Masterpass GU/Gyn/Breast/Adreno 3

Question 1

Adrenal adenoma delayed CT

Answer 1

<37HU is diagnostic

Question 2

Non-enhancing cystic lesion in adrenal

Answer 2

Most likely Lymphangioma

Question 3

New lesion appearing after menopause

Answer 3

High suspicion for malignancy, benign things tend not to grow post-menopause

Question 4

Optimal timing for breast MRI

Answer 4

6 months after open biopsy.
12 months after radiotherapy

Question 5

Commonest site of benign breast masses

Answer 5

Upper outer quadrant

Question 6

Breast abscess MRI appearance

Answer 6

High T1 and T2, peripheral enhancement

Question 7

Elevated AFP in pregnancy

Answer 7

Associated with foetal abnormalities, often neural tube defects

Question 8

Cervical carcinoma vs fibroid

Answer 8

Fibroid is T2 dark, carcinoma is T2 bright

Question 9

Beckwith-Wiedermann Syndrome associated with

Answer 9

Omphalocele, gigantism, macroglossia.
Wilms > adrenocortical neoplasm > hepatoblastoma

Question 10

TB salpingitis is most likely to do

Answer 10

cause bilateral disease

Question 11

Posterior urethral valve is usually diagnosed when

Answer 11

First year of life

Question 12

Commonest cause of male urethral strictures

Answer 12

Previous gonococcal infection

Question 13

Rx for epidydimal cyst

Answer 13

Routine urology referral

Question 14

Best MRI sequence to detect bladder cancer extension through wall

Answer 14

T1

Question 15

Most likely appearance of uncomplicated pyelonephritis on CT

Answer 15

Alternating bands of hypo and hyperattenuating renal parenchyma

Question 16

Commonest cause of post transplant ureteral obstruction

Answer 16

Ureteric ischaemia

Question 17

Low T1, high T2 mass lesion in the retroperitoneum

Answer 17

Malignant Fibrous Histiocytoma

Question 18

RF ablated renal mass appearance

Answer 18

Bull’s eye, central treated tumour with surrounding thin soft tissue rim and thin halo of fat separating the two

Question 19

Commonest site of urethral injury

Answer 19

Membranous

Question 20

When is ureterocele most likely visible

Answer 20

Early filling stage

Question 21

Commonest type of urachal tumour in young person

Answer 21

Sarcoma