SBAs for the Final FRCR 2A Unit 3

Question 1

Horizontally orientated mucosal folds

Answer 1

Feline oesophagus

Question 2

Focal mass at head of pancreas with hyperechoic mets & peptic ulcer disease

Answer 2

Gastrinoma

Question 3

Carcinoid tumour prognosis

Answer 3

Size of tumour at diagnosis is related to risk of metastatic spead

Question 4

Hamptons line

Answer 4

Line crossing the base of stomach ulcer, suggests benign

Question 5

Small bowel systemic sclerosis can cause

Answer 5

Pneumatosis intestinalis

Question 6

Most specific sign of appendix perf

Answer 6

Adjacent abscess formation (even more than focal wall defect)

Question 7

Plastic vs metal stent insertion for ERCP

Answer 7

Metal stents are permanent

Question 8

Liver segments

Answer 8

Right to left:
Top: 7,8,4a,2
Bottom: 6,5,4b,3

Question 9

Best position for en face view of lesser curve

Answer 9

LAO

Question 10

Small bowel hyperdensity caused by

Answer 10

Vasodilation in early ischaemia

Question 11

Terminal ileal thickening with proximal dilatation and regional lymphadenopathy

Answer 11

Crohns

Question 12

Mirizzi syndrome duct appearances

Answer 12

Dilated BCD with normal CHD

Question 13

Acute budd chairi vs passive hepatic congestion

Answer 13

Narrow vs dilated hepatic veins and IVC

Question 14

Focal area of enhancement in arterial phase only (liver) with normal portal venous imaging

Answer 14

Transient Hepatic Intensity/Attenuation Difference

Question 15

Oesophageal Ca staging

Answer 15

T3 invades adventitia, T4 invades adjacent structures

Question 16

Feline oesophagus Rx

Answer 16

Benign, no further follow up or specific Rx

Question 17

No peristalsis seen in upper oesophagus

Answer 17

Polymyositis

Question 18

Contents of anterior pararenal space

Answer 18

Pancreas,
D2, D3
Ascending and descending coon

Question 19

Drowsiness and convulsions following barium enema

Answer 19

Water intoxication

Question 20

Lobulated mass with thick walls, septa and calcifications displacing adjacent psoas

Answer 20

Pseudomyxoma retroperitonii

Question 21

Superficial pancreatic laceration Rx

Answer 21

supportive therapy

Question 22

Multiple AVMs, commonly skin, lungs, mucous membranes

Answer 22

HHT

Question 23

Colon cancer staging

Answer 23

T3 into pericolic fat
T4 adjacent organs
N1: >1cm node or group of 3 or more nodes

Question 24

Adenomyomatosis (GB) associated with

Answer 24

Cholesterolosis

Question 25

AIDS, iliocaecal thickening and low attenuation lymph nodes

Answer 25

TB

Question 26

Contraindication to glucagon

Answer 26

Insulinoma and phaeochromocytoma

Question 27

Target appearance proximal to fatty mass in colon

Answer 27

Colonic lipoma causing intussusception

Question 28

Metastasis that aren’t PET avid

Answer 28

RCC

Question 29

Pneumobilia vs calculi on MRI

Answer 29

Axial T2: Calculus is dependent, air is antidependent

Question 30

GIST appearanes on CT

Answer 30

Large, exophytic mass with peripheral enhancement. More aggressive ones have central necrosis

Question 31

Best inflated bowel segment on prone study

Answer 31

Rectosigmoid

Question 32

Mural nodule in cyst after RFA of HCC

Answer 32

Suggests development of bileoma

Question 33

HIDA scan appearances of acute cholecystitis

Answer 33

Non-visualisation of GB at 1 and 4hrs