Pediatric trauma on radiographs MCQs

What is the most common type of fracture in pediatric patients?
- A) Greenstick fracture
- B) Clavicle fracture
- C) Spiral fracture
- D) Comminuted fracture
Which radiographic sign indicates a possible scaphoid fracture in children?
- A) Snuffbox tenderness
- B) Elbow swelling
- C) Anterior humeral line
- D) Widening of the wrist joint
In pediatric patients, what does a “bucket handle” fracture suggest?
- A) Pathological fracture
- B) Non-accidental trauma
- C) Sports injury
- D) Bone infection
What imaging modality is commonly used to assess suspected hip dislocation in children?
- A) CT scan
- B) X-ray
- C) MRI
- D) Ultrasound
Which radiographic view is best for evaluating a suspected pediatric elbow fracture?
- A) Lateral view
- B) Oblique view
- C) AP view
- D) Sunrise view
What is the typical radiographic appearance of a spiral fracture in children?
- A) Transverse line
- B) Twisting pattern
- C) Greenstick deformity
- D) Multiple fragments
Which sign on a chest X-ray indicates a pneumothorax in children?
- A) Visible visceral pleural line
- B) Widened mediastinum
- C) Increased vascular markings
- D) Blunted costophrenic angle
What is the most reliable radiographic finding for a femoral neck fracture in children?
- A) Displacement of the femoral head
- B) Soft tissue swelling
- C) Fracture line
- D) Joint effusion
Which imaging technique is most useful for assessing soft tissue injuries in pediatric trauma?
- A) X-ray
- B) MRI
- C) CT scan
- D) Ultrasound
In pediatric patients, what does the presence of multiple rib fractures suggest?
- A) Sports-related injury
- B) Non-accidental trauma
- C) Osteogenesis imperfecta
- D) Bone infection
What is the primary concern with a pediatric patient who presents with a femur fracture after minor trauma?
- A) Growth plate injury
- B) Child abuse
- C) Sports-related injury
- D) Pathological fracture
What is the radiographic sign of a “posterior fat pad” in pediatric elbow injuries?
- A) Suggests intra-articular fracture
- B) Indicates ligament injury
- C) Represents swelling
- D) Confirms dislocation
In cases of suspected non-accidental trauma, which skeletal survey finding is concerning?
- A) Isolated skull fracture
- B) Metaphyseal corner fractures
- C) Clavicle fracture
- D) Spiral femur fracture
What is the typical appearance of a “buckle” fracture on radiographs?
- A) Linear fracture
- B) Cortical bulging
- C) Complete fracture
- D) Comminuted fragments
What is the most common site for fractures in children under the age of 5?
- A) Wrist
- B) Clavicle
- C) Femur
- D) Humerus
What is the standard imaging protocol for evaluating suspected pediatric abdominal trauma?
- A) X-ray
- B) CT scan
- C) MRI
- D) Ultrasound
Which type of fracture is characterized by a break that does not completely traverse the bone?
- A) Comminuted fracture
- B) Greenstick fracture
- C) Spiral fracture
- D) Transverse fracture
What is the most appropriate radiographic view for assessing a suspected wrist fracture in children?
- A) Lateral view
- B) PA view
- C) Oblique view
- D) AP view
Which radiographic finding is characteristic of a colles fracture?
- A) Dorsally angulated distal fragment
- B) Volar angulation
- C) Intra-articular involvement
- D) Fracture of the proximal radius
What does a “double density” sign on an X-ray suggest in pediatric trauma?
- A) Bone tumor
- B) Hemarthrosis
- C) Osteomyelitis
- D) Joint effusion
In pediatric patients, what does the term “periprosthetic fracture” refer to?
- A) Fracture of the joint
- B) Fracture around an implanted device
- C) Intra-articular fracture
- D) Epiphyseal fracture
What is the recommended imaging modality for suspected non-accidental head trauma in children?
- A) CT scan
- B) MRI
- C) X-ray
- D) Ultrasound
Which sign on a lateral neck X-ray indicates potential croup in a pediatric patient?
- A) Steeple sign
- B) Double density sign
- C) Widened mediastinum
- D) Subglottic narrowing
What is the significance of an anterior humeral line that does not intersect the capitellum on a lateral elbow X-ray?
- A) Indicates possible elbow dislocation
- B) Confirms fracture
- C) Suggests joint effusion
- D) Normal finding
What imaging finding is indicative of a “slipped capital femoral epiphysis”?
- A) Displacement of the femoral head
- B) Fracture line
- C) Joint effusion
- D) Soft tissue swelling
What is the first-line imaging technique for detecting pediatric forearm fractures?
- A) CT scan
- B) X-ray
- C) MRI
- D) Ultrasound
In pediatric trauma, what does an “ossification center” refer to?
- A) Soft tissue injury
- B) Bone formation area
- C) Cartilage injury
- D) Fracture site
What is the recommended initial imaging study for suspected skull fractures in children?
- A) CT scan
- B) X-ray
- C) MRI
- D) Ultrasound
Which imaging finding on an abdominal X-ray suggests a bowel obstruction in children?
- A) Normal bowel gas pattern
- B) Air-fluid levels
- C) Widened mediastinum
- D) Increased soft tissue density
What is the significance of a pediatric patient presenting with a fracture after a fall from a height?
- A) Possible underlying bone pathology
- B) Common occurrence
- C) Requires no further evaluation
- D) Only a minor concern

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