Try it
Radiology · MRI: safety
Sample itemA patient scheduled for MRI is found to have an intraocular metallic foreign body from welding. What is the appropriate action?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Withhold MRI and consider other modalities as there is risk of ocular injury
Ferromagnetic fragments can move in the strong magnetic field and cause blindness or haemorrhage. Orbital radiographs or CT should screen at-risk patients, and MRI is contraindicated if a metallic body is present. Other absolute risks include some cochlear implants and older pacemakers.
Option by option
A. Give sedation and proceed
Sedation does not remove the risk of movement.
B. Proceed after wearing earplugs
Earplugs protect hearing and do not influence the foreign body risk.
C. Withhold MRI and consider other modalities as there is risk of ocular injury (correct)
Correct. A ferromagnetic orbital foreign body makes MRI unsafe.
D. Proceed at low field strength without screening
Even low field strength can displace ferromagnetic fragments.
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: