MCQs of Fistulogram for Govt Exam Practice | SSC, UPSC, AIIMS | BSc Radiology, BXRT

MCQs of Fistulogram for Govt Exam Practice : SSC, UPSC, AIIMS



A fistulogram is a radiologic procedure used to evaluate and diagnose abnormalities or blockages in a fistula or graft, often in the context of dialysis access. It involves injecting contrast dye into the fistula or graft and taking X-ray images to visualize the blood flow and identify any issues like narrowing or clotting that might affect its function.

1. What is the primary purpose of a fistulogram?

   A) To assess bone fractures
   B) To evaluate kidney function
   C) To diagnose abnormalities in a fistula or graft
   D) To examine lung capacity

Answer: C) To diagnose abnormalities in a fistula or graft

2. Which medical condition is often associated with the need for a fistulogram?

   A) Diabetes
   B) Hypertension
   C) Chronic kidney disease
   D) Asthma

Answer: C) Chronic kidney disease

3. During a fistulogram, what substance is typically injected into the fistula or graft?

   A) Blood
   B) Antibiotics
   C) Contrast dye
   D) Saline solution

Answer: C) Contrast dye

4. What imaging technique is commonly used during a fistulogram?

   A) Ultrasound
   B) Magnetic resonance imaging (MRI)
   C) X-ray
   D) Computed tomography (CT) scan

Answer: C) X-ray

5. What does a fistulogram help identify in a fistula or graft?

   A) Bone density
   B) Blood pressure
   C) Abnormalities or blockages
   D) Nerve damage

Answer: C) Abnormalities or blockages

6. In which medical specialty are fistulograms commonly performed?

   A) Cardiology
   B) Radiology
   C) Orthopedics
   D) Dermatology

Answer: B) Radiology

7. What is the main purpose of using contrast dye in a fistulogram?

   A) To reduce pain
   B) To visualize blood vessels and flow
   C) To prevent infections
   D) To measure blood pressure

Answer: B) To visualize blood vessels and flow

8. Which of the following is NOT a potential complication of a fistulogram?

   A) Allergic reaction to contrast dye
   B) Infection at the injection site
   C) Increased kidney function
   D) Blood clots

Answer: C) Increased kidney function

9. What is the typical preparation required before a fistulogram?

   A) Fasting for 24 hours
   B) Drinking plenty of water
   C) No specific preparation is necessary
   D) Taking blood-thinning medications

Answer: C) No specific preparation is necessary

10. What is the primary risk associated with a fistulogram?

    A) Nausea and vomiting
    B) Radiation exposure
    C) Loss of blood circulation
    D) Muscle cramps

Answer: B) Radiation exposure

11. Which imaging modality might be used alongside a fistulogram to provide additional details?

    A) Sonography
    B) Positron emission tomography (PET)
    C) Electrocardiogram (ECG)
    D) Blood test

Answer: A) Sonography

12. What is the typical duration of a fistulogram procedure?

    A) 30 minutes to 1 hour
    B) 2-3 hours
    C) Less than 15 minutes
    D) 4-5 hours

Answer: A) 30 minutes to 1 hour

13. What might a narrowing in a fistula or graft indicate during a fistulogram?

    A) Improved blood flow
    B) Risk of infection
    C) Potential blockage or clot
    D) Increased elasticity

Answer: C) Potential blockage or clot

14. How often might a patient with a fistula undergo a fistulogram?

    A) Once a week
    B) Once a month
    C) As needed or based on symptoms
    D) Once a year

Answer: C) As needed or based on symptoms

15. Which healthcare professional typically performs the interpretation of a fistulogram?

    A) Surgeon
    B) Radiologist
    C) Nephrologist
    D) General practitioner

Answer: B) Radiologist

16. What is the purpose of monitoring a fistula or graft after a fistulogram?

    A) To ensure the patient's blood pressure is stable
    B) To detect any immediate complications
    C) To prevent future surgeries
    D) To provide psychological support

Answer: B) To detect any immediate complications

17. In the context of dialysis, why is maintaining a healthy fistula or graft crucial?

    A) To control body temperature
    B) To regulate hormone levels
    C) To facilitate the removal and return of blood during dialysis
    D) To improve lung function

Answer: C) To facilitate the removal and return of blood during dialysis

18. What might a fistulogram reveal in the case of a dysfunctional fistula or graft?

    A) Improved blood flow rate
    B) Proper wound healing
    C) Area of narrowing or stenosis
    D) Decreased heart rate

Answer: C) Area of narrowing or stenosis

19. Which of the following is a possible reason for a failed or non-functioning fistula?

    A) Adequate blood flow
    B) Obstruction or blockage
    C) Excessive fluid intake
    D) Reduced contrast dye effectiveness

