Free Practice Questions for Iran Specialty Board Radiology
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Key Facts: Iran Specialty Board Radiology Exam
150
Total multiple-choice questions on the national written board certification examination
Secretariat for the Council for Medical and Specialized Education Guidelines
70% (105/150)
Minimum passing score required in the written exam to advance to the film-reading OSCE
Sanjesh Pezeshki Specialty Board Examination Regulations
210 min
Total written examination duration, providing approximately 84 seconds per clinical question
Sanjesh Pezeshki Examination Administration Procedures
0
Negative marking: incorrect answers receive zero points without penalty
Iranian Medical Specialty Board Examination Rules
2 Stages
Examination structure: Stage 1 Written MCQ followed by Stage 2 Practical Film-Reading OSCE
Council for Medical and Specialized Education
The Iranian Diagnostic Radiology Specialty Board Exam is a rigorous two-stage certification process administered by Sanjesh Pezeshki. Candidates must achieve at least 70% (105/150) on the 240-minute written MCQ exam without negative marking to advance to the multi-station film-reading OSCE and oral board examination.
Sample Iran Specialty Board Radiology Practice Questions
Try these sample questions to review concepts for the Iran Specialty Board Radiology exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 58-year-old man presents with new-onset seizures and progressive headaches. Brain MRI demonstrates an irregularly rim-enhancing mass in the right frontal subcortical white matter that crosses the corpus callosum into the left hemisphere. The lesion exhibits central non-enhancing necrosis, thick nodular enhancing margins, surrounding T2/FLAIR vasogenic edema, and elevated choline with depressed N-acetylaspartate on MR spectroscopy. What is the most likely diagnosis?
2A 42-year-old woman presents with progressive left-sided sensorineural hearing loss, tinnitus, and mild balance disturbance. Brain MRI reveals an intensely enhancing, sharply circumscribed mass centered at the left cerebellopontine angle. The lesion expands the internal auditory canal and demonstrates an acute angle with the underlying petrous bone. What is the most likely diagnosis?
3A 68-year-old woman presents 90 minutes after sudden onset of right-sided hemiplegia and global aphasia. Non-contrast head CT demonstrates loss of gray-white differentiation in the left insular ribbon and lentiform nucleus, along with hyperdensity within the proximal left M1 segment. Which imaging feature represents the earliest and most specific sign of acute cytotoxic edema on MRI?
4A 24-year-old motorcyclist is brought to the emergency department following high-speed blunt head trauma. Initial non-contrast CT shows a biconvex, lenticular hyperdense extra-axial collection along the right temporoparietal convexity that does not cross the coronal or lambdoid cranial sutures. Which vessel is most commonly lacerated to produce this hematoma?
5A 32-year-old woman experiences right optic neuritis followed eight months later by lower extremity paresthesias and gait ataxia. Brain MRI demonstrates multiple periventricular white matter lesions oriented perpendicular to the lateral ventricular ependyma along the path of deep medullary venules. What is the classic radiologic descriptor for this demyelinating pattern?
6A 49-year-old man presents with acute fever, headache, confusion, and complex partial seizures. Brain MRI reveals asymmetric swelling and confluent T2/FLAIR hyperintensity involving the bilateral medial temporal lobes, insular cortices, and inferior frontal gyri, with notable sparing of the basal ganglia. What is the most likely etiology?
7A 38-year-old man with back pain and low-grade fever undergoes lumbar spine MRI. T1-weighted images show confluent loss of normal fatty marrow signal in two adjacent vertebral bodies and the intervening intervertebral disc. T2-weighted and STIR images demonstrate bright fluid signal within the disc space, endplate destruction, and prevertebral soft tissue phlegmon. What is the most definitive radiologic diagnosis?
8A 7-year-old boy presents with progressive morning headaches, vomiting, and truncal ataxia. Brain MRI shows an expansile mass in the midline cerebellar vermis filling and expanding the fourth ventricle. On unenhanced CT the mass is hyperdense to gray matter. On MRI it demonstrates low-to-intermediate T2 signal, avid contrast enhancement, and marked diffusion restriction with low ADC values. What is the most likely diagnosis?
