FirstRanker.com

Search results for: “pneumonia”

  • MAHE MBBS Microbiology Practical Materials (Manipal University)

    Manipal University (KMC Managalore-MAHE) MBBS Microbiology Practical Materials

     

    Manipal-University MBBS MAHE Microbiology-Practical-Materials

    MBBS Microbiology Practical Materials 2019     Download

     

    IDENTIFICATION OF BACTERIA

    1. STAPHYLOCOCCUS

    Specimen: Localized pus from abscess.
    Direct smear: Shows pus cells with gram positive cocci in clusters.
    Culture: Plating done on
    Culture media
    Incubation
    After 24 hr
    Nutrient agar
    Incubated at 37⁰c for 24 hr
    Opaque golden yellow colonies
    Blood agar
    Opaque colonies with beta hemolysis
    Mac conkey
    Tiny pink colonies
    Biochemical tests
    Urease
    Positive
    Mannitol
    Acid+;no gas
    Smear from culture plate: gram positive cocci in clusters.
    Coagulase test positive: Staphylococcus aureus
    Antibiotic susceptibility pattern.
    Phage typing – for epidemiology study
    Other species:
    Staphylococcus epidermidis – Opaque white colonies; coagulase test negative;
    Mostly a commensal, but the most frequent organism isolated from infected indwelling prosthetic devices.
    Staphylococcus albus – Opaque white colonies; coagulase test negative;
    Opportunistic pathogens.
    Staphylococcus citreus – lemon yellow colonies; coagulase negative;
    Opportunistic pathogens
    Clinical Significance:
    Staphylococcus aureus-Food poisoning, Toxic shock syndrome, Staphylococcal Skin Scalded Syndrome,
    Pneumonia, Osteomyelitis, Skininfections, Meningitis, Acute bacterial endocarditis, UTI
    Staphylococcus epidermidis-Mostly a commensal, but the most frequent organism isolated from
    3
    infected indwelling prosthetic devices, causes UTI, sepsis from IV line Methicillin-resistant Staphylococcus aureus (MRSA)-These bacterial isolates are resistant to many antibiotics. In the community, most MRSA infections are skin infections. In medical facilities, MRSA causes life threatening blood stream infections, pneumonia and surgical site infections.
    CASE HISTORY- 1
    A group of six children under 8 years of age live in a semitropical country. Each of the children has several crusted weeping skin lesions of impetigo (pyoderma). The lesions are predominantly on the arms and faces. Which of the following microorganisms is a likely cause of the lesions?
    (A) Escherichia coli
    (B) Chlamydia trachomatis
    (C) Staphylococcus aureus
    (D) Streptococcus pneumoniae
    (E) Bacillus anthracis
    4
    2. ESCHERICHIA COLI
    Specimen: Mid stream urine specimen in sterile container from
    Patient X having fever with burning micturition.
    Direct smear: Grams smear shows pus cells with gram negative rods.
    Wet Mount : Centrifuged, Plenty of pus cells seen
    Culture : After Incubation at 37⁰c for 24 hr
    Culture media
    Cultural Charecteristics
    Nutrient agar
    Blood agar
    Mac conkey
    Non Mucoid, Convex, Greyish white colonies
    Greyish white Non Mucoid Colonies
    Pink, Lactose fermenting colonies
    Smear from colonies: Gram negative rods are seen
    Biochemical tests:
    Indole
    Positive
    Urease
    Negative
    Citrate
    Negative
    TSI
    A/A Gas+ no H2S
    MR
    Positive
    VP
    Negative
    Sugar reaction: Glucose, lactose, sucrose, maltose, mannitol, starch are fermented with acid and gas.
    Antibiotic susceptibility testing.
    Other tests: Agglutination with mono and polyvalent antisera to detect EPEC, ETECetc
    Clinical Significance: Urinary tract Infections, Pyogenic infections, Septicemia, neonatal Meningitis
    Diarrhea (Enteropathogenic, Enterotoxigenic, Entero hemorrhagic, Enteroinvasive, enteroaggregative).
    Extended Spectrum Beta Lactamses (ESBL) producing isolates are resistance to 3rd generation cephalosporins (Ceftazidime, Cefotaxime, Ceftriaxone, Cefpodoxime) and Monobactams (Aztreonam). These ESBLs are of clinical concern because they restrict therapeutic options causing treatment failures.
    5
    CASE HISTORY – 2
    A 20-year-old college student goes to the student health center because of dysuria, frequency, and urgency on urination for 24 hours. She has recently become sexually active. On urinalysis, many polymorphonuclear cells are seen. The most likely organism responsible for these symptoms and signs is
    (A) Staphylococcus aureus
    (B) Streptococcus agalactiae
    (C) Gardnerella vaginalis
    (D) Lactobacillus species
    (E) Escherichia coli
    6
    3. KLEBSIELLA
    Specimen: Urine from patient X who complaints of fever,
    Lower abdominal pain, increased frequency of micturition.
    Direct smear: Grams smear shows pus cells with gram negative rods.
    Wet Mount : Centrifuged, Plenty of pus cells seen
    Culture : After Incubation at 37⁰c for 24 hr
    Culture media
    Cultural Charecteristics
    Blood agar
    Greyish white Colonies
    Mac conkey
    Pink, mucoid Lactose fermenting colonies
    Smear from plate: Thick Gram negative bacilli seen, with some bacilli showing halo around it.
    Biochemical tests:
    Indole
    Negative
    Citrate
    Positive
    Urease
    Positive
    TSI
    H2S
    Oxidase
    Negative
    Catalase
    Positive
    MR
    Negative
    VP
    Positive
    Sugar reactions: Glucose, lactose, sucrose, maltose, mannitol, starch are fermented with acid and gas.
    Animal Pathogenicity Test Done- Mice intraperitoneal inoculation done & organisms were demonstrated in the peritoneal fluid
    Antibiotic Susceptibility Testing And Klebocin Typing
    Clinical Significance: Pneumonia caused by Klebsiella species frequently involves the necrotic destruction of alveolar spaces, formation of cavities, and the production of blood-tinged sputum. These bacteria also cause wound & soft-tissue infection, and UTIs. Extended Spectrum Beta Lactamses (ESBL) producing isolates are resistance to 3rd generation cephalosporins (Ceftazidime, Cefotaxime, Ceftriaxone, Cefpodoxime) and Monobactams (Aztreonam). ESBL can pose a intimidating challenge with limited therapeutic options.
    7
    CASE HISTORY – 3
    The patient is a 40 year-old male with multisystem failure secondary to bilaterial pneumonia. Three days before he Complained to physician with history fever, malaise, and vague respiratory symptoms. He was given amantadine for suspected influenza. The patients condition became progressively worse, with shortness of breath a fever to 40.5 0C, and he was admitted to an outside hospital 24 h prior to transfer to this hospital. A laboratory examination revealed liver and renal functions as normal. Therapy with Timentin (Ticarcillin + Clavulanic acid) and trimethoprim-sulfamethoxazole was begun. On admission, he underwent a bronchoscopic examination which revealed mildly inflamed airways containing thin, watery secretions. A Gram stain of bronchial washings was obtained which showed the presence of gram negative bacilli. On culturing in Nutrient agar, it showed mucoid grayish white colonies.
    1.) Escherichia coli
    2.) Pseudomonas aeruginosa
    3.) Klebsiella pneumonia
    4.) Streptococcus pneumonia
    5.) Mycoplasma pnemoniae
    8
    4. PSEUDOMONAS
    Specimen: Wound swab from patient X
    Direct smear: Gram staining shows plenty of pus cells with Gram negative bacilli seen.
    Culture: After Incubation @ 37⁰c for 24 hr
    Culture media
    Colony Characteristics
    Nutrient agar
    Opaque irregular colonies with earthy smell. Pseudomonas pyogenes produce green pigment
    Blood agar plate
    Opaque irregular colonies surrounded by zone of hemolysis.
    Macconkey agar
    Non lactose fermenting colonies
    Smear from colony: Gram negative bacilli.
    Hanging drop: Motile rods seen
    Biochemical Tests:
    Indole
    Negative
    Urease
    Negative
    Citrate
    Positive
    TSI
    k/no change No gas/no H2S
    Oxidase
    Positve
    Catalase
    Positive
    Sugar reaction: Glucose- is utilized oxidatively, form acid only;
    Lactose; sucrose; maltose; mannitol- not fermented
    Pyocin typing and Antibiotic susceptibility testing.
    Clinical Significance: Pneumonia (Cystic fibrosis patient, Immunocompromised), Burns wound infection, bed sore infection, Skin and soft tissue infection, Urinary tract infection, Malignant otitis externa, Corneal ulcer for contact lens wearer or following trauma, Endocarditis for iv drug users, Septicemia.
    Most common cause for nosocomial infection
    9
    CASEHISTORY – 4
    A 37-year-old firefighter suffers smoke inhalation and is hospitalized for ventilatory support. He has a severe cough and begins to expectorate purulent sputum. Gram stain of his sputum specimen shows numerous polymorphonuclear cells and numerous gram-negative rods. Sputum culture grows numerous gram-negative rods that are oxidase-positive. They grow well at 42 °C. On clear agar medium they produce a blue-green color in the agar. The agar where the blue-green color is located fluoresces when exposed to ultraviolet light. The organism causing the patient”™s infection is
    (A) Burkholderia cepacia
    (B) Klebsiella pneumoniae
    (C) Escherichia coli
    (D) Pseudomonas aeruginosa
    (E) Burkholderia pseudomallei
    10
    5. PROTEUS
    Specimen: Urine of patient suffering from Urinary tract infection
    Direct smear: Pus cells with gram negative bacilli
    Culture: Plating done on
    Culture media
    Incubation
    After 24 hr
    Nutrient agar
    Incubated at 37⁰c for 24 hr
    Tiny colonies with swarming growth
    Blood agar
    Mac conkey
    Pale tiny non lactose fermenting colonies
    Smear from colony : gram negative bacilli seen, exhibits Pleomorphism. Different morphological forms are seen in the same organisms.
    Biochemical test:
    P.mirabilis P.vulgaris
    Indole
    Negative
    Positive
    Urease
    Positive
    Positive
    Citrate
    Positive
    Positive
    TSI
    Alk/acid
    Gas+
    H2S+
    Alk/acid
    Gas+
    H2S+
    Catalase
    Positive
    Positive
    Oxidase
    Negative
    Negative
    Hanging drop:motile gram negative bacilli seen
    Sugar reactions:
    Glu
    Lactose
    Sucrose
    Maltose
    Mannitol
    Acid+
    Not fermented
    Not fermented
    Acid+
    Not fermented
    Gas+
    Gas+
    Antibiotic susceptibility pattern: Amoxicillin Ciprofloxacin Cotrimoxazole Erythromycin Nalidicic acid Nitrofurantoin
    Clinical significance: Urinary Calculi formation
    11
    CASE HISTORY- 5
    A 37-year-old woman with a history of urinary tract infections comes to the emergency room with burning on urination along with frequency and urgency. She says her urine smells like ammonia. The cause of her urinary tract infection is likely to be
    (A) Enterobacter aerogenes
    (B) Proteus mirabilis
    (C) Citrobacter freundii
    (D) Escherichia coli
    (E) Serratia marcescens
    12
    6. VIBRIO
    Specimen: Rice water stools from patient suffering from acute watery diarrhea.
    Direct smear: Gram staining shows Gram negative bacilli. Some are comma shaped.
    Hanging Drop Preparation : Darting motility seen
    Culture:Transport media- enrichment media such as alkaline water or
    Monsur”™s med media or cary blair media is used to preserve Sample for long periods.
    Media Colony nature – After Incubation @ 37⁰c for 24 hr
    Nutrient agar Circular transparent water drop colonies
    Mac conkey Circular transport non lactose fermenting colonies
    Special Media – Thiosulphate Citrate Bile salt sucrose Mdium (TCBS) – Yellow circular colonies
    Smear from colony: Gram negative bacilli, some are comma shaped ; Hanging drop: Motile rods seen.
    Biochemical test:
    Indole
    Positive
    Urease
    Negative
    Citrate
    Negative
    TSI
    Acid/acid;no gas;noH2S
    Oxidase
    Positive
    Catalase
    Positive
    Cholera red reaction
    Polymyxin sensitivity
    Positive
    Sugar reaction:
    Glucose
    Lactose
    Sucrose
    Maltose
    Mannitol
    Mannose
    Arabinose
    Acid+

