From Q book and ctc

Question 1

Smoothly marginated homgenous Gastric mass

asymp

over 40 y/o

Answer 1

GIST

Question 2

MC met site for GIST

Answer 2

Liver

Question 3

Typical CT appearance of carcinoid (and other NET) mets to liver?

Answer 3

Arterial hyper

iso PV and delay

Question 4

Eovist hepatocyte delay timing?

Answer 4

> 10 minutes (usually 15-20)

Question 5

Liver regenerative nodules. T2 appearance?

Answer 5

intermediate or dark

Question 6

HCC and AFP

Answer 6

can be used as a marker, absence does not exclude

Question 7

MCC HCC mets?

Answer 7

Lung

Question 8

normal eovist excretion

Answer 8

50% bile

50% renal

Question 9

panc adeno MC met site

Answer 9

LIver

Question 10

when is panc duct considered dilated?

Answer 10

> 3mm

Question 11

What pancreatic adenoCa T stage is considered resectable?

Answer 11

T3 are resectable (beyond pancreas but not involving celiac axis, SMA, SMV or PV)

Panc adeno is bad, usually T4

T3 resectable

Question 12

Tumor above vs below dentate line

Answer 12

Above = adeno of rectum

below = Ano squamo

Question 13

Rectal cancer staging

T2

T3

T4

Answer 13

T2 - Mucosa and muscularis (2M’s)

T3 - Broken free - Into perirectal tissues but not adjacent organs or visceral peritoneum

T4 - other organs or visceral peritoneum

Question 14

High vs low rectal tumors for surgical approach

Answer 14

5cm above anal verge = high rectal tumor

Question 15

estimated dose to fetus for an abd CT

1st trim

2nd trim

Answer 15

20-30 mGy first

30-45 mGy second

Question 16

Hepatic adenoma enhancement pattern

Answer 16

Moderate arterial phase hyperE

NO UPTAKE on hepatobiliary phase

NO capsule, no chronic liver disease

NO washout on PV

Question 17

Adenoma vs FNH

Answer 17

BOTH hyperenhance on arterial

Eovist hepatobiliary

FNH hyper

Adenoma HYPO

Question 18

SPEN

demo

prognosis

appearance

Answer 18

young BlAsian females

typically benign but if they do, they met to LIVER

LARGE at Dx

Predominately solid, non enhancing

Question 19

Lymphangioma in the abdomen

where MC?

look?

features?

Answer 19

Typically retroperitoneal

Can be large

Often contain calcs

lobulated and multilocular

Sometimes cross more than one retroperitoneal compartment