Get Through Unit 1

Question 1

Ix for PE vs pneumonia

Answer 1

CTPA

Question 2

Thoracic duct usually drains into

Answer 2

Junction of left subclavian and internal jugular veins

Question 3

Commonest finding with previous ARDS

Answer 3

Reticular changes in anterior lung

Question 4

CXR changes in acute rejection of lung transplant

Answer 4

Pleural effusion and septal thickening without left ventricular dysfunction

Question 5

Ovoid, pleural based enhancing lesion with no bone destruction, effusion or volume loss

Answer 5

Pleural fibroma

Question 6

right sided arch with mirror branching

Answer 6

tetralogy of fallot

Question 7

Origin of bronchial arteries

Answer 7

2 left sided come from aorta,
single right comes from 3rd posterior intercostal artery

Question 8

Ix to rule out endocarditis

Answer 8

Transoesophageal echo

Question 9

Focal overdistension of the ET tube cuff

Answer 9

tracheal injury

Question 10

Focal uterine cavity PET uptake

Answer 10

Can be normal due to menstruating

Question 11

Haematoma following renal AML embolisation

Answer 11

Post-embolization rupture

Question 12

Matched ventilation and perfusion deficit with similar opacity on CXR

Answer 12

Intermediate probability of PE

Question 13

SVCO due to superior mediastinal mass, Ix

Answer 13

Biopsy

Question 14

Paratracheal mass with calcification causing SVC and right main bronchus compression

Answer 14

Fibrosing mediastinitis

Question 15

Inhalation of smoke on CXR

Answer 15

Pulmonary oedema

Question 16

Unilateral leg swelling, negative leg doppler, Ix

Answer 16

Pelvic US to look for proximal thrombus

Question 17

Collapse vs consolidation

Answer 17

Collapse is ill defined

Question 18

Chronic vs acute PE

Answer 18

Obtuse vs acute angle with vessel wall

Question 19

Dialysis pt, calcified vessels and calcified upper lobe opacities

Answer 19

Chronic renal failure

Question 20

Macleod’s syndrome aka

Answer 20

Swyer James

Question 21

Left atrial myxoma (CXR)

Answer 21

enlarged left atrium, pulmonary oedema, calcified lung nodules

Question 22

Fatty chest lesion with soft tissue stranding which enhances

Answer 22

Liposarcoma

Question 23

CT post processing to remove calcium from angio

Answer 23

Curved planar reformat

Question 24

Commonest cause of phrenic nerve paralysis

Answer 24

Mediastinal small cell Ca

Question 25

Cardiac MRI, best plane to assess muscle mass

Answer 25

Left ventricular short axis oblique

Question 26

Occlusion of right brachiocephalic vein on US

Answer 26

Continuous monophasic flow in the right subclavian

Question 27

Best predictor of post op lung function before resection for malignancy

Answer 27

Ventilation scintigraphy

Question 28

Rounded opacity with air fluid level, Hx of previous chest trauma

Answer 28

Pulmonary laceration

Question 29

Superior accessory fissure separates

Answer 29

Apical segment of lower lobes from other lower lobe segments

Question 30

Which structure lies most anteriorly at the level of the thoracic inlet

Answer 30

Left brachiocephalic vein

Question 31

Persistent left SVC drains in

Answer 31

Coronary sinus

Question 32

First line for myocardial perfusion imaging

Answer 32

Adenosine

Question 33

Mediastinal involvement in Hodgkin vs Non-hodgkin

Answer 33

Hodgkin - anterior and middle
Non-hodgkin - posterior

Question 34

Lies immediately anterior to the left main bronchus att the left hilum

Answer 34

Left superior pulmonary vein

Question 35

Right mediastinal border made up of

Answer 35

Right brachiocephalic vein, SVC, right atrium

Question 36

Intralobar vs extralobar sequestration

Answer 36

Enclosed in visceral pleura vs systemic venous drainage

Question 37

CTPA vs VQ dose

Answer 37

CTPA has higher total body dose but lower uterine dose

Question 38

Which left lobe segments share a common bronchi

Answer 38

Anterior basal and medial basal

Question 39

Mosaic vs ground glass opacification

Answer 39

Lucent areas have abnormally small vessels