Answer: B) Obstruction or blockage

20. Besides diagnostic purposes, what other function might a fistulogram serve in medical practice?

    A) Assessing mental health
    B) Monitoring bone density
    C) Planning surgical interventions
    D) Evaluating taste sensitivity

Answer: C) Planning surgical interventions

21. What's the primary reason for conducting a fistulogram in a patient undergoing dialysis?

    A) To assess eye health
    B) To evaluate heart function
    C) To check for liver abnormalities
    D) To ensure the dialysis access is functioning properly

Answer: D) To ensure the dialysis access is functioning properly

22. Which of these statements regarding fistulograms is accurate?

    A) They involve inserting a camera into the bloodstream.
    B) They require anesthesia for the patient.
    C) They are exclusively used for imaging bones.
    D) They utilize contrast dye to visualize blood vessels.

Answer: D) They utilize contrast dye to visualize blood vessels.

23. What could a fistulogram assist in determining about a fistula or graft?

    A) Hair density surrounding the site
    B) Presence of joint inflammation
    C) Adequacy of blood supply and flow
    D) Digestive system health

Answer: C) Adequacy of blood supply and flow

24. What might be a potential indication for performing a follow-up fistulogram?

    A) A broken bone near the fistula
    B) Persistent nausea after the procedure
    C) A sudden increase in appetite
    D) A change in the patient's dialysis routine due to fistula concerns

Answer: D) A change in the patient's dialysis routine due to fistula concerns

25. Which imaging technique might be utilized if a patient cannot undergo a traditional X-ray for a fistulogram?

    A) PET scan
    B) MRI scan
    C) CT scan
    D) Sonogram

Answer: B) MRI scan

26. What potential complications might arise if a fistulogram identifies a severe blockage in a dialysis access site?

    A) Increased blood flow
    B) Risk of heartburn
    C) Potential need for surgery or intervention
    D) Improved kidney function

Answer: C) Potential need for surgery or intervention

27. During a fistulogram, what does the radiologist primarily look for in the images produced?

    A) Brain activity
    B) Blood cell count
    C) Signs of inflammation
    D) Abnormalities or blockages in blood vessels

Answer: D) Abnormalities or blockages in blood vessels

28. How might a fistulogram help a surgeon preparing for a fistula repair procedure?

    A) By assessing dental health
    B) By identifying potential problem areas in the access site
    C) By determining shoe size
    D) By evaluating hearing capacity

Answer: B) By identifying potential problem areas in the access site

29. What precautionary measures might be taken if a patient has had a previous allergic reaction to contrast dye?

    A) Administration of more contrast dye for tolerance
    B) Avoidance of contrast dye during the procedure
    C) No specific precautions needed
    D) Providing a higher dose of anesthesia

Answer: B) Avoidance of contrast dye during the procedure

30. In which position might a patient be placed during a fistulogram to facilitate access to the access site?

    A) Standing
    B) Seated in a chair
    C) Lying down
    D) Upside-down

Answer: C) Lying down

31. Which blood vessels are commonly examined during a fistulogram?

    A) Arteries leading to the legs
    B) Veins leading to the arms
    C) Capillaries in the fingers
    D) Vessels around the eyes

Answer: B) Veins leading to the arms

32. If a fistulogram reveals a significant narrowing in the fistula or graft, what might be recommended?

    A) Increased fluid intake
    B) A change in dietary habits
    C) Surgical intervention such as angioplasty or stent placement
    D) Physical therapy sessions

Answer: C) Surgical intervention such as angioplasty or stent placement

33. How soon after a fistulogram can a patient typically resume their regular activities?

    A) Immediately
    B) After a week of rest
    C) Only after consulting a nutritionist
    D) After 24 hours of observation

Answer: A) Immediately

34. What might be the consequence of a blocked or dysfunctional fistula in a dialysis patient?

    A) Improved blood filtration
    B) Inability to undergo effective dialysis
    C) Reduced risk of infections
    D) Increased bone density

Answer: B) Inability to undergo effective dialysis

35. How often might a physician recommend a fistulogram for a patient with a well-functioning access site?

    A) Once every decade
    B) On a yearly basis
    C) Only when the patient requests it
    D) Every few months

Answer: C) Only when the patient requests it

36. Which factor might influence the decision to perform a fistulogram in a patient with a dialysis access site?

    A) The patient's shoe size
    B) The patient's preferred clothing color
    C) The presence of symptoms or concerns about the access site
    D) The patient's favorite food

Answer: C) The presence of symptoms or concerns about the access site

37. What might a fistulogram assist in detecting in a patient with a fistula related to chronic kidney disease?

    A) Vision impairment
    B) Risk of bone fractures
    C) Potential clotting or blockages in the access site
    D) Respiratory infections

