File 10 Flashcards
Patient presented with trigeminal neuralgia. Pictures of brain MRI
showed high signal intensity within central pons (similar to this one):
A) Persistent trigeminal artery
B) Central pointe myelinolysis
C) Brain stem glioma
D) Rhombencephalosynapsis
A) Persistent trigeminal artery
What mostly favors a PA CXR over AP CXR?
A) Both scapulae move away from the FOV
B) The ribs are more vertical
C) The clavicles are more vertical
D) Less difficult to perform
E) The heart and mediastinum are larger than AP CXR
A) Both scapulae move away from the FOV
Young patient with amorphous calcification in the periarticular region
it has “chicken wire sign “. it is multiloculated with fluid-fluid level and
septations?
A) Tumoral calcinosis
B) Gout
C) Synovial chondromatosis
D) Vascular malformation
A) Tumoral calcinosis
Patient with dripping mouth and taste symptoms. Unable to rise eye
(bell’s palsy). Which facial segment would show abnormal enhancement?
A) Anterior genu
B) Tympanic
C) Mastoid
D) Cisternal
A) Anterior genu
Case scenario patient with history of abdominal aortic aneurysm,
repaired with graft, after following up no significant increase in size but
there is vessel feeding from (internal iliac I think), what type of endoleak?
A) Type II
B) Type I
C) Type III
D) Type IV
A) Type II
Case scenario patient with Breast cancer post-surgery and radiation,
there is increasing density in the location of the surgical bed in mammo,
(image was provided shows opacity/lesion) what to do next?
A) Further assessment with compression view
B) Follow up after 12 months
C) Surgery
A) Further assessment with compression view
Xray ankle shows os navicular what tendon pass there?
A) Tibialis posterior
B) Flexor hallucis longus
C) Peroneus brevis
D) Extensor
A) Tibialis posterior
Case scenario about elderly female patient with stroke CT shows low
density interatrial septal mass with calcifications what is dx? (No image)
A) Myxoma
B) Mets
C) Thrombus
A) Myxoma
- Calcification → excludes thrombus.
CT shows bilateral diffuse centrilobular ground glass nodule, what does
it considered according to ACR for COVID-19?
A) Atypical
B) Typical
C) Indeterminate
A) Atypical
Case scenario patient with abnormal movement presented to ER, MRI
done shows right caudate and putamen T1 bright signal intensity and
T2/FLAIR low signal intensity, no abnormality seen in T2*, what is dx:
A) CO poisoning
B) Non kurtotic hyperglycemia hemichorea
C) Hyperammonemic encephalopathy
D) Wilson’s disease
B) Non kurtotic hyperglycemia hemichorea
Intra articular lesion within Hoffa’s fat bad, shows Low T1 and T2,
what sequent would narrow your Ddx?
A) Do T2
Patient with RA (CT provided shows mosaic attenuation and air
trapping in the expiratory phase) what is the dx?
A) Bronchiolitis obliterans
B) NSIP
C) Chronic embolism
A) Bronchiolitis obliterans
CT images of cystic lesion at hyoid region:
A) Thyroglossal cyst
B) Ranula
C) Laryngocele
A) Thyroglossal cyst
A) Thyroglossal cyst
Patient did mammo which shows dense breast with no abnormality. (US provided showing small hypoechoic lesion with angular margin and posterior shadowing) which feature is the most suspicious feature on US:
A) Margin
B) Posterior features
C) Hypoechoic
A) Margin
Image provided of MRI shows posterior fossa mass that restrict, what is the diagnosis?
A) Medulloblastoma
B) Ependymoma
C) Hemangioblastoma
A) Medulloblastoma
Image proved CT chest and upper abdomen it shows liver in the
midline, polysplenia in the right, stomach in the right, heart in the left,
aorta in the left, IVC interrupted, probably there was left lung minor
fissure? and hyparterial bronchus?