    Acid+
    Acid+
    Acid+
    Acid+

    Other tests:
    High titre sera agglutination for O group + serotypes ( Ogawa, Inaba, Hikojima)
    Chick cell agglutination to differ the EI tor and classical.
    Antibiotic susceptibility testing.
    Clinical Significance: Severe Watery diarrhea (Classically with Rice water stools)
    13
    CASE HISTORY – 6
    An 18-year-old woman in rural Bangladesh develops profuse (8 L/d) diarrhea. She has no symptoms other than the diarrhea and the manifestations of the fluid and electrolyte loss caused by the diarrhea. The most likely cause of her diarrhea is
    (A) Campylobacter jejuni
    (B) Enterotoxigenic Escherichia coli
    (C) Salmonella Typhimurium
    (D) Vibrio cholerae
    (E) Shigella dysenteriae
    14
    7. Salmonella typhi
    Specimen : Blood sample from patient X suffering from high grade fever 5 days
    duration with vomiting and abdominal pain .patient has palpable spleen.
    Culture : Specimen inoculated immediately at bed side of patient in to Ox bile
    or BHI broth medium & incubated for 24 hrs at 37c.
    Culture media Incubation After 24 hr Nutrient agar Incubate at 37 c for 24 hrs Convex , greyish white, colonies Blood agar Greyish white, colonies Mac conkey agar Non lactose fermenting colonies Selective media : ï‚·Wilson blair medium ï‚·Salmonella Shigella agar —————–
    Smear From Colony: Gram Negative Bacilli seen.
    Hanging Drop: Motile rod seen.
    BIOCHEMICAL TESTS
    Organism Indole Urease Catalase Oxidase Tsi Citrate S.typhi Negative Negative Positive Negative K/A;No Gas; Speck of H2S+ Negative
    Organism Glucose Lactose Sucrose Maltose Mannitol Xylose Arabinose S.typhi Acid + ; no gas ——— ———- Acid + ; no gas Acid + ; no gas Acid + ; no gas —————–
    Antibiotic Susceptibility Testing :
    High Titre Sera Agglutination Test: Poly O, Typhi H, O9
    New Taxonomy : Salmonella enterica enterica typhi
    Clinical Significance : Enteric Fever, Step ladder fever, have soft Palpable spleen, may have rose
    spots. It may lead on to intestinal perforation, hemorrhage & circulatory
    collapse
    15
    CASE HISTORY – 7
    A 27-year-old woman is admitted to the hospital because of fever, with increasing anorexia, headache, weakness, and altered mental status of 2 days”™ duration. She works for an airline as a cabin attendant, flying between the Indian subcontinent and other places in Southeast Asia and the West Coast of the United States. Ten days prior to admission she had a diarrheal illness that lasted for about 36 hours. She has been constipated for the last 3 days. Her temperature is 39 °C, heart rate 68/min, blood pressure 120/80 mm Hg, and respirations 18/ min. She knows who she is and where she is but does not know the date. She is picking at the bedclothes. Rose spots are seen on the trunk. The remainder of the physical examination is normal. Blood cultures are done and an intravenous line is placed. The most likely cause of her illness is
    (A) Enterotoxigenic Escherichia coli (ETEC)
    (B) Shigella sonnei
    (C) Salmonella enterica subspecies enterica serotype Typhimurium (Salmonella Typhimurium)
    (D) Salmonella enterica subspecies enteric serotype Typhi (Salmonella Typhi)
    (E) Enteroinvasive Escherichia coli (EIEC)
    16
    8. Salmonella paratyphi A
    Specimen : Blood sample from patient x suffering from fever 5 days duration with vomiting and abdominal pain .patient has palpable spleen.
    Culture : specimen inoculated immediately at bed side of patient in to ox bile
    medium & incubated for 24 hrs at 37c.
    Culture media Incubation After 24 hr Nutrient agar Incubate at 37 c for 24 hrs Convex , greyish white, colonies Blood agar Greyish white, colonies Mac conkey agar Non lactose fermenting colonies Selective media : ï‚·Wilson blair medium ï‚·Salmonella Shigella agar —————–
    Smear From Colony: Gram Negative Bacilli Seen.
    Hanging Drop: Motile Rod Seen.
    Biochemical Tests
    Organism Indole Urease Catalase Oxidase TSI Citrate S.Paratyphi A Negative Negative Positive Negative K/A; Gas +; No H2s Negative
    Sugar Reactions :
    Organism Glucose Lactose Sucrose Maltose Mannitol Xylose Arabinose S.Paratyphi A Acid + ; Gas + ———– ———– Acid + ; Gas + Acid + ; Gas + ———— Acid + ; Gas +
    Antibiotic Susceptibility Testing :
    High Titre Sera Agglutination Test : Poly O, O2
    Clinical Significance: Paratyphoid Fever, even lead on to frank septicemia with supparative complications
    17
    9. Salmonella paratyphi B
    Specimen : Blood sample from patient X suffering from fever 5 days duration with
    vomiting and abdominal pain .patient has palpable spleen.
    Culture : Specimen inoculated immediately at bed side of patient in to Ox bile
    medium & incubated for 24 hrs at 37c.
    Culture media Incubation After 24 hr Nutrient agar Incubate at 37 c for 24 hrs Convex , greyish white, colonies Blood agar Greyish white, colonies Mac conkey agar Non lactose fermenting colonies Selective media : ï‚·Wilson blair medium ï‚·Salmonella Shigella agar —————–
    Smear From Colony: Gram Negative Bacilli seen.
    Hanging Drop: Motile rod seen.
    BIOCHEMICAL TESTS
    Organism Indole Urease Catalase Oxidase TSI Citrate S.Paratyphi B Negative Negative Positive Negative K/A; Gas +; H2s + Positive
    Sugar Reactions
    Organism Glucose Lactose Sucrose Maltose Mannitol Xylose Arabinose S.paratyphi B Acid + ; gas + ————– ———— Acid + ; gas + Acid + ; gas + Acid + ; gas + Acid + ; gas +
    Antibiotic Susceptibility Testing :
    High Titre Sera Agglutination Test: Poly O, O4
    Clinical Significance: Paratyphoid Fever, even lead on to frank septicemia with supparative complications
    18
    LIST OF BACTERIAL ORGANISMS FOR IDENTIFICATION
    1. Staphylococcus Aureus
    2. Escherichia coli
    3. Klebsiella
    4. Pseudomonas
    5. Proteus
    6. Vibrio
    7. Salmonella typhi
    8. Salmonella paratyphi A
    9. Salmonella paratyphi B
    19
    MYCOLOGY
    Mucor sp.
    Macroscopic: Colonies are very fast growing, cottony to fluffy, white, becoming dark-grey, with the development of sporangia.
    Microscopic:
    ï‚· Broad ,irregular, aseptate hyaline hyphae seen.
    ï‚· The sporangiophores are long, straight with irregular branching.
    ï‚· Sporangiospores enlarge at distal end into collemullae
    ï‚· Branching sporangiophores with collamulla supporting sporangia are filled with sporangiospores
    ï‚· The sporangia are globose
    ï‚· No rhizoids are seen
    Clinical Significance: Mainly in patients with uncontrolled diabetes or trauma can cause opportunistic, and often spreading infections known as mucormycosis.
    20
    Rhizopus sp.
    Macroscopic: Colonies growth is rapid, with cotton texture. Salt and Pepper appearance. Colony appearing white initially, turns grey to yellowish brown in time.
    Reverse is white to Pale.
    Microscopic:
    ï‚· Hyphae or non septate or sparsely septate.
    ï‚· Sporangiophore are unbranched.
    ï‚· Rhizoids present.
    ï‚· Collumullae hemispherical.
    ï‚· Apophyses absent.
    ï‚· Hyaline or brown coloured round to ovoid Sporangiospores.
    Clinical Significance:
    Caused by Diabetes and Immunosuppression, can cause Zygomycosis is an angio invasive disease. It can be of several types mucocutaneous, rhinocerebral, genitourinary, gastrointestinal, pulmonary, and disseminated infections.
    21
    Obverse Reverse
    Rhizopus Microscopic- Rhizoid Present
    Aspergillus fumigatus
    Macroscopic: Dark green velvety colonies are seen
    Reverse white to Tan
    Microscopic:
    ï‚· Broad, hyaline septate hyphae seen
    ï‚· Conidiophores are smooth walled and are light green or brown in colour
    ï‚· At the teriminal end of conidiophores, flask shaped vesicle is seen
    ï‚· Uniseriate phialides are present at the upper half (2/3rd ) of the vesicle
    ï‚· Each phialide bears a chain of conidia
    Clinical Significance:
    It can cause Allergic broncho pulmonary aspergillosis, Aspergilloma (fungal ball infection developing in a preexisting cavity), Invasive Pulmonary Aspergillosis. In immunocompromised can cause Disseminated Aspergillosis.
    22
    Conidial head of A. fumigatus (Note: uniseriate row of phialides on the upper two thirds of the vesicle).
    Culture of Aspergillus fumigatus. Obverse Reverse
    23
    Aspergillus niger
    Macroscopic : Coarse black granules present against creamy colony
    Reverse white to yellow.
    Microscopic:
    ï‚· Broad , hyaline septate hyphae
    ï‚· Conidiophores are wide with a brown tint in upper half
    ï‚· Vesicles are spherical
    ï‚· Phialides are biseriate
    ï‚· The conidia are globose and are jet black
    Clinical Significance:
    It causes aspergillus infection affecting otitis externa, (Swimmer”™s Ear) , a chronic local inflammation which is characterized by itching, pain, scaling.
    Culture of Aspergillus niger. Obverse Reverse
    a
    24
    Note: Conidial head of A. niger. conidial heads are biseriate, large, globose, dark brown, becoming radiate with the phialides borne on metulae.
    Aspergillus flavus
    Macroscopic: Yello to Yellow green colonies seen
    Reverse goldish to red brown.
    Microscopic:
    ï‚· Broad , hyaline septate hyphae
    ï‚· Conidiophores are thick walled , hyaline
    ï‚· Vesicles are large and globose
    ï‚· Phialides are biseriate and present over the entire surface of the vesicle
    ï‚· The conidia are unicellular & globose
    Clinical Significance:
    It occurs in immunocompromised host, can cause Allergic broncho pulmonary aspergillosis. Less commonly it causes Invasive Pulmonary Aspergillosis
    Culture of Aspergillus flavus. Obverse Reverse
    Conidial head of A. flavus.
    25
    Note: conidial heads with both uniseriate and biseriate arrangement of phialides may be present over the entire surface. Candida Species
    Macroscopic: Creamy white moist or pasty colonies
    Microscopic: Oval Gram Positive budding Yeast Cells, Pseudohyphae are constricted at the ends and remain attached like links of sausages. Hyaline are septate
    Clinical Significance:
    It most commonly involves mucous membranes oral cavity ( Oral Candidiasis), vulva and vagina ( Vulvo vaginal candidiasis). It also causes cutaneous candidiasis. Disseminated candidiasis is caused in immunocompromised individuals ( eg., HIV, Organ transplantation, Neoplastic debilitating patients)
    Germ Tube Test – It helps to differentiate Candida albicans from non albicans group Germ tube is atrue hyphal structure and therefore does not have constriction characterize of pseudohyphae. Formation of Germ tube is present in Candida albicans
    Culture of Candida albicans- Obverse ReversE
    26
    Candida- Microscopic- Budding Yeast Cells
    27
    OSPE
    A. CULTURE MEDIA
    1. Identify the culture media?
    2. What type of media is this?
    3. List two main ingredients of this medium?
    4. List four organisms grown in this media?
    5. How is this media sterilized?
    28
    A. CULTURE MEDIA
    1.Nutrient Agar
    2.Simple media (basal media)
    3.Peptone water, 1%Meat extract, 2% Agar
    4.
    a. Staphylococcus aureus,
    b. Pseudomonas aeruginosa
    c. Escherichia coli
    d. Klebsiella pneumoniae
    5.Autoclaving
    29
    B. CULTURE MEDIA
    1.Identify the culture media?
    2.What type of media is this?
    3.List two main ingredients of this medium?
    4.List four organisms grown in this media?
    5.How is this media sterilized?
    30
    B. CULTURE MEDIA
    1.Blood Agar
    2.Enriched media
    3. 5% blood and nutrient agar
    4.
    a. Streptococcus pyogenes,
    b. Streptococcus pneumonia,
    c. Neisseria spp,
    d. Vibrio cholera
    5.Medium is prepared by adding sterile blood to sterile nutrient agar that has been melted and cooled to 50ºC
    31
    C. CULTURE MEDIA
    1. Identify the culture media?
    2. What type of media is this?
    3. List two main ingredients of this medium?
    4. List four organisms grown in this media?
    5. How is this media sterilized?
    32
    C.CULTURE MEDIA
    1.Mac Conkey medium
    2.Differential media or Indicator medium
    3.Lactose, Peptone, Agar, Neutral red & Taurocholate.
    4.
    a) Pseudomonas aeruginosa
    b) Escherichia coli
    c) Klebsiella pneumoniae
    d) Salmonella typhi
    5.Autoclaving
    33
    1. INSTRUMENT
    1. Identify the jar?
    2. What is the use of this jar?
    3. List four organism which can be grown by using this jar?
    4. Enumerate two disease caused by these organisms?
    5. Chemical indicator used for verifying the required condition in the jar?
    34
    1. INSTRUMENT
    1. McIntosh and Filde”™s anaerobic jar
    2. For cultivation of anaerobic organism by achieving anaerobiosis.
    3.Clostridium tetani, C. perfringens, C. botulinum, C. septicum
    4. C. tetani causes Tetanus.
    C. perfringens causes gas gangrene.
    5.Reduced methylene blue, it remains colorless anaerobically but turns blue on exposure to oxygen.
    35
    2. INSTRUMENT
    1. Identify the given object
    2. What is it used for and what is the type of test done by using this object?
    3. What is the antigen used in the test?
    4. What is the disease diagnosed by the test done using this object?
    5. What is the causative agent of the disease diagnosed by using this object?
    36
    2.INSTRUMENT
    1.VDRL Rotator
    2.It is used for doing VDRL test.
    VDRL (Venereal Disease Research Laboratory) test is a slide flocculation test.
    3.Cardiolipin antigen
    4.Syphilis
    5.Treponema pallidum.
    37
    3. INSTRUMENT
    1. What is this instrument ?
    2. What are the instruments that can be
    sterilized using this ?
    3. What is the ideal temperature and pressure ?
    4. What is the Sterility check used ?
    5. What is this type of sterilization ?
    38
    3.INSTRUMENT
    1. Autoclave
    2. Dressing, instruments,laboratory ware, media and pharmaceutical products
    3. 121°C for 15 minutes at 15 lbs
    4. Spores of Bacillus stearothermophilus
    5. Steam under pressure
    39
    4. INSTRUMENT
    1. What is this instrument?
    2. What are the instruments to be sterilized?
    3. Ideal temperature and holding time?
    4. Sterility check used.
    5. What is this type of sterilization?
    .
    40
    4.INSTRUMENT
    1. Hot air oven
    2. Glassware, forceps, scissors, glass syringes,swabs and pharmaceutical products”™
    3. 160°C for 1 hour.
    4. Spores of nontoxigenicstrain of Clostridium tetani or Bacillus subtilus
    5. Dry heat sterilization
    41
    CASE 1
    A 23 year old female gives a 2 day H/O fever, frequency, dysuria and mild haematuria. She also complains of suprapubic pain, but there is no vaginal discharge. There is no relevant previous history and examination is unremarkable.
    1. What is the probable diagnosis?
    2. List four common organisms causing this infection
    3. What is the relevant microbiological investigation?
    4. Name the media
    5. Describe the colonies
    6. Gram stain of the organism isolated showed Gram negative bacilli
    Identify the organism from the given biochemical reactions?
    42
    CASE 1
    A 23 year old female gives a 2 day H/O fever, frequency, dysuria and mild haematuria. She also complains of suprapubic pain, but there is no vaginal discharge. There is no relevant previous history and examination is unremarkable.
    1. Urinary tract infection
    2. Proteus, Escherichia coli, Klebsiella, Staphylococcus saprophyticus
    3. Urine culture & sensitivity
    4. MacConkey agar.
    5. MacConkey agar- Lactose Fermenting colonies
    6. Gram stain of the organism isolated showed Gram negative bacilli
    Identify the organism from the given biochemical reactions?
    Indole: positive
    TSI: A/A with gas, no H2S
    Urease: Negative
    Citrate: Not utilized
    Sugars:
    Glucose- – Fermented with acid & gas production
    Lactose- – Fermented with acid & gas production
    Sucrose– Fermented with acid & gas production
    Maltose– Fermented with acid & gas production
    Mannitol– Fermented with acid & gas production
    The organism is identified as Escherichia coli.
    43
    CASE 2
    A 14 year old boy gives H/O fever, headache and abdominal pain for the past 10 days. O/E he is toxic with coated tongue and hepatosplenomegaly.
    1. List two infective causes of fever?
    2. Write the relevant microbiological tests done to detect Enteric fever?
    3. Identify the given diagnostic test.
    4. Name the antigens used
    5. What is significant titre?
    44
    CASE 2
    A 14 year old boy gives H/O fever, headache and abdominal pain for the past 10 days. O/E he is toxic with coated tongue and hepatosplenomegaly.
    1.Enteric fever,Tuberculosis,Malaria.
    2.Blood Culture,Widal test,Stool Culture and Urine Culture.
    3.Widal test- Tube agglutination test.
    4. O antigen
    H antigen
    AH antigen
    BH antigen
    5.O agglutinin – 1:100 dilution or more.
    H agglutinin- 1:200 dilution or more.
    45
    CASE 3
    A 35 year old male with burns over both the arms gives an H/O discharge of pus from the wound.
    1. Name three bacteria commonly isolated from burns wound infection?
    2. What is the relevant microbiological investigation required in this case?
    3. Name the media?
    4. Describe the colonies?
    5. Gram stain of the organism isolated showed Gram negative bacilli
    Identify the organism from the given biochemical reactions
    46
    CASE 3
    A 35 year old male with burns over both the arms gives an H/O discharge of pus from the wound.
    1. Pseudomonas aeruginosa
    Staphylococcus aureus
    Proteus species
    2. Pus for culture and sensitivity.
    3. Nutrient Agar
    Mac Conkey agar
    4. Nutrient agar – Greenish pigmented colonies
    Mac Conkey agar – Non lactose fermenting colonies.
    5. Indole- Negative
    TSI- K/K
    Urease- Negative
    Citrate- Utilised
    Sugars- Glucose: no acid, no gas
    Lactose : no acid, no gas
    Sucrose: no acid, no gas
    Maltose: no acid, no gas
    Mannitol: no acid, no gas
    The organism is identified as Pseudomonas aeruginosa.
    47
    CASE 4
    A 40 year old male with a H/O discharge of pus from a wound in the leg. O/E a sinus is seen which is attached to the bone.
    1. Name three bacteria commonly isolated in osteomyelitis?
    2. What are the revelant microbiological investigation required to diagnose this condition?
    3. Name the media?
    4. Describe the colonies?
    5. Gram stain of the organism isolated showed Gram positive cocci
    Identify the organism from the given biochemical reactions?
    48
    CASE 4
    A 40 year old male with a H/O discharge of pus from a wound in the leg. O/E a sinus is seen which is attached to the bone.
    1. Staphylococcus aureus , Proteus, Pseudomonas aeruginosa.
    2. Pus for culture and sensitivity.
    3. Nutrient agar media.
    4. Golden yellow pigmented colonies.
    5. Urease : Positive.
    Mannitol is fermented with acid production without gas.
    Slide coagulase test : Positive.
    The organism is identified as Staphylococcus aureus.
    49
    CASE -5
    A 23 year old female gives a 2 day H/O fever, frequency, dysuria and mild haematuria. She also complains of suprapubic pain, but there is no vaginal discharge. There is no relevant previous history and examination is unremarkable.
    1. What is the probable diagnosis?
    2. List four common organisms causing this infection
    3. What is the relevant microbiological investigation?
    4. Name the media
    5. Describe the colonies
    6. Gram stain of the organism isolated showed Gram negative bacilli
    Identify the organism from the given biochemical reactions?
    50
    CASE -5
    A 23 year old female gives a 2 day H/O fever, frequency, dysuria and mild haematuria. She also complains of suprapubic pain, but there is no vaginal discharge. There is no relevant previous history and examination is unremarkable.
    1. Urinary tract infection
    2. Proteus, Escherichia coli, Klebsiella, Staphylococcus saprophyticus
    3. Urine culture & sensitivity
    4. MacConkey agar.
    5. MacConkey agar-Non Lactose Fermenting colonies
    6. Indole: negative
    TSI: K/A with gas, Abundant H2S
    Urease: positive
    Citrate: Not utilized
    Sugars:
    Glucose- – Fermented with acid & gas production
    Lactose- -Not Fermented
    Sucrose””Not Fermented
    Maltose””Not Fermented
    Mannitol””Not Fermented
    The organism is identified as Proteus mirabilis
    51
    SMEAR PREPARATION
    The preparation of a smear is required for many laboratory procedures, including the Gram-staining. The purpose of making a smear is to fix the bacteria onto the slide and to prevent the sample from being lost during a staining procedure.
    Materials Required:
    Clean glass slides , Inoculating loops or needles , Normal saline or Sterile water , Glass marking pencil, Specimen ( may be Broth culture, Urine, Sputum , pus, swab,etc.,)
    Procedure:
    1. Take a clean, grease free glass slide. Wash the glass slide with fine sand soap , rinse it well, dry it thoroughly. Label your slide with the glass marking pencil.
    2. Place one loopful of bacterial growth in the center of a clean slide.
    3. If working from a solid medium, add one drop (and only one drop) of Normal Saline / Sterile water to the slide. If using a broth medium, do not add the water.
    4. Now, with the inoculating loop, mix the specimen with the Normal Saline/ Sterile water completely and spread the mixture out to cover about half of the total slide area.
    5. Place the slide on a slide warmer and wait for it to air dry.
    6. Dried smear is then fixed by passing it three times through the flame with the film facing downwards. . The smear is now ready for the staining procedure.
    52
    BIOMEDICAL WASTE MANAGEMENT
    1. What is biomedical / hospital wastes?
    Any wastes generated while providing healthcare,performing research &undertaking investigation or related procedures on human beings or animals in hospitals/laboratories or in any health care setup.
    2. What are the types of biomedical wastes?
    1.Infectious wastes – placenta,body fluids, laboratory samples, cultures, sharp wastes (forms only 10% of total waste)
    2.Non infectious hazardous wastes- chemicals,radioactive substances, pharmacological wastes.
    3. What are the objectives of biomedical waste management?
    ï‚· To prevent harm resulting from biomedical wastes.
    ï‚· To minimize waste volumes.
    ï‚· To retrieve reusable material.
    ï‚· To ensure safe &economical disposal.
    4. What are the colour coding & types of container for disposal of biomedical wastes?
    COLOUR CODING
    TYPES OF CONTAINER
    WASTE CATEGORY 1.YELLOW PLASTIC BAG HUMAN ANATOMICAL WASTES. DISCARDED MEDICINE. CYTOTOXIC DRUGS. 2.RED DISINFECTED CONTAINER PLASTIC BAG MICROBIOLOGICAL, BIOTECHNOLOGICAL WASTES. SOILED WASTES. SOLID WASTES. 3.BLUE / WHITE PUNCTURE PROOF CONTAINER WASTE SHARPS 3.BLACK PLASTIC BAG BIODEGRADABLE INCINERATOR ASH CHEMICAL WASTES HOUSEHOLD WASTES
    53
    5.What are the steps of biomedical wastes management?
    ï‚§ Reduction.
    ï‚§ Segregation at the point of generation of waste
    ï‚§ Storage.
    ï‚§ Transportation.
    ï‚§ Treatment.
    6.What are the methods of biomedical wastes treatment?(any 4)
     Chemical disinfections.
     Deep burial.
     Incineration.
     Autoclaving.
     Microwaving.
    54
    VENIPUNCTURE
    Procedure for Venipuncture:
    1. Clean your hands with soap and water or gel cleanser. Ask the patient to state his/her name. Determine if the test to be obtained has any special requirements.
    2. Explain the procedure to the patient. Position the arm for venipuncture; support the arm on a firm surface; the arm should be in a downward position. The median cubital and cephalic veins are most commonly used for venipuncture
    3. The patient can make a fist, but should not pump the hand open and closed. Apply tourniquet Palpate the vein. Release the tourniquet and assemble appropriate equipment.
    4. Wear gloves, Cleanse site with approved disinfectant. Allow the disinfectant to air-dry to avoid hemolysis of the specimen.
    5. Re-apply tourniquet about 3-4 inches above puncture site, donot palpate the vein, insert needle, bevel-side up, at about a 30° angle, and collect specimens
    6. Once sufficient blood has been collected, release the tourniquet BEFORE withdrawing the needle. Some guidelines suggest removing the tourniquet as soon as blood flow is established, and always before it has been in place for two minutes or more.
    7. Withdraw the needle gently and apply gentle pressure to the site with a clean gauze or dry cotton-wool ball. Ask the patient to hold the gauze or cotton wool in place, with the arm extended and raised. Ask the patient NOT to bend the arm, because doing so causes a haematoma.
    8. Apply direct pressure to stop bleeding at puncture site. After about 2 minutes, check the puncture site to verify that bleeding has stopped. Apply bandage if appropriate. Thank the patient for his/her cooperation.
    9. Label specimen(s) in the presence of the patient including all the information that is required by your facility.
    4.HANDWASHING METHOD
    55
    SEROLOGY
    Anti Streptolysin O (ASO) Test:
    Aim:
    To determine the presence of anti streptolysin O antibodies in the given serum
    Principle:
    It is a rapid latex agglutination test for the qualitative and semi-quantitative determination of anti-streptolysin-O antibodies (ASO) in serum. When the latex reagent is mixed with a serum containing ASO antibody, agglutination occurs. Sera having titers more than 200 IU/ml will be considered as positive.
    Procedure:
    1. Using a disposable pipette place one drop of each undiluted sample into its identified circle of the slide. Deliver one drop of positive and negative control into its identified circle.
    2. Mix the ASO latex reagent by gently shaking. Add one drop of reagent to each control and sample.
    3. Thoroughly mix each sample with reagent within the full area of the circle.
    4. Slowly rock the slide for exactly two (2) minutes and observe for agglutination under a high intensity light.
    5. Record results.
    Result / Interpretation:
    A test sample is considered to contain ASO antibodies in excess of 200 IU/ml when agglutination (clumping) is observed when compared to the result of the negative control (uniform suspension)
    56
    Rapid Plasma Reagin (RPR) Test:
    Aim:
    To detect IgM and IgG antibodies to lipoidal material released from damaged host cells as well as to lipoprotein-like material, and possibly cardiolipin released from the treponemes.
    Principle
    The rapid plasma reagin (RPR) test is a macroscopic, nontreponemal flocculation card test used to screen for syphilis.RPR antigen is mixed with unheated or heated (to inactivate complement) serum or with unheated plasma on a plastic-coated card.
    If antibodies are present, they combine with the lipid particles of the antigen, causing them to agglutinate. The charcoal particles coagglutinate with the antibodies and show up as black clumps against the white card. If antibodies are not present in the test serum, the test mixture is uniformly gray.
    Procedure:
    1. Using disposable serum dispensers or droppers, dispense one drop (0.05 ml) of serum or plasma sample onto a circle on the test card. Also add one drop of positive control and Negative control in the respective circle.
    2. Spread the sample smoothly across the circle area.
    3. After mixing the antigen solution by swirling, add one drop of the antigen suspension to each sample / control testing area. Do not stir or spread the antigen.
    4. Place the card on an VDRL rotator and cover to maintain humidity. Rotate at 100 ± 5 rpm for 8 minutes
    5. Immediately read results macroscopically in the “•wet”– state under a high intensity light source.
    Interpretation of RPR Test
    1. Non-reactive (NR)- smooth suspension, no clumping or slight roughness
    2. Reactive (R)- any degree of clumping
    If the test is negative, but the physician still suspects syphilis infection is present, the more specific treponemal tests (FTA-ABS, TPHA, TPI) should be performed because false positives can occur in RPR. False positives can occur in RPR. RPR is sensitive and used as screening test.
    57
    RHEUMATOID FACTOR
    Aim:
    To detect rheumatoid factor in the given serum qualitatively.
    Principle:
    Rheumatoid factors (RF) are antibodies directed against the Fc fragment of human and animal IgG, which acts as antigen.. The RF reagent is a suspension of polystyrene latex particles sensitized with specially prepared human IgG. The reagent is based on an immunological reaction between human IgG bound to biologically inert latex particles and rheumatoid factors in the test specimen.
    When serum containing rheumatoid factors is mixed with the latex reagent, visible agglutination occurs. The RF latex reagent sensitivity has been adjusted to detect a minimum of 8 IU/mL of rheumatoid factors according to the WHO International Standard without previous sample dilution
    Procedure:
    1. .Place one drop RF Positive and Negative Control in field 1 & 2. Using pipettes, place one drop of the undiluted specimens on successive fields.
    2. Gently resuspend the RF Latex Reagent and add one drop to each test field. Use pipette/Stir Stick to spread reaction mixture over entire test field.
    3. Rotate the slide manually or with a mechanical rotator at 80-100 rpm for 2 minutes and read immediately under direct light.
    4. Presence of agglutination of the latex particle is a positive result (see figure 1). Agglutination indicates a RF concentration of equal or more than 8 IU/ml. Sera with positive agglutination should be run again with the Quantitative Test.
    Result / Interpretation:
    Negative Result: A negative reaction is indicated by a uniform milky suspension with no agglutination as observed with the RF Negative Control.
    Positive Result: A positive reaction is indicated by any observable agglutination in the reaction mixture. The specimen reaction should be compared to the RF Negative and Positive Controls
    Positive result Signifies Rheumatoid Arthritis
    Positive
    58
    Negative
    C- REACTIVE PROTEIN
    Aim:
    To detect the presence of C-Reactive protein in the given serum
    Principle:
    CRP is one of the Acute phase protein, which is considered to be a sensitive indicator of inflammation. The principle of this test is based on the immunological reaction between CRP as an antigen and the corresponding antibody coated on the surface of biologically inert latex particles. The use of the CRP test to measure the effectiveness of therapy is of great clinical significance in cases such as rheumatoid arthritis and also other inflammation, bacterial and viral infection.
    Procedure:
    1. Gently shake the CRP latex vial to disperse and suspend latex particles. Positive and negative controls should be tested with each series of test.
    2. Using the disposable pipette provided, place one drop of test serum onto a circle on the slide. Use a separate disposable pipette for each test serum.
    3. Deliver one drop of CRP Latex to each circle that contains specimens on the slide. Spread the resulting mixture by using the paddle end of the pipette.
    4. Gently tilt and rotate slide by hand for two (2) minutes. Observe for macroscopic clumping using the indirect oblique light source. Compare the reaction of the test serum to the CRP positive and negative control sera.
    Result / Interpretation:
    Positive Result: Agglutination
    Negative Result: Smooth milky suspension
    Since negative results may be caused by CRP antigen excess, the test should be repeated using a diluted serum sample in case prozone effect is suspected.
    Positive result signifies that CRP >10mg/L.
    It is used ininfection or inflammation. Increased levels observed in Acute rheumatic fever and in Rheumatoid arthritis.
    59
    Negative
    Positive Positive Negative
    HEPATITIS B SURFACE ANTIGEN
    Aim:
    To detect the prescence of Hepatitis B Surface antigen in given serum or plasma.
    Principle:
    One step test for HBsAg utilizes the principle of Immunochromatography, a unique two site immunoassay on a membrane. As the test sample flows through the membrane assembly of the test device, the colored monoclonal anti-HBsAg-colloidal gold conjugate complexes with the HBsAg in the sample. This complex moves further on the membrane to the test region where it is immobilized by another monoclonal anti-HBsAg antiserum coated on the membrane leading to formation of a pink-purple colored band which confirms a positive test result. Absence of this colored band in the test region indicates a negative test result. The unreacted conjugate and unbound complex if any move further on the membrane and are subsequently immobilized by the anti-rabbit antiserum coated on the membrane at the control region, forming a pink-purple band. This control band serves to validate the test results.
    Procedure:
    1. Label the card with patient name or identification number.
    2. Use the disposable pipette, dispense about 2~3 drops sample in a vertical position into the sample well on the card.
    3. Wait for coloured bands to appear. Read within 15-20 minutes. Do not read results after 30 minutes.
    Result / Interpretation:
    Negative : Only one red line in the Control (C) area, with no coloured line in the Test (T) area indicates a negative result.
    Positive : Two red lines, one in the Test (T) area and one in the Control (C) area indicate a positive result.
    The test should be considered invalid if neither the test band nor the control band appear. Repeat
    the test with a new device.
    60
    Negative Positive
    Enzyme-linked immunosorbent assay (ELISA)
    Aim:
    To detect the presence of antibody against the specifeic antigen is present in the given serum.
    Principle:
    This testing method is a type of immunoassay. It is based on the principle that antibodies will bind to very specific antigens to form antigen-antibody complexes, and enzyme-linked antigens or antibodies can be used to detect and measure these complexes.
    Procedure:
    To detect or measure an antibody in a person’s blood, a known antigen is attached to a solid surface. A solution containing the patient sample is added. If the patient’s sample contains antibody, it will bind to the antigen. A second antibody (against human antibodies) that is labeled with an enzyme is then added. If the enzyme-linked antibody binds to human antibodies, the enzyme will create a detectable change that indicates the presence and amount of the antibody in the patient sample.
    Result / Interpretation:
    Color should develop in positive wells on addition of substrate within 30 minutes (yellow or orange, for pNPP or OPD, respectively). Absorbance may be read directly in a microplate reader (at 405 nm or 450 nm, for pNPP or OPD, respectively) or the reaction may be stopped with 50 μl per well of the appropriate stopping reagent and absorbance read later (at 405 nm or 492 nm, for pNPP or OPD, respectively).
    61
    62
    63
    64
    SPOTTERS
    NUTRIENT AGAR
     It is a simple medium.
     It is prepared by adding 2% agar to nutrient broth.
     It is sterilized by autoclaving.
    BLOOD AGAR
     It is an enriched medium.
     It is also a differential medium since the degree of hemolysis caused by hemolysin is assessed to differentiate among Gram positive colonies.
     It is used for growing fastidious organisms like Streptococci, Pneumococci, Hemophilus influenzae.
     It is prepared by adding sterile sheep blood to sterile nutrient agar that has been melted and cooled to 50 degree cent
    CHOCOLATE AGAR
    65
     It is an enriched medium.
     It is prepared by adding 10% sterile sheep blood to sterile molten nutrient agar at 75 degree centigrade.
     It is opaque and chocolate in colour.
     It is useful for the isolation of fastidious organisms like Hemophilus influenza, Neisseria meningitidis.
    TCBS MEDIUM
     It is a selective medium.
     It contains thiosulphate, citrate, bile salts, sucrose with bromothymol blue as an indicator.
     It is useful for isolation of vibrio cholerae which produces yellow coloured colonies due to fermentation of sucrose.
    MAC CONKEY AGAR
     It is a differential medium.
     It consists of peptone, lactose, agar, neutral red and sodium taurocholate.
     It is used to differentiate lactose fermenting colonies (pink) and non lactose fermenting colonies (colourless or pale).
     It is sterilized by autoclaving.
    66
    ROBERTSONS COOKED MEAT MEDIUM
     It is an anaerobic medium.
     It contains glucose broth with minced meat pieces with 1 cm layer of sterile liquid paraffin at the top.
     It is used for growing anaerobic organisms like Clostridium tetani.
    BACTERIOLOGICAL LOOP
     It is usually made of nichrome.
     It is used to transfer and streak clinical specimens onto culture medium.
     It is sterilized by heating red hot in flame.
    67
    MC INTOSH AND FILDES JAR
     It is used for anaerobic culture.
     It is made up of glass or stainless steel jar with a lid.
     The lid has an inlet and outlet.
     On the underside of the lid is the catalyst, consisting of alumina pellets coated with palladium.
     Reduced methylene blue is used as an indicator.
    PETRI DISH
     It is a shallow flat bottomed circular clear glass container with lid.
     It is usually 90mm in diameter.
    68
     Melted agar medium solidified in a petri dish provides a large surface area for the culture of bacteria.
     It is sterilized by hot air oven.
    DREYERS TUBE
     It is a narrow tube with a conical bottom.
     It is used for H antigen agglutination in Widal test.
     Loose fluffy cotton wool clumps seen in positive agglutination test.
    FELIX TUBE
     It is a short round bottom tube.
     It is used for O antigen agglutination in Widal test.
    69
     Disc like pattern with granular deposits seen at the bottom of the tube in positive agglutination test.
    STERILE SYRINGE
     It is used to collect specimens like blood, body fluids and pus.
     It should be used only once and to be disposed.
     It is sterilized by gamma radiation or ethylene oxide gas.
    UNIVERSAL CONTAINER
    70
     It is a screw capped glass bottle used to collect specimens like urine, blood etc.
     It has a capacity of 30 ml.
     It is sterilized by hot air oven.
    PASTEUR PIPETTE
     It is used to deliver solutions or reagents in various diagnostic procedures.
     It is sterilized by hot air oven
    71
    DURHAMS TUBE
     It is a small tube to detect gas formation in sugar fermentation reactions.
     Formation of air bubbles inside the tube indicates gas production.
    STERILE TEST TUBE
     It is used to collect specimens like blood, urine, body fluids.
     It is also used for keeping sterile swab.
     It is sterilized by hot air oven.
    STERILE SWAB
    72
     It is made up of absorbent cotton.
     It is used to collect specimens from throat, wounds and ear.
     It is used for making lawn culture for antibiotic sensitivity test.
     It is sterilized by hot air oven.
    MICROTITRE PLATE
     It is a polystyrene plate.
     It contains 96 wells (8 rows and 12 columns).
     Wells are coated with antigen or antibody.
     It is used for ELISA test.
    CONICAL FLASK
    73
     It is made up of borosilicate glass.
     It is of different capacities (eg., 250ml, 500ml, 1000ml).
     It is used as container for media.
     It is sterilized by hot air oven.
    VDRL ROTATOR
     It is used in VDRL test.
     It is used for uniform mixing of antigen and antibody.
     It rotates at 180 rotations per minute.
    74
    ANTIBIOGRAM
     Mueller Hinton agar is commonly used.
     Antibiotic discs are placed on Mueller Hinton agar and incubated at 37 º C for 18-24 hrs.
     Diameter of zone of inhibition is measured and it is interpreted as sensitive or resistant by comparing the zone size using the zone size interpretative chart.
    UREASE MEDIUM WITHOUT REACTION
     Christensens urease medium is used to determine the ability of an organism to produce urease.
     Phenol red is used as an indicator.
     Yellow colour indicates negative test, eg. Escherichia coli.
    75
    UREASE MEDIUM WITH REACTION
     Christensens urease medium is used to determine the ability of an organism to produce urease.
     Phenol red is used as an indicator.
     Pink colour indicates positive test. eg. Kelbsiella pneumoniae, Proteus vulgaris.
    CITRATE MEDIUM WITH REACTION
     Simmons citrate medium is used to determine the ability of an organism to utilise citrate as the sole source of carbon for its growth.
     Bromothymol blue is used as an indicator.
     Blue colour indicates positive test. eg., Klebsiella pneumoniae, Citrobacter.
    76
    CITRATE MEDIUM WITHOUT REACTION
     Simmons citrate medium is used to determine the ability of an organism to utilise citrate as sole source of carbon for its growth.
     Bromothymol blue is used as an indicator.
     Green colour indicates negative test. eg. Escherichia coli.
    TSI MEDIUM
     It is a triple sugar iron medium.
     It is a differential medium.
     It is in the form of slant and butt which is of equal size in the test tube.
     It contains three carbohydrates- 10% glucose, 1% sucrose, 1% lactose.
     It contains ferric salts to detect Hydrogen sulphide production.
     It is sterilized by autoclave.
    77
    INDOLE TEST – POSITIVE
     It is used to determine the ability of an organism to produce indole from tryptophan
     Formation of red coloured ring on adding kovacs reagent indicates positive test. eg. Escherichia coli, Proteus vulgaris.
    INDOLE TEST- NEGATIVE
     It is used to determine the ability of an organism to produce indole from tryptophan
     Absence of red coloured ring on adding kovacs reagent indicates negative test. eg. Klebsiella pneumoniae.
    78
    TSI MEDIUM- K/NO CHANGE
     It contains alkaline slant and alkaline butt ( Pink / Pink in colour).
     It indicates glucose, lactose and sucrose are not fermented .
     Eg., Pseudomonas aeruginosa.
    TSI MEDIUM- A/A
     It contains acid slant and acid butt (yellow / yellow in colour).
     It indicates fermentation of glucose, lactose and sucrose.
     Eg. Escherichia coli, Klebsiella pneumoniae.
    79
    TSI MEDIUM-K/A
     It contains alkaline slant and acid butt ( pink / yellow in colour).
     It indicates that glucose is only fermented.
     Eg. Shigella, Salmonella.
    TSI MEDIUM- K/A WITH H2S
     It contains alkaline slant and acid butt (pink/yellow in colour) with abundant hydrogen sulphide production.
     Hydrogen sulphide production is detected by blackening of the medium.
     Eg. Proteus vulgaris, Salmonella typhi para B.
    80
    LACTOSE FERMENTING COLONIES ON MAC CONKEY AGAR
     Lactose fermenting colonies are seen as pink coloured colonies in Mac Conkey agar.
     Eg. Escherichia coli, Klebsiella pneumoniae.
    NON LACTOSE FERMENTING COLONIES ON MAC CONKEY AGAR
     Colourless colonies are seen in Mac Conkey agar.
     Eg.Salmonella, Shigella, Proteus, Vibrio, Pseudomonas.
    81
    PSEUDOMONAS IN NUTRIENT AGAR
     Bluish green pigment produced in nutrient agar.
     Pigment diffuses into the medium.
     Pigments produced by Pseudomonas are pyocyanin( bluish green), pyoverdin (greenish yellow), pyorubin (red), and pyomelanin (brown).
    STAPHYLOCOCCUS IN NUTRIENT AGAR.
     Golden yellow pigmented colonies produced in nutrient agar.
     Pigment does not diffuse into the medium.
    82
     The pigment is enhanced by incorporation of `1% glycerol monoacetate or milk in the medium
     The pigment is considered to be carotenoid.
    CLOSTRIDIUM TETANI
     Slender Gram positive bacilli with spherical terminal spore having characteristic drum stick appearance.
     It is an anaerobe which causes tetanus.
    ACID FAST BACILLI
     Slender and pink coloured rod shaped bacilli seen against blue back ground.
    83
     Eg. Mycobacterium tuberculosis.
    SUGAR MEDIA WITHOUT REACTION
     It is a liquid medium used for sugar fermentation reactions.
     This medium contains peptone, sodium chloride, water, bromothymol blue and any one sugar (glucose, lactose, sucrose, maltose etc) and durhams tube.
     Due to non fermentation of sugars pH is not altered and colour remains blue.
    SUGAR MEDIA WITH ACID
     It is a liquid medium used for sugar fermentation reactions.
    84
     This medium contains peptone, sodium chloride, water, bromothymol blue and any one sugar (glucose, lactose, sucrose, maltose etc) and durhams tube.
     Due to fermentation of sugars pH is altered to acidic side and colour has changed from blue to yellow
    SUGAR MEDIA WITH ACID AND GAS
     It is a liquid biochemical medium used for sugar fermentation reactions.
     This medium contains peptone, sodium chloride, water, bromothymol blue and any one sugar (glucose, lactose, sucrose, maltose etc) and durhams tube.
     Due to fermentation of sugars pH is altered to acidic side and colour has changed from blue to yellow.
     Gas production is seen as air bubbles in durhams tube.
    85
    GRAM POSITIVE COCCI IN CLUSTERS
     Spherical in shape and violet in colour.
     Cocci are found in grape like clusters.
     Eg. Staphylococcus aureus.
    GRAM NEGATIVE BACILLI
     Pink in colour and rod shaped.
     Scattered in arrangement.
     Eg. Escherichia coli.
    CANDIDA ALBICANS
    86
     Gram positive budding yeast cells.
     Germ tube test is positive.
     It is an opportunistic fungi causing oral thrush.
    MUCOR
     It has non septate hyphae.
     Sphorangiophores are sympodially branched.
     Sporangia are globose and brown to grey in colour and columella are ovoid and contain sporangiospores.
     Rhizoids are absent.
    87
    RHIZOPUS
     Rhizoids with four to eight radial branches are seen.
     Sporangiophores are seen singly and are unbranched and may be yellowish brown to dark brown in colour.
     Sporangia may be gray beige to black in colour.
     Sporangia contains sporangiospores.
    TEANIA- SCOLEX
     Commonly called head.
     It is globular or quadrate in outline.
     It has four circular suckers.
     May or may not provided with rostellum and double row of hooklets.
    88
    TEANIA- PROGLOTTIDS
     It is an individual segment comprising the complete unit of tapeworm.
     According to its sexual maturity, a segment may be immature (reproductive organs are not differentiated) , mature ( reproductive organs appeared) and gravid (uterus filled with eggs).
     The common genital pore is situated marginally near the posterior end.
     The testes are numerous and the number of ovary is two.
    FASCIOLA HEPATICA.
     It is commonly known a liver fluke.
     It is large leaf shaped fluke.
     It contains two suckers- oral and ventral.
    89
    ENTEROBIUS VERMICULARIS.
     It is commonly known as pin worm, thread worm or seat worm.
     It is more or less spindle shaped and resembles a short piece of thread.
     In both male and female, a pair of cervical alae is present.
     Double- bulb oesophagus is a characteristic feature.
    HYDATID CYST
     It is the larval stage of Echinococcus granulosus.
     It contains many brood capsules and small protoscolices.
     Each protoscolex contains a scolex which represents the future head of the adult worm.
     The cyst wall of hydatid cyst consist of two layers- outer cuticular layer, which is a hyaline laminated membrane and inner germinal layer.
    90
     Hydatid cyst contains hydatid fluid which is secreted by germinal layer.
    ASCARIS LUMBRICOIDES
     Common name- Round worm.
     It is the largest intestinal nematode.
     Adult worms live in the lumen of small intestine.
     It is light brown or pink in colour.
     In shape it is rounded and tapers at both ends, the anterior end being thinner than posterior.
     Infection in man is known as ascariasis.
    TAPEWORM
     They are long , segmented and tape like hence known as tapeworm.
     They are flattened dorsoventrally.
     Sexes are not separate, that is hermaphrodite (monoecious).
     Adult worm contains head or scolex, neck and strobili consisting of proglottids.
    91
     Head end contains suckers, often with hooks.
     Alimentary canal and body cavity are absent.
    ENTEROBIUS VERMICULARIS
     It is commonly known as pinworm, thread worm, seat worm.
     Adult worms (gravid females) live in the caecum and vermiform appendix.
     It is small, more or less spindle-shaped and white in colour.
     In both male and female a pair of cervical alae is present at the anterior end.
     Double-bulb oesophagus is a characteristic feature of this nematode.
    92
    CERCARIA
     It is the final stage of larval development of trematodes in the mollusc. It possess a body and tail.
     According to the nature of tail different names are given. Eg Fork tailed (as in Schistosomes).
    TUBERCULIN SYRINGE
     Tuberculin Syringe is a small syringe with fine needle that hold upto one half to one cubic centimeter of fluid.
     It is used to administer antigen under the skin and perform tuberculin test.
     It is sterilized by gamma radiation.
    DEPRESSION SLIDE
     It is used for hanging drop preparation.
     It is used to demonstrate motility of the organism.
    93
    VDRL SLIDE
     It has 12 concavities.
     It is used to perform VDRL test to diagnose syphilis.
     It is a slide flocculation test.
    ASPERGILLUS FLAVUS
     It has hyaline septate hyphae.
     Conidiophores are thick walled, hyaline and coarsely roughened.
     Vesicles are large and globose.
    94
     They are produced over most of the vesicle.
     Conidia are unicellular and typically globose.
    ASPERGILLUS NIGER
     It has hyaline septate hyphae.
     Phialides are biseriate covering entire vesicle, form radial head.
     Conidiophores are wide hyaline changes into brown tint .
     Vesicles are spherical.
     Conidia are black in colour.
    ASPERGILLUS FUMIGATUS
     It has hyaline septate hyphae.
    95
     Phialides are single( uniseriate), usually cover upper half of the vesicle, parallel to the axis of stalk.
     Conidiophores are smooth walled, they may be light green or brown.
     Vesicle is flask shaped.
     Conidia are green in colour.
    PENCILLIUM
     It has hyaline septate hyphae.
     Conidiophores are branched with two rows of sterigmata bearing chains of spores, the appearance is like brush.

