Thorax, Vascular,cardiac

Question 1

Persistent diarrhoea, flushing, tricuspid valve thickening (heart failure )

Answer 1

Carcinoid syndrome

Question 2

Raised hemidiaphragm

Answer 2

Atelectasis
Prior lobectomy
Phrenic nerve palsy
Subpulmonic collection

Question 3

Sniff test

Answer 3

Us or fluoro
Confirms absence of muscular contraction of diaphragm during inspiration .
Diaphragm does not move down on inspiration.

Question 4

Post stenting developed shock, tachycardia and hypotension

Answer 4

Retroperitoneal haematoma

Question 5

Sob, history of asthma and peripheral eosinophilia and bronchiectasis

Answer 5

ABPA

Question 6

Split pleura sign

Answer 6

Pleural empyema

Question 7

Pleural empyema

Answer 7

Smooth walls

Question 8

Lung abscess

Answer 8

Irregular walls

Question 9

Round atelectasis

Answer 9

Infolding of pleura
Associated pleural abnormality
Comet tail sign - pulled bronchivascular bundle
Presence of air bronchogram

Question 10

Hypertrophic Pulmonary Osteoarthropathy

Answer 10

Non small cell lung ca (pulm lymph , abscess,pleural fibroma)
Finger clubbing and soft tissue swelling

Question 11

Schogrens

Answer 11

Lymphoid interstitial pneumonia - mid to lower lobe predominance

(RB ILD - Smokers and upper lobe, centrilobular nodules , NO cysts )

Question 12

HHV 8+VE

Answer 12

Kaposi sarcoma

Question 13

HHV 8 with poor compliance in HIV. multiple nodes

Answer 13

Kaposis syndrome

Question 14

Large post biopsy haemorrhage

Answer 14

Put side down to tamponade

Question 15

Air embolism

Answer 15

Always put on left side with high flow oxygen
To stop it going into systemic system

Question 16

Multiple <5mm calcified ling nodules

Answer 16

Treated/recovered:

Prior varicella pneumonia
Military TB

Question 17

Dilated trachea, smoot anterior and lateral wall thickening with spared posterior membrane , Aortic root dilatation / aortitis

Answer 17

Relapsing polychondritis

Question 18

Thymoma (invasive)

Answer 18

Associated with pleural thickening / pleural seeding

Question 19

Thymic epithelial tumour

Answer 19

Has amorphous calcification
Includes thymoma and thymic carcinoma

Question 20

Stunned myocardium

Answer 20

Delayed myocardial enhancement
Regional wall abnormality

Question 21

Hibernating myocardium

Answer 21

Chronic ischaemia process
Low trader uptake , hypoperfusion.

Question 22

Subendocardial delayed enhancement

Answer 22

MI

Question 23

Linear midwall delayed enhancement

Answer 23

Dilated cardiomiopathy

Question 24

Patchy midwall enhancement

Answer 24

HOCM

Question 25

3 lead pacemaker

Answer 25

Right atrial lead in atrial appendage

Inferior lead passes through coronary sinus into cardiac vein

Question 26

Constrictive pericarditis

Answer 26

Calcific thickening of pericardium
Idiopathic
Paradoxical movement of interventriculat septum during inspiration

Question 27

Restrictive cardiomyopathy

Answer 27

Due to amyloid,fibrosis and haemochromatosis.
Muscles / myocardium involved

Question 28

Large vessel vasculitis and old age

Answer 28

GCA

Question 29

Large vessel vasculiits and young woman

Answer 29

Takeyasus

Question 30

Mosaic perfusion
Pulmonary vascular webs
Pouching defects

Answer 30

Chronic pe

Question 31

RFA

Answer 31

Needs anaesthesia

Question 32

Perihilar ground glass opacities

Answer 32

Pneumocystis

Question 33

Air trapping

Answer 33

Bronchial atresia

Question 34

Eosinophillic granuloma

Answer 34

Lyrics lesion
Centrilobural nodules and cysts in mid and upper zones with costophrenic recess sparing

Question 35

Dilated oesophagus with subpleural sparing

Answer 35

Scleroderma -NSIP

Question 36

Early reversed diastolic flow and absent diastolic flow

Answer 36

ICA stenosis

Question 37

Pedunculated lesion from non coronary cusp

Answer 37

Fibroelastoma

Question 38

Nf1

Answer 38

GIST

Question 39

Popliteal artery aneurysms

Answer 39

Very high Association with AAA