Interna A/B

Regarding myocardial perfusion in nuclear medicine studies which of the

1 following is true? perfusion defects in the stress phase that normalize in
the rest phase are indicative of ischemia.
40 y/o presents to ER with chest pain localized in left chest, refers upon
questioning that had been using crack cocaine at the time when chest
2 pain started, after examining you auscultate differences in the breast
sounds, decreased on left side, CXR performed, most likely cause of
pain? pneumothorax

Interna A/B

Interna C/D
1

Interna E/F
1

AP CXR --> Cardiomegaly

What is true of AP chest xrays? -Corazon se ve mas grande

2
Vignette de CHF --> cardiomegaly + pulmonary edema

3 Paciente usario de cocaina --> pneumothorax

32 y/o with gunshot to abdomen orothracheally intubated, chest film after surgery?
4 complete collapse atelectasis of left lung secondary to left tracheal tube tip inserted within
right main brounchus.

Vignette d CHF, te ponen una placa, que se ve? -cardiomegaly + pulmonary edema

Vignette de paciente que tiene atelectasia del pulmon derecho y tienes q escoger cual fuera la placa3 placa con mediastinal shift hacia lado derecho (donde este la atelectasia) era la A.
4
asthmatic scuba diving when chest pain started. Vignette y placa, dx? pneumothorax

Regarding myocardial perfusion in nuclear medicine studies which of the

3 following is true? perfusion defects in the stress phase that normalize in

the rest phase are indicative of ischemia.

41 y/o presents to ER with chest pain localized in left chest, refers upon
questioning that had been using crack cocaine at the time when chest
4 pain started, after examining you auscultate differences in the breast
sounds, decreased on left side, CXR performed, most likely cause of
pain? pneumothorax
Interna A/B

5
Perfusion studies - mejor en rest --> ischemia

6
Vignette de paciente postop bedridden (PE) --> ves placa normal

10

11

12

13

14

the rest phase are indicative of ischemia.

acute chest pain, which is true? substernal pain that is agravated by lying
recumbent sugest GERD.
chronic abdominal pain, after assesing she is not pregnant CT was
performed, theres a lesion in the liver, hypodense in the precontrast
images and shows progressive filling in the post contrast images?
hemangioma
73 year old diabetic admitted to hospital due to bilateral leg swelling and
right leg ulcer. refers orthopnea, SOB, tachycardia, friction rub in
precordium, distant heart sounds and bilateral pulmonary rales, CXR?
cardiomegaly with pulmonary edema.
non smoker, no prior history of systemic illnesses, presents to family
physician for follow up visit, CXR had a solitary non calcified nodule, most
important next step? check previous CXRs
33 comes to clinic SOB not alleviated with respiratory therapy, also
complains of weight loss and night sweats, CXR? anterior mediastinal
mass

15 MRI? magnet can pull large objects into scanner.

Cirugia A/B- BOOM

35 y/o man, severe cold, cough of several days evolution, high fever, difficulty
1 breathing and right sided chest pain,tachycardic, acutely ill, chest film, most likely
diagnosis? pneumonia
56 y/o, abdominal pain, urgency to defecate but when goes to bathroom no
2 defecation, aditional pain in left testicle scrotum, denies fever, diarrhea vomitin
constipation,pain on percusssion of left flank. suspected urolithiasis, order
abdominal AP film, best diagnostic imaging? abdominopelvic CT without contrast.
regarding the use of ultrasound in trauma? it is most importantly used to identify
3
free fluids which may warrant surgical management.
52 y/o with history of hysterectomy and salpingoophorectomy with abdominal
4 pain and distention, can't pass fecal mass or flatus, peristaltic rushes on
asucultation, abdominal fil series performed in supine and upright position, most
compatible with? small bowel obstruction.
5 next step? abdominopelvic CT with IV contrast only
after automobile accident with trauma to head and chest, head CT without
6
contrast subdural hematoma, chest film? widened superior mediastinum.
7 continuation: chest CT con traumatic aortic injury and aortic transection
60 y/o female, fell, after trauma in LUE in shoulder, visible deformity, severe pain
8 in area, cannot lift arm, films performed? anterior dislocation of humeral head.
17 y/o right sided rib fractures, hemothorax, emphysema, pneumomediastinum,
9 thoracotomy with chest tube, second on right hemithorax, increase in
subcutaneous emphysema, increased pneumomediastinum, increased in right
sided pneumothorax despite tubes in place? trecheobronchial injury.

