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ACR Radiology DXIT In-Training In-service Questions

78.79MB. 0 audio & 2002 images. Updated 2022-03-20.

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***Return regularly for updates and the addition of new exams. Please share this deck with others in your program and leave a review if you can! Thank you!*** This deck contains all questions from prior ACR DXIT In-Training (In-Service) Exams. Duplicate questions have been removed and only the most recent version of the question retained. The following years are included: 2002-2021. 03/19/2022 - 2021 DXIT exam questions added. Added link to Anki Forums if you need to reach out. Formatting updates. 04/02/2021 - Tags for the 2012 DXIT questions added (previously absent). Deck now confirmed to include 2002-2020 DXIT exams. 03/25/2021 - Card/note types unified. Miscellaneous formatting fixes. 02/10/2021 - 2020 DXIT questions added. 01/04/2021 - 2017 DXIT questions added.

Sample (from 2491 notes)

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Front You are shown two images from a Doppler ultrasound examination of the neck. What is the MOST LIKELY diagnosis? A. Stenosis of the proximal right vertebral artery. B. Stenosis of the proximal left subclavian artery.C. Hypoplastic left vertebral artery.D. Occluded right internal carotid artery.
Back A. Although high velocities are the hallmark of arterial flow through a stenosis, increased velocities also occur as a compensatory mechanism for occlusive disease elsewhere.B. Correct. The reversal of flow on the left is typical for a subclavian steal.C. Hypoplastic or distally occluded vertebral arteries will have a high resistance pattern with absent flow in diastole.D. Compensatory increased flow may develop in a collateral pathway with arterial occlusion. But a better explanation for the increased flow in the right vertebral artery here is the reversal of flow in the left vertebral artery rather than an occluded carotid artery.
Source
Tags 2008 Inservice IR
Front Figures 5 and 6 are steady-state free-procession MR images obtained in the axial and short axis planes, respectively. What is the MOST LIKELY diagnosis? A. Hypertrophic cardiomyopathyB. Hypertensive cardiomyopathy C. Alcohol-related cardiomyopathy D. Ischemic cardiomyopathy
Back A. Correct. The images demonstrate marked thickening of the basal aspect of the interventricular septum. This is the characteristic finding of hypertrophic cardiomyopathy with asymmetric septal hypertrophy (formerly known as idiopathic hypertrophic subaortic stenosis). In hypertrophic cardiomyopathy with asymmetric septal hypertrophy, the interventricular septum is at least 1.3 times thicker than the left ventricular free wall, and is accompanied by obstruction of the left ventricular outflow. This characteristically results in systolic anterior motion (SAM) of the mitral valve.B. Hypertensive heart disease can result in ventricular hypertrophy, however it typically is concentric, without preferential involvement of the left ventricular septum.C. Alcohol-related cardiomyopathy generally presents as a dilated cardiomyopathy.D. Ischemic cardiomyopathy generally presents as a dilated cardiomyopathy.
Source
Tags 2008 Cardiac Inservice
Front What is the MOST likely diagnosis for the findings in the adrenal gland in this 66-year-old man with sepsis? A. AbscessB. HematomaC. HyperplasiaD. Tuberculosis
Back A. An adrenal abscess is extremely uncommon. In this case, the high attenuation within the adrenal gland would be atypical for an abscess, which is usually of low attenuation, with rim enhancement.B. Correct. Adrenal hemorrhage can occur from traumatic or non-traumatic etiology. Non-traumatic causes include sepsis/stress, bleeding diathesis, adrenal tumor and neonatal stress. Hemorrhage can involve one or both adrenal glands. On CT, adrenal hemorrhage will manifest as diffuse or mass-like adrenal enlargement. The hemorrhage will typically be hyperdense, which can be an excellent clue in making the diagnosis. Density measurements range between 50-90 HU in the acute to subacute stage and decrease over time. Most hematomas resolve completely, although some can persist over time and organize into an adrenal pseudocyst.C. Hyperplasia can result in an enlarged adrenal, however the mass-like appearance and high attenuation are inconsistent with hyperplasia.D. The appearance of adrenal tuberculosis is nonspecific, and can vary with the acuity of the disease. Findings on CT include soft tissue masses, cystic change and calcifications.
Source Kawashima A, Sandler CM, Ernst RD, Takahashi N, Roubidoux MA, Goldman SM, Fishman EK, Dunnick NR Imaging of nontraumatic hemorrhage of the adrenal gland Radiographics 1999 Jul;19(4):949-63.
Tags 2021 GU Inservice

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Reviews

on 1648478504
Really awesome way to review a wide variety of topics, thanks for putting this together!
Comment from author
Your welcome!
on 1646807446
Awesome work. Looks like the 2021 exam is finally up: https://www.acr.org/Lifelong-Learning-and-CME/Learning-Activities/In-Training-Exams
Comment from author
Just added the 2021 questions. Thanks for your patience and support!
on 1643307427
Great deck for in-service prep
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Thank you for the feedback!
on 1642648716
Good questions for rads
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Glad you found it helpful!
on 1642261450
solid deck
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Thank you for the support!
on 1633012575
Many thanks, its real radiology here
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Thank you!
on 1632935143
Covers a lot of topics with questions most similar to the big exam
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Thanks for the feedback and rating!
on 1631284719
Do you have ACR 2021 question ???
Comment from author
They were finally published to the ACR website. I will add them to the deck shortly. Thank you for your patience!
on 1628635879
thank you.
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You're welcome!
on 1628193146
In depth
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Thanks for the rating and feedback!
on 1622308465
Comprehensive
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Thanks for the feedback!
on 1615076278
thank you!
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You're welcome!
on 1613656608
Felicitaciones, muy bueno
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Thank you!
on 1603959419
Good
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Thanks!
on 1603728807
awesome
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Thanks!
on 1587159474
Great set
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Thank you!
on 1585599292
Great Deck. Took my inservice score up literally 50 points from last year.
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So glad it helped!
on 1584660703
Thank you
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You're welcome!
on 1578423219
Great set
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Thanks!
on 1578282885
Thank you so much for making this
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No worries!
on 1577943897
good stuff
on 1577943808
Thanks!
on 1577943723
Most current and complete set of questions for the DXIT in-service exam.