SBAs for the final FRCR 2A Unit 4

Question 1

Filling defect in ureter with proximal dilatation

Answer 1

Goblet sign, TCC

Question 2

Calcifications associated with DCIS

Answer 2

Dot and dash

Question 3

Worrying signs on CT for incidental breast lesions

Answer 3

Spiculated margin,
Axillary lymphadenopathy

Question 4

Emphesematous pyelitis vs pyelonephritis

Answer 4

Gas entirely within pelvicalyceal system vs within renal parenchyma

Question 5

Small filling defects in distal ureter and bladder, diabetic, previous UTIs

Answer 5

Malakoplakia

Question 6

Ix for ?hyperparathyroidism

Answer 6

Serum PTH and Sestamibi scan

Question 7

MRI feature mist predictive of malignancy (breast)

Answer 7

Irregular margin

Question 8

Elongated lesion replacing testis, multiple small cystic areas, near epididymis

Answer 8

Ectasia of rete testis

Question 9

Suspicious nodule on US, FNA negative, next Ix

Answer 9

Repeat FNA

Question 10

Breast cancer screening programme benefits

Answer 10

2 lives saved per 1 overdiagnosed case

Question 11

Additional lobe of placenta separate from main bulk

Answer 11

Succenturate placenta

Question 12

Significant renal artery stenosis

Answer 12

> 70% stenosis
180cm/s and aorta to RA velocity ratio >3

Question 13

Tumour marker for thyroid cancer

Answer 13

Calcitonin for medullary
Thyroglobulin for follicular

Question 14

Delayed nephrogram

Answer 14

Renal vein thrombosis

Question 15

Retroperitoneal fibrosis vs malignancy

Answer 15

Retroperitoneal fibrosis tends to tether soft tissues closer to adjacent vertebrae

Question 16

MRI prostate important clinical info

Answer 16

DATES of recent biopsy

Question 17

High intensity focussed US method of action

Answer 17

Coagulation necrosis

Question 18

Commonest complication of uterine fibroid embolisation

Answer 18

Ovarian dysfunction

Question 19

Hyperattenuating benign cysts on CT

Answer 19

40-90 HU pre contrast.
<10HU enhancement

Question 20

Uterine fibroid MRI

Answer 20

Low T2, intermediate T1

Question 21

Enhancing solid renal mass <1cm

Answer 21

Repeat CT in 3-6 months

Question 22

Multiple, thin, non enhancing septa, bosniak scale

Answer 22

Bosniak IIF

Question 23

Ablation zone (RCC) stable in size over time

Answer 23

Should get smaller, suspicious for recurrence

Question 24

TCC invading into cortex vs RCC invading into medulla

Answer 24

RCC causes distortion of renal outline

Question 25

Cervical carcinoma associated with Peutz Jehger

Answer 25

Minimal deviation adenocarcinoma of cervix

Question 26

Causes of carcinomatosis lymphangitis

Answer 26

Certain Cancers Spread By Plugging The Lymphatics:
Cervical
Colon
Stomach
Breast
Prostate
Thyroid
Larynx

Question 27

Multiple small outpouchings from the uterine cavity on HSG

Answer 27

Adenomyosis

Question 28

2 uterine cavities and 2 cervices

Answer 28

Uterine didelphys

Question 29

Parathyroid adenoma on sestamibi

Answer 29

Focus of increased radionuclide activity on delayed images only

Question 30

Multilocular cystic lesion in kidney with no capsule

Answer 30

localised cystic renal disease

Question 31

Renal vein thrombosis in transplant kidney, Rx

Answer 31

Renal vein intervention

Question 32

Ovoid lesion in ovary, high T1 and T1 fat sat, low T2

Answer 32

Endometriotic cyst (chocolate cyst)