9A 62-year-old man presents with chronic nasal obstruction, unilateral conductive hearing loss, and neck lymphadenopathy. Axial contrast-enhanced CT of the skull base demonstrates a soft tissue mass centered in the fossa of Rosenmüller that obliterates the parapharyngeal space fat plane and invades the foramen ovale. What is the most likely diagnosis?
10A 45-year-old woman presents with painless, slow enlargement of a lump in the superficial lobe of the right parotid gland. MRI demonstrates a well-circumscribed, lobulated mass that is hypointense on T1, brightly hyperintense on T2, and displays delayed progressive contrast enhancement with a complete low-signal capsule. What is the most likely diagnosis?
About the Iran Specialty Board Radiology Exam
The Iranian Medical Specialty Board Examination in Diagnostic Radiology (آزمون دانشنامه تخصصی رادیولوژی تشخیصی - commonly known as 'Board-e Takhasosi-e Radiology' or 'Daneshnameh Radiology') is the definitive professional certification examination in clinical diagnostic radiology in the Islamic Republic of Iran. Administered annually by the Secretariat for the Council for Medical and Specialized Education in partnership with the National Center for Health Assessment (مرکز سنجش آموزش پزشکی - Sanjesh Pezeshki), passing this rigorous two-stage examination confers full Board Certification (دانشنامه تخصصی), qualifying radiologists for university faculty appointments, subspecialty fellowship training, and independent specialist leadership. The curriculum and written examination are based primarily on international gold-standard reference treatises designated by the national examining board: Brant and Helms' Fundamentals of Diagnostic Radiology and Grainger & Allison's Diagnostic Radiology, supplemented by ACR appropriateness criteria and national clinical imaging guidelines. The written examination evaluates 152 questions across six comprehensive domains: Neuroradiology & Head/Neck Imaging (~20%), Thoracic & Cardiovascular Imaging (~20%), Abdominal & Gastrointestinal Imaging (~20%), Musculoskeletal Imaging (~15%), Genitourinary, Pelvic & Obstetric Imaging (~15%), and Pediatric Radiology, Breast Imaging, Interventional Radiology & Radiation Physics/Safety (~10%). This practice question bank is an independent English-language MCQ study adaptation authored by OpenExamPrep. It contains 100 board-caliber clinical scenarios featuring rigorous diagnostic rationales and comprehensive distractor analyses to prepare radiology residents and international specialists for advanced board-level mastery. The official Iranian examination is delivered in Persian; this resource is an independent educational adaptation and is neither an official translation nor endorsed by Sanjesh Pezeshki.
Exam sponsor: Council for Medical and Specialized Education & National Center for Health Assessment (Sanjesh Pezeshki / مرکز سنجش آموزش پزشکی). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
The Iranian Specialty Board Examination in Diagnostic Radiology is administered annually in late summer (Shahrivar / September) at central university assessment facilities under the auspices of the Secretariat for the Council for Medical and Specialized Education and Sanjesh Pezeshki. The certification process consists of two mandatory stages: Stage 1 is the Written Board Examination comprising 152 four-option multiple-choice questions administered over a single 240-minute session (no negative marking; passing cut score is 70%, or 105/150). Candidates who satisfy this threshold qualify for Stage 2, the Practical Film-Reading OSCE and Structured Oral Board Examination (آزمون شفاهی و ساختارمند / ایستگاههای تفسیر فیلم و تصویربرداری), which evaluates rapid cross-sectional interpretation, emergency imaging spot-diagnoses, multi-modality protocol selection, and communicative clinical consultation.
