MySQL e FPDF com imagens

Gerar o pdf usando a biblioteca fpdf pegando uma imagem do BD de modo que fique após $pdf->MultiCell(190, 4, utf8_decode ('(E) '.$tb_questoes["opc5_quest"]), 0, 'L', 0, 0, '', '',

 $numero = 1; $numero <10;
foreach ($dados as $tb_questoes){
 if ($numero <10) {
 $pdf->MultiCell(190, 4, utf8_decode (''.'0'.$numero++.') '.$tb_questoes["enunciado_quest"]), 0, 'L', 0, 0, '', '', true);

 $pdf->MultiCell(190, 4, utf8_decode (''.$numero++.') '.$tb_questoes["enunciado_quest"]), 0, 'L', 0, 0, '', '', true);
}

 $pdf->Ln(3);
 $pdf->MultiCell(190, 4, utf8_decode ('(A) '.$tb_questoes["opc1_quest"]), 0, 'L', 0, 0, '', '', true);
 $pdf->Ln(3);
 $pdf->MultiCell(190, 4, utf8_decode ('(B) '.$tb_questoes["opc2_quest"]), 0, 'L', 0, 0, '', '', true);
 $pdf->Ln(3);
 $pdf->MultiCell(190, 4, utf8_decode ('(C) '.$tb_questoes["opc3_quest"]), 0, 'L', 0, 0, '', '', true);
 $pdf->Ln(3);
 $pdf->MultiCell(190, 4, utf8_decode ('(D) '.$tb_questoes["opc4_quest"]), 0, 'L', 0, 0, '', '', true);
 $pdf->Ln(3);
 $pdf->MultiCell(190, 4, utf8_decode ('(E) '.$tb_questoes["opc5_quest"]), 0, 'L', 0, 0, '', '', true);
 $pdf->Ln(4);
}