Abdominal imaging: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Abdominal imaging

Sample item

What CT feature supports the diagnosis of acute appendicitis?

AA simple renal cyst with enhancementBDiffuse calcification of the pancreasCDilated blind-ending tubular structure with periappendiceal fat strandingDA shrunken gallbladder with no surrounding change

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Dilated blind-ending tubular structure with periappendiceal fat stranding

CT appendicitis findings include an enlarged appendix, wall enhancement, surrounding fat stranding, appendicolith, or local fluid collection.

Option by option

A. A simple renal cyst with enhancement
A simple cyst should not enhance internally.
B. Diffuse calcification of the pancreas
Pancreatic calcification suggests chronic pancreatic disease.
C. Dilated blind-ending tubular structure with periappendiceal fat stranding (correct)
Correct: enlarged inflamed appendix with fat stranding is characteristic.
D. A shrunken gallbladder with no surrounding change
Gallbladder appearance does not establish appendicitis.

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.

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Dilated blind-ending tubular structure with periappendiceal fat stranding. CT appendicitis findings include an enlarged appendix, wall enhancement, surrounding fat stranding, appendicolith, or local fluid collection.

Why is "A simple renal cyst with enhancement" not the answer?

A simple cyst should not enhance internally.

Why is "Diffuse calcification of the pancreas" not the answer?

Pancreatic calcification suggests chronic pancreatic disease.

Why is "A shrunken gallbladder with no surrounding change" not the answer?

Gallbladder appearance does not establish appendicitis.

What concept does this question test?

It tests Abdominal imaging in Radiology. The correct option holds because: Correct: enlarged inflamed appendix with fat stranding is characteristic.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Abdominal imaging?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.