  • DNB Last 15 Years Important-Questions System Wise (Diplomate of Nationa Board) Under NBE

    We uploaded DNB Latest  last 15 years Important-Questions Unit Wise (Diplomate of Nationa Board) Under NBE – National Board Of Examination

     

    DNB Diplomate-of-Nationa-Board Important-Questions Regulation

    DNB Important Notes Last 15 Years Unit Wise            Download

     

    ABDOMEN

    1. Differential diagnosis of mass in right iliac fossa. [JUL 98]
    2. Describe the role of CT in acute abdomen. [JUL 99, 02]
    3. Role of USG in acute abdomen. [02]
    4. Superior mesenteric artery syndrome.
    5. Sonographic findings in abdominal tuberculosis.
    6. Retroperitoneal fibrosis.
    7. Describe imaging in a 5 years old child presenting with lump in Right lumbar region. [JAN 01]
    8. Imaging in blunt abdominal trauma. [02]
    9. Prune belly syndrome. [DEC 02]
    10. MDCT application in abdomen. [02]
    11. CT in Acute abdomen. [DEC 03]
    12. Abdominal trauma . [JUN 04]
    13. Imaging of Retroperitonium . [DEC 05]
    14. MRI-imaging of Retroperitoneum. [JUN 06]
    15. Imaging in retroperitoneal fibrosis. [JUN 07]
    16. Role of plain radiography in acute abdomen.
    17. Imaging in 9 year old girl presenting with right lower quadrant pain. [09]
    18. Draw of neat line diagram of perinephric spaces including its relationship with other spaces. Write CT features of perinephric abscess and urinoma. [June 2008]
    19. Enumerate various causes of Para vertebral masses and their imaging features. [Jul 10]
    20. Enumerate causes of pain in right iliac fossa i 20 yr old married female. Discuss the role of USG and CT scan in evaluation in this case [June 2011]
    21. Enumerate the causes of mechanical small bowl obstruction in an adult. Describe the differentiating features of small and large bowel obstruction on plain radiography. Briefly discuss the role of CT in mechanical small bowel obstruction. [Dec 2012](3+2+5)
    22. Briefly describe the etiopathology and imaging findings of ileocecal tuberculosis. Discuss the features that are useful to differentiate it from Crohn”˜s disease. [Dec 2012](3+2+5)
    23. Enumerate various causes of acute pancreatitis. Briefly discuss various terms used in description of imaging findings of acute pancreatitis and indicating it”˜s severity. [Dec 12](2+6+2)
    24. Briefly discuss the development of midgut. Describe the imaging findings of midgut malformation and midgut volvulus on various imaging modalities. [3+3+4 Dec 12]
    25. A 40 year old male presents with a lump in the RIF. What would be your approach as a radiologist to help come to a diagnosis? Discuss the characteristic radiological features of any 3 pathologies, presenting with right iliac fossa lump. [1+9 Jun 13]
    26. Discuss the DD in a 38 year old male presenting with RIF lump, lassitude and altered bowel Depict the conventional imaging findings in intestinal TB. [4+6 Dec 13]
    27. Briefly describe the role of imaging in the following: a) Neuroendocrine tumors of pancreas b) Small bowel lymphoma. [5+5 Dec 13]
    28. Enumerate the causes of a palpable lumbar mass in a 5-yr-old child. Discuss the algorithmic approach you would use to arrive at diagnosis in this case. [2+8 June 14]
    29. Enumerate the causes of pneumoperitoneum with peritonitis in a 30 yr old male patient. Describe the findings which can be seen in supine abdominal radiograph in a case of

     

    pneumoperitoneum. Discuss the CT findings which may be seen in bowel ischemia due to acute superior venous thrombosis. [2+2+6 June 14]

    1. A 10 yr old female child presents to the emergency department with acute onset RIF pain. Enumerate possible causes. Discuss the radiological work up highlighting imaging findings in 2 common conditions. [2+8 June 14]

    31.A 27 yr old married woman presents to emergency room with sudden onset of severe pelvic pain. Enumerate possible causes. Discuss the role of imaging in this case. Describe the findings in 2 common conditions which may cause above symptoms. [2+2+4 June 14]

    1. Abdominal radiograph shows pneumointestinalis in a 55 yr old male patient. Enumerate various causes. Describe the role of MDCT and imaging features in 2 such conditions. [2+8 Dec 14]

    33.Imaging evaluation in a 13 year old girl presented with acute right lower quadrant pain. [10 Dec 15]

    ADRENALS

    1. CT features in adrenal tumours. [JAN 97]
    2. [JUL 97, JUN 04]
    3. Total evaluation techniques for adrenal disease . [JUN 06]
    4. Classify adrenal tumors and role of CT and MRI in evaluating them. [DEC 07/09]
    5. CT and MRI anatomy of Adrenal glands and normal variants. [09]
    6. a) What are the various causes of b/l adrenal masses? b) Characteristic features in different imaging modalities in two such causes. [2+2+4 June 15]

    ANATOMY

    1. Anatomy of urethra. [Jan 97]
    2. Segmental anatomy of liver and its importance. [JUL 97]
    3. Cross-Sectional labeled diagram of Peritoneal Spaces at level of renal hila. [JUL 98]
    4. Cross Sectional Anatomy of Supra Renal level. Enumerate the hormones elaborated by zones of the Supra renal glands.
    5. Anatomy of Maxillary sinus and classification of various pathologic diseases.
    6. Radiological anatomy of Mediastinum.
    7. Anatomical boundaries of Ant. mediastinum- Role of CT in detection & diagnosis

    of anterior Mediastinal Masses.

