Musculoskeletal radiology MCQs

What is the primary imaging modality used to evaluate bone fractures?
- A) MRI
- B) X-ray
- C) Ultrasound
- D) CT scan
Which of the following conditions is best diagnosed with MRI?
- A) Osteoporosis
- B) Soft tissue injuries
- C) Osteoarthritis
- D) Bone density loss
What is the significance of a “sunburst” appearance on X-ray?
- A) Osteomyelitis
- B) Osteosarcoma
- C) Ewing’s sarcoma
- D) Chondrosarcoma
What type of joint is primarily assessed for osteoarthritis?
- A) Hinge joint
- B) Synovial joint
- C) Fibrous joint
- D) Cartilaginous joint
What imaging feature is indicative of rheumatoid arthritis?
- A) Subperiosteal bone formation
- B) Joint effusion and soft tissue swelling
- C) Bone sclerosis
- D) Fractures
Which type of fracture is characterized by a break that does not penetrate the skin?
- A) Open fracture
- B) Closed fracture
- C) Greenstick fracture
- D) Comminuted fracture
What is the primary advantage of MRI in musculoskeletal imaging?
- A) Cost-effectiveness
- B) Detailed soft tissue evaluation
- C) Speed of imaging
- D) Use of ionizing radiation
Which imaging modality is best for evaluating the spinal canal?
- A) X-ray
- B) MRI
- C) Ultrasound
- D) CT scan
What does the term “osteophyte” refer to in radiology?
- A) Bone marrow edema
- B) Bone spur formation
- C) Joint effusion
- D) Soft tissue mass
In a musculoskeletal X-ray, what does a “lateral view” typically show?
- A) Frontal plane details
- B) Side view of the anatomy
- C) Angled view
- D) Top-down view
What is a common appearance of a stress fracture on X-ray?
- A) Localized bone marrow edema
- B) Fracture line
- C) Joint effusion
- D) Osteopenia
Which imaging technique is best for assessing cartilage degeneration?
- A) X-ray
- B) MRI
- C) Ultrasound
- D) CT scan
What does a “positive draw sign” indicate in musculoskeletal exams?
- A) Fracture
- B) Anterior cruciate ligament (ACL) tear
- C) Meniscus tear
- D) Osteoarthritis
Which of the following conditions is characterized by a “target sign” on MRI?
- A) Osteomyelitis
- B) Synovial sarcoma
- C) Rheumatoid arthritis
- D) Gout
What is the most common location for osteosarcoma to occur?
- A) Spine
- B) Distal femur
- C) Proximal humerus
- D) Pelvis
Which imaging study is commonly used to evaluate the menisci of the knee?
- A) X-ray
- B) MRI
- C) CT scan
- D) Ultrasound
What is the typical radiographic appearance of gout?
- A) Osteophytes
- B) Erosive changes and tophi
- C) Osteosclerosis
- D) Bone cysts
Which condition presents with “fuzzy” bone margins on imaging?
- A) Osteosarcoma
- B) Osteomyelitis
- C) Osteoarthritis
- D) Chondrosarcoma
What is a common finding in an MRI of a torn rotator cuff?
- A) Fluid in the subacromial space
- B) Osteophyte formation
- C) Joint effusion
- D) Bursitis
Which of the following is a feature of ankylosing spondylitis on X-ray?
- A) Vertebral body collapse
- B) Bamboo spine appearance
- C) Lateral spinal curvature
- D) Bone cysts
What does a “double-density sign” indicate on an X-ray?
- A) Osteoporosis
- B) Paget’s disease
- C) Osteomyelitis
- D) Tumor presence
What imaging finding is typical in a benign bone tumor like an osteochondroma?
- A) Cortex intact with bone growth
- B) Soft tissue invasion
- C) Extensive bone destruction
- D) Joint effusion
Which condition is associated with a “crescent sign” on imaging?
- A) Rheumatoid arthritis
- B) Avascular necrosis
- C) Osteoarthritis
- D) Osteomyelitis
What is the typical imaging appearance of fibrous dysplasia?
- A) Well-defined lesions
- B) Ground-glass opacity
- C) Bone sclerosis
- D) Cortical bone thinning
Which MRI sequence is most effective for assessing edema in the bone marrow?
- A) T1-weighted
- B) T2-weighted
- C) Gradient echo
- D) Proton density
What is the most common type of bone metastasis?
- A) Osteoblastic
- B) Osteolytic
- C) Mixed
- D) None of the above
Which imaging modality is best for assessing fractures in children?
- A) CT scan
- B) X-ray
- C) MRI
- D) Ultrasound
What does a “soap bubble” appearance on X-ray typically indicate?
- A) Osteosarcoma
- B) Aneurysmal bone cyst
- C) Chondrosarcoma
- D) Fibrous dysplasia
What is the primary use of ultrasound in musculoskeletal imaging?
- A) Assessment of soft tissue injuries
- B) Bone density measurement
- C) Tumor evaluation
- D) Fracture assessment
Which imaging feature is typical of Ewing’s sarcoma?
- A) Osteolytic lesions
- B) Onion skin appearance
- C) Osteoblastic lesions
- D) Cortical bone thickening

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