Abdominal radiograph: volvulus: 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.

Try it

Radiology · Abdominal radiograph: volvulus

Sample item

Which plain-film appearance is classically associated with sigmoid volvulus?

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

The answer and the reasoning

D. Coffee-bean shaped dilated loop

A twisted sigmoid colon can create a large coffee-bean configuration on abdominal radiography. Clinical assessment must determine whether ischemia or perforation is present.

Option by option

  • A. Double-wall sign

    Double-wall sign refers to free intraperitoneal air outlining both sides of bowel wall.

  • B. Apple-core lesion

    Apple-core narrowing is associated with colorectal carcinoma on contrast studies.

  • C. Rigler triad

    Rigler triad is associated with gallstone ileus.

  • D. Coffee-bean shaped dilated loop (correct)

    Correct. The coffee-bean sign is classic for sigmoid volvulus.

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

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is D, Coffee-bean shaped dilated loop. A twisted sigmoid colon can create a large coffee-bean configuration on abdominal radiography.

Why is "Double-wall sign" not the answer?

Double-wall sign refers to free intraperitoneal air outlining both sides of bowel wall.

Why is "Apple-core lesion" not the answer?

Apple-core narrowing is associated with colorectal carcinoma on contrast studies.

Why is "Rigler triad" not the answer?

Rigler triad is associated with gallstone ileus.

What concept does this question test?

It tests Abdominal radiograph: volvulus in Radiology. Clinical assessment must determine whether ischemia or perforation is present.

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 radiograph: volvulus?

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.