Vignette de pt post op, bedridden, cual es el dx? -PE

7 Va con la pregunta #6 y pregunta el dx --> pulmonary embolism

7 Mismo vignette de pt con un PE, what is true? -Placa se va a ver normal

8 Va con la pregunta #6-7 y pregunta el imaging of choice --> CT angiogram

8 Que estudio le haces a la paciente con PE? -CT angio

previous C-section, hx abdominal hysterectomy, prior surgery due to periotenaeal adhesions, diffuse
9 abdominal pain, inability to pass flatus, bloated, nause, vomiting, xray dilated small bowel loops? small
bowel obstruction

Regarding myocardial perfusion in nuclear medicine studies which of the

5 following is true? perfusion defects in the stress phase that normalize in

What is true de cardiac nuclear studies? -mayor perfusion en rest, es indicativo de ischemia.

Placa de small bowel obstruction

10

CT abdomen con IV contrast

11

10

Mismo vignette de small bowel obstruction, que haces next? -abdominal CT con IV contrast

11
Chest pain when lying down? GERD

12

Ct de higado con muchas masas scattered, dx? -liver metastasis

12

Imagen de lesiones en higado? Liver mets

13

Vignette young male pt con sx de lymphoma te ponen una placa con un anterior mediastinal mass, dx?
-lymphoma

13
Vignette de cancer... Anterior mediastinal

Normal Bowel gas patterns, Which is not true? -Small bowel diameter of 6cm is normal

14 62 year old female with acute abdominal pain in LLQ, pain is generalized:Imagen de
pneumoperitoneo

14

15 Solitary pulmonary nodule que perdio placas viejas en una mudanza... hacer CT

15 Paciente con solitary pulmonary nodule que perdio las placas viejas en una mudanza, que le mandas? -un CT
45 y/o cough and high fever 3 days of evolution difficulty bleeding, right sided chest pain, chest film,
dx? pneumonia
Acute chest pain while excercising, never before, sharp pain, burning sensation in the middle of the
chest.?Invasive corornary angiography is definitive test for establishing diagnosis and direct treatment if
clinical suspission of coronary artery disease is high.

X-ray que se ve aire debajo del diafragma, dx? -pneumoperitoneo

Cirugia C/D
1

Cirugia E/F
1

SBO (vignette) ( es una placa con los intestinos dilatados)

2

Chest xray con consolidado: pneumonia

2

Operar al d SBO (sigue a la #1) (no se lleva a operar morones!!!)

3

Pneumoperitoneum (placa con aire debajo del diafragma)

Spleen bleeder de laceration (Un pt con un accidente que se ve el spleen esta active
bleeding )
transcatheter catheterization- embolization ( preguntaba como se controla un sleen active
5 bleeding)
6

Urolithiasis (placa con una piedra en el lado izquierdo) - se detecta con CT sin contraste

Seor llega por trauma, le hacen CT de abdomen, que se ve en higado: metastasis

3
4

Imagen de spleen laceration with contrast extravastion

Nene en motor vehicle accident que le ponen dos tubos de pecho y no mejora: tiene trachea-bronchial
injury

5 Escoger imagen de trachea-bronchial injury (fallen lung)

6

Imagen de small bowel obstruction, cual es el proximo paso: CT with IV contrast only

7 Acute cholecystitis --> U/S

Vignette de tracheobronchial injury ( Alguien que a pesar de tener un tubo de pecho el
8 lung se queda colapsado

7 Imagen de anterior shoulder dislocation

9
Identificar tracheobronchial injury en CT

8 Imagen de pneumoperitoneum
Seora encamada por operacion en rodilla, con pierna hichada y falta de aire, te ensean placa de
pecho, que se ve en placa de pecho: placa normal

10 chest film: left sided pneumothorax with tension component.

ER with abdominal pain in upper right abdomen, sweating, nausea vomitin, RUQ
11 tenderness, acute cholecystitis suspected, abdominal film? plain abdominal films
are not the msot appropriate study to evaluate this patient.

