FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
RADIODIAGNOSIS
PAPER III
RDG/J/17/40/III
Time 3 hours
Max. Marks 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Based on the anatomic location of the bleeding site, how is
gastrointestinal bleeding typically categorized?
How does multi-detector computed tomographic angiography
help in the localization and characterization of acute
gastrointestinal bleeding?
2+8
2. Role of contrast enhanced ultrasound in the imaging of nodules
in a cirrhotic liver, and the algorithm of how it can be integrated to
be a part of a multimodality imaging approach.
5+5
3. Enumerate the venous tributaries constituting the portal
venous system and the sites of portosystemic anastamoses.
Sonographic and CT imaging features of portal hypertension.

4. Multi-detector computed tomography (MDCT) features of
acute intestinal ischemia.
How does MDCT contribute to appropriate treatment planning
and provides important prognostic information?
4+6
5. CT imaging features of acute pancreatitis alongwith the revised
Atlanta system of classification.
5+5
6. A 52 year old road traffic accident victim is brought to you from
the casualty with history of frank haematuria.
How would you evaluate this patient?
What are the possibilities with their key radiological findings?
3+7
7. A 66 year old patient has undergone a renal transplant.
Enumerate the potential complications that may occur in this
patient. What is the role of Colour Doppler and ultrasound in the
imaging of these complications?
3+7
8. A 26 year old patient, who is 12 weeks post-partum, is referred to
you for radiological appraisal with a history of bleeding per
vaginum and raised beta-HCG levels.
What is the likely diagnosis?
How would you evaluate this patient?
Mention the possibilities with their key radiological findings.

9. How would you decide on the amnionicity and chorionicity in a
multiple pregnancy?
Enumerate the complications that may occur in a twin
pregnancy.
Radiological findings in twin-twin transfusion syndrome.

10. Enumerate the various Műllerian duct anomalies along with
the line diagrams.
Imaging algorithm and diagnostic features of the various types
of Műllerian duct anomalies.
5+5