1. A 65-year-old man presents with progressive dysphagia to solids and liquids. Barium swallow shows a "bird-beak" appearance of the distal esophagus with a dilated proximal esophagus. What is the most likely diagnosis?
a) Esophageal carcinoma
b) Achalasia
c) Peptic stricture
d) Scleroderma esophagus
Answer: b) Achalasia
Explanation: Achalasia is characterized by impaired lower esophageal sphincter (LES) relaxation, leading to the classic bird-beak sign on barium swallow.
2. On barium swallow, a patient with long-standing GERD shows multiple, smooth, ring-like constrictions in the distal esophagus. What is the diagnosis?
a) Schatzki ring
b) Eosinophilic esophagitis
c) Peptic stricture
d) Barrett’s esophagus
Answer: b) Eosinophilic esophagitis
Explanation: Eosinophilic esophagitis causes multiple rings ("trachealization" or "feline esophagus"), whereas Schatzki rings are single, thin, mucosal rings.
3. What is the most common cause of a lower esophageal stricture?
a) Radiation esophagitis
b) Caustic ingestion
c) Peptic stricture
d) Esophageal web
Answer: c) Peptic stricture
Explanation: Chronic GERD leads to peptic strictures, seen as smooth, tapered narrowing in the distal esophagus.
4. A 70-year-old smoker presents with progressive dysphagia and weight loss. Barium swallow shows an irregular, apple-core lesion in the mid-esophagus. What is the diagnosis?
a) Esophageal carcinoma
b) Esophageal web
c) Achalasia
d) Plummer-Vinson syndrome
Answer: a) Esophageal carcinoma
Explanation: Esophageal cancer appears as an apple-core lesion with irregular luminal narrowing.
5. The classic "corkscrew esophagus" on barium swallow is seen in:
a) Achalasia
b) Diffuse esophageal spasm (DES)
c) Eosinophilic esophagitis
d) Zenker's diverticulum
Answer: b) Diffuse esophageal spasm (DES)
Explanation: DES causes non-peristaltic contractions, producing a corkscrew appearance on barium swallow.
6. A posterior esophageal diverticulum located just above the upper esophageal sphincter is called:
a) Zenker's diverticulum
b) Killian-Jamieson diverticulum
c) Epiphrenic diverticulum
d) Meckel’s diverticulum
Answer: a) Zenker’s diverticulum
Explanation: Zenker's diverticulum is a false diverticulum arising from the Killian dehiscence, seen as a posterior outpouching on barium study.
7. Which type of diverticulum occurs in the distal esophagus and is associated with esophageal dysmotility?
a) Zenker’s diverticulum
b) Epiphrenic diverticulum
c) Killian-Jamieson diverticulum
d) Traction diverticulum
Answer: b) Epiphrenic diverticulum
Explanation: Epiphrenic diverticula are false diverticula caused by distal esophageal dysmotility disorders (e.g., achalasia).
8. A 55-year-old patient with chronic iron deficiency anemia presents with dysphagia. Barium swallow reveals a thin membrane in the upper esophagus. What is the likely diagnosis?
a) Esophageal web
b) Plummer-Vinson syndrome
c) Schatzki ring
d) Eosinophilic esophagitis
Answer: b) Plummer-Vinson syndrome
Explanation: Plummer-Vinson syndrome (dysphagia, iron-deficiency anemia, esophageal web) predisposes to esophageal squamous cell carcinoma.
9. The best imaging modality for evaluating Barrett’s esophagus is:
a) Barium swallow
b) CT esophagography
c) Endoscopy
d) MRI
Answer: c) Endoscopy
Explanation: Barrett’s esophagus is a histologic diagnosis (intestinal metaplasia), best evaluated with endoscopy + biopsy.