10 Widened mediastinum ( pt despues de un MVA)

10 Seora de la pregunta anterior, cual es el proximo paso: CTA

11

11 Para que se usa el FAST: para ver si hay hemorragia despues de trauma, para llevar persona a sala de
operaciones

12 most appropriate? abdominal US

12 Se le hace FAST a persona estable (NO! se la hace CT con contaste)

Aortic injury (deceleration)

12 Seor desps de trauma, ensea imagen: aortic transection

trauma to LUQ by bycicle manubrium, abdominopelvic CT with IV contrast

13 performed? Spleen laceration with contrast extravasation, actively bleeding
vessel.
14 next step? transcatheter embolization of actively bleeding vessel of the spleen.
55 y/o with constipation history and LLQ abdominal pain. not passing flatus, not
eating, diverticulitis history, IV antibiotics and NPO. film chest PA xray initially. le
15 hacen par de cosas mas, que tiene? pneumoperitoneo, bowel perforation must
be considered.
Peds A/B
3 and a half year old brought due to persistent vomiting. Vomitted for several
1 days, at nearly every feeding, projectile, non bloody, non billous. Catterpillar sign:
Pyloric Stenosis.
2 Next Step? US
5 days old,premature at 29 weeks, hyaline membrane disease, has orotracheal
3 intubation. Has respiratorry distress, breathing fast, restless. chest film: tension
pneumothorax.
Respiratory problems, congenital diaphragmatic hernia: The most common
4 location is through foramen of bochladek.
One day old newborn, adquate for gestational age, prenatal polyhidramnios,
5 abdominal distention, billous vomiting, no meocnium, double bubble: duodenal
atresia.
6 3 y/o, plating with coins, choking and coughing: Te foreign object is projecting in
the expected position of superior aspect of the thoracic esophagus.
18 month old, barking cough, inspiratory stridor, plain film requested, which
7 findings expected? Paradoxical Subglottic Narrowing of the trachea.
2.5 months baby girl brought due to vomiting since last night. Seven episodes
today, last three have been green, no diarrhea, urinating less, poor weight gain,
8 illness one month ago vomiting four times resolved, feeding by partially
hidrolyzed formula, has colic, films show decreased intestinal bowel gas with
gastric and duodenal bulb distention due to possible duodenal obstruction.
next study for ruling out pyloric stenosis is negative but shows gastric and
9 duodenal dilatation, odered UGIS: midgut volvulus.
1y/o with diffuse abdominal pain, vomiting and lethargy, father says infant must
10 have ingested something, bruises all over, abused child description, right thigh
fracture, images? head CT without contrast, abdominopelvic CT with IV contrast
y skeletal survey.
11 Imagen de pneumocardio. literal un corazon rodeado de aire.
4 day old, premature in NICU, tenia hyaline membrane disease, presents with
12 distended abdomen: elongated dilated loops of bowel with separation of bowel
loops in pneumatosis intestinalis (ok en vdd no se el wording exacto pero NEC).
13 dx...? NEC
14 same girl, distended abdomen, hypoactive bowel, xrays? Bowel perforation.
15 12 year old, SOB, night sweats, images.? Anterior mediastinal mass secondary
to lymphoma.

ObGyn A
72 y/o female, abnormal uterine bleeding, endometrial atrophy is most common
1 cause, mos acurate imaging? endovaginal US
45 y/o pregnant female, mass in right breast, last mamogram 5 years ago,
2 shows new mamogram and sonomamo, dx? breast cancer, malignancy
3 next step? high risk breast malignancy requires biopsy, BIRAD 5.

13 FAST se usa para free fluid detection a un paciente que esta hemodinamicamente
inestable

13

14 Pneumothorax ( placa)

14 Mejor manera de evaluar nephrolithiasis: CT sin contraste

15

15

Se~or con el aortic transection: la placa muestra widened mediastinum

Anterior dislocation de humerus (Te ponen placa y tienes q id)

Peds C/D
1

Peds E/F (Lo que no esta aqui, esta en los demas -Track A)
1

Vignette d foreign body aspiration --> lungs hyperinflated on expiration

2 month old, vomiting, bile stained projectile, corkscrew apearance of dudodenum? midgut volvulus