    1. Radiological anatomy of Sella turcia and imaging features of suprasellar masses. [JUL 99/Dec 2010]
    2. Describe the anatomy of Gastro-oesophageal junction and imaging of hiatus hernia. [JAN 00]
    3. Segmental anatomy of Lungs. [JAN 01, 02,10]
    4. Orbit [DEC 02]
    5. Temporal bone and Internal Auditory Canal.
    6. Middle ear.
    7. Neck space CT anatomy. [JUN 04]
    8. CSF pathways.
    9. Blood brain barrier. [DEC 05]

     

    1. Describe normal Anatomy of Knee as seen on MRI. [09]
    2. Describe the normal anatomy of coronary arteries and discuss the role of MDCT in coronary artery diseases. [09]
    3. Lymphatic drainage of Lungs.
    4. Embryology of Gastrointestinal Tract.
    5. Embryology of Genitourinary Tract.
    6. Embryology of Diaphragm.
    7. Radiological anatomy of Larynx and Pharynx.
    8. Anatomy and lesions of parapharyngeal spaces.
    9. Radiological anatomy of duodenum and relations.
    10. Radiological anatomy of pancreas.
    11. Peritoneal ligaments and mesentries (pathways of intra-abdominal disease spread).
    12. Blood supply of large intestine.
    13. Radiological anatomy of carotid artery and branches.
    14. Anatomy of the Biliary tree and investigations for evaluation.
    15. Anatomy of the Circle of Willis with Diagram. Enumerate the causes of Subarachnoid [2010]
    16. Describe the Embryology and development of pancreas. Describe the imaging features of any one important congenital anomaly of pancreas. [2010]
    17. Draw a labeled diagram of Bronchopulmonary segments on CHEST PA and Lateral radiograph of LEFT LUNG. [Dec 10]
    18. Describe anatomical variations in Circle of Willis with the help of a diagram. Enumerate the sites of intracranial aneurysm. [Dec 2010]
    19. Describe the basis of Hepatic segmental anatomy. Draw a diagram to depict various hepatic [Dec 2010]
    20. Describe the embryogenesis of human urinary system using labelled diagram. briefly discuss the basis of any 3 congenital defects of kidney. [June 11]
    21. Describe with help of labeled diagram-vascular anatomy of testes. Explain briefly its clinical relevance in imaging of testicular malignancies. [June 11]
    22. Draw a neat line diagram of perinephric space including its relationship with other spaces. Write CT features of perinephric abscess and urinoma. [4+3+3 June 13]
    23. Briefly discuss with diagram the anatomy of Circle of Willis. What are the cause of Sub Arachnoid hemorrhage?. Discuss the role of imaging in a case of SAH. [3+3+4 June 13]
    24. Describe with suitable diagram(s) the anatomy of peri and paranephric spaces. Enumerate tumors of perinephric spaces. Describe imaging features in any one of these. [4+2+4 Dec 13]
    25. Draw a neat diagram showing the anatomy of retroperitoneum. What are various conditions affecting perinephric space. Describe the imaging features in three such conditions. [2+2+6 Dec 14]

    BREAST

    1. Breast Masses. [DEC 02]
    2. Indications of X-ray mammography, Sonography and MRI of Breast. [02]
    3. Discuss the recent advances in Mammography. [02]
    4. Mammographic features of Carcinoma Breast. [02]
    5. Sonography in solid breast masses. [June 08]

     

    1. Benign breast disease . [JUN 04]
    2. MRI in malignant breast lesions. [09]
    3. Conventional mammography techniques.
    4. X-ray Mammographic tube and Breast mammographic views. [DEC 06]
    5. [DEC 05, JUN 06]
    6. Mammographic Tube & Mammography equipment. [JAN 00, DEC 04, JUN 09]
    7. Discuss about mammography X-ray unit. [09]
    8. Recent developments in mammography X-ray tube. [09]
    9. Computer aided detection (CAD) in Mammography. [09]
    10. Screening mammography “” Current status. [09 and repeated on Dec 14]
    11. Describe BIRADS classification. [09]
    12. Ultrasound Elastography in Breast lesions. [09]
    13. Describe imaging features of Breast cancer on Mammography, US and MRI. Briefly outline approach (by flow chart) in BIRADS 4 lesion. [June 2011]
    14. Discuss the current indications of MRI in breast cancer evaluation. Discuss MRI features of breast cancer. [5+5 Dec 11]
    15. Describe the various mammographic techniques in brief, types of mammographic euipments available & current recommendations for its use fr routine screening. [4+3+3 Dec 11]
    16. Briefly describe diffusion protocol for MRI breast & characterization of benign and malignant breast lesion. [ 2x2x4 Dec 11]
    17. Briefly describe the components if BIRADS system used for reporting of mammograms. Describe the indications and findings of various breast lesions on MRI. [4+2+4 Dec 12]
    18. Describe imaging features of Breast cancer on Mammography, US and MRI. Briefly outline approach (by flow chart) in BIRADS 4 lesion. [Dec 14] (repeat from June 11)
    19. a) BIRADS classification. b) Imaging features of Phyllodes tumour on mammography, uItrasound and MRI. [4+(2+2+2) Dec 15]
    20. Role of MRI in the evaluation of breast masses. [10 Apr 16]

    BIOSTATISTICS

    1. Write short notes on: [4+2+2+2 Jun 12]

    A.What is p value? What is its significance & clinical applications in research?

    1. Sensitivity
    2. Specificity
    3. Positive and negative predictive value.

    CARDIOVASCULAR SYSTEM

    1. Doppler ultrasound versus MR angiography of carotid vessels. [JAN 97]
    2. Cardiac and pericardial calcification.
    3. Role of plain skiagram chest in the diagnosis of pulmonary Hypertension. [JUL 97]
    4. Scimitar syndrome. [JUL 97, DEC 06/07]
    5. Pathogenesis of ASD. [JUL 97, 98]
    6. Atrial myxoma. [JUL 98]
    7. Amyloid heart diseases. [98]

     

    1. Imaging of the extracranial carotid arteries.
    2. Pathogenesis and classification of Dissecting Aneurysm of Aorta.
    3. Coarctation of aorta. [JUL 99; DEC 02,03]
    4. Role of doppler study in lowest extremity arterial disease.
    5. Imaging in aorto-arteritis. [JAN 00, DEC 02]
    6. Causes and imaging features of pericardial effusion. [JAN 01]
    7. Abdominal aortic aneurysm.
    8. Role of Doppler in peripheral arterial diseases.
    9. MRI in cardiac disease. [DEC 02]
    10. Tetralogy of Fallot. [02]
    11. Pulmonary Stenosis. [02]
    12. Imaging in ischaemic heart disease. [DEC 03]
    13. Aortic Dissection. OR Imaging and Intervention in Aortic dissection [DEC 02/03/09]
    14. Chest X-ray in CHD. [JUN 04]
    15. Plain X-ray cardiomyopathy
    16. MRI in Cardiac Imaging [DEC 04/09]
    17. Pathophysiology & imaging of Mitral valve disease. [DEC 04, JUN 05]
    18. Congenital anomalies of aortic arch and major branches.
    19. Coronary imaging.
    20. Aortic aneurysm and interventions. [JUN 05, DEC 05/06]
    21. Superior Vena Cava obstruction.
    22. Total anomalous pulmonary venous drainage. [DEC 02/05/07]
    23. Doppler evaluation of deep veins of leg.
    24. Takayasu”˜s disease or Non-specific aortoarteritis. [JUN 05/06/07]
    25. Left to right shunts/Extracardiac Left to Right shunts.[05/06]
    26. Enlarged Left atrium. [06]
    27. Ebstein”˜s anomaly. [JUN 07, DEC 09]
    28. Radiological approach in Cyanotic heart disease. [DEC 07]
    29. Describe the normal anatomy of Cornonary arteries and discuss the role of MDCT in coronary artery disease. [June 2008]
    30. Causes & imaging features of constrictive pericarditis. [DEC 09]
    31. Enumerate congenital anomalies of IVC. Comment on role of MR I in their diagnosis. [09]
    32. MRI of cardiac tumors. [09]
    33. Enumerate various types of transposition of great vessels. Describe imaging features of total anomalous pulmonary venous drainage. [09]
    34. Interventional management of deep vein thrombosis. [09]
    35. Imaging in Intermittent claudication of Lower limb. [02]
    36. Imaging in 14 years old with hypertension. [09]
    37. Describe diagnostic features on chest radiograph which can help in evaluation congenital heart disease. [09]
    38. Imaging of PDA. [09]
    39. Assessment of correctness of positioning of various catheters and tubes as seen on chest radiographs. [09]
    40. Cardiac CT. [09]
    41. Discuss the role of MR in evaluation of pericardium and its pathologies. [June 2008]
    42. What are the causes of pulmonary venous hypertension? Describe plain X-ray findings in

     

    pulmonary venous hypertension. [09]

    1. Radiological approach in Acyanotic heart disease. [09]
    2. Total Anomalous Pulmonary Venous drainage. [09]
    3. Imaging features on chest radiograph of various acyanotic congenital heart diseases. [2010]
    4. Classify peripheral vascular malformation. Describe sonographic color doppler, MRI and angiographic features of venous malformation. Mention suitable embolic material for their interventional management. [Dec 2010]
    5. Enumerate various tumors of heart. Describe the imaging features of myxoma of heart. [Dec 2010]
    6. Describe the venous anatomy of lower limb with the help of a diagram. Describe the technique of color doppler imaging of lower limb veins and imaging features of deep Vein thrombosis. [Dec 2010]
    7. Describe the radiological findings of Coarctation of aorta on plain radiograph, barium contrast study, DSA and MRI . Briefly describe role of interventional radiology in it. [June 2011]
    8. Describe plain radiographic findings in Rheumatic heart disease in Mitral Stenosis. Mitral regurgitation with mitral stenosis & Aortic stenois. [June 2011]
    9. Classify aortic dissection. Describe the role of CT angiography in diagnosis and management of aortic dissection. [2+5+3 Dec 11]
    10. Enumerate causes of acute chest pain in an elderly patient. Briefly describe CT findings in 3 common likely conditions. [1+3+3+3 Dec 11]
    11. Classify congenital cardiac abnormalities. Briefly discuss abnormalities of Situs and Looping (or topology) with their imaging features. [2+4+4 Jun 12]
    12. Define truncus arteriosus. Mention its types and characteristic features of its various types. Briefly describe its chest radiographic, echocardiographic and MRI findings. [2+2+2+2+2 Jun 12]
    13. Enumerate causes of unilateral and bilateral inferior rib notching. Describe chest radiographic, CT chest and angiographic findings in Coarctation of Aorta. Briefly discuss role of interventional radiology inmanagement of Coarctation of Aorta. [2+(2+2+2)+2 Jun 12]
    14. How will you radiologically investigate a 60 year old hypertensive & diabetic female presenting with severe chest pain of acute onset? Briefly discuss imaging features of the most common cause for it. Also describe role of radiology in its complications. [3+5+2 Jun 12]
    15. Classify right sided aortic arch abnormalities. Draw suitable diagrams to describe these Discuss imaging features in dysphagia lusoria. [2+5+3 Jun 12]
    16. Enumerate causes and briefly describe the role of imaging in diagnosis and management of thoracic aortic aneurysm in a patient below the age of forty years. [2+4+4 Dec 12]
    17. Enumerate the radiographic features of enlarged right atrium and enlarged left atrium. Briefly describe lung field changes in case of mitral stenosis [2+3+5 Dec 12]
    18. Briefly describe the anatomy of the pericardium. List various causes and imaging findings in a case odd constrictive pericarditis. [2+2+6 Dec 12]
    19. Describe the arterial anatomy of carotid vascular system with the help of labeled diagrams. Discuss the role of ultrasound & color Doppler imaging in evaluation of extra cranial carotid occlusive disease. [2+2+6 Dec 12]
    20. Enumerate the indications of MDCT coronary angiography. Describe the methods to reduce the radiation dosage to patients during performance of MDCT coronary angiography. [2+8 Dec 12]
    21. Enumerate the causes of left atrial enlargement. Discuss its findings on chest radiograph.

     

    What other imaging techniques will be useful in making the diagnosis? Briefly highlight the significance of each. [2+3+2+3 Jun 13]

    1. What is Eisenmenger Syndrome? Enumerate the conditions that may produce this syndrome. Discuss its key radiological features. [2+2+6 Jun 13]
    2. Enumerate any four clinical conditions which produce a left to right cardiac shunt. Discuss the key radiological features in any two. What would be the radiographic signs of the possible hemodynamic complications, if the condition remains untreated?. [2+3+3+2 Dec 13]
    3. Enumerate the radiologically-evident pericardial afflictions on a chest radiograph. Described their key radiological findings. (2+8 Dec 13)
    4. Discuss the diagnostic approach in a 7 year old boy presenting with a progressive pulsatile swelling in the right forearm. Describe the imaging findings with Doppler and MRI. [3+3+4 Dec 13]
    5. Discuss the pathophysiology of venous incompetence in lower extremity. What are common locations of perforators? Describe technique & imaging features in Doppler examination of venous incompetency in lower extremity. [2+3+5 Dec 13]
    6. What are the indications of coronary CT angiography? Describe the techniques of performing coronary CT angiography. What do you understand by Calcium score and what is its clinical relevance? [2+5+3 Dec 13]
    7. Enumerate the causes of Aortic aneurysm in a 30 yr old male patient. How will you differential b/w these various causes? Discuss the findings & information you shall highlight in a case which is to be manages using an aortic stent graft. [2+5+3 June 14]
    8. Enumerate the various causes of bilateral weak femoral arterial pulsations in a 20 year old female patient. Describe the imaging findings in any two important causes. [2+4+4 June 14]
    9. Define and enumerate causes of restrictive cardiac diseases. Discuss the role of various imaging modalities along with imaging features in two such diseases. [1+2]+[3+4 Dec 14]
    10. A 50 yr old male patient in emergency with acute chest pain. Discuss the likely causes and approach to diagnose such patients. Discuss the role of CT angiography in these patients. [5+5 Dec 14]
    11. a) Doppler assessment of AV fistula of hemodialysis access. b) Role of MDCT in cyanotic heart disease [5+5 Dec 14]
    12. a) Vascular compression syndromes in abdomen and pelvis [5 Dec 14]
    13. a) Role of different imaging modalities in evaluation of a case of limb ischemia. b) Role of interventional procedures in these patients. [5+5 June 15]
    14. a) Enumerate causes of thoracic aortic aneurysm. b) Role of CT angiography in the diagnosis and management of aortic dissection. [June 15]
    15. a) Define pulmonary hypertension b) Enumerate its causes and describe the imaging findings [June 15]
    16. a) Venous anatomy of lower limb with the help of a diagram. b) Technique of colour doppler imaging of lower limb veins and imaging features of DVT [June 15]
    17. a) Enumerate various heart diseases with cyanosis and increased pulmonary circulation b) Imaging features in any two such diseases. [June 15]
    18. Imaging features and interventions in vein of Galen aneurysmal malformation. [5+5 Dec 15].
    19. a) What is truncus arteriosus? b) Its classification, imaging features on chest X-ray echocardiography and MRI. [2+(2+2+2+2) Dec 15]
    20. a) Enumerate the causes of SVC obstruction. b) Its pathophysiology and imaging features. [3+(3+4) Dec 15]

     

    1. a) Pathophysiology of venous incompetence in lower extremity. b) What are common locations of Perforators? c) Colour Doppler findings and interventions of venous incompetency in lower limb. [2+2+(3+3) Dec 15] [Repeat from Dec 2013]
    2. a) Role of ultrasound in the evaluation of a suspected vascular malformation. b) Role of interventional radiology in low flow vascular malformations. [5+5 Apr 16]

    CHEST

    1. Describe briefly the pathophysiology of Pulmonary Embolism. Give in detail the imaging modalities for diagnosis of this entity and their relative merits and demerits. [JAN 97]
    2. Wegner”˜s granulomatosis [JAN 97, JUN 07]
    3. Pathogenesis and imaging of pulmonary sequestration. [JAN 97, DEC 02, JUN 06, 10]
    4. Role of imaging in bronchogenic carcinoma. [JUL 97]
    5. Discuss in brief the differential diagnosis of mediastinal masses and their radiological
    6. Alveolar Proteinosis. [98]
    7. Anterior mediastinal mass lesions. [02]
    8. Anterior mediastinal masses in children. [09]
    9. Imaging of posterior mediastinal masses. [JUL 99, DEC 03]
    10. Pleural tumours. [JUL 98]
    11. Diagnosis of pulmonary infarction.
    12. Pulmonary oedema. [JUL 99, 02]
    13. Adult Respiratory Distress Syndrome (ARDS). [JUL 99, DEC 02]
    14. [JUL 99, DEC 04]
    15. Differentiating features of intra and extralobar sequestration of lung. [JAN 00]
    16. Pulmonary plethora and its distinctive features.
    17. MRI in bronchogenic carcinoma.
    18. What are clinical applications of CT in evaluation of non-neoplastic lung diseases?

    [JAN 01]

    1. Pan-acinar Emphysema. [02]
    2. Tracheoesophageal fistula. [DEC 02]
    3. Evaluation and DD of Hilar Mass. [02]
    4. Solitary Pulmonary nodule. [02]
    5. Metastatic tumors of Lung. [02]
    6. [02]
    7. Bronchopulmonary Aspergillosis. [02]
    8. Ground glass opacity HRCT- Significance and DD. [DEC 02, 03]
    9. Unilateral opaque hemithorax. [02]
    10. Unilateral Hyperlucent hemithorax. [06]
    11. Pulmonary thromembolism. [DEC 03, JUN 06]
    12. Imaging in acute chest trauma. [02]
    13. Lung lesions in AIDS. [98]
    14. Atypical Pneumonia. [JUN 03]
    15. HRCT in ILD . [JUN 04]
    16. Pulmonary lesions in AIDS .
    17. Eventration of diaphragm . [DEC 04]

     

    1. Pulmonary Aspergillosis .
    2. Hyaline membrane disease. [DEC 05]
    3. Imaging in central bronchogenic carcinoma .
    4. Radiology of primary pulmonary Koch”˜s. [02, JUN 05,06]
    5. Salient features of radiology of pulmonary metastases .
    6. Raised left Dome of Diaphragm.
    7. Radiological feat. in Congenital Cystic Adenomatoid Malformation of the lung. [JUN 07]
    8. Role of chest radiograph and CT chest in AIDS. [DEC 07/09]
    9. Anterior mediastinal masses in children.
    10. Anterior Mediastinal Masses. [02]
    11. Azygos lobe.
    12. What are the causes of pulmonary venous hypertension?. Describe plain X-ray findings in pulmonary venous hypertension. [June 08]
    13. Discuss pathophysiology and imaging features in respiratory distress in newborn. [June 08]
    14. Imaging in pulmonary the thrombo-embolism. [09]
    15. MDCT & Scintigraphic evaluation of pulmonary embolism. [09]
    16. Enumerate causes of usual interstitial pneumonitis. Describe HRCT Endings in idiopathic pulmonary fibrosis.
    17. Discuss in detail imaging features of thoracic lymphoma. [June 08]
    18. CT features of Thoracic Lymphoma. [09]
    19. Imaging of extra nodal presentations of non Hodgkin lymphomas. [09]
    20. Role of imaging in a new born with respiratory distress. [06,09]
    21. Discuss pathophysiology and imaging features in respiratory distress in newborn. [09]
    22. HRCT in Diffuse lung disease. [06]
    23. HRCT in occupational lung diseases. [09]
    24. HRCT in pulmonary tuberculosis. [09]
    25. Role of chest radiography in emergency situations. [June 2008]
    26. DD and imaging features of para-vertebral shadow. [2010]
    27. Describe the role of MDCT in staging of carcinoma of lung. [2010]
    28. Imaging findings in germ cell tumor of the mediastinum and discuss in brief the DD. [2010]
    29. Radiological findings of the Pulmonary complications of HIV infections. [2010]
    30. Describe the chest radiograph and HRCT findings in Sarcoidosis. [09, Dec 10]
    31. Describe etiopathogenesis, common causes, plain film and CT features of lymphangitis [June 2011]
    32. Describe plain radiographic and CT findings of rt. upper lobe pulmonary collapse. [June 11]
    33. Discuss the role of CT and MRI in staging of lung cancer. [June 2011]
    34. Describe the radiological findings of pulmonary complications in pts infected with HIV. [June 11]
    35. Classify diaphragmatic hernias. Describe the radiological means to establish the diagnosis with relevant imaging findings. [June 11]
    36. Enumerate various germ cell tumors of mediastinum. Discuss their imaging features. [3+7 Dec 11]
    37. Enumerate the causes of Acute Respiratory Distress Syndrome. Give in detail and management of aortic dissection. [3+7 Dec 11]
    38. Discuss the etiopathogenesis, imaging features & DD of silicosis. [3+4+4 Dec 11]
    39. Define pulmonary sequestration. Describe its types & discuss CT findings and role of

