Get Through Mock 5

Question 1

Serous cystadenomas

Answer 1

No malignant potential.
Rich in glycogen

Question 2

Tibial stress fractures - tensile vs compressile

Answer 2

Tensile is anterior, compression side is posterior

Question 3

Commonest site of fibular stress fractures

Answer 3

Distal, just proximal to talofibular syndesmosis

Question 4

Pulmonary amyloid

Answer 4

Diffuse - non specific diffuse alveolar or interstitial opacities, interlobular septal thickening with subpleural nodules on CT

Nodular - Lower lobes, peripheral and subplural. Calcification is rare

Question 5

Dextrocardia and congenital lung

Answer 5

Associated with Kartegener syndrome (ciliary dyskinesia), not CF

Question 6

Methotrexate toxicity

Answer 6

NSIP most common. HP and COP less common.
NOT dose dependent.

Question 7

Neuroblastoma

Answer 7

Commonest posterior mediastinal mass, esp under 5.
Can cause intercostal space widening. Often contains calcifications

Question 8

Cytotoxic drug induced lung injury

Answer 8

DAD (Diffuse Alveolar Damage) is commonest manifestation.

Question 9

Fat Ring sign

Answer 9

Seen with epiploic appendagitis, not omental infarct

Question 10

Orbital Haemangioma

Answer 10

Well circumscribed, retrobulbar.
Iso T1 to muscle, high t2

Question 11

HSP kidneys

Answer 11

Glomerulonephritis, with bilaterally enlarged, echogenic renal cortices

Question 12

Endometrioma

Answer 12

High T1 and T2 signal lesions in the adnexa with surrounding wall of low T1 and T2 signal

Question 13

Kawasaki coronary aneurysm size-prognosis

Answer 13

<5mm likely to regress
>8mm likely to thrombose and cause infarction

Question 14

Mesotheloima - extension into endothoracic fascia

Answer 14

T3 - potentially curable

Question 15

Submucosal leiomyomas

Answer 15

Can distort endometrial cavity and obstruct fallopian tubes

Question 16

Commonest finding in Wegeners

Answer 16

Pulmonary nodules and masses

Question 17

Peritubal adhesions

Answer 17

Contrast pooling outside the fallopian tubes.
Not a cause of tubal obstruction.

Question 18

Beckwith-Wiedermann associated tumours

Answer 18

Rhabdomyosarcoma (not renal rhabdoid)
Wilms (nephroblastoma)
Neuroblastoma
Hepatoblastoma

Question 19

Intramural haematoma location

Answer 19

Subintimal

Question 20

Risk factors for cholangiocarcinoma

Answer 20

Radium exposure,
PSC,
Liver fluke infection,
Gallstones,
Congenital choledochal cyst

NOT chronic hepatitis

Question 21

PosteroMedial Corner of the knee - components

Answer 21

Semimembranosis tendon,
Oblique popliteal ligament OPL
Posterior oblique ligament POL,
Posterior horn of medial meniscus
Posteriomedial joint capsule

Question 22

Gastric vs Oesophageal varices

Answer 22

Gastric bleed less frequently but more severely.
Gastric can be detected by barium studies in around 75% of cases

Question 23

Os naviculare syndrome

Answer 23

Medial foot pain worse on weight bearing due to accessory navicular bone

Question 24

Dysostosis multiplex

Answer 24

Macrocephaly with dolichocephaly,
facial anomalies
obtuse angle of manduble with prognathism
oar shaped ribs
atlantoaxial instability
malformed vertebral bodies
Coxa valga

Question 25

Gastric volvulus types

Answer 25

Mesenteroaxial - upside down Organoaxial - mirror image, more common

Question 26

Gastric cancer T staging

Answer 26

T1 - Mucosa or submucosa T2 - involves serosa/muscle T3 - Through serosa T4a - Adjacent, contiguous structures T4b - Adjacent structures, diaphragm, abdo wall etc N1 - Nodes within 3cm N2 - Regional nodes beyond 3cm from primary branches of coeliac axis N3 - Other nodes

Question 27

Goodpastures disease

Answer 27

Pulmonary haemorrhage Glomerulonephritis AntiGBM antibodies

Question 28

Primary OA common joints

Answer 28

DIP PIP 1st CMC 1st MTP Hips Knees Spine