Abdominal radiology MCQs

Which imaging modality is most commonly used for evaluating acute appendicitis?
A) Ultrasound
B) MRI
C) CT scan
D) X-ray
Answer: C) CT scan
What is the most common finding in a CT scan for diverticulitis?
A) Bowel perforation
B) Colonic thickening
C) Intussusception
D) Gallstones
Answer: B) Colonic thickening
Which of the following is the imaging modality of choice for evaluating gallstones?
A) MRI
B) Ultrasound
C) X-ray
D) CT scan
Answer: B) Ultrasound
In a patient with suspected liver cirrhosis, which imaging modality is most commonly used to assess liver morphology?
A) MRI
B) CT scan
C) Ultrasound
D) PET scan
Answer: C) Ultrasound
What is the hallmark feature of hepatocellular carcinoma on contrast-enhanced CT?
A) Hypovascularity
B) Delayed enhancement
C) Early arterial phase enhancement
D) No enhancement
Answer: C) Early arterial phase enhancement
Which imaging modality is best for identifying pancreatic masses?
A) MRI
B) Ultrasound
C) X-ray
D) CT scan
Answer: D) CT scan
A classic finding of “string of pearls” sign on an abdominal X-ray is associated with which condition?
A) Crohn’s disease
B) Small bowel obstruction
C) Diverticulitis
D) Appendicitis
Answer: B) Small bowel obstruction
Which imaging modality is most sensitive for detecting small bowel tumors?
A) CT enterography
B) Ultrasound
C) X-ray
D) PET scan
Answer: A) CT enterography
In patients with suspected renal colic, what is the imaging modality of choice?
A) MRI
B) Non-contrast CT scan
C) X-ray
D) Ultrasound
Answer: B) Non-contrast CT scan
The “double bubble” sign on an abdominal X-ray is indicative of which condition?
A) Duodenal atresia
B) Intussusception
C) Volvulus
D) Appendicitis
Answer: A) Duodenal atresia
Which of the following is the preferred imaging modality for diagnosing splenic rupture?
A) Ultrasound
B) CT scan
C) MRI
D) X-ray
Answer: B) CT scan
What is the classic ultrasound finding in acute cholecystitis?
A) Pericholecystic fluid
B) Thickened gallbladder wall
C) Gallstones
D) All of the above
Answer: D) All of the above
What is the most common cause of pneumoperitoneum on abdominal X-ray?
A) Bowel obstruction
B) Perforated viscus
C) Ascites
D) Appendicitis
Answer: B) Perforated viscus
In abdominal radiology, the “coffee bean sign” is associated with which condition?
A) Intussusception
B) Volvulus
C) Appendicitis
D) Diverticulitis
Answer: B) Volvulus
Which imaging modality is most appropriate for diagnosing abdominal aortic aneurysms?
A) CT angiography
B) Ultrasound
C) MRI
D) X-ray
Answer: A) CT angiography
The “target sign” seen on ultrasound is most commonly associated with which condition?
A) Intussusception
B) Diverticulitis
C) Crohn’s disease
D) Appendicitis
Answer: A) Intussusception
In abdominal trauma, which imaging modality is most commonly used for rapid assessment?
A) X-ray
B) Ultrasound (FAST)
C) MRI
D) CT scan
Answer: B) Ultrasound (FAST)
Which of the following is a typical imaging feature of chronic pancreatitis on CT?
A) Pancreatic calcifications
B) Fluid collections
C) Enlarged pancreas
D) No enhancement
Answer: A) Pancreatic calcifications
What is the primary imaging modality used for diagnosing an abdominal abscess?
A) Ultrasound
B) CT scan
C) MRI
D) PET scan
Answer: B) CT scan
The “Rigler’s sign” on abdominal X-ray is indicative of which condition?
A) Ascites
B) Free intraperitoneal air
C) Crohn’s disease
D) Intussusception
Answer: B) Free intraperitoneal air
What is the most common finding in mesenteric ischemia on a contrast-enhanced CT?
A) Colonic dilation
B) Thickened bowel wall
C) Bowel perforation
D) No enhancement of affected bowel segments
Answer: D) No enhancement of affected bowel segments
The “whirl sign” on CT is most commonly associated with which condition?
A) Volvulus
B) Appendicitis
C) Diverticulitis
D) Pancreatitis
Answer: A) Volvulus
In liver imaging, which of the following is a characteristic finding of hemangiomas on MRI?
A) Hyperintense on T1
B) Hypointense on T2
C) Hyperintense on T2
D) No enhancement on contrast
Answer: C) Hyperintense on T2
The “curvilinear air” sign on a plain abdominal radiograph is indicative of what condition?
A) Appendicitis
B) Pneumatosis intestinalis
C) Crohn’s disease
D) Small bowel obstruction
Answer: B) Pneumatosis intestinalis
Which of the following findings is suggestive of ischemic colitis on CT scan?
A) Thumbprinting
B) Pneumoperitoneum
C) Target sign
D) Hepatic steatosis
Answer: A) Thumbprinting
In the context of bowel obstruction, what does the “transition point” refer to on a CT scan?
A) Point of bowel perforation
B) Area where the bowel obstruction starts
C) Point of bowel volvulus
D) None of the above
Answer: B) Area where the bowel obstruction starts
The “fat stranding” seen on CT is most commonly associated with which abdominal condition?
A) Appendicitis
B) Diverticulitis
C) Pancreatitis
D) All of the above
Answer: D) All of the above
What imaging feature is commonly seen in Crohn’s disease?
A) Target sign
B) Skip lesions
C) Coffee bean sign
D) Hemangiomas
Answer: B) Skip lesions
The “portal venous gas” seen on abdominal CT suggests which condition?
A) Pancreatitis
B) Bowel ischemia
C) Intussusception
D) Diverticulitis
Answer: B) Bowel ischemia
Which of the following is the most appropriate imaging modality to evaluate fatty liver disease?
A) Ultrasound
B) CT scan
C) MRI
D) X-ray
Answer: A) Ultrasound

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