Radiotherapy and nuclear medicine basics: Deauville score: 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 · Radiotherapy and nuclear medicine basics: Deauville score

Sample item

On interim FDG PET in Hodgkin lymphoma, residual uptake in a node is above the mediastinal blood pool but not above the liver. What is the Deauville score?

A3B5C4D2

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

The answer and the reasoning

A. 3

The five-point Deauville scale scores no uptake as 1, uptake at or below the mediastinum as 2, above the mediastinum but not above the liver as 3, moderately above the liver as 4, and markedly above the liver as 5. Scores of 1 to 3 usually indicate a good metabolic response.

Option by option

A. 3 (correct)
Correct. Uptake above the mediastinum but not above the liver scores 3.
B. 5
A score of 5 requires uptake markedly above the liver or new lesions.
C. 4
A score of 4 requires uptake moderately above the liver.
D. 2
A score of 2 means uptake at or below the mediastinal blood pool.

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 A, 3. The five-point Deauville scale scores no uptake as 1, uptake at or below the mediastinum as 2, above the mediastinum but not above the liver as 3, moderately above the liver as 4, and markedly above the liver as 5.

Why is "5" not the answer?

A score of 5 requires uptake markedly above the liver or new lesions.

Why is "4" not the answer?

A score of 4 requires uptake moderately above the liver.

Why is "2" not the answer?

A score of 2 means uptake at or below the mediastinal blood pool.

What concept does this question test?

It tests Radiotherapy and nuclear medicine basics: Deauville score in Radiology. Scores of 1 to 3 usually indicate a good metabolic response.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Radiotherapy and nuclear medicine basics: Deauville score?

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.