     

    angiography in it. [2+1+4+3 Dec 11]

    1. Enumerate causes of unilateral hyper-translucency on chest radiograph. Briefly describe plain radiographic and CT findings in a 5 year old child presenting with repeated chest infection and detected to have unilateral hyper-translucency on chest radiograph. [2+4+4 Jun 12] 76.Classify pleural tumours. Briefly discuss chest radiographic & CT findings of malignant mesothelioma. [3+3+4 Jun 12]
    2. Enumerate various diseases caused by inhalation of inorganic dust. Briefly describe chest radiographic and CT findings of two most common such diseases. [2+4+4 Jun 12]
    3. How do pulmonary arteriovenous malformation present clinically? Discuss their chest radiographic, CT chest and angiographic findings. Briefly mention role of interventional radiology in their treatment. [2+(2+2+2)+2 Jun 12]
    4. A 25 year old male presented with life threatening haemoptysis. Draw an algorithm to outline management of such a case. Discuss in brief role of chest radiograph, CT scan (with newer advances) and role of interventional radiology. [2+(2+4+2) Jun 12]
    5. Enumerate the causes of superior vena cava syndrome in an adult. Briefly describe the role and findings of various imaging modalities in a case of central bronchogenic carcinoma. [2+8 Dec 12]
    6. Describe various HRCT lung findings seen in interstitial lung disease with the help of Describe HRCT features of usual interstitial pneumonia. [6+4 Dec 12]
    7. Enumerate various causes of respiratory distress in a new born. Briefly describe imaging findings in congenital lobar emphysema and pulmonary sequestration. [2+4+4 Dec 12]
    8. Enumerate the causes of hemoptysis in an adult patient. Briefly discuss the indications, techniques and complications of radiological interventions in this conditions. [2+2+4+2 Dec 12]
    9. Define pulmonary edema. What is its pathophysiology? Enumerate its causes. Describe the plain radiographic findings in pulmonary edema. [1+2+3+4 Jun 13]
    10. Write imaging findings of the following: a) Bronchial Carcinoid b) BOOP c) McLeod”˜s
    11. Define Sarcoidosis. What are the various stages of thoracic Sarcoidosis? Discuss the radiological manifestations of thoracic Sarcoidosis [2+2+6 Jun 13]
    12. What do you understand by the term “—extramedullary hematopoesis”˜? Enumerate its causes. Discuss its plain plain film and cross sectional imaging findings. [2+2+3+3 Jun 13]
    13. Discuss briefly the pathophysiology of pulmonary embolism. Give in detail the imaging modalities for diagnosis of this entity & their relative merits & demerits. [4+4+1+1 Jun 13]
    14. State the radiological basis of differentiating a mediastinal mass from an intrapulmonary How would you localize the compartment of a mediastinal lesion? Discuss briefly the differential diagnosis of mediastinal lesions in anterior compartment. (2+3+5 Dec 13)
    15. A 65 year-old chronic smoker presents with hemoptysis. The chest radiograph shows a well-defined cavitating intrapulmonary mass with spiculated margins in the left upper zone. How would you further evaluate this patient and determine the extent of disease? What would be the signs you would look for to decide if the lesion is operable? [8+2 Dec 13]
    16. Describe the changes on a chest radiograph in collapse of different lobes in both lungs. [10 Dec 13]
    17. Radiological findings in: a) Sequestration of lung b) Pulmonary hypertrophic [5+5 Dec 13]
    18. Define SPN. Enumerate its causes. Discuss the radiological work up of a solitary nodule highlighting the features which enable to differentiate b/w benign and malignant nodules. [1+2+7

     

    June 14]

    1. A 30-yr-old female patient presented with h/o cough and one episode of hemoptysis. Her chest radiograph showed a cavitatory lesion measuring 3 cm in left mid zone. Enumerate the possible causes. How will you proceed with radiological evaluation in this case? [2+8 June 14]
    2. Name the anatomical structures which contribute to the hilar shadow seen on a frontal chest Enumerate the causes of unilateral large hilum in a 50 yr old male. Describe the imaging findings in any 2 pathological causes. [2+2+3+3 June 14]
    3. A 20-yr-old female with history of fever showed an anterior mediastinal and right hilar mass on chest radiograph. Enumerate the causes. Discuss the radiological finding which shall help you in formulating your differential diagnosis. Describe in brief features which are useful in differentiating Hodgkin”˜s disease and non-Hodgkin”˜s lymphoma. [2+6+2 June 14]
    4. Describe the radiological anatomy of diaphragm. Enumerate various types of diaphragmatic Discuss the imaging findings in any two hernias which can be seen in a 40 yr old patient. [3+1+3+3 June 14]
    5. Enumerate causes of cystic mediastinal lesions. Describe imaging features of any 2 [2+4+4 Dec 14]
    6. a) Castleman”˜s disease b) Role of Dual energy CT in pulmonary embolism. [5+5 Dec 14]
    7. Enumerate causes of solitary pulmonary nodules. Discuss the role of various newer imaging techniques in assessment of these lesions. [2+8 Dec 14]
    8. Discuss various chest complications in a post-operative patient. Describe in detail imaging features in any two conditions. [4+3+3 Dec 14]
    9. A 55 yr male patient presents with left opaque hemithorax. Enumerate the likely causes and discuss the imaging features in two common conditions. [2+4+4 Dec 14]
    10. Discuss various types of aortic aneurysms. Described various modalities to investigate such patients with advantages and disadvantages of each. Discuss briefly role of interventional [2+6+2 Dec 14]
    11. a) Takayasu”˜s arteritis b) Role of RFA in chest tumors. [5+5 Dec 14]
    12. Etiopathogenesis, clinical forms, complications and radiological features of silicosis. [June 15].
    13. a) Causes of mediastinal lymphadenopathy. b) Role of imaging in their differentiation. [June 2015]
    14. An adult male presents with recurrent chest infections and a cavitating lung lesion in left lower zone in a chest radiograph. Discuss the differential diagnosis and imaging features in two most likely causes. [June 2015]
    15. Causes of pleural masses and their imaging features. [June 2015]
    16. a) Anatomic location and patterns of diaphragmatic rupture. b) Role of imaging in its [June 2015]
    17. a) Enumerate pulmonary manifestations in patients with HIV. b) Chest X-ray and CT features in Pneumocystis carinii pneumonia. [3+(3+4) Dec 15]
    18. Radiological features of: a) McLeod”˜s Syndrome b) Vanishing Lung Syndrome c) Scimitar [3+3+4 Dec 15]
    19. Pathophysiology, imaging features, complications and differential diagnosis of Respiratory Distress Syndrome of New born. [2+3+2+3 Dec 15]
    20. Role of CT and MRI in staging of lung cancer. [5+5 Dec 15] [Repeat from June 11]
    21. a) Antenatal diagnosis of congenital. diaphragmatic hernia. b) Imaging findings in gestational trophoblastic disease. [5+5 Dec 15]

     

    1. a) Enumerate various pathologies which can be found in posterior mediastinum. b) Imaging findings of posterior medistinal tumors in children. [3+7 Apr 16]
    2. a) Chest radiographic findings of pulmonary edema.
    3. b) Radiological differences between cardiogenic and non-cardiogenic pulmonary edema. [6+4 Apr 16]
    4. a) Enumerate etiologies of diffuse cystic lesions of lung. b) Radiological findings in any two of them. [2+4+4 Apr 16]
    5. a) Enumerate the causes of hemoptysis. b) Role of interventional radiology in its [2+8 Apr 16]
    6. Causes and imaging findings in a neonate presenting with respiratory distress. [10 Apr 16] (Repeat from Dec 15)
    7. a) Define solitary pulmonary nodule and enumerate its causes. b) Role of dynamic CT in the evaluation of solitary pulmonary nodule. [1+4+5 Apr 16]

    CONTRAST MEDIA

    1. MR contrast media. [JAN 97, DEC 04, JUN 05]
    2. Discuss about various MR contrast media and their mechanism of action. [08]
    3. Low osmolar contrast media. [JUL 97]
    4. Adverse drug reactions caused by I.V. Contrast media. [JAN 01]
    5. Classify idiosyncratic reactions resulting from contrast media administration. Describe the management of life threatening adverse reactions. [08]
    6. Non-ionic contrast media. [DEC 05]
    7. Management of adverse contrast reactions. [JUN 05]
    8. Recent contrast media used in USG. [JAN 00]
    9. Role of Ultrasound Contrast Agents in gastro-intestinal diseases. [JUL 98, DEC 04]
    10. Ultrasonography contrast media. (OR) Echo enhancing agents. [JUN 06, 09]
    11. Contrast induced nephropathy. [09]
    12. MR contrast media in Hepato biliary system/MR contrast agents for Hepatic Imaging. [06/09]
    13. Emergency drugs with doses that should be available in radiology department. [09]
    14. Adverse reactions of MR contrast media. [2010]
    15. Enumerate various ultrasonic contrast media. Describe their principle and clinical application in evaluation of Hepatic mass lesion. [Dec 2010]
    16. Write short notes- a. Management of severe contrast reaction. b. Nephrogenic systemic [5+5 Dec 12]
    17. Define contrast nephropathy. Who are the patients at risk? What is the mechanism at work? Outline its time course. What are the key recommendations to check its

    occurrence? [2+2+2+2+2 Jun 13]

    1. Discuss the role of contrast enhanced MRI and Organ specific MR contrast media. [3+7 Jun 13]
    2. Management of acute idiosyncratic contrast reactions.[June 15]
    3. a) What is the principle of MR contrast enhancement. b) Describe any two organ specific contrast agents and their clinical applications. [June 15]
    4. a) Define contrast induced nephropathy (CIN). b) Conditions predisposing to CIN and the precautions to be taken to avoid ClN. [1+(5+4) Dec 15]

     

    1. a) Iso-osmolar contrast agents. b) Classify MR contrast agents. c) Nephrogenic systemic fibrosis. [3+3+4 Apr 16]

    ENT

    1. Laryngeal carcinoma. [DEC 03, JUN 04]
    2. Imaging of temporal bone/Petrous bone. [DEC 05, JUN 06]
    3. Describe the imaging features of juvenile nasopharyngeal angiofibroma. Discuss the role of radiological intervention in its management. [6+4 Dec 12]
    4. Enumerate the infrahyoid neck spaces. Discuss the imaging features of pathologies of the carotid space. [4+6 June 14]
    5. How would you evaluate a patient of hyperparathyroidism on imaging? Enumerate the findings on plain films, CT and Scintigraphy. [4+2+2+2 June 14]
    6. Staging and imaging features of juvenile nasopharyngeal angiofibroma. [10 June 15]
    7. a) Enumerate the infrahyoid spaces b) Imaging features of carotid body tumour [2+8 Dec 15]
    8. a) Draw a diagram of cross sectional anatomy of inner ear.
    9. b) Imaging workup in a child presenting with congenital sensorineural hearing loss. [3+7 Apr 16]

    GASTROINTESTINAL SYSTEM

    1. Radiologic features of gastric malignancies. [JAN 97]
    2. Describe in brief the pathology, role of imaging & radiological features in GI tract [JUL 97, 98]
    3. Necrotising enterocolitis. [JUL 98]
    4. Carcinoid tumours. [JUL 99]
    5. Role of Radiology and Imaging in intestinal ischemia. [JAN 00]
    6. Radiological profile of ulcerative colitis. [JAN 01]
    7. Imaging in a Vomiting infant. [02]
    8. Intervention in upper GI bleeding. [DEC 02]
    9. Imaging in postoperative stomach.
    10. Anorectal Malformations. [02]
    11. [02]
    12. Gastric lymphoma . [DEC 02/03/06/07]
    13. Malabsorption syndrome. [02]
    14. Gastrointestinal lymphoma. [JUN 04]
    15. USG in appendicitis.
    16. Non-tubular inflammatory bowel disease. [DEC 05, 06]
    17. Critical appraisal on role of small bowel enema, CT & MRI enteroclysis. [JUN 07]
    18. Colonic strictures- etiology and role of imaging in diagnosis of structures. [DEC 07]
    19. Role of CT in Epiploic Appendigitis.
    20. Internal Hernias.
    21. Imaging of Acute Appendicitis.
    22. Enumerate causes of lower gastrointestinal bleeding. Mention current imaging techniques in

     

    their evaluation Describe the role of MDCT in its evaluation. [09]

    1. Imaging features of small bowel abnormalities in newborn. [09]
    2. CT vs MR enteroclysis for assessment of small bowel diseases. [09]
    3. Describe imaging of low intestinal obstruction in a neonate. [09]
    4. CT & Endoscopic ultrasound staging of Esophageal carcinoma. [09]
    5. Radiological evaluation of suspected Small Bowel obstruction. [09]
    6. Describe the technique and ultrasound features in acute appendicitis. Also describe ultrasound features of conditions mimicking acute appendicitis. [June 2008]
    7. Discuss various causes and imaging features in stricture of lower end of esophagus. [June 2008]
    8. Describe imaging features in a case of intestinal perforation. [2010]
    9. Describe the clinical features, sonographic and CT appearances in acute Appendicits. [Dec 2010]
    10. Discuss the role of plain radiograph , barium studies , USG & CT abdomen in diagnosis of gastrointestinal TB. [2+3 + 2+3 June 2011]
    11. Describe in brief the role of plain radiography , enteroclysis, USG, CT and MRI in evaluation of small bowel obstruction. [June 2011]
    12. Enumerate causes of mesentric ischaemia. Briefly discuss plain radiographic, USG, CT findings and the role of intervention in this condition. [2+2+2+2+2 Dec 11]
    13. Name the various motility disorders of esophagus. Discuss pathophysiology and imaging features of cardiac imaging. [2+3+5 Dec 11]
    14. Enumerate causes of multiple nodular filling defects in small bowel. Discuss the imaging features of small bowel lymphoma. [3+7 Dec 11]
    15. Name the diseases associated with H. pylori infection. Briefly discuss barium meal features of benign and malignant gastric ulcer supported by suitable diagrams. [2+4+4 Jun 12]
    16. Enumerate various infections & neoplasms affecting gastrointestinal tract in AIDS. Briefly describe barium meal follow through and CT features of AIDS lymphoma. [3+7 Jun 12]
    17. Classify polypoidal lesions of the colon. Mention radiological differences between benign and malignant polyps. Discuss salient imaging features of various types of adenomatous polyps. [2+3+5 Jun 12]
    18. Enumerate causes of malabsorption syndrome. Describe imaging features in tropical sprue. Briefly discuss its complications. [2+6+2 Jun 12]
    19. Describe technique of MDCT and imaging findings in an 80 year old male presenting with lower gastrointestinal bleeding. Briefly discuss its therapeutic implications. Draw a suitable algorithm outlining role of investigative modalities. [3+5+2 Jun 12]
    20. Describe normal gastroesophageal junction with the help of suitable diagram. Label various rings and lines visualized on double contrast barium swallow. Discuss imaging features of Schatzki”˜s ring. [6+2+2 Jun 12]
    21. Enumerate the normal and abnormal extrinsic impressions on the cervical & thoracic parts of the esophagus during Barium swallow examination. Discuss the possibilities in a 56-year-old woman presenting with dysphagia. Describe briefly the key radiological findings in any 3 [2+2+2+2+2 Dec 13]
    22. A 70 year old man presented with lower GI bleed. Mention various causes of lower GI bleed and briefly describe role of contrast studies, CT scan imaging & intervention in it. [2+2+2+2+2 Dec 13]
    23. Describe the technique of MR Enterography. Compare its benefits & limitations vis-a-vis

     

    conventional contrast studies and CT enteroclysis. [5+5 Dec 13]

    1. Enumerate various imaging techniques employed for radiological evaluation of small bowel Discuss the merits and demerits of each technique. Discuss in brief, CT findings in a case of ileocecal T.B. [2+5+3 June 14]
    2. Enumerate various conditions associated with polypoidal lesions in the large bowel. How will you distinguish b/w benign and malignant polyps on imaging? Discuss the merits and demerits of virtual CT colonoscopy in a case of suspected familial polyposis coli. [2+4+4 June 14]
    3. Technique to evaluate the stomach and imaging features of stomach malignancies.[June 15]
    4. Pathophysiology and imaging features in small bowel lymphoma. [10 June 15]
    5. a) Characteristic pathological features of gastrointestinal stromal tumors along with the imaging findings. b) Management options and post treatment follow up of these tumors. [(3+3)+(2+2) Dec 15].
    6. a) Pathophysiology and imaging features in inflammatory bowel disease (IBD). b) Role of CT enteroclysis in IBD. [(3+4)+3 Dec 15]
    7. a) Differential diagnosis of multiple colonic polyps. b) Role of double contrast barium enema in its evaluation. [4+6 Apr 16]
    8. a) Radiological differences between gastric carcinoma and lymphoma. b) Role of imaging in the staging of gastric carcinoma. [5+5 Apr 16]

    GENITOURINARY SYSTEM

    1. Differentiation of Renal Cyst and Renal tumour by I.V.P. [JAN 97]
    2. Diagnosis of Urinary Bladder”˜s Tumours. [97,02]
    3. Discuss the role of imaging in Renal trauma.
    4. Polycystic disease of kidneys. [JAN 97, JUN 04]
    5. Posterior urethral valves. [JUL 97, JUN 06]
    6. Epispadias extrophy complex.
    7. Pathology of renal neoplasms in the paediatric age group.
    8. Acute scrotum [JUL 99, 02]
    9. Cystic diseases of the kidney.
    10. Child with UTI. Provide a protocol for imaging and mention their features. [JAN 00]
    11. How will you investigate a case of painless hematuria? What is role of Radiologist in its management?
    12. Imaging of prostate. [JAN 00, JUN 04]
    13. Prostatic tumors. [JUN 03]
    14. Testicular germ cell tumors. [JAN 01]
    15. Radiological diagnosis of congenital lesions of kidney.
    16. Interventions in upper urinary tract obstruction. [01]
    17. Imaging in renal malignancies. [04]
    18. Role of Doppler in testicular tumor. [DEC 04]
    19. Vesicoureteric reflux. [DEC 04/09]
    20. [02,04,06]
    21. Imaging in renal malignancies.
    22. Renal tuberculosis. [Dec 05/07/09, Jun 07,Dec 14]
    23. [02, 05]

     

    1. Discuss the pathology of renal hypertension & radiological investigations for the same. [JUL 98]
    2. Discuss the pathophysiology of renovascular HTN and role of imaging. [02]
    3. Diagnosis of renal hypertension- present day approach . [JUN 05]
    4. Imaging in evaluation of renovascular hypertension in a ten year old male. [09]
    5. Discuss the role of various imaging modalities in a suspected case of reno vascular [June 2008]
    6. Imaging of unilateral scrotal swelling.
    7. Diagnosis of non malignant prostatic enlargement .
    8. Angiomyolipoma of the kidney . [JUN 06]
    9. Neurogenic bladder .
    10. Unilateral large kidney in a child .
    11. Renal Cell Carcinoma. [JUN 04]
    12. Emphysematous pyelonephritis.
    13. Doppler evaluation in male impotence.
    14. Classify cystic diseases of kidney and discuss role of ultrasound in these lesions. [JUN 07]
    15. Enumerate causes of unilateral small kidney, Describe the role of imaging in its diagnosis. [DEC 09]
    16. Mention ultrasound and Doppler findings in varicocele. Describe the role of intervention in its management. [09]
    17. Enumerate the causes of Varicocele. Write US technique and US and color Doppler features in Varicocele. [June 2008]
    18. MR staging of prostate carcinoma. [09]
    19. Penile doppler. [06]
    20. Discuss imaging of erectile dysfunction. [09, 10]
    21. Color Doppler evaluation of erectile dysfunction. [June 08]
    22. Imaging in Transplant kidney. [02]
    23. Enumerate various investigative modalities for the transplanted kidney & give the normal findings in each of them. [JUL 99]
    24. Doppler in renal transplant [DEC 02/09, JUN 04]
    25. Role of color Doppler and ultrasound in post renal transplant patient. [09]
    26. How would you evaluate donor kidney for renal transplant. Discuss role of US and Scintigraphy in various types of renal graft dysfunction. [June 2008]
    27. Imaging in Non tubercular renal infections [December 2008]
    28. Non vascular Interventions in upper urinary tract. [09]
    29. Embryology, clinical significance and imaging of undescended Testis. [2010]
    30. Indications, imaging features and limitations of imaging in erectile dysfunction. [2010]
    31. Describe the blood supply of testes with the help of diagram. Enumerate various types of testicular torsions. Describe imaging findings in each. [Dec 2010]
    32. Discuss the etiopathogenesis and radiological features of renal tuberculosis. [Dec 2010]
    33. Enumerate the indications and describe the techniques of color doppler in Renovascular [Dec 2010]
    34. Enumerate various complications of Renal transplant and discuss their imaging findings. [Dec 2010]
    35. Enumerate causes of hypertension in 10 yr old male child . Outline radiological approach in such a case. Role of MDCT and intervention in renal hypertension. [June 2011]
    36. What is vesico-ureteric reflux. Discuss its causes and grading . Briefly describe role of imaging in this condition. [June 2011]
    37. Enumerate causes of unilateral small Kidney. Discuss role of imaging in establishing the [June 2011]
    38. Discuss the role of imaging in uraemia, citing the specific role and limitations of conventional radiography, US, CT, MRI and renal scintigraphy. [June 2011]
    39. Discuss the grading of renal trauma. Describe the role of imaging in its evaluation. [4+6 Dec 11]
    40. Briefly describe the penile arterial flow physiology. Discuss the technique and utility of duplex sonography in evaluation of erectile dysfunction. [3+4+3 Dec 11]
    41. Describe venous drainage of testis. Discuss imaging features & interventions in varicocele. [3+4+3 Dec 11]
    42. Enumerate various vascular complications in renal transplant. Briefly discuss the role of color doppler, CT, MRI and intervention in these conditions. [1+3+2+2+2 Dec 11]
    43. Briefly describe MRI and MRS findings in prostatic carcinoma and its staging. Discuss role of TRUS biopsy. [4+4+2 Dec 11]
    44. What are common causes of medially placed ureters? Discuss various associations. IVU, CT & MRI findings of retroperitoneal fibrosis. [2+2+2+2+2 Jun 12]
    45. Enumerate causes of urethral strictures. Briefly discuss role ascending urethrogram in strictures due to trauma. Name common complications of urethral strictures. [3+5+2 Jun12]
    46. Enumerate various ovarian tumors of stromal origin. Briefly discuss imaging features of serous and mucinous cystadenocarcinoma and cystadenoma. [3+2+2+3 Jun 12]
    47. Describe technique of TRUS guided biopsy of prostate. Briefly mention role of contrast imaging in investigation & biopsy of a prostatic lesion. [8+2 Jun 12]
    48. Enumerate the causes of hematuria in a 50 yr old male patient. Briefly discuss the role of various imaging modalities in diagnosis and staging of renal cell carcinoma. [2+4+4 Dec 12]
    49. Discuss the role of imaging in uremia, citing the specific role and limitation of conventional radiography, sonography, CT, MR & renal scintigraphy. [5+2 Dec 12]
    50. List the anatomical sites which may become afflicted in renal TB. Discuss their radiological features in brief. [2+8 Jun 13]
    51. A 24 year old with presenting features of low grade fever, lassitude and aseptic pyuria is referred to you for radiological work up. What is the likely diagnosis?. How would you investigate this patient?. Described the key radiological signs, specifying the changes in early, intermediate & late stages of the disease. [1+3+6 Dec 13]
    52. A 38 year old RTA victim is brought to you from the casualty with history of frank How would you evaluate this patient?. Discuss the possibilities with their key radiological findings. [4+6 Dec 13]
    53. Describe penile circulation. What are the causes of male impotence? Discuss the role of Color doppler imaging in impotence. [4+2+4 Dec 13]
    54. A 40yr-old-female pt. presented with complaints of vague right lumbar pain. An USG revealed a cystic lesion in right kidney. She was advised to undergo CT scan by the radiologist for further evaluation. Enumerate possible causes. Discuss the CT protocol & findings in various [2+2+6 June 14]
    55. What are the causes of painless hematuria in a 50 yr old male patient? Discuss the imaging features and role of interventional radiology in two such pathologies. [2+4+4 Dec 14]
    56. a) Renal tuberculosis. [5 Dec 05/07/09, Jun 07,Dec 14]

