UKMLA Applied Knowledge Test (MSRA-style single best answer) · Infection, Clinical Imaging and Prescribing

Clinical imaging

10 practice questions, each with the answer and an explanation.

Practise Clinical imaging now

Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 10 questions

  1. An erect chest X-ray in a patient with sudden severe abdominal pain shows a crescent of gas beneath the right hemidiaphragm. What does this indicate?
  2. On a plain abdominal radiograph, which feature distinguishes small bowel obstruction from large bowel obstruction?
  3. An abdominal radiograph of an elderly care home resident with a distended abdomen shows a massively dilated loop shaped like a coffee bean pointing towards the right upper quadrant. What is the diagno…
  4. An adult attends the emergency department after a head injury with a GCS of 12 on initial assessment. According to NICE guidance, how soon should a CT head be performed?
  5. A pregnant woman at 10 weeks needs imaging for abdominal pain. Which approach follows IR(ME)R principles?
  6. Which patient has an absolute contraindication to routine MRI?
  7. A chest X-ray shows upper lobe venous diversion, Kerley B lines, cardiomegaly and bilateral pleural effusions. What is the diagnosis?
  8. A patient has right upper quadrant pain, fever and a positive Murphy's sign. Which is the best initial imaging test?
  9. A child with stridor has a lateral neck radiograph showing a swollen epiglottis, the 'thumb sign'. Which is the correct approach to the child?
  10. Under IR(ME)R 2017, who has responsibility for providing adequate clinical information on a request for an X-ray?

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