Radiologic Pathology MCQs

What is the most common radiologic feature of pneumonia?
- A) Ground-glass opacities
- B) Consolidation
- C) Pleural effusion
- D) Cavitation
In which condition is the “air bronchogram” sign commonly seen?
- A) Pulmonary embolism
- B) Lobar pneumonia
- C) Tuberculosis
- D) Lung cancer
Which imaging modality is the most sensitive for detecting fractures?
- A) Ultrasound
- B) CT scan
- C) MRI
- D) X-ray
What is the classic radiologic appearance of a simple cyst on imaging?
- A) Solid mass
- B) Well-defined, fluid-filled lesion
- C) Ground-glass opacity
- D) Irregular border
Which condition is characterized by the “double bubble” sign on an abdominal X-ray?
- A) Intussusception
- B) Duodenal atresia
- C) Appendicitis
- D) Volvulus
Which radiologic finding is most indicative of acute appendicitis?
- A) Bowel obstruction
- B) Appendiceal wall thickening
- C) Diverticulosis
- D) Fecalith
What does a “soap bubble” appearance on imaging suggest?
- A) Osteosarcoma
- B) Aneurysmal bone cyst
- C) Ewing’s sarcoma
- D) Chondrosarcoma
Which condition is best assessed using a bone scan?
- A) Metastatic disease
- B) Osteomyelitis
- C) Fractures
- D) Bone cysts
What is the characteristic imaging feature of rheumatoid arthritis?
- A) Joint space narrowing
- B) Osteophyte formation
- C) Subchondral sclerosis
- D) Soft tissue swelling
What is the typical appearance of a pulmonary embolism on a CT pulmonary angiogram?
- A) Ground-glass opacities
- B) Filling defect in a pulmonary artery
- C) Pleural effusion
- D) Consolidation
In which condition is “reticular pattern” typically seen on imaging?
- A) Interstitial lung disease
- B) Pneumonia
- C) Lung cancer
- D) Pulmonary edema
What does the term “mottled appearance” on an X-ray suggest?
- A) Malignancy
- B) Infection
- C) Fracture
- D) Osteoporosis
What is the most common cause of a solitary pulmonary nodule (SPN)?
- A) Tuberculosis
- B) Benign tumors (e.g., hamartoma)
- C) Lung cancer
- D) Infection
Which imaging feature is characteristic of chronic obstructive pulmonary disease (COPD)?
- A) Hyperinflation
- B) Consolidation
- C) Pleural effusion
- D) Nodular opacities
What is the key radiologic finding in a patient with cystic fibrosis?
- A) Bronchiectasis
- B) Pleural effusion
- C) Consolidation
- D) Pneumothorax
What does “ground-glass opacity” on a chest CT often indicate?
- A) Increased alveolar fluid
- B) Pulmonary nodules
- C) Cavitary lesions
- D) Solid masses
Which condition is indicated by “swiss cheese” appearance on imaging?
- A) Langerhans cell histiocytosis
- B) Osteomyelitis
- C) Metastatic lesions
- D) Paget’s disease
What imaging finding is commonly associated with diverticulitis?
- A) Pericolic fat stranding
- B) Air fluid levels
- C) Bowel obstruction
- D) Fistula formation
What does the term “paratracheal stripe” refer to on a chest X-ray?
- A) Normal mediastinal contour
- B) Tumor presence
- C) Aortic enlargement
- D) Pleural effusion
In which disease is the “honeycombing” pattern seen on chest CT?
- A) Asthma
- B) Idiopathic pulmonary fibrosis
- C) Pneumonia
- D) Tuberculosis
What is the characteristic feature of renal cell carcinoma on imaging?
- A) Enhancement on CT
- B) Calcifications
- C) Cystic appearance
- D) Soft tissue mass
Which radiologic finding is often seen in patients with cirrhosis?
- A) Ascites
- B) Pleural effusion
- C) Biliary stones
- D) Renal stones
What is the typical appearance of osteosarcoma on X-ray?
- A) Codman’s triangle
- B) Well-defined margins
- C) Soft tissue mass
- D) Cortical thinning
What does the presence of “kerley B lines” on a chest X-ray indicate?
- A) Pulmonary edema
- B) Pneumonia
- C) Lung cancer
- D) Pleural effusion
What is a common radiologic finding in hyperparathyroidism?
- A) Subperiosteal bone resorption
- B) Osteosclerosis
- C) Fractures
- D) Osteomyelitis
What imaging feature is most suggestive of a pulmonary abscess?
- A) Consolidation
- B) Cavitating lesion with air-fluid level
- C) Ground-glass opacity
- D) Nodular opacity
What does the “cobblestone” appearance on imaging suggest?
- A) Crohn’s disease
- B) Ulcerative colitis
- C) Diverticulosis
- D) Appendicitis
Which condition is indicated by the presence of a “bamboo spine” on imaging?
- A) Osteoarthritis
- B) Ankylosing spondylitis
- C) Scoliosis
- D) Paget’s disease
What is the most common type of lung cancer seen on imaging?
- A) Squamous cell carcinoma
- B) Adenocarcinoma
- C) Small cell carcinoma
- D) Large cell carcinoma
What does a “tram-track” appearance on a CT scan of the lungs suggest?
- A) Bronchiectasis
- B) Interstitial lung disease
- C) Pulmonary edema
- D) Pneumonia

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