     

    1. A young adult male presents with painless testicular mass. What is the differential diagnosis and imaging features in the most common cause? [June 15]
    2. a) Pathogenesis and imaging features of xanthogranulomatous pyelonephritis. b) Imaging features of abdominal lymphangioma. [5+5 June 15]
    3. a) Classify renal injuries. b) Imaging features and interventions in them. [2+(4+4) Dec 15].
    4. Important differential diagnosis in a child with acute scrotum and their imaging features. [2+8 Dec 15]
    5. a) Bosniak classification of renal cysts. b) Imaging features of renal lymphoma. [5+5 Dec 15]
    6. MR imaging of normal prostate: Technique, zonal anatomy. b) Role of MR imaging in staging of carcinoma prostate. [3+3+4 Dec 15]
    7. Role of imaging in a post renal transplant patient. [10 Apr 16]
    8. Role of imaging in a young male presenting with acute scrotal pain. [10 Apr 16]
    9. Imaging manifestations of renal lymphoma and its differential diagnosis. [6+4 Apr 16]

    HEPATOBILIARY SYSTEM

    1. Choledochal cyst. [JAN 97, JUL 98, DEC 02/05]
    2. Discuss the etiology, Classification, imaging features and complication of choledochal cyst. [June 2008]
    3. Budd-chiari syndrome. [JAN 97, DEC 04]
    4. Ultrasonography features in cirrhosis liver with portal hypertension. [JUL 98]
    5. Role of imaging in obstructive jaundice. [JUL 99]
    6. Hepatobiliary intervention in Obstructive jaundice. [JUN 03]
    7. Non-Invasive evaluation Of Portal Hypertension. [02]
    8. Discuss Portal Hypertension: its radiological diagnosis and interventional therapy. [JAN 00, DEC 02, 03,05; JUN 06, 09]
    9. Neonatal jaundice. [02]
    10. MRCP in obstructive jaundice . [DEC 02]
    11. Cystic lesions of liver . [DEC 04]
    12. Benign lesions of the liver. [DEC 05, JUN 06]
    13. Therapeutic interventions in liver tumors. [JUN 05]
    14. Triple phase Portography. [JUN 06]
    15. Doppler in hepatic cirrhosis. [DEC 07]
    16. Colour Doppler and CT features in portal hypertension. [09]
    17. Interventions in Hepatic tumors. [DEC 06]
    18. Interventional management of Hepatocellular carcinoma. [09]
    19. MRI features of hepatic hemangioma. Briefly discuss role of radiology in treatment of hepatic haemangioma. [09]
    20. Radio frequency ablation of hepatic neoplasm. [09]
    21. Describe CT features of liver trauma and discuss role of intervention in this. [June 2008]
    22. Enumerate the causes of obstructive Jaundice. Describe technique of MRCP and its role in obstructive Jaundice. [Dec 2010]
    23. What is the role of diagnostic imaging modalities in Cholangio.Ca. Discuss the morphological findings and the significance of various modalities in management of the disease. [Jun 11]

     

    1. Enumerate the causes of SOL in liver . Describe the USG features in any 3 of them. [Jun 11]
    2. Mention the various interventional techniques used in HCC. Briefly discuss indications and technique of two commonly employed techniques. Outline protocol for follow up in a case of [1+8+1 Dec 11]
    3. Enumerate the most common cause of a 6 year old male presenting with hepatomegaly, ascites & features of portal hypertension. Discuss imaging modalities employed to investigate such patients along with various imaging features. Briefly mention role of interventional radiology in its management. [1+7+2 Jun 12]
    4. A 15 day old infant has presented with prolonged conjugated hyperbilirubinemia accompanied by non pigmented stools. Name the possible etiology. Describe imaging features and various associations that may be seen in such a case. [1+6+3 Jun 12]
    5. Enumerate benign hepatic masses. Describe imaging features (USG, CT, & MRI) of two commonly encountered such lesions. [2+4+4 Jun 12]
    6. Describe the segmental anatomy of liver in cross sectional imaging. Discuss the role of triple phase CT in differentiating focal lesions in cirrhotic liver. [4+6 Dec 12]
    7. Enumerate the common causes of obstructive jaundice. Discuss the role of various imaging modalities in its diagnosis. [2+8 Jun 13]
    8. Describe etiopathogenesis of biliary atresia. Discuss the role of ultrasound, MRI and scintigraphy in assessment of biliary atresia. [2+3+2+3 Dec 13]
    9. Describe pre-transplant imaging in a liver donor. What are common complications after liver transplant? Discuss the role of intervention in treating complications. [3+2+5 Dec 13]
    10. What are various interventional techniques available to treat hepatic malignancies? Discuss the role of chemoembolization and radioembolization in hepatic malignant lesion. [3+4+3 Dec 13]
    11. Describe the anatomy of portal venous system. What are the causes of portal hypertension? Describe the role of intervention in portal hypertension. [4+2+4 Dec 13]
    12. Enumerate the causes of arterial phase enhancing focal lesions in the liver. Discuss the role of MDCT and MRI in DD of these lesions. [2+4+4 June 14]
    13. a) Von Meyenburg complex. b) Imaging features of fibrolamellar HCC. [5+5 Dec 14].
    14. US examination of a cirrhotic patient shows a solitary nodule in right lobe of liver. How would you investigate such a patient? Discuss in detail the role of CT, MRI and interventional radiology in such a case. [2+3+3+2 Dec 14]
    15. Imaging techniques and findings in a case of Budd Chiari synd. [June 15]
    16. a) Enumerate the causes of obstructive jaundice in adults. b) Role of USG & MRI in the evaluation of obstructive jaundice. [2+(4+4) Dec 15]
    17. a) Enumerate the various causes of nodules in a cirrhotic liver. b) Role of Imaging in differentiating them. [3+7 Dec 15]
    18. Imaging features of: a) Carolidisease b) Biliary atresia [5+5 Dec 15].
    19. imaging evaluation and technique of Transjugular lntrahepatic Portosystemic Shunt (TlPS). [2+4+4 Dec 15]
    20. a) Segmental anatomy of liver-Labeled diagram. b) Role of MRI in evaluation of a nodule in cirrhotic liver. [3+7 Apr 16]

    MUSCULOSKELETAL SYSTEM

     

    1. Thoracic skeletal changes associated with cardio-vascular diseases. [JAN 97]
    2. Radiological features in nutritional rickets.
    3. Differential diagnosis of expanding lesions of mandible. [JAN 97, JAN 01]
    4. Radiological features of spinal tuberculosis. [JUL 97, JUL 98]
    5. Radiological features of congenital syphilis.
    6. Neurophatic joints.
    7. Radiological features of Osteosarcoma. [98]
    8. DD of generalized decrease in Bone Density. [98]

    010.Differential diagnosis of expanding lesions in metaphysis of long bones. [JUL 98]

    1. Cleido-cranial dysostosis.
    2. Pancoast tumour. [JUL 98, DEC 02,03]
    3. Hypertrophic pulmonary osteoartropathy. [JUL 98, JUL 99]
    4. Enumerate the causes of Osteoporosis and use of CT in Bone Mineral Studies. [JUL 98]
    5. Differential diagnosis of metaphyseal lucent lesions. [JUL 99]
    6. Renal osteodystrophy.
    7. Pathophysiology of renal rickets. [JAN 00]
    8. Psoriatic arthritis.
    9. Pathophysiology of Hyperparathyroidism. [02]
    10. Radio-diagnosis of hyperparathyroidism. [JAN 00, DEC 03, JUN 04/09]
    11. Radiology of Rheumatoid disease. [JAN 01]
    12. Cystic jaw lesions . [DEC 02, DEC 03]
    13. Perthe”˜s disease. [02]
    14. Expansile lytic lesion at upper end of Tibia. [02]
    15. Hand: an index of the disease. [DEC 02, DEC 03]
    16. OR Osseous spectrum in neurofibromatosis. [DEC 02/07/09, JUN 04]
    17. Role of Skeletal Radiogrpahy in estimation of age. [02]
    18. Bone age estimation [DEC 03]
    19. Osteogenesis imperfecta .
    20. Solitary dense vertebra. [02]
    21. Imaging of Low Back pain. [02]
    22. Role of MRI in bone tumors . [DEC 04]
    23. Radiology of CARDIO-VASCULAR SYSTEM soft tissues . [DEC 05, JUN 06]
    24. Secondary hyperparathyroidism. [JUN 05]
    25. Osseous lymphoma.
    26. Plain film features of Acromegaly. [02]
    27. Techniques for evaluation of Acromegaly . [JUN 06]
    28. Basilar invagination . [JUN 05/06]
    29. Radiology of a Limping Child. [DEC 06]
    30. Imaging features in Mucopolysaccharidosis. [DEC 06, JUN 07]
    31. Periosteal Reactions (DD). [DEC 02, 06]
    32. Imaging in Tuberous Sclerosis and its associations.
    33. Sickle cell disease- radiological appearances. [JUN/DEC 07]
    34. Discuss causes of diffuse skeletal sclerosis and role of imaging in it.
    35. Sero-negative Spondyloarthropathy. [DEC 07]
    36. Differential diagnosis of radiological appearance of absorption of terminal phalanges.

     

    1. MR Imaging of Traumatic knee. [DEC 06]
    2. Imaging in Meniscal tear of knee. [09]
    3. Role of plain X rays and USG in Congenital Dislocation of Hip jt. [02]
    4. MRI in congenital dislocation of hip joint. [09]]
    5. MRI in SLAP lesions of shoulder. [09]
    6. Rib Notching. [JUN 03]
    7. Enumerate various causes of Para vertebral masses and their imaging features. [June 2008]
    8. Mention causes of inferior RIB notching. Discuss imaging features of 2 common causes. [09]
    9. Describe ossification of bones of elbow. [09]
    10. Imaging and associations of Fibrous dysplasia. [09]
    11. Briefly discuss imaging of pre-sacral masses in children. [09]
    12. Ozone therapy for backache. [09]
    13. Imaging findings in Plasma Cell Tumors. [09]
    14. Evaluation of Skeletal Dysplasias in utero. [09]
    15. Imaging in Rotator cuff lesions. [09]
    16. What are round cell tumors of bone? Discuss in detail differentiating imaging features in [June 2008]
    17. Describe radiological features, complications and differential diagnosis of Paget”˜s disease. [June 2008]
    18. Discuss the techniques, imaging features & limitations of sonographic evaluation of the rotator cuff [June 2008]
    19. Describe different types and imaging features of fractures. What are the complications of fracture? [2010]
    20. Define Stress fracture. Enumerate various sites and predisposing factors of stress fracture. Describe various imaging features of stress fractures. [Dec 2010]
    21. Describe in brief various imaging features of Osteoid osteoma. Discuss its differential [Dec 2010]
    22. Describe the life cycle of hydatid disease causative organisms. Enumerate sites of affection in human beings. Describe imaging features of Musculoskeletal hydatidosis. [Dec 2010]
    23. Enumerate causes of Hypertrophic osteoarthropathy. Discuss its DD & describe its imaging findings on plain radiograph. [Jun 2011]
    24. Discuss the radiographic and sonographic features of developmental dysplasia of Hip. [Jun 2011]
    25. Describe the MR anatomy of the knee joint. Briefly state the MR sequences you would employ to delineate a suspected medial meniscus tear. [June 2011]
    26. Enumerate different varieties of Osteosarcoma. Discuss their imaging features. [3+7 Dec 11]
    27. Decribe etiopathogenesis of Osteomyelitis. Discuss role of imaging in acute osteomyelitis. [4+6 Dec 11]
    28. Discuss the clinical associations of Hypertrophic Osteoarthropathy. Briefly describe its radiological findings, Differential diagnosis & role of Nuclear medicine. [3+4+2+1 Dec 11]
    29. Classify scoliosis. Discuss imaging features of plain radiographic, CT and MRI in neurofibromatosis of spine. Discuss Cobb”˜s angle and draw a diagram illustrating its [2+5+2+1 Jun 12]
    30. Mention causes of periosteal new bone formation. Briefly discuss characteristic radiological features of osteomyelitis affecting infants, children & adults. [2+8 Jun 12]
    31. Mention differential diagnosis of 15 year boy presenting with localized pain and swelling of

    2 months duration in right lower thigh. Discuss conventional radiographic, CT and

    MRI features of the commonest primary malignant bone tumor in this age. [1+3+3+3 Jun 12]

    1. Classify cysts of jaw. Describe briefly imaging features of each type of cyst. Draw suitable diagrams to describe various types. [2+6+2 Jun 12]
    2. Discuss differential diagnosis and imaging features of painless expansile lesion involving single rib in an adult. [3+7 Jun 12]
    3. List the causes of posterior scalloping of vertebrae. Describe skeletal changes seen in von Recklinghausen”˜s disease. [2+8 Dec 12]
    4. Enumerate various causes of hemolytic anemia. Describe the imaging findings in a case of Thalassemia major. Briefly discuss its DDs from sickle cell anaemia. [2+5+3 Dec 12]
    5. Briefly discuss the pathophysiology of osteomalacia. Describe the radiological findings in renal osteodystrophy. Enumerate the findings that help in differentiating from primary hyperparathyroidism. [3+4+3 Dec 12]
    6. What is Osteoporosis? Enumerate causes if osteoporosis. Discuss any 3 imaging modalities currently in vogue for assessment of bone mineral density. [2+2+6 Jun 13]
    7. What are the key clinical features, common sites & radiological findings in Ewing”˜s sarcoma? Discuss its differential diagnosis in brief. [2+2+4+2 Jun 13]
    8. The Child Welfare Board has referred an accused to you for estimation of age. Being a radiologist, how would you carry out this assignment?. Discuss in brief the variables that can affect the estimated age. [6+4 Jun 13].
    9. Enumerate causes of painful limp in a child unable to bear weight. Briefly discuss the role of plain X-ray, arthrography, US, CT, MRI and scintigraphy in arriving at diagnosis. [2+2+1+1+1+2+1 Jun 13]
    10. Discuss the role of plain X-ray, CT and MRI in cases of lower cervical spinal trauma. [3+4+3 Jun 13]
    11. Describe the MR anatomy of the shoulder joint. Briefly state the MR sequences you would employ to delineate various lesions of the shoulder joint. [4+6 Jun 13]
    12. Ossification of elbow joint and its clinical significance. b. Fusion imaging. [5+5 Jun 13]
    13. Enumerate any 5 morphological patterns of periosteal reaction and state their clinical [2+2+2+2+2 Dec 13]
    14. Discuss the pathophysiology of osteomalacia. Describe imaging features in primary [5+5 Dec 13]
    15. Enumerate the hematopoietic disorders which causes marrow changes. Discuss the MRI findings of any two of these marrow disorders. [2+4+4 June 14]
    16. Discuss the imaging features of avascular necrosis of the hip and its DD. [7+3 June 14]
    17. What are the causes and imaging features of hypertrophic osteoarthropathy [3+7 June 14]
    18. A 10-yr-old child has presented with swelling of the mandible. Enumerate the causes and discuss the imaging findings of any two. [2+2+6 June 14]
    19. Enumerate the causes of hypertrophic osteoarthropathy. Briefly describe its radiological findings, DD and role of Nuclear medicine. [2+4+2+2]
    20. Enumerate various causes of hemolytic anemia. Describe the imaging findings in a case of Thalassemia major. Briefly discuss its DDs from sickle cell anaemia. [2+5+3 Dec 14] (this question was repeated from Dec 12)
    21. List the causes of posterior scalloping of vertebrae. Describe skeletal changes seen in von Recklinghausen”˜s disease. [2+8 Dec 14] (repeat from Dec 12)
    22. Enumerate causes of painful limp in a child unable to bear weight. Briefly discuss the role of

     

    plain X-ray, arthrography, US, CT, MRI and scintigraphy in arriving at diagnosis. [2+2+1+1+1+2+1 Dec 14](exact repeat from June 13)

    1. Classify cysts of jaw. Describe briefly imaging features of each type of cyst. Draw suitable diagrams to describe various types. [2+6+2 Dec 14](exact repeat from June 12)

    101.a. Ossification of elbow joint and its clinical significance. b. Fusion imaging. [5+5 Dec 14] (exact repeat from Jun 13)

    1. a) Enumerate different varieties of osteosarcoma. b) Imaging features of various surface osteosarcomas. [5+5 June 15].
    2. a) Pathophysiology of different types of hyperparathryoidism. b) Imaging features of primary HPT [5+5 June 15].
    3. a) MRI anatomy of knee joint. b)Role of MRI in evaluation of meniscal injuries.
    4. Various osseous changes in NF. [June 15]
    5. Causes of paravertebral shadow in lumbar region and their differential diagnosis. [June 15]
      107. a) Enumerate causes of periosteal new bone formation. b) Imaging features of acute osteomyelitis and infantile cortical hyperostosis. [3+(4+3) Dec 15]
    6. Various radiological findings in Battered Baby Syndrome and their mimickers. [6+4 Dec

    15]

    1. Radiological findings in: a) Dermatomyositis. b) Lipoma arborescens. [5+5 Dec 15]
    2. a) Role of skeletal radiography in determination of bone age in a male likely to be between 12-18 years of age. b) Factors affecting bone growth and remodeling. [6+4 Dec 15]
    3. a) Radiological features of osteopenia on a plain radiography. b) Various imaging modalities used in the assessment of bone mineral density. [3+7 Apr 16]
    4. Various radiological findings in multiple myeloma and its differential diagnosis. [6+4 Apr

    16]

    1. Radiological findings in primary hyperparathyroidism. [10 Apr 16].
    2. a) Enumerate the various mucopolysaccharidosis. b) Radiographic findings in Morquio syndrome. [2+8 Apr 16]
    3. Radiological evaluation of skeletal maturity for bone age estimation. [10 Apr 16]

    NEURORADIOLOGY

    1. CT in Neurotuberculosis. [JAN 97]
    2. Discuss the role of computed tomography in cerebrovascular accidents.
    3. Arnold-Chiari malformations. [JUL 97, JUN 04]
    4. Ring lesions on computed tomography of brain.
    5. [JUL 97, JUN 05]
    6. Discuss the role of computed tomography in infective lesions of brain. [JUL 98]
    7. Radiology and Imaging in Acoustic Neuroma. [98]
    8. Radiological diagnosis of extra-dural spinal masses.
    9. Enumerate the various neurocutaneous syndrome & describe imaging in any 2 of these. [JUL 99]
    10. T. versus M.R.I. in brain tumours.
    11. Imaging in congenital lesions of the spine and spinal cord. [JAN 00]
    12. Radiology and Imaging of Meningiomas. [JAN 00, JUN 04]

     

