Radiology

Question 1

Investigating cholecystitis/biliary colic

Answer 1

Ultrasound, further clarification with MRCP/ERCP

Dilated common bile duct and gallstone can be seen

Question 2

Common causes of pancreatitis

Answer 2

Alcohol or gall stones

Question 3

Investigating pancreatitis

Answer 3

Serum Amylase

US to confirm gall stones +/- biliary obstruction, evaluate compications

Question 4

Best time to perform imagining on pancreatitis

Answer 4

1 week following symptoms

May find necrosis, intra-abdominal or vascular complications

Question 5

Investigating perforation

Answer 5

Erect chest x-ray is first line
Free subphrenic gas can be found
CT scan to delineate sources and show further features such as intra-peritoneal collections

Question 6

Inflammatory markers in pancreatitis

Answer 6

Elevated and often pyrexic

Question 7

Investigating pancreatitis

Answer 7

Ultrasound, appendix looks distended. May find appendicolith

Question 8

Diverticulitis usually presents on what side

Answer 8

Left illiac fossa with bloody diarrhoea and PR bleed

Question 9

Investigating diverticulitis

Answer 9

CT scan

Question 10

Abdominal pain with hypotension, non GI cause?

Answer 10

Vascular cause such as abdominal aortic aneurysm ruptured. Sudden onset

Question 11

The abdomen may be distended due to

Answer 11

Gas or fluid

Question 12

Abdomen distension due to bowel gas investigation

Answer 12

Abdominal x-ray, small bowel loops can be seen

Question 13

Large bowel obstruction shows gas in rectum?

Answer 13

False

Question 14

More than “____” cm bowel distension is abnormal

Answer 14

3 cm

Question 15

Presence of what confrims the small bowel in an x-ray

Answer 15

Valvulae conniventes

Question 16

First line for fluid suspection of abdominal distenstion

Answer 16

Ultrasound

Question 17

Haematemesis first line investigation

Answer 17

Endoscopy - Diagnostic and therapeutic

Question 18

Radiological imaging for GI bleed is done when

Answer 18

During bleeding.

CT with IV contrast

Question 19

Investigating dysphagia

Answer 19

Endoscopy

Question 20

What examination is essential in change in bowel habit

Answer 20

PR examination

Question 21

Investigating change in bowel habit

Answer 21

Barium enema or CT virtual colonography

Question 22

Where is special attention payed to if inflammatory bowel disease is suspected

Answer 22

Terminal ileum

Question 23

Investigating know cases of small bowel Crohns or large bowel Crohns with suspected small bowel movement

Answer 23

MRI

Question 24

Investigating active inflammatory bowel disease

Answer 24

Radio-labelled white cell scan to localise active inflammation

Question 25

Radio-labelled white cell scan is normally taken up in?

Answer 25

Liver and spleen

Question 26

Investigating jaundice

Answer 26

US to determine hepatic or post hepatic

MRCP +/- ERCP to further invstigate

Question 27

CT scan in jaundice

Answer 27

Confirmational, identify primary tumour if unknown