Radiology, bones of the hand/feet, scleroderma [04/03/21]

Question 1

Pneumonic to comment on adequacy

Answer 1

RIPE [rotation, inspiration, penetration, exposure]

Question 2

Pneumonic for looking through an XR

Answer 2

Airway 
Breathing
Circulation
Diaphragm
Everything else

Question 3

Describing abnormalities

Answer 3

1. Number [single/multiple]
2. Shape [round/oval/lobulated]
3. Margin [well circumsribed/zone of transmission]
4. Composition [radiolucent, radioopaque, fluid level]
5. Associated features

Question 4

Inspiration part of film adequacy

Answer 4

7 anterior ribs, 9 posterior

Question 5

What should you never forgert on a film

Answer 5

Patient details!

Question 6

signed of TENSION pneumonthorax

Answer 6

Deviated trachea toward affected side

Question 7

What can COVID cause on XR?

Answer 7

Bilateral consolidative picture; atypical pneumonia

Question 8

What can also cause atypical pneumonia?

Answer 8

Legionella

Question 9

How to position pt with atypical pneumonia from COVID

Answer 9

Lie them prone [helps with O2 sats]

Question 10

Pleural effusion signs XR

Answer 10

Anterior and posterior projections of fluid level [meniscus]; can hide hilar/lung Ca if they’re large

Question 11

Mx for pleural effusion?

Answer 11

Aspirate and see exudate/transudate

Question 12

CCF sign on CXR

Answer 12

Heart covers half the distance

Question 13

Type of lines seen in CCF?

Answer 13

Kerley B/C lines [though wary as also kerly D/E lines]

Question 14

What are kerly B lines?

Answer 14

Ones perpendicular to the chest wall

Question 15

Sx of metastatic lung ca

Answer 15

Multiple small radioopaque lesions bilaterally, loss of costophrenic angles

Question 16

Types of tumour example can be affected CXR

Answer 16

RCC, can be others

Question 17

RCC on an CXR?

Answer 17

Cannonball met

Question 18

What does prostate cancer met look like CXR?

Answer 18

Radiolucent areas

Question 19

How to differentiate between large and small bowels?

Answer 19

Features of each [e.g. haustra lines don;t cross all the way large]

Question 20

Do we AXR patients for bowel obstruction if indicated?

Answer 20

No, we CT as clearer view

Question 21

Name of condition for perforated bowel where lots of fluid leaks out?

Answer 21

Pneuoperitoneum

Question 22

best case scenario perforated bowel/

Answer 22

After surgery

Question 23

Latin name for kidney stones

Answer 23

Neprolithiasis

Question 24

major muscle seen in pelvis XR usually?

Answer 24

psoas

Question 25

What follows the psoas major can be identified?

Answer 25

The ureters

Question 26

Will all stones show up on XR?

Answer 26

NO, only ones with calcium [80%]

Question 27

What are the other kidney stones made up of?

Answer 27

uric acid, struvite

Question 28

type of bony breaks [there are 9]

Answer 28

simple transverse, oblique, spiral, then werid butterfly names, complex, multi-framgented

Question 29

Positions describing fracture femur

Answer 29

Epiphseal region, subtrochanteric, intracapcular, supracondular, diaphyseal region

Question 30

Wrist fracture name

Answer 30

Colles fracture

Question 31

Technique describing fracture

Answer 31

Pattern: simple/comminuted, shape [transverse/oblique/spiral/avulsion

level of fracture
- intra-extra-articular, epiphyseal, metaphyseal, diaphyseal

deformity [if there is one]
- translation/displacement, anulation, rotation

Question 32

What is the classification commonly used in ankle fractures?

Answer 32

Weber’s classification [for lateral malleolar fractures]