question 1
Jason is a 4-week-old, first-born baby boy. He has presented today with projectile vomiting, and he weighs exactly the same as he weighed 2 weeks ago. The pediatrician orders an abdominal ultrasound to evaluate his stomach.
Question: What condition would the ultrasound specifically visualize?
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Question: An upper GI study was ordered, and it demonstrated delayed gastric emptying and a classic string sign. What is the string sign?
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Question: Who is most at risk of having this congenital anomaly?
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Question: What is the treatment for this pathology?
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question 2
Hepatobiliary System
Wanda is a 66-year-old, overweight woman. Her chief complaint is belly pain, although she also reports abdominal bloating and nausea. Her physician orders a sonographic examination in which she must fast for 8 hours prior to the exam.
Question: What condition do you think Wandas physician is suspecting?
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Question: What are the factors about Wanda that make him suspicious of this condition?
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Question: If his suspicions are correct, what will be the recommended course of treatment for Wanda?
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Question: If she follows the recommended treatment option, will you as a radiographer be involved, and if so, what will you do?
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question 3
Urinary System
William, a 37-year-old man, comes to the ER with what he describes as excruciating pain in his lower back. He states that he did not physically injure his back. Dr. Smith orders an IVP, but then Dr. Jones says he has a suggestion for a better test that is less invasive.
Question: What test do you think Dr. Jones may be suggesting?
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Question: Dr. Smith charts that William has renal colic. What is this, and what causes it?
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Question: If the stone does not pass on its own, either lithotripsy or surgical excision is necessary. Which of the two is less invasive for the patient?
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Question: Where is the most common location for a calculus to lodge and create an obstruction?
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Question: If an IVU were performed on this patient with a renal calculi, what radiographic appearance would the affected ureter assume?
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question 4
Cardiovascular System
Kevin came to his physician complaining of shortness of breath, (especially during exercise), headache, muscle weakness, and leg cramps accompanied by cold feet. His physician evaluates him and determines that his femoral pulses are very weak.
Question: What cardiovascular condition do you think Kevin may have?
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Question: What distinguishing factor may be present on Kevins chest x-ray?
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Question: What causes rib notching?
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Question: How can this pathology be treated?
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question 5
Central Nervous System
Mr. Walker was talking to his wife this morning, when he suddenly stopped talking and slumped over at the breakfast table. Frightened, she called his name several times. On the third time, he responded to her in a vague fashion. She called 911. The rescue squad said Mr. Walker suffered from a brain attack.
Question: What does brain attack mean?
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Question: There are two ways a brain attack can occur. What are they?
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Question: What imaging modalities may be used to evaluate this condition?
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Question: If the patient had a brain attack, what does his or her prognosis depend upon?
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question 6
Reproductive System
Joe is a 69-year-old man who came to his doctor complaining of low back pain, low-grade fever, and frequent urination. He said that he feels like he cannot completely empty his bladder. His doctor suspects prostate cancer.
Question: What are Joes signs and symptoms that cause his doctor to suspect prostate cancer?
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Question: How is the disease most commonly diagnosed?
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Question: Are there any suggested radiographic modalities that could be used to determine the extent of the disease?
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Question: What are the levels of prostate cancer staging and grading?
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question 7
Hemopoietic System
Susan, a 25-year-old woman, reports to her doctor that she has been feeling run down lately, and she has a fever and loss of appetite. She also thinks that her throat and neck feel swollen, but they are not painful. Her doctor orders a chest x-ray.
Question: What do you think Susans doctor is suspicious of?
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Question: What do you think the doctor might find on the chest radiograph?
Question: How will the definitive diagnosis be made?
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Question: What would be the next radiographic exam ordered to assist in the staging of the disease?
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