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MCQ December 2024 (deadline: 24 Feb 2025)

1. Which of the following is NOT an indication for performing spine radiographs?

A. Chronic low back pain, with no improvement despite conservative management.
B. Spinal trauma with pain or neurological deficit.
C. Chronic neck pain.
D. Idiopathic scoliosis in adolescents.
E. Acute low back pain due to suspected disc bulge.


2. In interpreting spine radiographs, which of the following statements is FALSE?

A. All seven cervical vertebrae should be clearly seen on the lateral cervical spine radiograph.
B. The odontoid peg is best seen on the standard AP radiograph of the entire cervical spine.
C. For complete assessment of scoliosis, AP long-spine radiographs of the entire spine are ideal.
D. In suspected lumbar spinal instability, flexion and extension lateral radiographs are useful.
E. On the lateral radiograph of the cervical spine, the anterior and posterior margins of the vertebral bodies should form two smooth parallel, curved lines (anterior and posterior spinal lines).


3. Regarding spinal lesions, which of the following statements is FALSE?

A. The vertebra is a common location for an osteoporotic fracture.
B. Vertebral metastases from a prostatic carcinoma typically appear osteolytic on radiographs.
C. Radiographic features of spinal degeneration include osteophyte formation and disc height loss.
D. Radiographic features of sacroiliitis include sacroiliac joint narrowing, subchondral erosions and subchondral sclerosis.
E. Incidental non-spinal findings encountered on lumbar spine radiographs may potentially be the cause of the patient’s back pain.


4. Which of the following is NOT a predisposing factor for basal cell carcinoma (BCC)?

A. Advanced age
B. Irradiation
C. Ultraviolet light exposure
D. LASER therapy
E. Gorlin syndrome


5. What is the gold standard to ensure optimal oncological outcome for basal cell carcinoma (BCC)?

A. Curettage
B. Excision and reconstruction
C. MOHS micrographic surgery
D. Topical chemotherapeutic agent
E. Cryotherapy


6. Which of the following is NOT an advantage of MOHS micrographic surgery?

A. Good examination of surgical margin
B. Quick procedure
C. Optimal cosmetic outcome
D. Result in the smallest surgical defect possible
E. Best preservation of surrounding healthy tissue


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