10. A newborn presents with excessive drooling and cyanosis during feeding. Contrast study shows contrast pooling in a blind-ending esophageal pouch. What is the diagnosis?
a) Tracheoesophageal fistula (TEF)
b) Esophageal atresia
c) Esophageal duplication cyst
d) Achalasia
Answer: b) Esophageal atresia
Explanation: Esophageal atresia presents as a blind-ending esophageal pouch on contrast esophagram.
a) Esophageal carcinoma
b) Achalasia
c) Peptic stricture
d) Scleroderma esophagus
Answer: b) Achalasia
Explanation: Achalasia is characterized by impaired lower esophageal sphincter (LES) relaxation, leading to the classic bird-beak sign on barium swallow.
2. On barium swallow, a patient with long-standing GERD shows multiple, smooth, ring-like constrictions in the distal esophagus. What is the diagnosis?
a) Schatzki ring
b) Eosinophilic esophagitis
c) Peptic stricture
d) Barrett’s esophagus
Answer: b) Eosinophilic esophagitis
Explanation: Eosinophilic esophagitis causes multiple rings ("trachealization" or "feline esophagus"), whereas Schatzki rings are single, thin, mucosal rings.
3. What is the most common cause of a lower esophageal stricture?
a) Radiation esophagitis
b) Caustic ingestion
c) Peptic stricture
d) Esophageal web
Answer: c) Peptic stricture
Explanation: Chronic GERD leads to peptic strictures, seen as smooth, tapered narrowing in the distal esophagus.
4. A 70-year-old smoker presents with progressive dysphagia and weight loss. Barium swallow shows an irregular, apple-core lesion in the mid-esophagus. What is the diagnosis?
a) Esophageal carcinoma
b) Esophageal web
c) Achalasia
d) Plummer-Vinson syndrome
Answer: a) Esophageal carcinoma
Explanation: Esophageal cancer appears as an apple-core lesion with irregular luminal narrowing.
5. The classic "corkscrew esophagus" on barium swallow is seen in:
a) Achalasia
b) Diffuse esophageal spasm (DES)
c) Eosinophilic esophagitis
d) Zenker's diverticulum
Answer: b) Diffuse esophageal spasm (DES)
Explanation: DES causes non-peristaltic contractions, producing a corkscrew appearance on barium swallow.
6. A posterior esophageal diverticulum located just above the upper esophageal sphincter is called:
a) Zenker's diverticulum
b) Killian-Jamieson diverticulum
c) Epiphrenic diverticulum
d) Meckel’s diverticulum
Answer: a) Zenker’s diverticulum
Explanation: Zenker's diverticulum is a false diverticulum arising from the Killian dehiscence, seen as a posterior outpouching on barium study.
7. Which type of diverticulum occurs in the distal esophagus and is associated with esophageal dysmotility?
a) Zenker’s diverticulum
b) Epiphrenic diverticulum
c) Killian-Jamieson diverticulum
d) Traction diverticulum
Answer: b) Epiphrenic diverticulum
Explanation: Epiphrenic diverticula are false diverticula caused by distal esophageal dysmotility disorders (e.g., achalasia).
8. A 55-year-old patient with chronic iron deficiency anemia presents with dysphagia. Barium swallow reveals a thin membrane in the upper esophagus. What is the likely diagnosis?
a) Esophageal web
b) Plummer-Vinson syndrome
c) Schatzki ring
d) Eosinophilic esophagitis
Answer: b) Plummer-Vinson syndrome
Explanation: Plummer-Vinson syndrome (dysphagia, iron-deficiency anemia, esophageal web) predisposes to esophageal squamous cell carcinoma.
9. The best imaging modality for evaluating Barrett’s esophagus is:
a) Barium swallow
b) CT esophagography
c) Endoscopy
d) MRI
Answer: c) Endoscopy
Explanation: Barrett’s esophagus is a histologic diagnosis (intestinal metaplasia), best evaluated with endoscopy + biopsy.
