FRCR Self Assessment Mock 2

Question 1

Best Ix for popliteal entrapment syndrome

Answer 1

MRI

Question 2

Oesophageal swallow findings in scleroderma

Answer 2

Aperistalsis of the lower oesophagus

Question 3

Perihilar and peribronchovascular nodular opacities

Answer 3

a.k.a. flame shaped opacities,
Kaposi Sarcoma

Question 4

Kaposi vs Lymphoma

Answer 4

Kaposi is gallium negative,
Lymphoma is gallium avid

Question 5

Peripherally calcified thigh lesion on MRI

Answer 5

Myositis ossificans, confirm with X ray

Question 6

Commonest location of congenital diaphragmatic hernia

Answer 6

Left posterolateral

Question 7

Pyloric stenosis US criteria

Answer 7

Single layer thickness >3mm
Transverse diameter > 14mm
Canal length >15mm
Pyloric volume >1.5cc

Question 8

Pituitary apoplexy enhancement

Answer 8

Peripheral

Question 9

Acute form of sarcoid

Answer 9

Loefgren syndrome.
Fever, malaise, arthritis, lymphadenopathy, erythema nodosum

Question 10

Inflammatory bowel vs pseudomembranous colitis

Answer 10

Pericolic fat stranding favours inflammatory bowel

Question 11

ET tube in neonate correct position

Answer 11

1.5cm proximal to carina

Question 12

Wilson’s disease MRI

Answer 12

High T2 in tegmentum, caudate nuclei, thalami and putamina.
Sparing of red nuclei and substancia nigra

Question 13

Pagets disease typical distrivution

Answer 13

Skull, pelvis, spine, long bones

Question 14

Radiolucent renal collecting filling defects, AVN of femoral head, splenic calcification

Answer 14

Sickle cell, papillary necrosis

Question 15

Dense, subchondral sclerosis at the inferior aspects of the bilateral medial iliac bones.
Preserved SI joint space

Answer 15

Osteitis condensans ilii,
No further action needed

Question 16

Tumour recurrence vs pseudoprogression

Answer 16

MR Spect: Increased choline, decreased NAA vs decreased choline
CT perfusion: Increased vs Reduced CBV
Thallium: Increased vs decreased uptake

Question 17

Omental infarct vs epiploic appendagitis

Answer 17

Omental infarct more likely near ascending colon, epiploic appendagitis more in rectosigmoid and ileocaecal.
Omental infarct likely to be larger >3cm

Question 18

Causes of decreased liver attenuation

Answer 18

Fatty infiltration,
Amyloidosis,
Venous congestion,
Steroid use

Question 19

Haemarthrosis seen in

Answer 19

Scurvy

Question 20

Interstitial lung disease most associated with sjogrens

Answer 20

NSIP

Question 21

Hyperlucent lung with reduced lung markings and small hilum

Answer 21

Swyer James

Question 22

Most predictive parameter for invasive adenocarcinoma vs adenocarcinoma in situ

Answer 22

Nodule mass

Question 23

Congenital rubella vs CMV

Answer 23

Rubella associated with congenital cardiac abnormalities

Question 24

Thin walled, dilated gallbladder. Vasculitis

Answer 24

Kawasaki disease

Question 25

Truncus arteriosus CXR features

Answer 25

Enlarged heart, pulmonary plethora, left sided arch

Question 26

NG tube in lower left thorax. Opacification obscuring left hemithorax. Trauma

Answer 26

Diaphragmatic hernia, stomach in left hemithorax

Question 27

Meckel's common location

Answer 27

Antimesenteric border of distal ileum

Question 28

Sudden hypotension during common iliac angioplasty

Answer 28

?rupture. Reinflate balloon proximal to stenosis

Question 29

Bihilar and mediastinal lymphadenopathy, nodular interseptal thickening

Answer 29

Lymphoma

Question 30

Displacement of medulla and cerebellar vermis through foramen magnum

Answer 30

Chiari II