radiology

Master Chest Radiology