Get Through Mock 7 Flashcards

1
Q

Ix for ?urethral diverticulum

A

MR urethra pre and post void

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2
Q

Causes of right tracheal wall indentation

A

Double aortic arch,
Right arch with aberrant left subclavian,
Left arch with aberrant right subclavian with PDA,
Common origin of innominate and left common carotid

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3
Q

Uniformly enhancing retro-orbital mass in child, progressive exophthalmos

A

Rhabdomyosarcoma

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4
Q

Cobra shaped pelvic mass/abscess, long standing IUCD

A

Actinomycosis

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5
Q

Biggest risk factor for pulmonary haemorrhage & pneumothorax in lung biopsy

A

Depth of lesion (deeper is worse)

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6
Q

Heel-toe maneuvre on US improves picture by…

A

Minimising anisotropy

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7
Q

Stable sized adnexal cystic lesion over months

A

Paraovarian cyst

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8
Q

Pancreatic transplant performed usually with which procedure1

A

Simultaneous renal transplant

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9
Q

Post-menopausal, Low T1 and T2

A

Ovarian Fibroma

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10
Q

Meigs syndrome

A

Ovarian fibroma, ascites, pleural effusion

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11
Q

Previous endometriosis, bright on T1 and T1 fat sat, enhancing nodules

A

Clear cell carcinoma

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12
Q

Previous endometriosis associated with

A

Clear cell carcinoma,
Endometrioid carcinoma (no enhancing solid nodules)

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13
Q

SAH within 4th ventricle, responsible vessel

A

PICA

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14
Q

Non-cyanotic child, mild cardiomegaly and increased pulmonary vascularity

A

VSD or ASD (VSD is more common)

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15
Q

Pulmonary nodules with endobronchial abnormality

A

Amyloid

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16
Q

Lung amyloid features

A

Parenchymal - recurrent infections, peripheral tree-in-bud.
Bronchial - Mass like lesions arising from internal walls

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17
Q

Compressive vertebral haemangiomas distribution

A

Most commonly in thoracic spine

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18
Q

Most common cause of oesophageal rupture

A

Iatrogenic

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19
Q

Commonest location of traumatic (blunt) oesophageal rupture (& associated hydrothorax)

A

Upper third, causing right sided hydrothorax

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20
Q

Acute congestive heart failure and joint pain, recent infection (child)

A

Rheumatic fever

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21
Q

Common causes of basal ganglia calcification

A

Hypoparathyroidism, pseudohypoparathyroidism,
idiopathic,
Normal variant,
Ageing

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22
Q

Endometrial thickening & ovarian mass in postmenopausal woman

A

Granulosa cell tumour

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23
Q

Lytic lesion with cortical expansion and lack of sclerotic rim in spine

A

Spinal giant cell tumour

24
Q

Commonest location for spinal GCT

A

Sacrum

25
Q

Filling defect in uterine fundus on HSG, low T2 mass abutting the junctional zone on MRI

A

Adenomyosis

26
Q

Low T1/T2 ovarian lesion, with multilocular cystic lesion in same ovary

A

Brenner tumour, commonly associated with mucinous cystadenoma of same ovary

27
Q

Cervical cancer with T1 high signal

A

Suggests haemorrhage

28
Q

Cystic lesion in cervix with high T1, post radiotherapy for cervical ca

A

Cervical stenosis with haematometra

29
Q

Liver biopsy indicated, pt is on anticoagulant and has acute liver failure

A

Transjugular biopsy

30
Q

2YO, painless supraorbital fluctuant lump, scalloping of underlying bone and low internal echoes

A

Angular dermoid

31
Q

Absolute contraindications to percutaneous vertebroplasty

A

Haemorrhagic diathesis
Infection

32
Q

Indications for percutaneous vertebroplasty

A

Symptomatic vertebral angioma
Painful vertebral body tumours
Painful osteoporosis with loss of height or compression fractures

33
Q

Commonest cause of bone mets to preipheral bones

A

Lung cancer

34
Q

Air embolus during dialysis line insertion - Rx

A

Left lateral position and high flow O2

35
Q

LeFort fractures

A

All involve pterygoid plate
LeFort 1 involves maxilla and nasal septum.
LeFort 2 involves nasal bones, frontal process of maxilla, maxillary sinus, medial and inferior orbital wall
LeFort 3 involves lateral orbital wall and zygomatoco-frontal suture
LeFort 2 = Pyramidal fracture

36
Q

Thickening and clumping of cauda equina nerve roots

A

Arachnoiditis

37
Q

Similar to HOA, autosomal dominant

A

Pachydermoperiostosis

38
Q

High pressure chronic retention

A

Caused by prostatic hypertrophy usually.
Rx is catheter and possible TURP, not nephrostomy

39
Q

Testicular vein rupture during coiling, Rx

A

Conservative management

40
Q

Liver mets resectability criteria

A

No strict number of mets, but more than 6 is unlikely.
At least 3 segments spared.
No nodal involvement.
At least one hepatic and portal vein branch spared

41
Q

Most specific CT sign for mesenteric injury and associated bowel wall ischaemia

A

Decreased or absent enhancement

42
Q

Neonate, HIDA scan shows no tracer in bowel at 24hrs. Normal GB on US

A

Biliary atresia

43
Q

Angiographic signs of active bleeding

A

Contrast extravasation,
Vessel spasm,
Vessel cut-off,
Early venous filling

44
Q

MRI signal in brain swelling

A

Can be normal

45
Q

Scaphoid fractures distribution

A

Waist 70%, proximal pole 20%, distal pole 10%.

46
Q

Scaphoid AVN

A

Proximal pole is at more risk

47
Q

Focal dissection at site of angioplasty, next step

A

Is usually normal, measure pressure gradient, should be <10mmHg

48
Q

Endotracheal tube correct location

A

Should be at least 5cm above the carina

49
Q

Intra-aortic counter pulsation balloon location

A

Proximal aspect distal to arch vessels

50
Q

DISH extraspinal manifestations

A

Calcification of enthesis and hypertrophic bone changes, commonly involving olecranon, patella, calcaneum

51
Q

Stable low T2 and diffusion restriction in peripheral prostate. Firm nodule on DRE

A

Granulomatous prostatitis

52
Q

Gout erosion location

A

Typically extra-articular

53
Q

MCUG, child already on prophylactic Abx, what to do with Abx

A

Take 3 day course of treatment dose Trimethoprim, starting on day of procedure

54
Q

Heterogenous, hemispheric mass with necrosis, haemorrhage and enhancement

A

PNET

55
Q

Enhancing intravascular mass with flow voids and hydrocephalus

A

Choroid plexus papilloma

56
Q

Urothelial vs squamous cell bladder Ca

A

Squamous cell is sessile, rather than papillary, and doesn’t demonstrate pure intraluminal growth