2 placa de pneumatosis intestinalis

2 most common injured organ? small bowel

3
Sigue el flow d la #2 --> NEC

4 Sigue el flow d la #2-3 --> Perforation (vienen con la guasa de algo inguinal)
5
Placa de hernia diafragmatica --> bochladek
8 month old, persistant coughing and non productive cough associated to URTI and low
6 grade fever. sent to ER since chest fil shows mediastinal mass.? Normal thymus with
right sided sail sign and left sided __.
Placa con el double bubble bien abajo (uno se pone a inventar con colonic atresia) -->
7 duodenal atresia
Mismo vignette del A de maltrato: A normal thymus with normal sail sign and normal
8 mediastinal size, bilaterally clear lungs, no pleural effusions several right sided rib
fractures with callus formation. Gas distention dilatation of stomach in included upper
abdomen.
Sigue el flow d la #8... Que estudios indicado? Abdominal U/S, Skeletal survey y
9 abdominal/head ct con iv contrast

utereropelvic junction obtruction is the most common cause of hydronephrosis in children.

4 congenital diaphracgmatic hernia? chest films show air filled bowel loops in hemithorax
regarding diagnosis of abdominal distention of a four day old premature baby boy in the NICU with
5 NEC, NEC complications? perforation, pneumoperitoneum, persistant dilation fo specific bowel loop,
ascites, eritonitis, bowel strictures
6
dengue fever? bilateral pleural effusions.
7

10

10

placa con bilateral pleural effusions

Leading cause of morbidity and mortality in abused children: central nervous system
11 injury

11

12

12

Explicacion d duodenal atresia

Foreign body aspiration (una estrella) --> Foreign body located in lower cervical region
13 most probably proximal esophagus.

13

14 placa con tension pneumothorax

14

15

15

Vignette de algo ahi q le hacen upper GI series... Volvulus

Mismo vignette del A de maltrato: A normal thymus with normal sail sign and normal
mediastinal size, bilaterally clear lungs, no pleural effusions several right sided rib
fractures with callus formation. Gas distention dilatation of stomach in included upper
abdomen.
ObGyn B

1
2

ObGyn C (lunes estara ready)

Disadvantage de US...que es operator dependant.

1 Di-Di twins two gestational sacs with a thick echogenic chorion surrounding each embryo (imagen)

Cuanto es el nivel de bHCG que se necesita para q es un IUP..1,000-1,200

2 Most common cause DUB in postmenopause - atrophic endometrium

que le hacen US y tenia un crown rump length de 4mm y no habia cardiac activity? Decirle
3 Mujer
que es normal no encontrarlo a esta fecha, tiene que se despues de los 5mm.

3 First dx test for DUB - endovaginal/transvaginal US

4 Que no se puede determinar con US en primer trimestre? Fetal gender

4 Acute ovarian torsion - unilateral adnexal enlargement w/ decrease venous flow

5 Mujer con un mammo que muestra un benign breast cyst ( tiene una imagen de un mammogram y

6 Mujer con una torsion de ovario que se ve en US? Absence de venous flow, displaced
follicles enlarged ovary

7 Cual es el imaging of choice para mujer postmenopausica con endometrial atrophy y AUB?

7 Que es falso de mamografia? Que NO usa radiacion

4 correct? US is not a reliable screening tool for breast cancer.

5 20 y/o, endovaginal pregnant with twins? twins who share a placenta have risk of
twin to twin transfusion.
6 ER pelvic pain, positive pregnancy test, BhCG needed to see intravaginal sac
through endovaginal sonogram? 1,000-1,200 mIu/mL
positive pregnancy test 4,500; nothing in uterus, check for ectopic, risk factor?
7 PID
concerning ectopic pregnancy? Sonographic signs of ectopic pregnancy may
8
include echogenic ring surrounding adnexal gestational sac.
33 WGA, anorexia, nausea, vomiting, fever, abdominal pain, acute abdomen,
9 pain located RUQ mainly. true? sonography is the preferred initial imagin
modality to evaluate this patient.
regarding the use of contrast media in pregnant patients? Iodine based contrasts
10 are known to cross the placenta.
RUQ pain, nausea vomiting, leukocyosis, BhCG negative, hx of appendectomy,
11 RLQ fullness, adnexal torsion suspected? Lack of venous flow is indicative of
adnexal torsion.
24 y/o five weeks of amenorrhea and pregnancy test positive in blood. She wants
12 to do sonogram to know gender of baby, what is not a reason to perform first
trimester edovaginal sonography? Evaluation of fetal gender.
26 y/o female, has confirmed first trimester pregnancy, image with calcified yolk
13 sac? worrisome for embryonic demise
14 21 WGA, umbilical cord imaged...? imaging shows normal number of blood
vessels.

