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Radiology · Gastrointestinal imaging
Sample itemWhich contrast is generally avoided when gastrointestinal perforation is suspected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Barium sulfate
If perforation is possible, leaked barium can cause severe inflammatory complications, so water-soluble contrast is generally preferred when contrast imaging is required.
Option by option
A. Barium sulfate (correct)
Correct: barium is avoided when perforation may allow leakage.
B. Ultrasound gel
Ultrasound gel is external and not ingested contrast.
C. Water-soluble iodinated contrast
Water-soluble iodinated contrast is usually preferred in this setting.
D. Normal saline
Normal saline is not a routine gastrointestinal radiographic contrast agent.
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.
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