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regards



DR KUNAL MAHAJAN



mbbs(rpgmc tanda)

md med student(pgims rohtak)









Thursday, April 1, 2010

investigation of choice---all MCQs

INVESTIGATION OF CHOICE(IOC) .......all have been asked as MCQs before

1)for acoustic neuroma-----------------------gadolinium DTPA enhanced MRI
2)nasopharyngeal angiofibroma----------CECT scan
3)posterior fossa tumours------------------MRI
4)DVT--------------------------venous USG
5)pulmonary embolism-----------------CT chest with contrast
6)imaging of seminal vesicle and ejaculatory ducts------vasography > transrectal USG
7)extraintestinal amoebiasis--------ELISA
8)avascular necrosis--------------MRI
9)interstitial lung disease------HRCT scan
10)bronchiectasis------------HRCT scan
11)osteoporosis---------DEXA scan(dual energy x-ray absorptiometry)
12)acute ureteric colic--------non contrast spiral CT scan abdomen
13)renal TB early stage-----IVP
late stage------CTscan
14)localization of pheochromocytoma------MRI
15)acute dissection of aorta-----transoesophageal ECHO
16)chronic dissection of aorta(in stable patients)-----MRI
17)congenital hypertrophic pyloric stenosis------USG
18)extrahepatic biliary atresia-------peroperative cholangiogram
19)discrete swelling(solitary nodule) of thyroid-----FNAC
20)acute Subarachnoid haemorrhage(SAH)-----noncontrast CT HEAD
21)to localise site of bleed in SAH-----------4 vessel X-ray angiography

3 comments:

  1. INVESTIGATION OF CHOICE:
    • Single Bone Metastasis – CT
    • Multiple Bone Metastasis – Bone scan
    • Spine Metastasis – MRI
    • Avascular necrosis- MRI
    • Bone Density/Osteoporosis- DEXA (Dual energy x ray absorptiometry)
    • Aneurysm/ AV Fistula- Angiography
    • Dissecting Aneurysm (Stable) - MRI (Unstable)-Trans oesophageal USG
    • Pericardial Effusion- Echocardiography
    • Lobulated pericardial effusion- MRI > CT
    • Minimum Pericardial Effusion- Echocardiography
    • Ventricular Function- Echocardiography
    • Radiotherapy/Chemotherapy induced cardiotoxicity- Endomyocardial Biopsy
    • Pulmonary Embolism- CECT> Pulmonary Angiography > V/Q Scan
    • Interstitial lung disease(Sarcoidosis)- HRCT
    • Bronchiectasis- HRCT scan
    • Solitary Pulmonary Nodule- High resolution CT (HRCT)
    • Posterior Mediastinal Tumor- MRI
    • Pancoast Tumor (Superior Sulcus Tumor) – MRI
    • Minimum Ascites/Pericardial effusion/Pleural effusion – USG
    • Traumatic Paraplegia- MRI
    • Posterior Cranial Fossa – MRI
    • Acute Haemorrhage- CT
    • Chronic Haemorrhage- MRI
    • Intracranial Space Occupying Lesion- MRI
    • Primary brain tumour- contrast MRI (Gold standard however remains to be biopsy)
    • Metastatic brain tumor- (Gadolinium) contrast enhanced MRI
    • Temporal Bone-CT
    • SAH Diagnosis- unenhanced CT
    • SAH aetiology- 4 vessel MR Angiography > CT Angiography > DSA
    • Nasopharyngeal angiofibroma- CECT scan
    • Acoustic neuroma- Gadolinium DTPA enhanced MRI
    • Obstetrics- USG
    • Calcifications- CT
    • Blunt abdominal Trauma- CT
    • Acute Pancreatitis- CT
    • GERD- pH manometer > endoscopy
    • Dysphagia- Endoscopy
    • Congenital hypertrophic pyloric stenosis- USG
    • Extrahepatic biliary atresia- perioperative cholangiogram
    • Obstructive Jaundice/GB Stones- USG
    • Diverticulosis – barium enema
    • Diverticulitis – CT scan
    • Renal TB (early) – IVP (Late)- CT
    • Posterior Urethral Valve- MCU
    • Ureteric stone- non contrast CT
    • Renal Artery Stenosis- Percutaneous Angiography
    • Extraintestinal Amoebiasis- ELISA
    • Discrete swelling(solitary nodule) of thyroid- FNAC

    ReplyDelete
  2. for EHBA is it peroperative cholangiography or hebatobiliary scintigraphy?

    ReplyDelete