Imaging SBAs Unit 3 Flashcards

1
Q

Commonest pancreatic neuroendocrine tumours

A

Insulinomas
Gastrinomas are commonest in MEN1

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2
Q

Right hepatic vein divides

A

Anterior (segments 5 and 8) and posterior (6&7) segments of right lobe of liver

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3
Q

Primary vs secondary haemochromatosis distribution

A

Primary: Liver, pancreas, heart, pituitary, thyroid, synovium.
Secondary: Spleen and kupffer cells

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4
Q

Spontaneous rupture of the oesophagus typical location

A

Lower third, left lateral (anatomical weakness at this point)

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5
Q

Distal ileum, Diffuse circumferential wall thickening, bulky masses, extension into small bowel mesentery

A

Lymphoma

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6
Q

New liver lesions in metastatic GIST

A

Can be sign of treatment response in previous occult lesions

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7
Q

Sign of progression in metastatic GIST with liver mets

A

New enhancing nodule within hypodense lesion

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8
Q

Sigmoid cancer vs diverticulitis on CT

A

Enlarged pericolonic lymph nods suggests cancer

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9
Q

T Staging of rectal cancer

A

T3 = extension into perirectal fat.
T3a: <1mm
T2b: 1-5mm
T3c: 5-15mm
T3d: >15mm

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10
Q

SBO secondary to laparoscopic Roux-en-Y, commonest cause

A

Internal hernia (open surgery has more adhesions and less internal hernias compared to laparoscopic)

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11
Q

Commonest fluoroscopic finding in gastric MALT

A

Ulceration (various size, depth, number)

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12
Q

Diabetic, RUQ pain, echogenic GB wall with echogenic foci in lumen

A

Emphysematous cholecystitis

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13
Q

Trauma, focal areas of linear hyperattenuation (155HU) in liver

A

Active haemorrhage

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14
Q

Proportion of L rib fractures in blunt trauma associated with splenic injury

A

20%

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15
Q

Commonest manifestation of abdominal TB

A

Lymphoma

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16
Q

Lymphoma vs TB: Nodes

A

TB: Peripancreatic, mesenteric, portal
Lymphoma: Para-aortic

17
Q

Peripheral or homogenously enhancing lymphadenopathy (abdomen)

A

TB

18
Q

Hernia between lateral edge of rectus abdominis and medial edge of lateral abdominal wall muscles

A

Spigelian hernia

19
Q

Littre’s hernia

A

Hernia involving incarcerated meckel’s diverticulum

20
Q

Richter’s hernia

A

Only one edge of bowel is trapped in hernia

21
Q

Petit’s hernia

A

Hernia through inferior lumbar triangle

22
Q

Grynfeltt’s hernia

A

Through superior lumbar triangle

23
Q

Clinically carcinoid tumour, best Ix

A

SPECT with octreotide

24
Q

Most commonly injured part of pancreas in blunt trauma

A

body

25
Q

Indications for TIPS

A

Variceal haemorrhage resistant to medical or endoscopic therapy
Refactory ascites
Budd chiari
Hepatorenal syndrome

26
Q

Contraindications for TIPS

A

Portal vein occlusion

27
Q

Gaucher’s disease abdominal finding

A

Splenomegaly

28
Q

Duodenal yellow plaques on OGD, proximal small bowel mucosal thickening, bulky low density adenopathy.

A

Whipple’s

29
Q

Whipple’s vs Sprue

A

Sprue usually spares duodenum

30
Q

Standard initial staging Ix for oesophageal cancer

A

18FDG PET/CT

31
Q

Inadequate breath holding in MRCP can cause

A

Bile duct apparent stenosis or dilatation

32
Q

Known diverticular disease, well defined midline pelvic structure containing pocket of gas on barium enema

A

Colo-vesical fistula

33
Q

Polycystic liver disease prognosis

A

Usually asymptomatic, rarely progresses to advanced liver disease

34
Q

Bouveret syndrome vs gallstone ileus

A

Bouveret syndrome is gallstone impacted in distal stomach or proximal duodenum.
Gallstone ileus classically refers to stone in the terminal ileum

35
Q

Signs of pneumoperitoneum on supine AXR

A

RUQ gas (several locations),
Rigler’s sign,
Ligament visualisation (falciform, umbilical-medial, lateral),
Urachus,
Triangular air,
Football sign,
Scrotal air in kids