10. A newborn presents with excessive drooling and cyanosis during feeding. Contrast study shows contrast pooling in a blind-ending esophageal pouch. What is the diagnosis?
a) Tracheoesophageal fistula (TEF)
b) Esophageal atresia
c) Esophageal duplication cyst
d) Achalasia
Answer: b) Esophageal atresia
Explanation: Esophageal atresia presents as a blind-ending esophageal pouch on contrast esophagram.
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11. Which subtype of tracheoesophageal fistula (TEF) is most common?
a) Type A (Pure esophageal atresia)
b) Type B (Proximal TEF, distal atresia)
c) Type C (Distal TEF, proximal atresia)
d) Type D (Both proximal and distal TEF)
Answer: c) Type C (Distal TEF, proximal atresia)
Explanation: Type C TEF (proximal atresia, distal fistula) is the most common type (85%).
12. The characteristic imaging finding of esophageal perforation on contrast esophagram is:
a) Apple-core lesion
b) Free extravasation of contrast
c) Tracheal aspiration
d) Corkscrew appearance
Answer: b) Free extravasation of contrast
Explanation: Esophageal perforation shows contrast leakage into the mediastinum or pleural space.
13. What is the preferred contrast agent for suspected esophageal perforation?
a) Barium
b) Gastrografin (water-soluble contrast)
c) Iodinated oral contrast
d) Gadolinium
Answer: b) Gastrografin (water-soluble contrast)
Explanation: Water-soluble contrast (Gastrografin) is preferred to prevent mediastinitis in case of a perforation.
14. What is the most common site for an esophageal foreign body impaction?
a) Cricopharyngeal narrowing (C6)
b) Aortic arch (T4)
c) Lower esophageal sphincter (T10)
d) Middle esophagus
Answer: a) Cricopharyngeal narrowing (C6)
Explanation: The upper esophageal sphincter (C6) is the most common site for foreign body impaction.
15. Which esophageal pathology is associated with an increased risk of esophageal adenocarcinoma?
a) Achalasia
b) Barrett’s esophagus
c) Diffuse esophageal spasm
d) Eosinophilic esophagitis
Answer: b) Barrett’s esophagus
Explanation: Barrett’s esophagus is a precursor for esophageal adenocarcinoma.
16. The "rat-tail" appearance on barium swallow is characteristic of:
a) Esophageal stricture
b) Achalasia
c) Esophageal web
d) Diffuse esophageal spasm
Answer: a) Esophageal stricture
Explanation: Benign esophageal strictures show gradual, smooth tapering ("rat-tail" appearance).
a) Type A (Pure esophageal atresia)
b) Type B (Proximal TEF, distal atresia)
c) Type C (Distal TEF, proximal atresia)
d) Type D (Both proximal and distal TEF)
Answer: c) Type C (Distal TEF, proximal atresia)
Explanation: Type C TEF (proximal atresia, distal fistula) is the most common type (85%).
12. The characteristic imaging finding of esophageal perforation on contrast esophagram is:
a) Apple-core lesion
b) Free extravasation of contrast
c) Tracheal aspiration
d) Corkscrew appearance
Answer: b) Free extravasation of contrast
Explanation: Esophageal perforation shows contrast leakage into the mediastinum or pleural space.
13. What is the preferred contrast agent for suspected esophageal perforation?
a) Barium
b) Gastrografin (water-soluble contrast)
c) Iodinated oral contrast
d) Gadolinium
Answer: b) Gastrografin (water-soluble contrast)
Explanation: Water-soluble contrast (Gastrografin) is preferred to prevent mediastinitis in case of a perforation.
14. What is the most common site for an esophageal foreign body impaction?
a) Cricopharyngeal narrowing (C6)
b) Aortic arch (T4)
c) Lower esophageal sphincter (T10)
d) Middle esophagus
Answer: a) Cricopharyngeal narrowing (C6)
Explanation: The upper esophageal sphincter (C6) is the most common site for foreign body impaction.