Time Limit
240 minutes
Passing Score
70% of the written total (105 of 150 points)
Exam / Certification Fees
Set annually by the Ministry of Health and Medical Education, payable online via sanjeshp.ir during official board candidacy registration
Exam sponsor websiteFees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Neuroradiology & Head/Neck Imaging
Primary intra-axial and extra-axial intracranial neoplasms (gliomas, meningiomas, schwannomas, metastases), acute ischemic stroke imaging (penumbra, mismatch, Alberta Stroke Program Early CT Score), intracranial hemorrhages, traumatic brain and spinal injury, demyelinating conditions (multiple sclerosis, NMOSD, MOGAD), central nervous system infections (abscess, viral encephalitis, neurotuberculosis), skull base lesions, suprahyoid/infrahyoid deep neck spaces, and temporal bone pathology.
Thoracic & Cardiovascular Imaging
Lobar, interstitial, and opportunistic pulmonary infections; idiopathic interstitial pneumonias (UIP, NSIP, organizing pneumonia); sarcoidosis and occupational pneumoconioses; anterior, middle, and posterior mediastinal masses; pulmonary nodule management and lung cancer staging; acute aortic syndromes (type A/B aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer); pulmonary embolism; cardiac MRI tissue characterization (ischemic late gadolinium enhancement, myocarditis, amyloidosis); and thoracic trauma.
Abdominal & Gastrointestinal Imaging
Benign and malignant focal liver lesions (hemangioma, FNH, hepatic adenoma subtypes, HCC diagnostic criteria with LI-RADS, cholangiocarcinoma, metastases); cirrhosis, portal hypertension, and vascular shunt anatomy; acute pancreatitis severity scoring (revised Atlanta criteria, Balthazar/CTSI) and walled-off pancreatic necrosis; biliary strictures and cholangiopathies; small and large bowel obstruction, closed-loop strangulation, and mesenteric ischemia; inflammatory bowel disease (Crohn disease and ulcerative colitis); and gastrointestinal neoplasms.
Musculoskeletal Imaging
Benign vs. aggressive bone tumors (osteosarcoma, Ewing sarcoma, giant cell tumor, chondrosarcoma, osteoid osteoma) and lodwick classification; internal joint derangements (rotator cuff pathology, shoulder labral tears, knee meniscal and ligamentous tears); inflammatory and crystalline arthritides (rheumatoid arthritis, ankylosing spondylitis, gout, CPPD); spinal degeneration, disc herniation nomenclature, and spondylodiscitis; and musculoskeletal soft tissue tumors.
Genitourinary, Pelvic & Obstetric Imaging
Renal solid masses (clear cell RCC, papillary RCC, oncocytoma, angiomyolipoma with minimal fat); Bosniak classification of cystic renal masses (version 2019); adrenal nodule differentiation (chemical shift MRI, CT washout protocols, pheochromocytoma); urothelial carcinoma and renal trauma; multiparametric prostate MRI (PI-RADS v2.1 categories); benign and malignant gynecologic disorders (uterine leiomyomas, adenomyosis, endometrial carcinoma staging, ovarian epithelial tumors, O-RADS lexicon); and first-trimester obstetric sonographic anatomy.
Pediatric Radiology, Breast Imaging, Interventional Radiology & Radiation Physics/Safety
Pediatric gastrointestinal emergencies (hypertrophic pyloric stenosis, intussusception, malrotation with midgut volvulus) and pediatric abdominal tumors (neuroblastoma vs. Wilms tumor); mammographic calcification morphology, breast ultrasound, and BI-RADS assessment categories; vascular interventions (transcatheter embolization, TIPS, angioplasty/stenting) and nonvascular interventions (abscess drainage, percutaneous biopsy); and X-ray tube physics, CT dosimetry parameters (CTDIvol, DLP), radiation protection principles (ALARA), and contrast medium reaction protocols.