A) Left sided pulmonary isomerism
B) Right sided pulmonary isomerism
C) Situs inversus totalis
D) Scimitar syndrome
A) Left sided pulmonary isomerism
In patient presented with this picture (Scimitar knee) what to expect to see in brain:
A) Polymicrogyria
B) Fused thalami
C) Schezencephaly
A) Polymicrogyria
Indication of MAG3 Captopril in renogram:
A) Azotemia
B) Patient with one or more risk factors of renal hypertension, normal renal function
C) Abnormal renal function
B) Patient with one or more risk factors of renal hypertension, normal renal function
Pediatric presented with signs of preconscious puberty vaginal bleeding,
skin pigmentation (Pic of skull show FD):
A) McCune-Albright syndrome
Patient with history with multiple skin lesions, (x-ray pic of tibia with
anterior bowing and pseudoarthrosis and NOF:
A) NF1
Picture of MRI pelvis with mass containing fat, what 5% of patients will
present with?
A) Hyperthyroidism
B) Hypothyroidism
C) Hypoestrogenism
D) Hypoandroginsm
A) Hyperthyroidism
What nerve affected in this muscle denervation pattern?
A) Hypoglossal
B) Glossopharyngeal
C) Vagus
D) Spinal accessory
A) Hypoglossal
What is the name of this device:
A) Vascular plug
B) Coil
C) IVC filter
A) Vascular plug
Retrorectal mass which is hyperintense in T1 and T2 with no
enhancement, what you expect to have pathologically:
A) Epithelial
B) Smooth muscle
C) Blue cell
D) Singet cell
A) Epithelial
Notes:
- Tailgut duplication cyst.
o Exclusively in this location. However, the signal intensity pattern is different.
About mesorecta fascia what is true:
A) Circumferential around whole length of the rectum
B) It is extended below levator ani muscle.
C) It fuses laterally with para rectal fascia.
D) It fuses with the presacral fascia posteriorly
D) It fuses with the presacral fascia posteriorly
Asthmatic patient with provided CT that shows hyperdense lobulated
material with surrounded lucency:
A) ABPA
B) Bronchial atresia
A) ABPA
- Case scenario patient with history of massage to the cervical spine,
clinical examination suspecting vertebral artery dissection, sequence is the best seen (4 MRI images Coronal, Sagittal and 2 axial)
Patient with penile pain with blood in urine, what is the next
appropriate investigation:
A) Fluoroscopy
B) MRI
(1st) retrograde urethrogram.
3 years old, (Picture CT of liver with lesion + calcifications
‘hepatoblastoma’), alpha feto protein markedly elevated what is the
association?
A) Beckwith Wiedemann syndrome
Female with soft tissue lesion in the intramuscular region of the right
thigh. It is low on T1 lower than the muscle and bright like fluid in T2 with
faint enhancement in the center, it has perilesional bright signal and fat:
A) Myxoma
B) Ganglion cyst
C) Schwannoma
A) Myxoma
Anterior lateral cervical esophageal diverticulum which type?
A) Pulsion
B) Traction
B) Traction
Infant, (MRI of liver with lobulated enhancing mass, patient has
history of CHD:
A) Infantile hemangioma
B) Hepatoblastoma
C) Undifferentiated embryonic sarcoma
A) Infantile hemangioma
Patient has cancer then they did biliary drain 8 F, after weeks he came
back with leak of bile around the catheter, what to do?
A) Change the drain with larger size
B) Change with similar size
C) Remove catheter and cover with gauze
D) Changes with smaller catheter
A) Change the drain with larger size
(Pic of CT cardiac with small vessel from RCA), supplying which
structure:
A) SA node
Patient heavy smoker, DM, HTN with family history of coronary artery
disease, presented with chest pain. Normal lab and ECG, what to do as
initial investigation:
A) CT calcium score
B) ECHO
C) MRI
A) CT calcium score
Picture with nasal mass showing fluid-fluid level + bony defect of
cribriform plate) history of bulging with coughing, dx:
A) Nasal encephalocele
B) Esthesioneuroblastoma
C) Inverted papilloma
A) Nasal encephalocele
Case scenario about patient has nasopharyngeal cancer CT done shows
para seller lesion that is perineural spread which foramen would be:
A) Rotundum
B) Superior orbital fissure
C) Ovale
A) Rotundum
Answer: A
Notes:
- V1 (orbital nerve): → Superior Orbital fissure
- V2 (Maxillary nerve): → Foramen rotundum
- V3 (Mandibular): → Foramen Ovale
What is the common cause of delayed gallbladder uptake after 1 hour:
A) Acute cholecystitis
B) Chronic cholecystitis
C) Partial obstruction
B) Chronic cholecystitis