    1. Imaging in stroke.
    2. Imaging in Acute stroke. [DEC 06]
    3. CT and MRI in Intervertebral disc Prolaspse. [02]
    4. Discuss the anatomy and anomalies of the Cranio-Vertebral region. How will you assess it [02]
    5. White matter disorders OR CT and MRI in white matter diseases OR MRI in CNS white matter disease of Brain. [DEC 02, 03, JUN 04]
    6. 4th Ventricular Ependymoma. [JUN 03]
    7. Migrational anomaly. [JUN 04]
    8. Role of DWI in brain . [DEC 04]
    9. Sub Arachnoid space anatomy and SAH. [DEC 02, JUN 03]
    10. Radiological investigation in SAH.
    11. Intervention in SAH. [DEC 06]
    12. Endovascular management of intra-cranial aneurysm. [DEC 05, JUN 06]
    13. Imaging of cerebral ischaemic infarct. [JUN 05]
    14. Posterior fossa neoplasms of childhood. [02]
    15. Lateral ventricular masses. [05]
    16. Radiology of brain tumors. [05]
    17. Role of Imaging in Leukodystrophies. [DEC 06]
    18. Carotico-Cavernous Fistula. [DEC 06]
    19. Imaging and Intervention in Intracranial AVM. [JUN 07, DEC 09]
    20. Imaging and intervention in spinal anterior-venous malformation.
    21. MRI in Alzheimer”˜s disease.
    22. Radiological features in diffuse axonal injury. [DEC 07]
    23. Central pontine myelinolysis.
    24. Vein of Galen malformation.
    25. Glutaric Aciduria Type I.
    26. DD of ring enhancing lesions in brain in an immunocompromised patient. [DEC 09]
    27. Intramedullary neoplasms of spinal cord. [09]
    28. MRI in intramedullary neoplasms of spinal cord. [09]
    29. Clinical applications of Diffusion Tensor imaging. [09]
    30. CT and MR findings in acute stroke. [09]
    31. CT versus MRI in stroke. [97]
    32. Embolization in management of acute hemorrhage. [09]
    33. Imaging in dementia. [09]
    34. Role of imaging and intervention in Dural Arteriovenous Fistula. [09]
    35. Neuro-imaging in AIDS. [DEC 02/06]
    36. Radiological features in Neurological Complications of AIDS. [09]
    37. Discuss CT and MR features of neurological complications of AIDS. [June 2008]
    38. Functional imaging of Brain. [09]
    39. Enumerate CP angle tumors and discuss their differentiating features on CT and MRI. [June 2008]
    40. Describe MR anatomy of pituitary gland. Discuss in detail MR techniques and features to diagnose pituitary adenomas. [June 2008]
    41. Define Spinal Dysraphism. Describe briefly the MR sequences you will use for diagnosis of spinal dysraphism. [2010]

     

    1. Define Infective Discitis. Describe CT, MRI and Isotope imaging features of discitis. [2010]
    2. Enumerate various causes of Supra-sellar masses. Describe imaging features in [2010]
    3. Describe MR Imaging features in intra-cerebral Hematoma and techniques of Volume calculation in such a case. [2010]
    4. Classify neural tube closure defects. Describe various Chiari malformation and their imaging [Dec 2010]
    5. Classify brain tumors of children. Describe the imaging features of Primitive Neuroectodermal tumors. [Dec 2010]
    6. Describe MR anatomy of Pituitary fossa with diagram. Describe the radiological diagnosis of Pituitary adenoma. [Dec 2010]
    7. Describe the clinical features and MR imaging features of Multiple Sclerosis. [Dec 10]
    8. Describe imaging features and intervention in vein of galen malformation. [June 11]
    9. Describe the grading , imaging features and differential diagnosis of Glioblastoma [June 11]
    10. Describe the CT and MRI features of Neurocysticercosis of brain. How would you differentiate from other granulomatous lesions. [June 11]
    11. Define acute cerebral stroke. What are its types. Discuss the role of CT and MR imaging in patients with acute stroke, enumerating the techniques that you shall employ and the characteristic findings you would expect. [June 11]
    12. Discuss the role of CT in evaluation of patients with acute head injury, staging the types of injury, possible complications and their long term sequalae. [June 11]
    13. Enumerate the clinical uses of MR spectroscopy in disorders and diseases of brain . Briefly discuss its role in evaluation of brain tumors. [June 11]
    14. Enumerate the cause of SAH. Discuss the role of CT in its evaluation. [2+8 Dec 11]
    15. Enumerate causes of demyelinating diseases of spinal cord. Discuss their imaging features and DDs. [2+5+3 Dec 11]
    16. Discuss clinical presentation, imaging findings on USG, CT & MRI in Vein of Galen Briefly discuss its interventional management. [2+2+2+2+2 Dec 11]
    17. Enumerate causes of normal intracranial calcifications. Discuss imaging features of pathological intracranial calcifications secondary to infections & infestations. [3+7 Jun 12]
    18. Enumerate causes of spinal canal stenosis. Mention normal CT measurement of spinal canal at various levels. Describe plain radiograpnic, CT & MRI features of spinal canal stenosis. [2+2+2+2+2 Jun 12]
    19. Enumerate various causes of suprasellar lesions in adults and children Describe plain radiographic, CT and MRI features of Craniopharyngioma. [4+6 Jun 12]
    20. Enumerate the causes of cerebral venous thrombosis. Describe CT & MR findings of cerebral venous thrombosis. [2+4+4 Dec 12]
    21. Enumerate the causes of enlarged jugular foramen. Describe the imaging findings and role of interventional radiology in management of Glomus Jugulare tumor. [2+5+3 Dec 12]
    22. Enumerate the causes of ring enhancing lessons of brain parenchyma in MRI. Discuss the role of DWI and MR spectroscopy in differentiation of various lesions. [2+4+4 Dec 12]
    23. Classify neural tube closure defects of brain. Briefly described types of Arnold Chiari malformation and discuss their imaging findings. [2+2+6 Jun 13]
    24. Discuss the etiology and characteristic imaging findings in “•ring enhancing lesions”– of the [ 3+7 Jun 13]

     

    1. What are the common sellar and parasellar lesions?. Describe the key radiological findings in craniopharyngioma on skull radiographs, CT & MRI. [4+2+2+2 Jun 13]
    2. A 38 year old man, who has been throwing epileptic seizures, is found to have ring lesions on MRI of brain. Discuss the differential diagnosis. Describe the specific MRI features of any 4 clinical entities which may present with these clinicoradiological findings. [2+2+2+2+2 Dec 13]
    3. State the distinguishing features of intramedullar, extramedullary, intradural and extradural spinal lesions on MRI. Discuss briefly the DD”˜s of intramedullary spinal lesions. [6+4 Dec 13]
    4. How would you differentiate between an extra-axial and intra-axial mass lesion on cranial MRI? Describe the radiological findings in the most common extra-axial lesion found in middle aged patients. [4+6 Dec 13]
    5. Discuss the types and classification of gliomas. Describe the imaging features of various types of gliomas. Discuss the role of perfusion imaging in gliomas. [3+5+2 Dec 13]
    6. What is the basic difference b/w NF type I and II? Discuss the imaging findings in NF-II. Briefly describe extra skeletal manifestations and associations of Neurofibromatosis. [4+3+2+1 June 14]
    7. Describe with a diagram the cerebral venous system. Briefly discuss the causes and imaging features of cortical venous thrombosis. [3+2+5 June 14]
    8. A 40-yr-old female has presented with loss of vision and instability in gait. Discuss the DD and MRI findings in the most probable cause. What is the role of diffusion tensor imaging in this [2+6+2 June 14]
    9. Discuss the grading, imaging features on MRI and differential diagnosis of GBM. [3+5+2 Dec 14]
    10. Classify neural tube closure defects of brain. Briefly described types of Arnold Chiari malformation and discuss their imaging findings. [2+2+6 Dec 14] (repeat from June 13)
    11. Embolization in management of acute hemorrhage. [5 Dec 14](repeat from 09)
    12. Causes of demyelinating lesions of spinal cord and their imaging features. [10 June 15]
    13. a) Enumerate various neurocutaneous syndromes. b) Etiopathogenesis imaging features and associations of Sturge-Weber syndrome. [June 15]
    14. Cystic lesions of posterior fossa and their differential diagnosis. [June 15]
    15. a) Enumerate the causes of epilepsy. b) Distinguishing features of cortical lesions associated with epilepsy [5+5 Dec 15]
    16. a) Classify spinal dysraphism. b) Pathology and imaging features of diastomatomyelia. [2+(3+5) Dec 15]
    17. a) Radiological anatomy of Sella turcica. b) Imaging evaluation of a suspected pituitary [3+7 Apr 16].
    18. a) Enumerate the various neurocutaneous syndromes. b) Various imaging findings in a case of neurofibromatosis II [3+7 Apr 16].
    19. a) Enumerate various spinal dysraphism. b) Pathology and imaging findings in [2+8 Apr 16] [Repeat from Dec 15]
    20. Indications, contraindications and technique of intra-arterial thrombolysis for acute [3+3+4 Apr 16]
    21. a) Role of CT perfusion in hepatic tumors. b) Role of CT perfusion in pancreatic tumors. [5+5 Apr 16]

    NUCLEAR MEDICINE

     

    1. Radio nuclide imaging of the C.N.S. [JAN 97]
    2. Radio isotope scanning in thyroid disease.[JUL 97, 02]
    3. Isotope imaging of the Parathyroids. [02]
    4. Radio nuclide imaging of urinary tract.
    5. Isotopes in Myocardial ischaemia OR Scintigraphy in ischaemic Heart disease OR Role of nuclear medicine in ischaemic heart disease. [JUL 98, DEC 02/ 05]
    6. 99m Tc labeled N- substituted Imino-diacetic acid (HIDA) Scan.
    7. Role of scintigraphy in liver diseases. [JUL 99]
    8. Radio-isotope scanning in cardiac lesions. [JAN 01]
    9. Nuclear medicine in liver imaging [DEC 02]

    010.Clinical application of radionuclide Renography. [02]

    1. [DEC 03]
    2. Bone scan. [DEC 05]
    3. GI Scintigraphy. [JUN 05]
    4. Outline of radio-isotopes available. [JUN 06]
    5. Radioistopes in Cardiac imaging. [09]
    6. Radionuclide bone Scintigraphy in infective disorders. [09]
    7. Application of DMSA Scintigraphy. [09]
    8. Scintigraphy evaluation of Gastro-intestinal bleeding. [09]
    9. Fusion imaging. [09]
    10. PET [DEC 04, JUN 05]
    11. Principles and role of PET in clinical radiology. [June 2008]
    12. Describe Radiopharmaceuticals used in PET CT with their clinical applications. [09]
    13. Radionuclide scanning in a bony lesion. [09]
    14. Enumerate various radio-isotopes used in Hepato-Biliary system. Describe the imaging features and techniques in Biliary atresia. [Dec 2010]
    15. Describe the role of scintigraphy in cardiac imaging with emphasis on myocardial perfusion and viability. [June 2011]
    16. Enumerate the indications of scinitigraphic evaluation in GI bleed. Briefly discuss technique, radioisotopes used & interpretation of results. [2+4+2 Dec 11]
    17. Enumerate indications and radio-isotopes used for radionuclide scanning of lungs. Briefly describe 3 techniques of isotope imaging of lung with their clinical implications. [(2+2)+(2+2+2) Jun 12]
    18. List the indications of hepatobiliary scintigraphy in children and adults. Describe briefly the principle, technique & findings on scintigraphy in a car off neonatal jaundice. [2+2+2+4 Dec 12]
    19. Briefly describe the etiopathogenesis of choledochal cyst. Enumerate various types of choledochal cyst. Discuss the role of imaging in Caroli”˜s disease. [2+3+5 Dec 12]
    20. Radio isotope scanning of the skeletal system. b. Clinical applications of 3D and 4D ultrasound. [5+5 Jun 13]
    21. Discuss the role of scintigraphy in cardiac imaging with special emphasis on myocardial perfusion and viability. [10 Jun 13]
    22. What is the principle of PET scanning? Briefly discuss the role of FDG-PET scanning and importance and clinical utility of two non-FDG molecules of PET scanning. [2+4+4 Dec 13]
    23. a) Renal isotope scanning b) Tomosynthesis in mammography. [5+5 June 14]
    24. a) Classification of choledochal cyst.
    25. b) Enumerate its various complications and the role of imaging in their diagnosis.

     

    [2+2+6 Apr16]

    1. Role of radionuclide imaging in renal disorders. [10 Apr 16]

    OBSTETRICS AND GYNAECOLOGY

    1. Imaging of Intra Uterine Foetal Death. [JAN 97]
    2. Discuss the role of imaging in uterine lesions. [JUL 97]
    3. [JUL 98, DEC 04, JUN 07]
    4. Ectopic Pregnancy. [JUL 99, DEC 05]
    5. Alimentary tract lesions diagnosable in-utero
    6. Role of Sonography in I.U.G.R.
    7. Imaging of the placenta [JAN 00]
    8. Write in detail US features of placental evaluation. [June 08]
    9. Sonographic diagnosis of ectopic pregnancy. [JAN 01]
    10. [02]
    11. Imaging in Infertility . [DEC 02, 03]
    12. Endometrium in USG. [JUN 03]
    13. Biophysical score . [DEC 03, JUN 04]
    14. Uterine interventions . [DEC 05]
    15. PNDT [DEC 05/06/07]
    16. MRI in gynecologic imaging.
    17. Cystic lesions of ovaries. [JUN 05]
    18. Sonography of cystic ovarian masses. [09]
    19. Doppler evaluation in IUGR . [JUN 05,06]
    20. Radiological evaluation of delayed milestones. [JUN 06]
    21. Role of USG in assessment of prenatal genitourinary tract. [ DEC 06]
    22. Antenatal detection of Vein of Galen malformation. [06]
    23. Antenatal MRI. [JUN/DEC 07]
    24. Sonography of cystic ovarian masses.
    25. CT-
    26. Enumerate markers of chromosome abnormality on antenatal ultrasound. Briefly discuss

    their sonographic features. [09]

    1. Transvaginal scan in female infertility. [09]
    2. USG in female Infertility [December 2008]
    3. Uterine artery embolisation. [December 2008]
    4. Describe the sonographic findings favouring the diagnosis of ectopic pregnancy and its DD. [2010]
    5. Enumerate the vascular and structural abnormalities of the Umbilical cord. Describe the velocity waveform changes seen in the umbilical artery Doppler. [2010]
    6. Enumerate the causes of infertility. What is the role of imaging in assisted reproduction. [Dec 2010]
    7. Define fetal hydrops. Enumerate its causes. Describe sonographic and color doppler findings noted in this condition. [Dec 2010]
    8. Discuss the sonographic techniques and criteria used in evaluation of uterine cervical [Dec 2010]
    9. Enumerate the common locations of ectopic pregnancy in order of frequency. Discuss the

     

    sonographic findings of ectopic pregnancy. [Dec 2010]

    1. Describe the role of imaging in recurrence of ovarian malignancy after surgery. [Dec 2010]
    2. Enumerate conditions under which the revised PNDT act 2010, permits you to conduct prenatal diagnostic techniques . What steps would you take in clinical USG practice to comply with the act. [June 2011]
    3. Outline the diagnostic imaging approach in a pt. with Ovarian malignancy. Describe imaging features, staging & impact of cross sectional imaging in ovarian cancer. [June 2011]
    4. Define abnormal endometrial thickening. Enumerate its causes and discuss their imaging features. [2+2+6 Dec 11]
    5. List various causes of female infertility. Discuss the role of HSG and MRI in their evaluation. [2+4+4 Dec 11]
    6. List various causes of bleeding in first trimester. Discuss their sonographic features. [2+8 Dec 11]
    7. Enumerate various color doppler parameters used in IUGR. Briefly discuss their role in IUGR. Mention the significance of aortic isthmic index. [2+6+2 Dec 11]
    8. Describe measurement technique & normal values of nuchal translucency. Briefly discuss its role in Trisomy 21 and other chromosomal anomalies. [4+2+2+2 Dec 11]
    9. Describe various fetal Doppler parameters used to assess fetus at risk of IUGR. Discuss recent advances as regards their significance in predicting fetus at risk. [6+4 Jun 12]
    10. List various indications of MRI examinations in obstetrics. Outline various sequences used along with their rationale. Briefly describe MRI findings in two conditions presenting obstetric emergencies. [2+4+4 Dec 12]
    11. List the causes of post menopausal bleeding. Briefly describe the role of various imaging modalities highlighting their advantages and pitfalls. Describe the MRI findings in a case carcinoma cervix. [2+4+4 Dec 12]
    12. Enumerate various causes of female infertility. Describe the role of HSG & MRI in their diagnosis. [2+4+4 Dec 12]
    13. Write short notes on: [5+5 Dec 12]
    14. PC-PNDT Act
    15. Conventional lead apron and zero lead apron.
    16. What is “—placenta accreta”˜? What are its types? Which imaging modalities would be useful in its diagnosis? Briefly describe the imaging features of each imaging modality?[1+1+2+6 Jun 13]
    17. Enumerate the factors the enhance the risk of ectopic pregnancy. What would be its classic clinical signs? Discuss the role of USG in its diagnosis highlighting the key imaging features. [2+2+6 Jun 13]
    18. A 19 year old girl is referred with complaint of primary amenorrhea from the Department of Gynecology. As a radiologist, how would you evaluate her? Enlist the radiological investigations that might be beneficial to her, enumerating the precise entities you might identify with each. Describe the key radiological findings in any one clinical condition which may present as primary amenorrhea. [2+5+3 Dec 13]
    19. 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?. Discuss the possibilities with their key radiological findings. [1+3+6 Dec 13]
    20. How would you decide on the amnionicity and chorionicity in twin pregnancies? Enumerate
      the various complications that may occur in a twin pregnancy. Describe the various radiological

     

    findings in twin-twin transfusion syndrome. [4+2+4 Dec 13]

    1. Define IUGR. Enumerate its causes. Discuss the role of imaging in management of IUGR. [1+2+7 June 14]
    2. Enumerate and classify various congenital anomalies of the uterus. Discuss the role of US and MRI in their diagnosis, highlighting their advantages and limitations. [3+7 June 14]
    3. Enumerate various MRI sequences used for evaluation of the uterus, highlighting their specific role. Describe the role of MRI in suspected carcinoma cervix along with their MR [4+6 June 14]
    4. Define habitual abortion. Enumerate various causes of habitual abortion. Discuss the role of imaging in diagnosis and follow up of these cases. [1+2+5+2 June 14]
    5. Enumerate causes of first trimester bleeding. Discuss the imaging features to diagnose and follow-up such patients. [3+7 Dec 14]
    6. a) Placenta accreta – Pathophysiology and imaging findings [5 Dec 14]
    7. Indications, technique and complications of uterine artery embolization. [June 15]
    8. Ultrasound in a 35 yr old female shows a right adnexal cystic mass. a) What are the likely causes? b) Algorithmic approach and imaging features in these causes. [2+8 June 15]
    9. a) Normal anatomy of placenta. b) What are the different types of abnormal placental c) Role of imaging in placenta accreta. [2+2+6 June 15]
    10. a) Documentary requirements under PC-PNDT Act. b) Positioning and technique for Water”˜s view. [ 5+5 Dec 15]
    11. a) Enumerate the congenital anomalies affecting the uterus. b) MR lmaging findings in [3+7 Dec 15]
    12. a) Differential diagnosis of acute pelvic pain in a young female patient. b) Imaging findings of ovarian torsion. [4+6 Apr 16]
    13. Role of MRI in evaluation of a suspected case of endometrial carcinoma. [10 Apr 16]
    14. Role of ultrasound and MRI in the evaluation of morbidly adherent placenta. [5+5 Apr 16]

    PANCREAS

    1. Endocrine tumours of the pancreas. [JUL 98]
    2. Pancreatic pathology. [DEC 02]
    3. Classification and Imaging of Neuroendocrine tumors of pancreas. [DEC 04/09]
    4. Grading of Pancreatitis and its relevance. [02]
    5. CT in Pancreatitis . [JUN 04]
    6. Acute Pancreatitis . [JUN 05]
    7. Pancreatic Endosonography.
    8. Image guided interventions in pancreatic disease. [09]
    9. Radiological features in cystic tumors of pancreas. [09]
    10. Classify pancreatic neoplasms. Describe imaging features in a case of carcinoma head of [Dec 2010]
    11. Discuss the role of CT in evaluation of pt. with acute pancreatitis, outlining the technique, CT signs, assessment of disease severity and its relationship to outcome of patient. [Jun 2011]
    12. What is Pancreatic divisum?. Briefly discuss its embryologic basis and clinical significance. What are ERCP, MRCP and MDCT findings. [2+3+5 Dec 11]
    13. Enumerate various pancreatic masses of childhood. Discuss their imaging features and DDs

     

    of pancreatoblastoma. [2+5+3 Dec 11]

    1. Briefly describe embryological development of pancreas. Describe various anomalies and variations in its development with the help of suitable diagrams. Discuss imaging features (on barium meal and CT scan) of annular pancreas. [4+3+3 Jun 12]
    2. Enumerate various indications of upper gastrointestinal endoscopic sonography. Briefly discuss it”˜s role in evaluation of pancreatic pathologies outlining the advantages and disadvantages. [2+8 Dec 12]
    3. Discuss the technique and role of CT in the evaluation of acute pancreatitis [2+8 Jun 13]
    4. A 40 year old female with pain abdomen is found to have a cyst in the body of pancreas on Enumerate various possible causes. Discuss the imaging algorithm you would follow for arriving at diagnosis in this case. [2+8 June 14]
    5. b)Anomalus pancreatico-biliary ductal junction and its complications [5 Dec 14]
    6. b) Intra-ductal papillary tumors of pancreas. [5 Dec 14]
    7. Enumerate various complications of acute and chronic pancreatitis. Describe briefly the imaging features and role of interventional radiology in these conditions. [2+4+4 Dec 14]
    8. b) Biliary atresia [5 Dec 14]
    9. a) Enumerate various neuroendocrine tumors of pancreas. b) Characteristic features of these on various imaging modalities including the role of radio-nucleide imaging. [5+5 June 15]
    10. a) Imaging and interventions in vascular complications of pancreatitis. b) Imaging features of multicystic dysplastic kidney. [5+5 June 15]
    11. a) Enumerate neuroendocrine tumors of pancreas. b) Their CT and MRI imaging features. [2+(5+3) Dec 15]
    12. Grading, imaging appearances and complications of pancreatic trauma. [3+4+3 Apr 16]
    13. a) Role of imaging in intraductal papillary mucinous tumor of pancreas. b) Enumerate the criteria for malignancy. [7+3 Apr 16]