9
que estudio debes de hacer a alguien con RUQ pain? US
Imagen del amniotic membrane and cavity, yolk sac y chorionic cavity. Identificar la que
10 este con la flecha. Preguntaron la flecha orange--> chorionic cavity.

10 Transvaginal US gestational sac identifies - Bhcg 2000 (imagen)

11 Te dan un vignette con un mujer con suspicion of ectopic pregnancy y te piden cual es la correcta?

11

15 Prescence of echogenic free fluid at cul de sac? not specific

una de un US)? Saber identificarlo y que es birad2

Transvagibal US

Most common cause DUB in postmenopause - atrophic endometrium

Stage- BiRads 5

Que es verdad de pregnancy US - No se usa para saber sexo de feto

9
Normal umbilical cord - 2 arteries + 1 vein (imagen)

Imagen de un NORMAL IUP

Un negative bHCG rule out ectopic pregnancy.

12

Mamografia de breast cancer (imagen)

12
Normal umbilical cord - 2 arteries + 1 vein (imagen)

Imagen de un fetal demas intrauterine

13

13 Embarazada con apendicitis (vignette clasico) - hacer US

14

14

15

15 ?

ObGyn E

ObGyn E (estas no son las preg del track E)

Obgyn F

1 Factor de riesgo para ectopic pregnancy: endometriosis

1 Disadvantage de US...que es operator dependant.

1 Mujer embarazada con dolor abdominal: hacerle un Sonograma

2 Causa mas comun de post menopausal bleeding: atrofia del endometrio

con family history de breast cancer pq mama la diagnosticaron a los 45. Se empieza
2 Mujer
screening a los 35

2 Factor de riesgo para ectopic pregnancy: advanced maternal age

3 Next step en caso anterior de post menopausal bleeding: endovaginal ulstrasound

3 Cuanto es el nivel de bHCG que se necesita para q es un IUP..1,000-1,200

3 Mujer con findings clasicos de ectopic pregnancy: no habria saco gestacional en utero

4 Minimo necesario de betaHCG para ver gestational sac sin embrion en endovaginal ultr

4 Que no se puede determinar con US en primer trimestre? Fetal gender

5 Identificar yolk sac, amniotic cavity y chorionic cavity en imagen de sonograma

5 Foto de una doppler que muestra solo una artera y una vena? Hacer un complete anatomical

4 Minimo de hCG necesario para ver saco gestacional en utero: 1000-1200

mujer con masita en el seno, le hace sonomamo: La imagen muestra quiste: BiRADS 2, breast cyst, no
5 hay que hacer mas nada
muchacha que esta embarazada y le hacen un sonograma y sale embrion con CRL de 4mm, no ven el
6 corazon ni detectan actividad cardiaca. Hay que decirle a la mama que los latidos se detectan desde
que miden 5mm o mas
7 escoger una imagen de mujer embarazada como de 5 semanas, que se vea el saquito gestacional con
el yolk sac

survey

Which of the following is true: Twins que comparten placenta estan a mayor riesgo de co
7

Mujer embarazada con RUQ pain: ulstrasound is the first step

Cual es la primera modalidad de imagen para una joven con acute pelvic pain? US

Mujer con ovary torsion que es cierto? Que abscence un venous flow es caracteristico

8 Mujer que lleva 5 semanas de embarazo: esocger imagen del emabrazo en esta etapa

8 Que es cierto sobre encontrar free fluid en el cul de sac? Que es un nonspecific finding.

9 Mamografia vieja sin lesion, y ahora mamografia nueva con lesion, que tiene: cancer, m

que le hacen US y tenia un crown rump length de 4mm y no habia cardiac activity? Decirle
9 Mujer
que es normal no encontrarlo a esta fecha

10 En caso anterior, next step: malignant lesion therefore recommend biopsy or excision, Bi 10
Que amuenta risk factor de ectopic pregnancy? Advanced maternal age
11 Cual es el sign mas specific de embryonic demise: solid echogenic yolk sac

11

12

12 Cual es el imaging of choice para mujer postmenopausica con endometrial atrophy y AUB?

Check medidas normales del yolk sac

13 Which of the following is true: negative betaHCG excludes ectopic pregnancy

Mujer con un mammo que muestra un benign breast cyst? Saber identificarlo y que es birad2
Transvagibal US

13 Te describen un utero normal con un yolk sac presente y te piden que lo match a la imagen.

dan varias opciones para que digas que se consideraria abnormal? Es que tengas un yolk sac
14 Imagen de Doppler de umbilical cord, which of the following is true de la imagen: normal 14 Te
que mida 15mm y tenga thin walls.

