SECOND BIMONTHY EXAM 2021 Flashcards
Pancreatic pseudocysts
a) Very high risk for malignancy
b) Fluid density unilocular cysts associated with findings of acute or chronic pancreatitis
c) Serial imaging usually shows enlargement
d) Septations and lobulated contours are common
b) Fluid density unilocular cysts associated with findings of acute or chronic pancreatitis
Feature of malignant intracranial hemorrhage
a) Peripheral evolution of blood products
b) Complete hemosiderin rim
c) Absence of hemosiderin deposits
d) Irregular, complex evolution of blood products
d) Irregular, complex evolution of blood products
Feature of benign intracranial hemorrhage
a) Irregular, complex evolution of blood products
b) Severe acute enhancment patterns
c) Moderate surrounding edema
d) Complete hemosiderin rim
d) Complete hemosiderin rim
Morphologic changes in chronic pancreatitis, EXCEPT:
a) Increased visible pancreatic tissue due to hyperplasia
b) Fascial thickening and chronic inflammatory changes in the surrounding tissue
c) Calcifications in the pancreatic parenchyma
d) Dilation of the pancreatic duct, usually in a beaded pattern of alternating dilations and constrictions
a) Increased visible pancreatic tissue due to hyperplasia
Imaging findings in acute pancreatitis, EXCEPT:
a) Changes in density due to edema
b) Focal or diffuse parenchymal enlargement
c) Atrophy of the pancreas
d) Indistinct of the margins due to inflammation
c) Atrophy of the pancreas
The most common benign primary neoplasm of the spleen
a) Adenocarcinoma
b) Hemangioma
c) Fibroadenoma
d) Lymphoma
b) Hemangioma
Main duct Intraductal Papillary Mucinous neoplasm
a) 15% developing cancer in 5 years
b) Causes progressive hypertrophy of pancreatic parenchyma
c) Intercommunicate through dilated branch ducts
d) Have marked dilatation due to continuing mucin production
d) Have marked dilatation due to continuing mucin production
Most common cause of acute pancreatitis
a) Alcohol abuse
b) Malnutrition
c) Gallstone passage/impaction
d) Malignancy
c) Gallstone passage/impaction
Arteriovenous malformation
a) None of the above
b) Abnormal tangle of arteries directly connected to veins with an intervening capillary network.
c) 80-90% - supratentorial
d) Appear as a jumble of enlarged vessels with massive mass effect
c) 80-90% - supratentorial
Venous malformation
a) Thick-walled sinusoidal vein
b) Congenitally anomalous lymphatics that drain abnormal brain
c) None of the above
d) Enlarged enhancing stellate venous complex extending to the ventricular or cortical surface
d) Enlarged enhancing stellate venous complex extending to the ventricular or cortical surface
Sign of pancreatic tumor resectability
a) Regional nodes may be involved
b) Limited pancreatic extension of the tumor is present
c) Solitary hepatic metastasis
d) No encasement of the celiac axis or SMA
d) No encasement of the celiac axis or SMA
Role of imaging in pancreatitis, EXCEPT:
a) Determine prognosis
b) Required in its diagnosis
c) Assess severity
d) Detect complications
b) Required in its diagnosis
True statement regarding chronic pancreatitis:
a) The most common cause is steroid intake
b) Caused by prolonged and recurrent bouts of pancreatitis
c) Findings of parenchymal hypertrophy and resolving fibrosis
d) Endocrine and exocrine functions of the pancreas are always preserved
b) Caused by prolonged and recurrent bouts of pancreatitis
True statement regarding pancreatic imaging, EXCEPT:
a) Contrast enhanced MDCT- most comprehensive assessment
b) Imaging findings may be normal in mild cases
c) Fluoroscopy is often utilized for real-time guidance in pancreatic biopsy
d) Ultrasound is used for follow-up of specific abnormalities such as fluid collections
c) Fluoroscopy is often utilized for real-time guidance in pancreatic biopsy
Mucinous cystic neoplasm of the pancreas
a) Surgical removal is recommended
b) Usually in men
c) Peripheral eggshell calcification is a common and non-specific finding
d) Most commonly seen on the head of the pancreas
a) Surgical removal is recommended
True statements regarding the spleen, EXCEPT:
a) Occupies the right upper quadrant of the abdomen posteromedial to the stomach
b) Sequesters aged red and white blood cells and platelets
c) Reservoir for red blood cells
d) The largest lymphoid organ
a) Occupies the right upper quadrant of the abdomen posteromedial to the stomach
LUQ
Autoimmune pancreatitis
a) Directly associated with pulmonary adenocarcinoma
b) Periductal infiltration by neutrophils result in mass-like enlargement of the pancreas
c) Mass-like enlargement of the pancreas due to presence of an adenocarcinoma
d) Responsive to oral steroids
d) Responsive to oral steroids
True statement regarding amyloid angiopathy
a) Affects elderly individuals
b) Amyloid deposits in the serosa of large size and small cortical leptomeningeal arteries.
c) Considered when a young frequently amnesic patient presents with new or recurrent superficial
hemorrhages.
d) Associated with systemic vascular amyloidosis
a) Affects elderly individuals
Late cerebritis
a) Irregular peripheral enhancement
b) Well defined, smooth and thin, rim of enhancement
c) Mild mass effect
d) Multiloculation is common
a) Irregular peripheral enhancement
Signs of pancreatic tumor potential resectability, EXCEPT:
a) Limited pancreatic extension of the tumor is present
b) Absence of involvement of the celiac axis or SMA
c) Solitary hepatic metastasis
d) Regional nodes may be involved
c) Solitary hepatic metastasis