15. Which esophageal pathology is associated with an increased risk of esophageal adenocarcinoma?
a) Achalasia
b) Barrett’s esophagus
c) Diffuse esophageal spasm
d) Eosinophilic esophagitis
Answer: b) Barrett’s esophagus
Explanation: Barrett’s esophagus is a precursor for esophageal adenocarcinoma.
16. The "rat-tail" appearance on barium swallow is characteristic of:
a) Esophageal stricture
b) Achalasia
c) Esophageal web
d) Diffuse esophageal spasm
Answer: a) Esophageal stricture
Explanation: Benign esophageal strictures show gradual, smooth tapering ("rat-tail" appearance).
A 65-year-old recently retired labourer had an abdominal CT to investigate general malaise. This showed multiple discrete areas of low attenuation within the spleen, which were rounded with ill-defined margins and distorted the splenic contour. It was thought that these were most likely to represent metastatic disease but the primary was not visible on the scan. What is the most likely site of the underlying primary tumour?
a Bronchogenic carcinoma
b Undetected colon carcinoma
c Renal cell carcinoma
d Prostate carcinoma
e Malignant melanoma
Answer E: Malignant melanoma
Malignant melanoma is the most common primary that metastases to the spleen. Malignant melanoma is more common in fair skinned individuals and those that spend a significant amount of time outdoors.
a Bronchogenic carcinoma
b Undetected colon carcinoma
c Renal cell carcinoma
d Prostate carcinoma
e Malignant melanoma
Answer E: Malignant melanoma
Malignant melanoma is the most common primary that metastases to the spleen. Malignant melanoma is more common in fair skinned individuals and those that spend a significant amount of time outdoors.
Forwarded from Radiology FRCR INISS NEETSS
For neet ss and iniss radiology preparation follow these channels
Cns radiology mcqs
https://t.me/radiologyneetssprep
Git radiology mcqs
https://t.me/gitradiology
MSK radiology mcqs
https://t.me/mskneetssinicet
Paediatric radiology mcqs
https://t.me/pediatricradio
Radiology physics MCQs
https://t.me/radiologyphysics
Radiology - nuclear imaging MCQs
https://t.me/radionuclearimg
Radiology -interventional radiology mcqs
https://t.me/irneetssinicet
Genitourinary and endocrine and breast imaging MCQs
https://t.me/neetssgenital
Instagram for image based qs and spotters
https://www.instagram.com/radiology_inshorts?igsh=MWgyZmZrMG1jZm01NQ==
Cns radiology mcqs
https://t.me/radiologyneetssprep
Git radiology mcqs
https://t.me/gitradiology
MSK radiology mcqs
https://t.me/mskneetssinicet
Paediatric radiology mcqs
https://t.me/pediatricradio
Radiology physics MCQs
https://t.me/radiologyphysics
Radiology - nuclear imaging MCQs
https://t.me/radionuclearimg
Radiology -interventional radiology mcqs
https://t.me/irneetssinicet
Genitourinary and endocrine and breast imaging MCQs
https://t.me/neetssgenital
Instagram for image based qs and spotters
https://www.instagram.com/radiology_inshorts?igsh=MWgyZmZrMG1jZm01NQ==
Forwarded from Radiology FRCR INISS NEETSS
About neet ss Radiology question paper 2025 march session :
Most of the questions were clinical and image based.
Upto 90 to 100 out of 150 were image based
All the topics of radiology covered including physics.
Able to see more physics and mammo related questions.
Few one liners also there but most are case oriented clinical questions
Intervention questions some are basic level and few are some what tricky which need some exposure to answer them .
Physics related questions are mostly based on xray physics that too xray generators, interaction production ,kvp related.
Some questions tests our indepth knowledge on specific topics.
Most of the questions were clinical and image based.
Upto 90 to 100 out of 150 were image based
All the topics of radiology covered including physics.
Able to see more physics and mammo related questions.
Few one liners also there but most are case oriented clinical questions
Intervention questions some are basic level and few are some what tricky which need some exposure to answer them .