15

Torsion de ovario: hypoechoic ovary without venous blood flow

Psych A

2
3
4
5

MRI: magnetic gradient placed in order to localize the signal in body of patient.
66 y/o, breast cancer, new onset headaches, behavioral changes, confusion,
can't feed herself, can't raise spoon, brain imagin done CT. ?IV contrast CT with
multiple brain masses and metastasis.
Which of the following regions of the brain modulates attention, organization,
critical thinking, and judgement? Frontal Lobe
60 y/o left side weak, fell, non contrast head CT performed. ? Hypodense area in
the distribution of the right MCA is consistent with cerebral infarction.
severe headaches since last night not relieved by acetaminophen, worst
headache of her life, neck stiffness, neck pain, denies fever seizure head or neck
trauma non contrast CT? Acute subarachnoid hemorrhage.

6 most liely diagnosis? aneurysm rupture.

male 62 y/o hit his head, loss conscience, coumadin tx for dvt, went to ER,
7
started with lethargy, non contrast CT? acute subdural hematoma/hemorrhage
25 y/o female, inability to remember what studying, irritability, aggresivenes, loss
8 of motivation, headaches, prior history of occasional cocaine and marihuana use.
non contrast head CT? no distinct abrnormality
9 next? brain SPECT
10

use MRI in neuro imaging? claustrophobia is __ for some patients.

11 inatentive, headaches, decreasing grades, sleeping, broke up with girlfiend,
normal tox, normal CT, pet global decrease in glucose metabolism..? depression
9 y/o male hyperdense extraxial collection, biconvex in shape in right temporal
12 hemisphere causing a mass defect and midline shift from right to left associated
wit a skull fracture. cual es la imagen?
78 y/o slurred speech, CT without contrast normal? brain MRI with diffusion
13 weighted images.

Te dan un vignette con un mujer con suspicion of ectopic pregnancy y te piden cual es la correcta?
15 Que cualquier masa adnexa con un positive pregnancy debe considerarse ectopic pregnancy until
proven otherwise

Psych B (Disclaimer: lo que no copie esta en el de Track A)

16 y/o four track motor vehicle accident hit his head on the left side, loss consciousness,
non contrast head CT? acte blood collection, lenticular biconvex in shape left cerebral
1 hemisphere, causing mass defect, associated to left skull fracture, findings are consistent
with? bleeding of arterial origin acute epidural hematoma hemorrhage
brought to ER due to severe headache that started yesterday not relieved with
2 acetaminophen, worst headache of life? acute subarachnoid hemorrhage with
hydrocephalus

8 Problema principal del sonograma: operator dependent

9 endovaginal US no se usa en el primer trimestre para detectar el sexo del bebe
Te ense~an corte tranverso del cordon umbilical del bebe, se ve una vena y una arteria solamente:
10 tienes que hacer mas estudios para rule out anomalies
Cual de las opciones muestra un rasgo anormal? Yolk sac de 15mm (Normal size es entre 2mm a
11 5.6mm)
Cuadro clinico con sospecha de torsion de ovario, fullness en RLQ: hay decreased venous flow en al
12
ovario
13 fluido en el cul-de-sac es un finding no especifico que se ve en muchas condiciones
14 se~ora mayor con abnormal uterine bleeding -- Do endovaginal ultrasound
15

Psych C
1
Nene se cae de arbol - epidural hematoma
2
La foto del nene con epidural hematoma (identificar)

3 diagnosis? aneurysm rupture

3 Global decrease in glucose - Depression

4 CT in neural imaging? is useful for the detection of acute blood

4 Tipa problema estudiando y memoria/concentracion - CT normal

5
60 y/o truama to head? bleeding of venous origin subdural hematoma or hemorrhage

Next step a la #4 - SPECT

6 MRI? if the patient has a pacemaker study is contraindicated.

PET? brain function test that using a special equipment forms a map of the metabolism of
7
glucose in the brain.

