Finals Week For Pathology

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Last updated 9:48 PM on 1/30/26
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363 Terms

1
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What type of sequence is STIR?

A T2‑weighted sequence with fat suppression

2
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What are the key lumbar spine MRI sequences?

Sagittal T1, Sagittal T2, Sagittal STIR, and Axial T2

3
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What does in‑phase vs out‑of‑phase imaging evaluate?

Fat‑water cancellation based on TE differences

4
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What is DCE used for?

Detecting subtle enhancement differences (e.g., microadenoma, hemangioma)

5
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What is the most common MRI artifact?

Phase mismapping (motion artifact)

6
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What appears bright on T1?

Fat, gadolinium enhancement, and methemoglobin

7
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What are reasons to give MRI contrast?

Tumor, infection, inflammation

8
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How long should a patient be monitored after a contrast reaction?

30 minutes

9
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What treats mild hives from contrast?

Benadryl

10
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What is infiltration?

Non‑vesicant fluid entering surrounding tissue

11
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How do you treat infiltration?

Cold compress

12
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What is an example of a non‑vesicant?

Saline

13
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What is Contrast‑Induced Nephropathy?

Acute renal failure within 48 hours of contrast injection

14
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What is chelation?

Binding gadolinium to make it non‑toxic

15
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What are common contrast reaction symptoms?

Nausea, vomiting, headache, dizziness

16
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How much contrast is excreted within 3 hours?

About 80%

17
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What rare disease is linked to Group I gadolinium?

Nephrogenic Systemic Fibrosis (NSF)

18
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Who is high‑risk for contrast complications?

Diabetes, age >65, renal disease/transplant

19
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What should you do if a pregnant patient has a contrast order?

Contact the radiologist before proceeding

20
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Who discovered x‑rays and when?

Wilhelm Roentgen, November 8, 1895

21
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When was CT introduced?

The 1970s

22
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What are typical MRI findings of MS?

Multiple T2/FLAIR bright lesions with neurologic symptoms

23
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What MRI sequences are best for stroke?

DWI and ADC maps

24
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What shape is a subdural hematoma?

Crescent‑shaped and crosses sutures

25
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What shape is an epidural hematoma?

Lens‑shaped and does not cross sutures

26
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What is hydrocephalus?

Enlarged ventricles due to CSF accumulation

27
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What is a pituitary adenoma best seen with?

Dynamic contrast enhancement (DCE)

28
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What is an acoustic neuroma?

Enhancing mass at the internal auditory canal/CPA

29
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What is a meningioma?

Extra‑axial mass with strong enhancement and dural tail

30
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What is a Chiari malformation?

Cerebellar tonsils extending into the foramen magnum

31
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What is a syrinx?

Fluid‑filled cavity within the spinal cord

32
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Where does the conus medullaris normally end?

L1

33
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What is a vertebral hemangioma?

Corduroy/vertical striated appearance in vertebrae

34
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What is a compression fracture?

Wedge‑shaped vertebral collapse

35
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What is fatty liver infiltration?

Diffuse signal loss on out‑of‑phase imaging

36
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What is a cavernous hemangioma?

Peripheral nodular enhancement with delayed fill‑in

37
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What is choledocholithiasis?

Stone in the common bile duct

38
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What is an AAA?

Abdominal aortic aneurysm (enlarged aortic lumen)

39
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What is aortic dissection?

Intimal flap creating a double lumen

40
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What is BPH?

Enlarged central prostate compressing the urethra

41
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What is a rotator cuff tear?

Tendon discontinuity with fluid signal

42
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What is a Hill‑Sachs defect?

Compression fracture of the humeral head

43
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What is a labral tear?

Linear high signal at the labrum

44
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What is AVN?

Avascular necrosis with serpiginous lines on T1/T2

45
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What is a Baker’s cyst?

Fluid collection in the popliteal fossa

46
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What is a herniated nucleus pulposus (HNP)?

A disc herniation compressing the spinal cord or nerve roots

47
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What is a compression fracture?

A wedge-shaped collapse of a vertebral body

48
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What is a thyroid goiter?

An enlarged thyroid gland in the anterior neck

49
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What is fatty infiltration of the liver?

Diffuse signal loss on out-of-phase imaging

50
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What is a cavernous hemangioma?

A liver lesion with peripheral nodular enhancement and delayed fill-in

51
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What is a hepatic cyst?