    PHYSICS

    1. Technical parameters of an x-ray equipment for fluoroscopic procedures.
    2. Basic construction of an x-ray tube and recent advances.
    3. Principle of doppler ultrasound and its application in neck ultrasound.
    4. Factors affecting quality of a radiograph. [JUL 97, JAN 01, DEC 04]
    5. Name the various interactions of X-ray photons with matter. Describe any two.
    6. Focal spot in a diagnostic x-ray tube. [JUL 99, DEC 02]
    7. Ultrasound image artifacts.
    8. Image Intensifier. [JAN 00, DEC 02, 03]
    9. Discuss the Biological effects of Radiations and the measures taken against its protection for Radiation workers and patients in Radio-diagnosis dept. [JAN 01, DEC 05, JUN 06]
    10. Define principles of radiation protection. Describe various parameters which can reduce patient radiation dose in radiography and fluoroscopy. [09]
    11. Measures to decrease radiation dose to patient. [02]
    12. AERB guidelines for Radiation safety. [DEC 06]
    13. Ionizing radiation in bone.
    14. Intensifying screens. [DEC 02/04; JUN 06]
    15. Portable radiography [DEC 03]
    16. Principles of colour doppler sonography. [02]

     

    1. MDCT technology. [DEC 02/03/04]
    2. X-Ray film and Types of films used in Radiology. [DEC 02, 03, 04]
    3. Construction of a conventional X-ray film and functions of each layer. [02]
    4. Composition of X-ray films Discuss about different parameters which influence film [09]
    5. Properties of X-rays. [02]
    6. Medical X ray films processing chemicals. [02]
    7. High generator transformer. [DEC 04]
    8. Radiation monitoring devices.
    9. Radiation scatter. [DEC 05, JUN 04]
    10. Define scatter radiation. Discuss briefly the parameters which influence scatter radiation and methods to reduce scatter radiation.
    11. Rare earth screens.
    12. New MR pulse sequences
    13. X-ray beam restrictors. [DEC 06, 09]
    14. Motion and pulsation artifacts in MRI
    15. Adverse effects of radiation .
    16. Cine fluoroscopy
    17. Grids [DEC 05/07]
    18. Cardiac CT. [JUN 05]
    19. Radiation dose reductions in CT .
    20. Darkroom illumination.
    21. Modern rotatory x-ray tube .
    22. PACS- picture archival and communication system.
    23. TLD- Thermo Luminescence Dosimeter .
    24. Filters and filtrations .
    25. MR coils.
    26. Design and setup of a radiology department OR Setting up a radiology department in a 200 bedded hospital [JUN 05/06]
    27. Film artifacts. [02/05]
    28. Electrical circuits of x-ray machine .
    29. Safety hazards in MRI.
    30. Steps to improve the quality of a chest X-ray .
    31. Radiological management of Bomb-Blast injury.
    32. Maximum permissible radiation dose.
    33. Define principles of radiation protection. Describe various parameters which can reduce patient radiation dose in radiography and fluoroscopy. [June 2008]
    34. Photoelectric effect andf its application in diagnostic radiology. [09]
    35. Film contrast. [09]
    36. Dosimeters used for radiation monitoring. [09]
    37. Radiation dose in various examinations using MDCT. [09]
    38. Computed radiography cassette. [09]
    39. PACS in radiology. [09]
    40. Genetic Screening. [09]
    41. Planning considerations for installation of 500 mA X””ray machine. [09]
    42. Composition of X-Ray films. Discuss about different parameters which influence film

     

    contrast. [June 2008]

    1. Define basic units of radiation exposure. List recommended dose limits for radiation worker and general public. [09]
    2. Define the basic units of radiation exposure. Describe biological effects of radiation. [08]
    3. Discuss about mammography X-ray unit. [June 2008]
    4. Legal responsibilities and duties of radiologist in clinical practice. [09]
    5. Doppler artifacts and pitfalls. [08]
    6. Define quality assurance. Discuss the organization of a quality assurance program pertaining to radiology equipment. [08]
    7. Principles and clinical applications of dual energy CT. [08/2010]
    8. Enumerate, various interactions of X-ray photons with matter. Describe any 2 in brief [2010]
    9. Rare earth screens. [2010]
    10. Define scatter radiations. Comment briefly on the parameters which influence scatter radiation and methods to reduce scatter radiation. [2008/2010]
    11. Define Roentgen. Mention various recommendations on maximum permissible dose for patients and staff members in Radiology department. [2010]
    12. Describe the basis of BOLD imaging. Write its utility and limitations. [2010]
    13. Write in brief the principle and types of Digital radiography. Outline its advantages and [2008/2010]
    14. Define and classify radiographic Grids. Describe their various uses in radiography. [Dec 2010]
    15. Define radiographic contrast. Describe various factors that affect radiographic contrast. [Dec 2010]
    16. Describe AERB guidelines on X-ray room installation. [Dec 2010]
    17. Describe the various techniques you will employ to reduce patient and operator radiation dose in CT angiography. [Dec 2010]
    18. Enumerate basic properties of X rays. Describe factors affecting scatter radiation and techniques to minimise scatter radiation. [June 11]
    19. Brief outline the evolution of present day CT scanners citing the key specific changes through different generations. [June 11]
    20. While conducting a conventional diagnostic radiographic procedure under fluoroscopic guidance , what steps would you take to reduce radiation dose to pt. what measures would you take to safeguard yourself. [Jun 11]
    21. Discuss briefly the principle of MR spectroscopy. Enumerate its clinical significance in any three clinical settings , outlining explicitly how it would be useful. [June 11]
    22. Discuss various dose reduction techniques in MDCT. Mention the average radiation doses received for common examination using MDCT. [Jun 11]
    23. Define Doppler effect. Briefly describe color doppler and power doppler modes of imaging. Enumerate advantages of each mode. [1+4+5 Dec 11]
    24. Describe major components of a PACS system and their functions in brief. [10 Dec 11]
    25. Define film contrast. Enumerate various factors affecting film contrast. Briefly discuss methods to improve it. [2+4+4 Dec 11]
    26. Describe in brief components and their function of a rotating X-ray tube. Draw its neat diagram and label its components. [5+5 Dec 11]
    27. Discuss various statutory requirements to be followed for installation of following radiological equipments: [4+3+3 Jun 12]

     

    1. 1000 mA x-ray machine
    2. CT scan
    3. DSA Lab
    4. Describe various measures to reduce radiation exposure to patients as well as personnel performing fluoroscopically guided vascular interventional procedures in DSA Lab. [10 Jun 12]
    5. Write short notes on: [3+3+4 Jun 12]
    6. Heel effect
    7. Genetic effect of radiation
    8. Conventional lead apron and zero lead apron
    9. Write short notes on the following: [4+3+3 Jun 12]
    10. a) Factors affecting scatter radiation and different techniques to minimize them. b) Radiographic contrast c) Properties of x-rays.
    11. Write short notes on : [3+3+4 Dec 12]
    12. Photoelectric effect and its role in production of radiographic image.
    13. TLD
    14. Mammographic X-ray tube.
    15. Describe the construction of an X-ray tube with the help of a labeled diagram. Discuss the mechanism of production of X-rays. Enumerate the properties of X-ray. [3+4+3 Dec 12]
    16. a. Rare earth screens. b. Green sensitive film. c. Dual energy substractions. [3+3+4 Jun 13]
    17. Define Roentgen. Mention various recommendations of maximum permissible dose for patients and staff members of the Radiology department. [2+4+4 June 13]
    18. Enumerate various interactions of X-ray photons with matter. Discuss any two in details with their significance in radiology department. [3+3+4 June 13]
    19. Describe AERB guidelines for X-ray a CT installation. [5+5 June 13]
    20. a) AERB guidelines for installation of X-ray equiptment. b)Thermoluminiscent dosimeter [5+5 Dec 13]
    21. a) Quality of radiologic images b) Different types of x-ray tubes. [5+5 Dec 13]
    22. Describe in detail various requirements of quality control programme in radiology department. [10 Dec 13]
    23. Enumerate the different types of X-ray tubes. What is the difference between a conventional X-ray tube and a mammography tube? Briefly describe mammography tube with the help of a neat labeled diagram. [2+4+4 June 14]
    24. What are the cardinal principles of radiation protection? What methods would you use to decrease exposure in fluoroscopy? [6+4 June 14]
    25. a)Personal Dosimeters b) Tissue Harmonic imaging. [5+5 June 14]
    26. a) MR contrast for liver imaging b) Contrast induced nephropathy and methods to prevent it. [5+5 June 14]
    27. Advances in CT technology to decrease the radiation dose in children. What is CT dose index (CTDI). [8+2 June 14 and Dec 14]

    103.Write in brief the principle and types of Digital radiography. Outline its advantages and disadvantages. [2+4+4 Dec 14] (repeat from 2008 and 2010)

    1. a) AERB guidelines for installation of X-ray equipment. b) Thermoluminiscent dosimeter [5+5 Dec 14] (repeat from Dec 13)

    105.Enumerate various interactions of X-ray photons with matter. Discuss any two in details with their significance in radiology department. [3+3+4 Dec 14] (repeat from June 13)

    1. Advances in technology to reduce radiation to a patient during radiography. [June 15]

     

    1. Clinical applications and techniques of fat suppression in MRI.
    2. Principles of perfusion CT and quantification of tumor perfusion parameters. [June 15]
    3. a) What is scatter radiation? How does it affect radiographic image quality? b) Methods to reduce scatter radiation. [(1+2)+7 Dec 15]
    4. Enumerate the types of digital radiography. Describe each one briefly.
    5. b) Advantages and limitations of digital radiography compared with conventional film screen [ 4+6 Dec 15]
    6. a) Techniques for dose reduction in MDCT. b) How is mammography tube different from conventional X ray tube? [ 5+5 Dec 15]
    7. a) Principles of radiation protection.
    8. b) Define various radiation units and give maximum permissible dose for radiation [4+(3+3) Apr 16]

    RADIOGRAPHIC POSITIONING

    1. Describe the positioning for various skull x-ray views.
    2. Conventional skull radiography.
    3. Radiography of the Jugular Foramen. [DEC 06]
    4. Base of Skull.
    5. a) Positioning and technique for apicogram. b) Magnification radiography. [5+5 Apr 16]

    SKULL AND ORBIT

    1. Investigation in a case of exophthalmos. [JAN 00]
    2. Imaging of posterior fossa. [JAN 01]
    3. [DEC 02]
    4. Orbital tumours . [DEC 03, JUN 04]
    5. USG in retinal retinal & choroidal detachment. [02]
    6. Orbital pathologies. [JUN 04]
    7. Imaging in unilateral exophthalmos. [DEC 07]
    8. Ocular blood flow in normal and Glaucomatous eye on color Doppler imaging.
    9. Enumerate causes of orbital masses. Discuss imaging features of two common causes in an [09]
    10. Classify orbital lesions in relation to various orbital spaces. Discuss MR features in orbital pseudo tumors. [June 08]
    11. Enumerate causes of unilateral proptosis. describe imaging findings of optic glioma and caroticocavernous fistula. [June 11]
    12. Describe in brief anatomy of sella turcica. Enumerate various sellar and parasellar masses. Discuss imaging features of craniopharyngioma. [3+2+5 Dec 11]
    13. Enumerate various indications of orbital ultrasound. Discuss the role of ultrasound & color Doppler in a case of white reflex in a child. [2+4+4 Dec 12]
    14. Enumerate the cause of solitary lytic lesion in the skull. Describe the distinguishing radiological features of any three. [4+6 Jun 13]
    15. Enumerate the causes of pulsatile exophthalmos. Discuss the imaging features of any two [2+4+4 June 14]

     

    1. Enumerate causes of unilateral proptosis. Describe briefly imaging findings of optic glioma and caroticocavernous fistula. [2+4+4 Dec 14]
    2. a) How do you classify orbital masses? b) Enumerate various causes of Orbital masses c) MR features of orbital pseudotumors. [June 15]
    3. a) Enumerate various indications of orbital ultrasound. b) Role of ultrasound and Colour Doppler in a child with white reflex. [2+(4+4) Dec 15]
    4. Differential diagnosis of unilateral proptosis in a child. [10 Apr 16]

    TECHNIQUES, NEWER MODALITIES AND RECENT ADVANCES

    1. Spiral CT and its major applications. [JAN 97]
    2. Ultrasound transducers and their applications.
    3. Developments in ultrasound transducer technology. [09]
    4. High resolution CT and its major applications. [97, 05]
    5. MR Spectroscopy. [JUL 97, DEC 02/05/06]
    6. Automatic processing and Automatic Film Processor (AFP). [JUL 97, JAN 00, DEC 02/05]
    7. 3D CT angiography. [JUL 98]
    8. Digital radiography. [DEC 05/06, JUN 05]
    9. Flat panel digital radiography.
    10. What is digital radiography? Discuss its advantages and disadvantages. [09]
    11. Computed radiography and digital radiography. [DEC 05, JUN 06]
    12. [02]
    13. [JUL 99, DEC 03]
    14. MRCP vs ERCP
    15. Small bowel enema.
    16. Tissue Harmonic imaging. [JAN 01, DEC 04]
    17. MRI Urography. [DEC 02]
    18. MR Venography.
    19. MR angiography. [JUL 97, DEC 02/04, JUN 06]
    20. MRA in lower limb arteries
    21. Discuss the role of C.T. angiography, its indications, advantages and limitations. [JAN 01]
    22. CT angiography and its application in abdomen. [DEC 05, JUN 06]
    23. Principles of CT angiography.
    24. CT angiography- present status [JUN 06]
    25. Methods of contrast administration for CT angiography. [09]
    26. CT angiography vs MR angiography.
    27. Virtual endoscopy.
    28. Virtual Colonoscopy. [DEC 05/07, JUN 05]
    29. Virtual bronchoscopy . [DEC 05, JUN 06, DEC 09]
    30. CT Coronary angiography.
    31. Intra-operative USG. [DEC 04
    32. Trans-rectal and Trans-Perineal USG in elderly patients. [06]
    33. Discuss principle, various techniques of elastography and their clinical applications. [June 08/2010]
    34. Peripheral venous doppler.
    35. Intravascular Ultrasound. [06]
    36. Full field Digital Mammography. [06]
    37. Radiofrequency Ablation [clinical application and principle]. [03, 06]
    38. Percutaneous vertebroplasty. [06]
    39. Outline of techniques in functional MRI. [JUN 06]
    40. Diffusion weighted MRI. [08]
    41. Dry view laser camera. [06]
    42. Clinical applications of 3T MRI. [06]
    43. Discuss the procedure for Barium Enema.
    44. Technique of Double Constrast Barium Enema. [02] Enumerate the DD and imaging features of Hepatic flexure mass. [2010]
    45. MR enteroclysis- techniques, indications and applications. [02, 2010]
    46. MRI in Cardiac Imaging OR MR sequences in Cardiac Imaging. [JUN/DEC 07]
    47. Vertebroplasty in non-infective vertebral collapse.
    48. Tomosynthesis and its clinical applications. [09]
    49. Volume ultrasound. [09]
    50. Discuss indications, technique and complication of bronchial artery embolisation. [June 2008, 10]
    51. [DEC 06]
    52. Describe the principle and types of bone densitometry. Outline the advantages, disadvantages and limitations of each type. [2010]
    53. Enumerate the various gradient echo sequences. Describe in brief the principle and their clinical applications. [2010]
    54. Describe techniques of MRCP. What are the advantages and disadvantages of MRCP vs [2010]
    55. Techniques and applications of CT colonography. [2010]
    56. Write in brief the principles of Radio frequency ablation [RFA]. Enlist its indications, contraindications and complications in management of Hepatocellular carcinoma. [2010]
    57. What are the advantages of 3T MRI over 1.5T MRI ? Comment on its limitations. [2010]
    58. What is the principle of diffusion weighted imaging and its role in evaluation of breast [2010]
    59. Enumerate the indications of foetal MRI. Comment on its limitations. [2010]
    60. Write in brief about problem of storage requirements in PACS. Describe its solutions. [2010]
    61. Describe briefly indications, technique, complications and post procedure follow up of Transjugular Intrahepatic Portosystemic Shunt. [Dec 10]
    62. Describe the technique of CT enteroclysis. Enumerate its indications, advantages and [Dec 10]
    63. Describe the technique of CT coronary angiography. Draw a labeled diagram of normal coronary arteries. Mention the major anatomical variants. [Dec 10]
    64. What is molecular imaging and describe its role in musculoskeletal system. [Dec 10]
    65. Describe the technique of MR Arthrography. Enumerate its indications, advantages and

     

    limitation. [Dec 10]

    1. What do you understand by perfusion imaging?. Describe briefly CT and MR perfusion imaging techniques. [Dec 10]
    2. Enumerate various endoscopic ultrasound imaging techniques. Describe common endoscopic ultrasound imaging features in esophageal disease. [Dec 10]
    3. Write in brief about the technique, indications, contraindications and complications of Radiofrequency ablation in hepatic and biliary lesions. [Dec 10]
    4. What do you understand by tissue harmonic imaging. How is it useful during sonographic evaluation of small parts of body? [3+7 June 11]
    5. Define High Intensity Focused Ultrasound. Describe its clinical applications. [2+8 June 11]
    6. Describe principle of Dual energy CT, different techniques of dual energy acquisition and various applications. [3+2+5 Dec 11]
    7. Discuss the principle, components, advantages and limitations of Digital Radiography. [1+4+3+2 Dec 11]
    8. Describe principle of ultrasound elastography and its clinical applications. Briefly discuss its usefulness in evaluation of BIRAD 3 lesions. [(4+3)+3 Jun 12]
    9. Describe the physical principles of PET-CT. Discuss the role of computed tomography and PET-CT in diagnosis post-treatment evaluation of lymphoma. [2+4+4 Dec 12]
    10. Describe the physical principles of CR and DR. Briefly discuss their advantages and [3+3+2+2 Dec 12]
    11. Briefly describe the physical principle of radio frequency ablation. Enumerate it”˜s Discuss the role of radio frequency ablation in management of osteoid osteoma. [2+2+6 Dec 12]
    12. Write short notes on: [5+5 Dec 12]
    13. Focussed abdominal sonography for trauma. B. Pressure injector
    14. Define strain and shear wave elastography. Discuss its role in breast, prostatic and musculoskeletal lesion. Compare its sensitivity and specificity with MR elastography. [2+6+2 Jun 13]
    15. a) CT vs MR Urography. b) CT vs MR Enteroclysis [5+5 Jun 13]
    16. Discuss the recent advances in MDCT. What are the various dose reduction techniques in MDCT?. Mention average radiation dose received for common examinations using MDCT. [4+4+2 Jun 13]
    17. Principle of Digital radiography. b. Clinical applications of molecular imaging. [5+5 Jun 13]
    18. MR artefacts b. CT artefacts. [5+5 Jun 13]
    19. Discuss the following: a. BOLD Imaging b. Genetic Screening c. PACS in Radiology. [3+3+4 Jun 13]
    20. Write short notes on: 1) MR tractography 2) Dual energy scanning in musculo-skeletal (5+5 Dec 13)
    21. Write short notes on: 1) CO2 angiography 2) Transcranial sonography in stroke (5+5 Dec 13)
    22. Write short notes on: a) Flat panel detector b) HIFU-Clinical indications & utility. [5+5 Dec 13]
    23. Write short notes on: a) Mobile CT scanner b) Renal denervation for renovascular [5+5 Dec 13]
    24. a) MR-PET b) Dose reduction techniques in MDCT. [5+5 Dec 13]
    25. a) Imaging of hemobilia and interventions b) Principles & applications of RF ablation. [5+5

     

    June 14]

    1. a) CT perfusion in acute stroke b) Principles of functional MRI. [5+5 June 14]
    2. Techniques of ultrasound elastography and its applications. [5+5 June 14]
    3. Advantages and disadvantages of computed radiography and direct digital radiography. [10 June 14]
    4. What are the advantages of 3T MRI over 1.5T MRI ? Comment on its limitations. [6+4 Dec 14] (exact repeat from 2010)
    5. MR artefacts b. CT artefacts. [5+5 Dec 14] (exact repeat from Jun 13)
    6. Enumerate the various gradient echo sequences. Describe in brief the principles and their clinical applications. [3+3+4 Dec 14] (repeat from 2010)
    7. Define High Intensity Focused Ultrasound . Describe its clinical applications. [2+8 Dec 14] (repeat from June 11)
    8. What do you understand by tissue harmonic imaging . How is it useful during sonographic evaluation of small parts of body. [3+7 Dec 14] (repeat from June 11)
    9. a) Fusion imaging. b) ELORA [5+5 June 15]
    10. Advances in ultrasound transducer technology. [June 15]
    11. Advances in MR gradient technology and its advantages. [June 15]
    12. a) Zero lead aprons. b) Spatial compound imaging [5+5 June 15]
    13. a) Principles and techniques of dual energy CT. b) Clinical applications of dual energy CT. [(3+3)+4 Dec 15]
    14. Principles and techniques of ultrasound elastography along with its clinical applications. [ 2+4+4 Dec 15] (repeat from June 14)
    15. a) HlFU – Principles and clinical uses. b) PET-CT in staging of brain tumours. [ (3+3+)+4 Dec 15]
    16. a) Advances in lead apron technology. b) Technique of MR perfusion and its clinical applications in brain lesions. [ 4+(3+3) Dec 15]
    17. a) MR spectroscopy in breast. b) MR spectroscopy in prostate. [5+5 Apr 16]
    18. a) PET-MR b) MR guided interventions. [5+5 Apr 16]
    19. Role of perfusion and diffusion MRI in post chemotherapy evaluation. [5+5 Apr 16]

    THYROID

    1. Role of USG in thyroid diseases. [JAN 97]
    2. Imaging in thyroid pathology. [JAN 00]
error: Content is protected !!