LAISHA
Open Laisha

National Veterinary Examination Diagnostic Imaging: Radiology and Ultrasonography: practice questions

National Veterinary Examination (獣医師国家試験) · Japan · Ministry of Agriculture, Forestry and Fisheries (MAFF), with the Veterinary Affairs Council

Original practice questions written to the published syllabus · not past papers
10worked here, free
59written to this exam in this subject
9syllabus units

What this subject covers

X-ray physics and radiation safety, positioning and interpretation, contrast studies, ultrasonography (including reproductive), endoscopy and the basics of CT and MRI.

In the exams: ECFVG / NEB CPE radiographic positioning section; NAVLE items with images (about 15-20%); ICAR AIEEA-PG 13 (Surgery & Radiology)

Where the 59 questions fall

How our questions for National Veterinary Examination spread across the units of Diagnostic Imaging: Radiology and Ultrasonography. Difficulty: 14 easy, 34 medium, 11 hard.

Radiographic interpretation by body system13
Radiographic positioning10
Ultrasonography7
CT and MRI basics6
X-ray physics5
Reproductive ultrasonography5
Endoscopy5
Radiation safety4
Contrast studies4

10 practice questions, worked

Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.

1 · X-ray physics · medium

A foot radiograph of a horse is to be made with the heel region thicker than the toe along the cassette. To use the heel effect to even out density, the thicker part should be placed:

  1. As far as possible from the receptor
  2. Towards the cathode end of the tube
  3. Directly under the central ray only
  4. Towards the anode end of the tube
Answer and working

B. Towards the cathode end of the tube

The beam is less intense on the anode side because photons leaving towards the anode pass through more target material. Placing the thicker part under the cathode side, where intensity is higher, evens out density. Moving the part away from the receptor only increases magnification and blur.

2 · Radiographic positioning · easy

A dog is placed on its back and the X-ray beam passes from its ventral to its dorsal surface. The projection is called:

  1. Right lateral
  2. Dorsoventral (DV)
  3. Craniocaudal
  4. Ventrodorsal (VD)
Answer and working

D. Ventrodorsal (VD)

Projections are named from where the beam enters to where it exits. Ventral entry and dorsal exit is ventrodorsal, with the animal in dorsal recumbency. DV has the animal on its sternum.

3 · Radiographic positioning · medium

A dyspnoeic cat needs a thoracic radiograph for an orthogonal view. Which is the safer choice?

  1. A ventrodorsal view with the cat held on its back
  2. A ventrodorsal view with the forelimbs pulled caudally
  3. A dorsoventral view with the cat in sternal recumbency
  4. A dorsoventral view taken under deep general anaesthesia
Answer and working

C. A dorsoventral view with the cat in sternal recumbency

Sternal recumbency (DV) is least stressful and least compromising to breathing. Forcing a dyspnoeic cat onto its back can cause decompensation; general anaesthesia in an unstable patient is risky. Stabilise first where possible.

4 · Radiographic positioning · medium

A large-breed dog presents with non-productive retching and a distended abdomen. Which single radiographic view is most useful to confirm gastric dilatation-volvulus?

  1. Dorsoventral thorax
  2. Left lateral abdomen
  3. Right lateral abdomen
  4. Ventrodorsal abdomen
Answer and working

C. Right lateral abdomen

In right lateral recumbency gas rises into the displaced pylorus, which lies dorsal and to the left in volvulus, showing the compartmentalised stomach. A left lateral view fills the pylorus with fluid, hiding the sign.

5 · Radiographic interpretation by body system · medium

Which set of findings is typical of pleural effusion?

  1. A heart lifted from the sternum on the lateral view, with no lung markings extending to the chest wall
  2. Dorsal elevation of the trachea with widened spaces between the mainstem bronchi
  3. Air bronchograms in the cranioventral lung lobes with a clear lobar sign on the lateral view
  4. Interlobar fissure lines, lung lobes retracted from the chest wall and effaced heart borders
Answer and working

D. Interlobar fissure lines, lung lobes retracted from the chest wall and effaced heart borders

Fluid between lobes creates fissure lines, pushes lobes away from the wall and effaces the soft-tissue heart border. A lifted heart with no peripheral markings is pneumothorax; cranioventral air bronchograms suggest pneumonia; tracheal elevation suggests left atrial enlargement.

6 · Radiographic interpretation by body system · medium

Which feature suggests an aggressive bone lesion?