Preparing for the Iran Specialty Board Radiology Exam
What You Need to Know
- Passing score: 70% of the written total (105 of 150 points)
- Assessment: The Iranian Specialty Board Examination in Diagnostic Radiology is administered annually in late summer (Shahrivar / September) at central university assessment facilities under the auspices of the Secretariat for the Council for Medical and Specialized Education and Sanjesh Pezeshki. The certification process consists of two mandatory stages: Stage 1 is the Written Board Examination comprising 152 four-option multiple-choice questions administered over a single 240-minute session (no negative marking; passing cut score is 70%, or 105/150). Candidates who satisfy this threshold qualify for Stage 2, the Practical Film-Reading OSCE and Structured Oral Board Examination (آزمون شفاهی و ساختارمند / ایستگاههای تفسیر فیلم و تصویربرداری), which evaluates rapid cross-sectional interpretation, emergency imaging spot-diagnoses, multi-modality protocol selection, and communicative clinical consultation.
- Time limit: 240 minutes
- Exam / certification fees: Set annually by the Ministry of Health and Medical Education, payable online via sanjeshp.ir during official board candidacy registration Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Iran Specialty Board Radiology: Suggested Study Strategy
Frequently Asked Questions
What is the Iranian Specialty Board Examination in Diagnostic Radiology (Daneshnameh Takhasosi Radiology)?
The Iranian Specialty Board Examination in Diagnostic Radiology (آزمون دانشنامه تخصصی رادیولوژی تشخیصی) is the official national certifying credential administered by the Secretariat for the Council for Medical and Specialized Education under the Ministry of Health and Medical Education (MOHME) through Sanjesh Pezeshki. Successful completion of both the written exam and the film-reading OSCE certifies physicians as board-certified diagnostic radiologists, entitling them to join university faculties, direct tertiary imaging departments, and enter advanced fellowship subspecialties.
What is the difference between the Certification Exam (Daneshnameh / Board) and the Promotion Exam (Govahi / Arzyabi)?
In the Iranian residency training system, radiology residents must sit for annual Promotion Examinations (آزمون ارتقاء) at the end of each training year (PGY-1 through PGY-4) to advance. At the completion of the 4-year residency, graduating residents sit for the Exit Certification Exam (گواهینامه تخصصی), which allows them to fulfill mandatory clinical service obligations as practicing specialists. The National Board Examination (دانشنامه تخصصی / بورد) is a more competitive examination required for academic faculty appointment, leadership of accredited residency departments, and matriculation into accredited fellowship programs.
What is the structure of the written examination, and what is the passing threshold?
The written board examination consists of 152 four-option multiple-choice questions administered over a single 240-minute session (an average of 95 seconds per question). There is no negative marking for incorrect responses. Examinees must score at least 70% (105 points out of a written total of 150) to pass the written stage and earn eligibility for the practical film-reading OSCE.
What does the second stage (Film-Reading OSCE / Practical Board) entail?
The practical examination (آزمون شفاهی و ساختارمند / ایستگاههای تفسیر تصویربرداری و OSCE) consists of timed multi-modality interpretation stations. Candidates interpret real-time clinical cases across radiographs, CT, MRI, ultrasound, fluoroscopy, and angiography. Key stations evaluate immediate emergency spot-diagnoses (e.g., tension pneumothorax, aortic dissection, herniation syndromes), systematic multi-slice scan reporting, procedural interventional technique planning, and oral defense of differential diagnoses before expert academic examiners.
Which textbooks and curriculum sources are designated for the Iranian Radiology Board?
The official national examining board specifies Brant and Helms' Fundamentals of Diagnostic Radiology and Grainger & Allison's Diagnostic Radiology as the principal core reference treatises. Questions also integrate standardized consensus reporting systems widely adopted in academic radiology, including BI-RADS, LI-RADS, PI-RADS, O-RADS, Bosniak v2019, and the Fleischner Society guidelines.
Is this OpenExamPrep question bank an official Sanjesh Pezeshki examination product?
No. This question bank is an independent English-language multiple-choice practice adaptation authored by OpenExamPrep for conceptual review and board exam preparation. The official Iranian specialty board examination is administered in Persian by Sanjesh Pezeshki and the Council for Medical and Specialized Education. This resource is not affiliated with, endorsed by, or an official publication of Sanjesh Pezeshki or the Iranian Ministry of Health and Medical Education.