VIQ - Cardiothoracic and Vascular - Warm Up Flashcards
@# 11. The following conditions are associated with atrial septal defects: (T/F)
a) Turner’s syndrome
b) Down’s syndrome
c) Klippel-Feil syndrome
d) Noonan syndrome
e) Von Recklinghausen’s disease
11.
a) False
b) True - ostium primum defect
c) True. Klippel-Feil syndrome (KFS) is a rare skeletal disorder characterized by the congenital fusion of two or more vertebrae of the cervical spine within the neck.
d) True. Noonan syndrome (NS) is a genetic disorder that may present with mildly unusual facial features, short height, congenital heart disease, bleeding problems, and skeletal malformations.
e) False. Neurofibromatosis 1 (NF1), historically called von Recklinghausen’s disease, is a genetic disorder characterized by increased risk of developing noncancerous (benign) and cancerous (malignant) tumors, as well as various other physical and neurological manifestations.
Radiology Review Manual. 5th edition. Dahnert. Lippincott, Williams and Wilkins, 2003: 568- 9.
@# 16. The following are features of cardiac angiosarcoma: (T/F)
a) Involves the pericardium in 10-20%
b) Metastasises in 5-10%
c) Most commonly found in the left atrium
d) Usually has a homogenous enhancement pattern on CT
e) Commonly presents in children 3-8 years old
a) False - pericardial involvement in 80%
b) False - metastases at presentation in 70-90%
c) False - right atrium
d) False - heterogenous with central necrosis, haemorrhage
e) False - disease of middle-aged men. Rarely seen in children
@# 17. The following statements regarding primary cardiac lymphoma are true: (T/F)
a) It usually affects children 5-10 years of age
b) It is typically of non-Hodgkin’s type
c) The right ventricle is the most typical location
d) More than one chamber is affected in less than 5% of patients
e) It presents as a hyperechoic nodule on ultrasound
17.
a) False - mean - mean age is 60 years of age
b) True
c) False - the right atrium is commonest location
d) False - multiple chambers are involved in up to 75% of patients
e) False-hypoechoic
@# 21. Fibrosis predominantly affecting the upper lobes is seen in: (T/F)
a) Rheumatoid arthritis
b) Tuberculosis
c) Bronchopulmonary aspergillosis
d) Sarcoidosis
e) Amiodarone-induced lung fibrosis
21.
a) False - lower lobe
b) True
c) True
d) True
e) False lower lobe
@# 26. Regarding pulmonary Infections: (T/F)
a) The characteristic pattern of Legionella pneumophila is air space opacification which is initially peripheral
b) Klebsiella pneumonia can present with a bulging interlobar fissure
c) Pseudomonas pneumonia has a predilection for the upper lobes
d) Progressive primary pulmonary tuberculosis is most common in neonates
e) In primary tuberculosis, unilateral pleural effusions are seen in 25% of cases
26.
a) True
b) True
c) False
d) False - most common in older children/teenagers
e) True
@# 32. Causes of eggshell calcification of lymph nodes include: (T/F)
a) Rheumatoid arthritis
b) Silicosis
c) Histoplasmosis
d) Amyloidosis
e) Scleroderma
32.
a) False
b) True
c) True
d) True
e) True
@# 36. Concerning bronchial adenomas: (T/F)
a) They can arise in the trachea
b) 80-90% are located centrally in the lung
c) Lesions do not enhance on contrast-enhanced CT
d) Haemoptysis is the presenting feature in 10-15% of patients
e) On CT images, peripheral calcification is seen in 70-80%
36.
a) True
b) True
c) False - there is marked enhancement
d) False - features in 40-50% of patients
e) False - peripheral calcification is seen in 30-35%
@# 46. Features of Wegener’s granulomatosis include: (T/F)
a) Focal glomerulonephritis
b) Migratory polyarthropathy
c) Marked lymphadenopathy
d) Multiple pulmonary nodules with upper lobe predominance
e) Pleural effusion in 3-5%
46.
Churchill Livingstone, 2001: 476-9.
a) True
b) True
c) False - lymphadenopathy is rare
d) False - multiple pulmonary nodules with lower lobe predominance
e) False - pleural effusion in 25%
