MCQ practice
IR Indications & triage
Board-level multiple choice with the reasoning you actually use on call. Answers are explained; log in to save progress and practise what you got wrong with spaced repetition.
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23:40, the ED calls: a 34-year-old fell 4 metres. BP 95/60 → 110/70 after 1 L crystalloid, HR 112, Hb falling …Same mechanism, but the patient remains hypotensive (80/50) despite 2 units of blood and is becoming confused.…Urology calls: day 4 after PCNL, recurrent gross haematuria, two clot-retention episodes, Hb down 1.5 mmol/L. …Pulmonology: a 56-year-old with bronchiectasis, ~300 mL haemoptysis overnight, ongoing in spurts. Sat 91% on 3…Same patient deteriorates: continuous bleeding, saturation 82%, gurgling. What comes before your angiography?ED: 71-year-old with painless fresh rectal bleeding, self-limiting episodes, BP 130/80, HR 88, Hb stable. "Can…Same patient rebleeds at 03:00: BP 90/55 despite transfusion, CTA shows active extravasation from a sigmoid di…Gastroenterology: duodenal ulcer, two failed endoscopic haemostasis attempts, patient transfusion-dependent. C…02:00, urology: septic patient (BP 95/60 on noradrenaline, lactate 4.1), CT shows an obstructing 9 mm proximal…ICU: 78-year-old, day 2 of acute cholecystitis, ASA IV on vasopressors, failing antibiotics. Surgeon declines …Surgery asks about a diverticular abscess on CT. Which one is a drainage indication rather than antibiotics al…ICU: 58-year-old with CT-proven bilateral PE. BP 85/50 despite fluids, on noradrenaline. No absolute contraind…Cardiology: 3 cm femoral pseudoaneurysm with a narrow neck after PCI, patient on DAPT. Preferred treatment?ED: 76-year-old in AF, sudden severe abdominal pain, lactate 5. CTA: embolic occlusion of the proximal SMA. Wh…Trauma bay: unstable pelvic ring fracture, binder applied, FAST negative, CT shows arterial blush near the int…Obstetrics: postpartum haemorrhage, 2.5 L loss, uterotonics and Bakri balloon failed. BP 100/60 with ongoing t…Which patient has the clearest indication for an IVC filter?Hepatology at 04:00: cirrhotic with oesophageal variceal bleeding, two endoscopic banding attempts failed, on …Trauma: grade IV renal injury, active extravasation on CT, patient haemodynamically stable after 1 unit. Urolo…ICU: tunneled dialysis catheter, S. aureus bacteraemia, patient in septic shock. The team asks you to exchange…Vascular ward: acute leg ischaemia, 6 hours of pain, now with calf tenderness and weak dorsiflexion, sensation…Dialysis unit: AV fistula thrombosed since yesterday, next dialysis due tomorrow, no signs of infection. Best …GP referral: incidental 2.4 cm splenic artery aneurysm in a 31-year-old woman planning pregnancy. Advice?EVAR follow-up call: type II endoleak from a lumbar artery, sac diameter unchanged over 12 months. The vascula…ED in a partner hospital: known HCC, sudden abdominal pain, CT shows hemoperitoneum with active bleeding from …03:30, MDL: septic cholangitis with a hilar tumour obstruction; ERCP failed to pass the stricture tonight. Bil…ICU, slightly embarrassed: a dialysis catheter intended for the right IJ vein is in the common carotid artery,…Vascular ward: 48 hours of massive left leg swelling, now dusky-blue with severe pain and diminishing pulses —…Urology outpatient question: incidental 5 cm renal angiomyolipoma in an asymptomatic 42-year-old. Advice?ED: sudden flank pain and shock; CT shows a large perinephric haematoma with active extravasation from a fat-c…Urology: 24-year-old with a straddle injury 3 days ago, persistent painless partial erection. Doppler shows a …Head & neck oncology, panicking: previously irradiated patient with a neck wound now has pulsatile bleeding fr…Vascular: pulsatile groin mass 5 weeks after a femoral crossover bypass, overlying skin red, CRP 180. CT: anas…Pulmonology: loculated para-pneumonic effusion/empyema on CT, patient febrile despite antibiotics, small-bore …Trauma: grade IV liver laceration with contrast blush, patient haemodynamically stable after resuscitation. Th…Surgery ward: 5 days after percutaneous liver biopsy — melaena, RUQ pain and jaundice. Diagnosis and definitiv…Hepatology asks you to consent a patient for elective TIPS for refractory ascites. Which comorbidity is the st…Oncology day unit: during port removal the catheter fractured; CT shows the fragment lying in the right atrium…ICU: post-cardiac-surgery patient on high-dose vasopressors develops abdominal pain and rising lactate. CTA: p…ED: acute type B aortic dissection, BP controlled on labetalol, but the left leg is mottled with absent femora…
Medical disclaimer. Educational content only. Questions and explanations reflect general principles and published guidance, may not match your local protocols, and are no substitute for clinical judgement or institutional policy. Always verify against current local and (inter)national guidelines before acting.