Get Through Unit 5

Question 1

Back pain in child, no overt clinical deformity

Answer 1

Spondylolisthesis

Question 2

Hypophosphatasia vs rickets

Answer 2

Lucent extensions into the metaphyses

Question 3

CCAM types comparison

Answer 3

Type 1: Large cysts >20mm
Type 2: Multiple cysts 5-12mm
Type 3: Solid mass with microcysts

Question 4

Commonest cause of chylothorax in neonates

Answer 4

Idiopathic

Question 5

Maximum norrmal predental space

Answer 5

3mm in adult, 5mm in child

Question 6

Cavitation usually seen in (infection)

Answer 6

Bacterial pneumonia, not viral

Question 7

Dilatation of the pulmonary trunk and left pulmonary artery

Answer 7

Pulmonary valve stenosis

Question 8

Trevor’s disease

Answer 8

aka dysplasia epiphysealis hemimelica
Single or multiple osteocartilaginous tumours arising from the epiphyses

Question 9

Commonest cause of sudden onset testicular pain in children

Answer 9

Torsion of testis

Question 10

Air vs barium intussusception reduction

Answer 10

Air allows higher pressures, causing faster and more effective reduction

Question 11

Adrenal cortical carcinoma staging

Answer 11

T1 <5cm
T2 >5cm
T3 extend into extra adrenal fat
T4 invade adjacent organs
Stage IV includes any T or N staging with mets, including T3N1 and T4

Question 12

Short ribs not extending beyond anterior axillary line

Answer 12

Thanatophoric dysplasia

Question 13

Alpha angle suggesting unstable hip joint

Answer 13

<49 degrees

Question 14

Commonest CXR finding in tetralogy of fallot

Answer 14

Elevated cardiac apex

Question 15

Small bowel on left side of abdomen, large bowel on right

Answer 15

Non-rotation

Question 16

Congenital renal failure and deafness

Answer 16

Alport syndrome

Question 17

HSP bowel findings

Answer 17

Multifocal bowel wall thickening

Question 18

Down’s pelvic findings

Answer 18

Flaring of iliac wings,
Flattening of acetabular rood,
Decreased acetabular and iliac angles

Question 19

Germinal matrix haemorrhage distribution

Answer 19

Anterior to the caudothalamic groove

Question 20

Commonest cause of intussusception in kids

Answer 20

Viral gastroenteritis

Question 21

Best sequence to assess temporal lobes for mesial temporal sclerosis

Answer 21

Coronal T2

Question 22

Widening of proximal femoral physis and local demineralisation on AP

Answer 22

SUFE, get Lateral or Frog Leg

Question 23

Unilateral ovarian atrophy with stippled calcifications

Answer 23

Amputated ovary

Question 24

Neonatal pneumothorax, next Ix

Answer 24

Renal USS

Question 25

Commonest fracture seen in NAI

Answer 25

Diaphyseal transverse

Question 26

Meconium aspiration vs RDS

Answer 26

RDS can have air bronchograms

Question 27

Bowing of long bones, cortical thinning, multiple fractures

Answer 27

Osteogenesis imperfects

Question 28

Normal appearance of renal medulla in neonates vs older kids

Answer 28

Larger and more hypoechoic

Question 29

Haematometrocolpos with Hx of imperforate anus

Answer 29

Transverse vaginal septum