Answer: C) Potential clotting or blockages in the access site

38. In the context of a fistulogram, what does the term "stenosis" refer to?

    A) Increased elasticity of blood vessels
    B) A narrowed or restricted area in a blood vessel
    C) A complete blockage of a blood vessel
    D) An abnormality in the heart's rhythm

Answer: B) A narrowed or restricted area in a blood vessel

39. What role does a fistulogram play in the overall management of a patient's dialysis treatment?

    A) Determining the best dialysis schedule
    B) Evaluating mental health status
    C) Monitoring blood sugar levels
    D) Assessing the health of the access site for effective dialysis

Answer: D) Assessing the health of the access site for effective dialysis

40. Which part of the body is typically examined or treated during a fistulogram?

    A) The digestive system
    B) The circulatory system, specifically the access site
    C) The nervous system
    D) The skeletal system

Answer: B) The circulatory system, specifically the access site

41. What might be the immediate course of action if a fistulogram shows a severe blockage in the access site?

    A) No action is necessary; the blockage will resolve on its own.
    B) Immediate surgery or intervention might be required.
    C) Increase in medication dosage for pain relief.
    D) Recommending regular massages around the access site.

Answer: B) Immediate surgery or intervention might be required.

42. Besides contrast dye, what might be administered during a fistulogram to alleviate discomfort?

    A) Vitamin supplements
    B) Painkillers or local anesthesia
    C) Anti-anxiety medication
    D) Sedatives for sleep

Answer: B) Painkillers or local anesthesia

43. What might be the purpose of a follow-up fistulogram after a previous procedure to address a blockage?

    A) To assess the patient's weight changes
    B) To verify the patient's shoe size
    C) To confirm the effectiveness of the intervention and check for recurrence
    D) To examine dental health

Answer: C) To confirm the effectiveness of the intervention and check for recurrence

44. If a fistulogram reveals a completely blocked access site, what might be considered as a treatment option?

    A) Increasing the patient's salt intake
    B) Advising the patient to avoid all physical activities
    C) Immediate surgical intervention or creation of a new access site
    D) Suggesting regular massages on the access site

Answer: C) Immediate surgical intervention or creation of a new access site

45. Which of the following symptoms might prompt a physician to consider performing a fistulogram?

    A) Joint pain in the knees
    B) Swelling or redness near the dialysis access site
    C) Frequent headaches
    D) Changes in taste sensation

Answer: B) Swelling or redness near the dialysis access site

46. What does the term "fistulogram" specifically refer to?

    A) A scan of the heart's blood vessels
    B) Imaging of the digestive system
    C) Evaluation of a surgically created connection between an artery and vein
    D) Assessment of lung function

Answer: C) Evaluation of a surgically created connection between an artery and vein

47. In the context of a fistulogram, what might be a potential cause for a blockage in a dialysis access site?

    A) Increased fluid intake
    B) Excessive sunlight exposure
    C) Presence of a blood clot or stenosis
    D) Regular exercise routine

Answer: C) Presence of a blood clot or stenosis

48. What might be the immediate recommendation if a fistulogram identifies a minor narrowing in the access site?

    A) No action needed; the narrowing is insignificant.
    B) Scheduled follow-up appointments for monitoring
    C) A change in the patient's shoe size
    D) Immediate surgery for correction

Answer: B) Scheduled follow-up appointments for monitoring

49. How might a patient feel during the injection of contrast dye in a fistulogram?

    A) Warm sensation spreading through the body
    B) Cold sensation at the injection site
    C) Tingling in the fingertips
    D) Increased heart rate

Answer: A) Warm sensation spreading through the body

50. What might be a potential consequence of a fistulogram revealing a severe blockage in a dialysis access site?

    A) Enhanced blood flow through the access site
    B) Inability to perform effective dialysis
    C) Improved kidney function
    D) Reduced risk of infections

Answer: B) Inability to perform effective dialysis

51. Which medical professional might collaborate with a radiologist to determine the need for a fistulogram in a dialysis patient?

    A) Endocrinologist
    B) Physical therapist
    C) Nephrologist
    D) Optometrist

Answer: C) Nephrologist

52. What's the primary advantage of using contrast dye during a fistulogram procedure?

    A) Enhances muscle strength
    B) Reduces discomfort during the process
    C) Aids in visualizing blood vessels and detecting abnormalities
    D) Accelerates wound healing

Answer: C) Aids in visualizing blood vessels and detecting abnormalities

53. How might a fistulogram assist in determining the need for an intervention in a patient with a dialysis access site?

    A) By evaluating the patient's shoe size
    B) By analyzing blood sugar levels
    C) By identifying areas of narrowing or blockages
    D) By conducting a mental health assessment

Answer: C) By identifying areas of narrowing or blockages

54. What could be a potential complication following a fistulogram procedure?

    A) Increased appetite
    B) Numbness in the feet
    C) Infection at the injection site
    D) Improved bone density

Answer: C) Infection at the injection site


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