Physics related questions are mostly based on xray physics that too xray generators, interaction production ,kvp related.
Some questions tests our indepth knowledge on specific topics.
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Forwarded from Radiology FRCR INISS NEETSS
These MCQs were given
Intra muscular AVM
Hepatoblastoma
Pericardial cyst/fat pad
Finger lesion T1 and T2 hyper
Madelung deformity
Subacute hsp
Sft of pleura
Hpoa/fibrous tumor of pleura
Globus tm embolization
Jnm embolization
EVAR image
Traumatic femoral artery aneurysm mx
Splenic artery pseudo aneurysm mx
Osteoid osteoma after rfa
Simple bone cyst in femoral shaft
Sacroiliac jt anatomy
Vertebral haemangioma mx
Extra dural spinal mass
Dural AVF
Infract with m1 occlusion mx
Spetzler martin grading calculation
??Intusucception
Nec pneumoperitoneum
Tace contraindication
Aortic root dilatation/STJ
Scapho lunate dissociation
Placenta previa with clot
Meckle grubler..
Cervical myelomeningocele
Constrictive pericarditis (TB)
Raindrop skull
Cotton wool skull
Endometriosis
Plantar mass
Mammography - intraductal papilloma ,birads from image
Lymphangiography related qs
Intra muscular AVM
Hepatoblastoma
Pericardial cyst/fat pad
Finger lesion T1 and T2 hyper
Madelung deformity
Subacute hsp
Sft of pleura
Hpoa/fibrous tumor of pleura
Globus tm embolization
Jnm embolization
EVAR image
Traumatic femoral artery aneurysm mx
Splenic artery pseudo aneurysm mx
Osteoid osteoma after rfa
Simple bone cyst in femoral shaft
Sacroiliac jt anatomy
Vertebral haemangioma mx
Extra dural spinal mass
Dural AVF
Infract with m1 occlusion mx
Spetzler martin grading calculation
??Intusucception
Nec pneumoperitoneum
Tace contraindication
Aortic root dilatation/STJ
Scapho lunate dissociation
Placenta previa with clot
Meckle grubler..
Cervical myelomeningocele
Constrictive pericarditis (TB)
Raindrop skull
Cotton wool skull
Endometriosis
Plantar mass
Mammography - intraductal papilloma ,birads from image
Lymphangiography related qs
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Forwarded from Radiology FRCR INISS NEETSS
For neet ss and iniss radiology preparation follow these channels
General
https://t.me/radioinissneetss
Cns radiology mcqs
https://t.me/radiologyneetssprep
Git radiology mcqs
https://t.me/gitradiology
MSK radiology mcqs
https://t.me/mskneetssinicet
Paediatric radiology mcqs
https://t.me/pediatricradio
Radiology physics MCQs
https://t.me/radiologyphysics
Radiology - nuclear imaging MCQs
https://t.me/radionuclearimg
Radiology -interventional radiology mcqs
https://t.me/irneetssinicet
Genitourinary and endocrine and breast imaging MCQs
https://t.me/neetssgenital
Instagram for image based qs and spotters
https://www.instagram.com/radiology_inshorts?igsh=MWgyZmZrMG1jZm01NQ==
General
https://t.me/radioinissneetss
Cns radiology mcqs
https://t.me/radiologyneetssprep
Git radiology mcqs
https://t.me/gitradiology
MSK radiology mcqs
https://t.me/mskneetssinicet
Paediatric radiology mcqs
https://t.me/pediatricradio
Radiology physics MCQs
https://t.me/radiologyphysics
Radiology - nuclear imaging MCQs
https://t.me/radionuclearimg
Radiology -interventional radiology mcqs
https://t.me/irneetssinicet
Genitourinary and endocrine and breast imaging MCQs
https://t.me/neetssgenital
Instagram for image based qs and spotters
https://www.instagram.com/radiology_inshorts?igsh=MWgyZmZrMG1jZm01NQ==
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