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VIVA: a structured response for each image

Total questions: 19

Worksheet time: 16mins

Name
Class
Date
1-10.
1.

What is the first step in the standard structure for reporting an image?

a)

Describe any positive findings

b)

Summarise the findings

c)

Requesting additional information

d)

A brief silence

2.

Why is it important to repeat any clinical information provided about a film?

a)

To confuse the examiner

b)

To demonstrate active listening

c)

To avoid talking about the findings

d)

To show off your memory skills

3.

What should you do if you can't spot an abnormality on the film?

a)

Ask for a different image

b)

End the session

c)

Identify anything definitely not normal and start talking about that

d)

Keep silent

4.

How should you approach suggesting further investigation or management?

a)

Provide complex and specialist suggestions

b)

Start with simple options and move to more complex tests if appropriate

c)

End the discussion abruptly

d)

Avoid discussing any further steps

5.

What is the purpose of a conditional differential diagnosis list?

a)

To confuse the examiner

b)

To show off medical jargon

c)

To help suggest potential diagnoses when uncertain

d)

To avoid discussing any diagnoses

6.

How should you conclude your discussion with the examiner?

a)

End the discussion abruptly

b)

Ask for more images

c)

Turn towards the examiner and start a dialogue

d)

Repeat everything you've said

7.

What should you do if you get stuck during the discussion?

a)

Ask for additional information or previous images

b)

Use a conditional structure to suggest different interpretations

c)

Stay silent

d)

End the discussion abruptly

8.

How can you prompt the exclusion of unlikely options in the differential diagnosis?

a)

Avoid discussing differential diagnoses

b)

List all possible diagnoses

c)

End the discussion abruptly

d)

Use a surgical sieve to structure your comments

9.

What is the purpose of using the magic word 'if' in suggesting diagnoses?

a)

To confuse the examiner

b)

To show off your vocabulary

c)

To demonstrate patient-centered thinking

d)

To avoid discussing any diagnoses

10.

Why is closing essential in a discussion with the examiner?

a)

To confuse the examiner

b)

To repeat everything said before

c)

To avoid further dialogue

d)

To progress and start a dialogue

11.

What is the first step in the standard structure for reporting an image?

a)

Request additional information

b)

Describe the image in detail

c)

Summarize the positive findings

d)

A brief silence

12.

Why is it important to repeat any clinical information provided about a film?

a)

To show that you were listening

b)

To avoid summarizing

c)

To remain silent

d)

To confuse the examiner

13.

What should you do if there is an obvious abnormality on the film?

a)

Describe the abnormality first

b)

Remain silent

c)

Seek out further abnormalities

d)

Start talking about unrelated topics

14.

How should you approach the diagnosis and differential diagnosis in a case?

a)

Only suggest one diagnosis

b)

Discuss differential diagnoses if there is not a single obvious diagnosis

c)

Avoid mentioning any diagnoses

d)

Request more images

15.

What is the purpose of using a conditional differential diagnosis list?

a)

To confuse the examiner

b)

To avoid discussing diagnoses

c)

To show off medical knowledge

d)

To help suggest potential diagnoses when uncertain

16.

How can you prompt for further clinical information in a discussion?

a)

By asking direct questions

b)

By remaining silent

c)

By using conditional statements

d)

By avoiding dialogue

17.

What is the purpose of using a 'surgical sieve' in structuring comments?

a)

To list all possible diagnoses

b)

To exclude very unlikely options

c)

To avoid discussing findings

d)

To confuse the examiner

18.

Why is closing essential in a radiology examination?

a)

To remain silent

b)

To progress the discussion

c)

To avoid dialogue

d)

To repeat what has already been said

19.

What should you do if you get stuck on a case during the examination?

a)

Keep talking and keep moving forward

b)

Request to see the control film

c)

Ask for more images

d)

Remain silent

20.

How can you incorporate a request for further information into your discussion?

a)

By asking direct questions

b)

By remaining silent

c)

By using conditional statements

d)

By avoiding any requests

21.

What is the purpose of using the magic word 'if' in discussions?

a)

To prompt for further information

b)

To avoid dialogue

c)

To confuse the examiner

d)

To show off vocabulary

22.

Why is it important to summarize positive findings in a radiology report?

a)

To avoid summarizing

b)

To confuse the examiner

c)

To remain silent

d)

To show that you were listening

23.

What should you do if you are not sure of the answer during the examination?

a)

Remain silent

b)

Use a conditional differential diagnosis approach

c)

Ask the examiner for the answer

d)

Avoid discussing the findings

24.

How can you avoid losing momentum in a radiology examination?

a)

By repeating the same information

b)

By using body language to animate the exchange

c)

By remaining silent

d)

By avoiding dialogue

25.

What is the purpose of using a structured response for each image in a radiology examination?

a)

To avoid dialogue

b)

To show that you were listening

c)

To remain silent

d)

To confuse the examiner

26.

What is the significance of using a 'surgical sieve' in radiology discussions?

a)

To list all possible diagnoses

b)

To exclude very unlikely options

c)

To avoid discussing findings

d)

To confuse the examiner

27.

How can you effectively incorporate a request for additional clinical information in a conversation?

a)

By asking direct questions

b)

By remaining silent

c)

By using conditional statements

d)

By avoiding any requests

28.

Why is it important to summarize positive findings in a radiology report?

a)

To avoid summarizing

b)

To confuse the examiner

c)

To remain silent

d)

To show that you were listening