6 Tipa diabetica y acute hemiparesis - ct normal

Fell from horse, glasgow 11, most appropriate imaging? non contrast enhanced head CT
7 y/o with acute left hemiparesis, CT without contrast, next step? perform MRI with
9 diffusion weighted images.
3D surface spect? brain images of drug and alcohol abusers can be used in drug
10
prevention and education.

Next step a la #6 - DWI

Identificar un subarachnoid hemorrage

9 Identificar un subdural hematoma

10

Lung cancer - MRI con contraste

11

11

12

12

13

13 Tanque de oxigeno (creo que era safety alrededor de MRI... el tanque vuela y mata o jode a alguien)

14 3D surface spect brain images can be used in drug prevention and education.

14

14 Phobia en MRI

15 PET is a brain imaging modality that measures glucose metabolism

15

15 Foto de CT con midline shift - ruleout mass

Acute onset headache - CT without contrast

Deficinicion de PET

Psych D

Psych E

Psych F (esta under construction, relax)

1 What cannot be present in MRI room --> O2 tank

1 PET con global hypometabolism de glucose: depression

1 Por que un O2 tank no en MRI, pq es peligroso

2 PET --> maps out glucose metabolism

2 Muchacha usaba drogas, le hacen CT, que se ve en el CT: CT normal

2 Elemento en MRI: hydrogen

3 SPECT --> functional evaluation

4 Temporal lobe --> functions in memory language/visual + auditory
processing/emotions

3 Misma muchacha que usaba drogas, next step: SPECT

3 Tipo que sufre un trauma, muestran imagen con Subdural hematoma (crescent shaped hematoma)

5 Depression --> global decrease in glucose metabolism

5 Imagen de subarachnoid hemorrhage

5 Alzheimer's --> posterior parieto-temporal degeneration

6 Alzheimer's --> posterior parieto-temporal degeneration

6 Causa mas comun de subarachnoid hemorrhage: aneurysm rupture

6 Chamaquito con sangrado en la cabeza --> epidural hematoma

7 Continuacion de la pregunta anterior: te pides q identifiques la imagen q corresponde --> la q tiene un
biconvex/lentiform hematoma

Vasogenic --> left to right midline shift

Imagen de epidural hematoma

Imagen de infarct, como se ve: hypodense region

Depression --> global decrease in glucose metabolism

8 ACR --> evidence based guidelines for study

8 Paciente con left hemiparesis, ensean imagen de CT, que se ve en CT: CT normal

8 Tipo con CT normal pero sintomas de sangrado, cual es el proximo paso --> hacer MRI DWI

9 Chamaquito con sangrado en la cabeza --> epidural hematoma

9 Mismo paciente de left hemiparesis, next step: MRI with diffusion weighted images

9 Para evaluar cancer de pulmon con metastasis al cerebro --> evaluate with MRI

Continuacion de la pregunta anterior: te pides q identifiques la imagen q

10 corresponde --> la q tiene un biconvex/lentiform hematoma
Vieja con CT normal pero sintomas de sangrado, cual es el proximo paso -->
11 hacer MRI DWI
12

Para evaluar metastasis al cerebro --> evaluate with MRI

10 Paciente de trauma, y te ensean imagen: tiene diffuse axonal injury

11 Se usa nucleo de _______ en MRI: hydrogen
12

Which of the following is true about CT: used for head trauma

10 Imaging modality used for acute head trauma --> CT

Un tipo mega accidente esta en coma por un monton de tiempo y te ensenan imagen con unos
11 hyperdense spots en white/grey juction y decir que tiene-axonal injury
Una tipa con sx de stroke te ensenan la imagen (supuestamente es la misma que sale en una
12
prsentacion) infarto en la region del middle cerebral artery hypodense region

13 Imaging modality used for acute head trauma --> CT

13 Which of the following is true about MRI: pacemaker es una contraindicacion

14

14

13 una tipa media joven (51) con un huevo de cosas y worst HA ever- SAH con hydrocephalus
Tipa problema estudiando y memoria/concentracion con hx de uso de cocaina y marijuana como se va
14 a ver el CT - normal

15

15

15 misma tipa, que le vas hacer para ver q tiene - SPECT

16 Como funciona el PET Scan: brain map of glucose metabolism
17 Causa mas comun de subarachnoid hemorrhage: aneurysm rupture