  1. Smooth, solid periosteal new bone along the diaphysis
  2. A short, sharply defined zone of transition with a sclerotic rim
  3. An expansile lesion with an intact, thinned cortex
  4. A long, poorly defined zone of transition with permeative lysis
Answer and working

D. A long, poorly defined zone of transition with permeative lysis

Aggressive lesions (neoplasia, osteomyelitis) show cortical destruction, permeative or moth-eaten lysis, a long zone of transition and interrupted or spiculated periosteal reaction. The other options are features of non-aggressive lesions.

7 · Ultrasonography · hard

On M-mode, a dog has a left ventricular internal diameter of 40 mm in diastole and 26 mm in systole. What is the fractional shortening?

  1. 65%
  2. 14%
  3. 54%
  4. 35%
Answer and working

D. 35%

FS = (LVIDd − LVIDs) / LVIDd × 100 = (40 − 26) / 40 × 100 = 35%. 54% divides by the systolic value (14/26); 65% is 26/40; 14% is the difference in millimetres, not a percentage.

8 · Endoscopy · medium

The upper airway of a horse is examined by resting endoscopy to assess arytenoid function. Why is sedation usually avoided?

  1. Sedatives make the endoscope too hard to pass through the nares
  2. Sedatives often raise the risk of guttural pouch haemorrhage in horses
  3. Sedatives cause the soft palate to become permanently displaced
  4. Sedatives alter laryngeal movement and can produce false findings
Answer and working

D. Sedatives alter laryngeal movement and can produce false findings

Sedation depresses laryngeal and pharyngeal function and can mimic or exaggerate asymmetry, so the larynx is assessed in the unsedated horse. The other options are not reasons.

9 · CT and MRI basics · medium

A dog with a primary tumour needs the most sensitive test for small pulmonary metastases. Which modality is preferred?

  1. Thoracic ultrasonography
  2. Thoracic radiographs
  3. Bronchoscopy
  4. Thoracic CT
Answer and working

D. Thoracic CT

CT removes superimposition and detects smaller nodules than radiographs. Ultrasound cannot see through aerated lung; bronchoscopy views airways, not the parenchyma.

10 · CT and MRI basics · medium

A dog has acute paraparesis. Which modality best shows the spinal cord itself, a disc extrusion and cord oedema?

  1. Ultrasonography
  2. Plain radiography
  3. Scintigraphy
  4. MRI
Answer and working

D. MRI

MRI gives the best soft-tissue contrast and shows the cord, compressive material and intramedullary signal change. Radiographs show only bone and disc space changes; ultrasound cannot image through the vertebrae; scintigraphy shows bone turnover.

Ten here, 59 in the app. The Laisha app has every practice question we have written to National Veterinary Examination in this subject, marked as you go, with timed papers, a jump-to-unanswered list and a certificate when you pass at 70 per cent.

Free for ten days, then one subscription of US$10 a month. We would rather say so here than have you find it later.

Practise the full set in Laisha →

Read the subject

Diagnostic Imaging: Radiology and UltrasonographyThe full study manual, free National Veterinary ExaminationFormat, sections and how it has changed

More National Veterinary Examination practice

Companion Animal Practice: Breeding, Management, Nutrition and Health CareVeterinary Clinical Biochemistry & Laboratory DiagnosisExotic, Pocket Pet, Pet Bird & Reptile MedicineVeterinary Anaesthesiology & AnalgesiaEquine Medicine, Surgery & PracticeEmergency & Critical Care, Fluid Therapy and EuthanasiaFood-Animal Production Medicine & Herd HealthVeterinary Clinical Medicine II: Metabolic, Production and Deficiency DiseasesAnimal Behaviour, Ethology & Welfare ScienceVeterinary BiochemistryVeterinary ObstetricsGeneral Veterinary PathologyGeneral & Systemic Veterinary PharmacologyVeterinary NeuropharmacologyGeneral Veterinary SurgeryVeterinary Orthopaedics & LamenessVeterinary Clinical Medicine I: General and SystemicVeterinary Chemotherapy & Antimicrobial StewardshipVeterinary ProtozoologyVeterinary Gross AnatomyAquatic Animal Diseases, Health Care & ManagementVeterinary Gynaecology & Reproductive EndocrinologyVeterinary Physiology I: Body Fluids, Blood, Circulation, Respiration and ExcretionVeterinary Andrology & Assisted Reproductive Techniques

Diagnostic Imaging: Radiology and Ultrasonography for other exams

ENADE · BrazilBCSE · USA / CanadaNAVLE · USA / CanadaAustralasian Veterinary Examination, formerly the National Veterinary Examination · Australia / New ZealandRCVS Statutory Membership Examination · UKSAVC Registration Examination · South AfricaICAR AIEEA · India

Ask Laisha about this

Opens Laisha's chat with your question ready to send. Sign in or start free.