A fluid-signal liver lesion with no enhancement

52
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What is choledocholithiasis?

A stone in the common bile duct

53
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What is an abdominal aortic aneurysm (AAA)?

An enlarged abdominal aortic lumen

54
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What is aortic coarctation?

A narrowing of the aorta best seen on MRA

55
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What is aortic dissection?

An intimal flap creating a double lumen

56
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What is pericarditis?

Thickened pericardium with possible pericardial effusion

57
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What is renal artery stenosis?

Narrowing of the renal artery seen on MRA

58
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What are uterine fibroids?

Benign uterine tumors that are hypointense on T1 and variable on T2

59
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What are ovarian cysts?

Fluid-signal lesions with no enhancement

60
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What is cervical cancer?

An enhancing mass in the cervix

61
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What is BPH?

Enlarged central prostate compressing the urethra

62
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What are the possible uterine positions?

Retroverted, anteverted, anteflexed, mid-position

63
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What is a TFCC tear?

A tear of the triangular fibrocartilage complex in the wrist

64
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What is carpal tunnel syndrome?

Compression of the median nerve at the wrist

65
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What is a bone contusion?

Micro-trabecular fracture with edema pattern

66
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What is osteomyelitis?

Bone infection with marrow changes and enhancement

67
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What is a pathological fracture?

A fracture caused by underlying disease such as tumor or osteoporosis

68
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What is a Baker’s cyst?

A fluid collection in the popliteal fossa

69
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What is the hallmark of a meniscal tear?

Linear signal extending to the articular surface on PD/T2

70
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What is the hallmark of ACL/PCL/MCL/LCL tears?

Ligament discontinuity with edema

71
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What is the hallmark of AVN?

Serpiginous low/high signal lines from loss of blood supply

72
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What is the appearance of T1-weighted images?

Fat bright, fluid dark

73
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What is the appearance of T2-weighted images?

Fluid bright, fat moderately bright

74
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What does FLAIR do?

Suppresses fluid so pathology becomes bright

75
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What does STIR do?

Suppresses fat and makes fluid bright

76
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What indicates stroke on DWI/ADC?

Restricted diffusion: bright on DWI, dark on ADC

77
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A ______ sequence is T2-weighted with fat signal suppressed.

STIR

78
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Key sequences for lumbar spine include sagittal T1, sagittal T2, sagittal STIR, and ______ T2.

Axial

79
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Contrast is often used for tumor, infection, or inflammation, but not usually for ______.

CVA

80
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After a contrast reaction, a patient should be monitored for ______ minutes.

30

81
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If a patient develops hives after contrast, the medication usually given is ______.

Benadryl

82
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Swelling and pain at an injection site after contrast can be relieved with a ______ compress

Cold

83
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Infiltration is when ______ fluid enters surrounding tissue.

Non-vesicant

84
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An example of a non-vesicant fluid is ______.

Saline

85
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Acute renal failure within 48 hours of contrast injection is called ______.

Contrast-Induced Nephropathy (CIN)

86
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The process of binding gadolinium to make it safe in the body is called ______.

Chelation

87
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Common mild reactions to MRI contrast include nausea, vomiting, headache, and ______.

Dizziness

88
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About ______% of contrast is excreted within 3 hours.

80

89
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A rare disease linked to gadolinium in patients with renal failure is ______.

Nephrogenic Systemic Fibrosis (NSF)

90
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If a pregnant patient is ordered for contrast, the technologist should contact the ______.

Radiologist

91
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High-risk patients for MRI contrast include those with diabetes, age over 65, or history of ______ disease

Renal

92
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______ discovered x-ray.

Wilhelm Roentgen

93
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X-ray was discovered on ______ (date).

November 8, 1895

94
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CT was introduced in the ______ decade.

1970s

95
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A 32-year-old female with headaches, fatigue, vertigo, and paresthesias may have ______.

Multiple Sclerosis

96
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A crescent-shaped hematoma that crosses sutures is a ______ hematoma.

Subdural hematoma

97
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A lens-shaped hematoma that does not cross sutures is a ______ hematoma.

Epidural hematoma

98
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Blood in the sulci and CSF spaces is called a ______ hemorrhage.

Subarachnoid hemorrhage

99
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A pituitary ______ is best imaged with DCE since the lesion and gland enhance differently

Pituitary adenoma

100
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A mass in the internal auditory canal/CPA is most likely an ______.

Acoustic neuroma