Try it
Radiology · Radiation effects: prodromal phase
Sample itemAfter an industrial radiography source accident, one worker vomits within 30 minutes and another vomits 6 hours later. What does the earlier onset of nausea and vomiting indicate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. A higher absorbed dose, with a worse prognosis
In acute radiation syndrome, the time to onset of vomiting and its severity are used for early triage. The shorter the latent period before the prodrome, the higher the dose received, and onset within an hour suggests a serious exposure.
Option by option
A. A lower absorbed dose, with a better prognosis
Later onset, not earlier onset, suggests a lower dose.
B. A higher absorbed dose, with a worse prognosis (correct)
Correct. Earlier prodrome means higher dose.
C. No relation to dose
Timing of the prodrome is a useful dose indicator.
D. Chemical poisoning rather than radiation
Vomiting after a radiation accident is attributed to the prodromal phase until proved otherwise.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More Radiology questions
- NeuroimagingWhat is the first investigation of choice in suspected acute subarachnoid haemorrhage?
- Cardiac imagingA 'boot-shaped' heart (coeur en sabot) on a chest radiograph is typical of:
- Musculoskeletal imagingA 'bamboo spine' on a plain radiograph is characteristic of:
- Paediatric radiologyThe 'double bubble' sign on an abdominal radiograph of a newborn suggests: