2

Question 1

Acalcular cholescystitis
Uss description
Associated with

Answer 1

Thick gall bladder wall
With no hyperechoic stone or acoustic shadow

Major surgery
Severe trauma
Severe burn
Total parental nutrition

Question 2

Barium swallow
Achalasia
Description :

Answer 2

Barium swallow
Dilated esophagus , tapering at distal end
Bird peak sign

Achalasia
Benign

Question 3

Meningioma of spine
MRI T1
Description

Answer 3

MRI T1 sagital spine with IV contrast
Intradural extramedullary enhanced mass

Question 4

Meningioma
MRI T2

Answer 4

MRI T2 sagital spine
Intradural , extramedullary mass with anteriorly displaced cord

Question 5

Glioblastoma or metastasis of spinal cord
MRI description

Answer 5

MRI T2 sagital spine
Intradural intramedullary mass with surrounding edema

Question 6

Pneumoperitonium
CXR description:

Answer 6

CXR erect
Crescent shaped air under diaphragm

Question 7

Normal X- ray Abdomen
Description

Answer 7

Randomly distributed air
“ no Anatomical detail “

Question 8

X ray AP view Abdomin
Air pushed up indicate :

Answer 8

Large mass “ appear as round large o pacification “

Question 9

Most common cause of small bowel obstruction is ……
Modality X ray Abdomen AP view
Supine …..
Erect….

Answer 9

Adhesion

Supine appear valvula conniventis “ coil spring sign”
Erect appear multiple air fluid level “ step ladder sign”

Question 10

Large bowel obstruction
X ray supine description:

Answer 10

X ray abdomen AP supine : Haustra “ incomplete mucosal fold away from each other “

Question 11

Describe
X ray lateral decubitus position
Pneumoperitonium

Answer 11

Crescent air between lateral border of the liver , chest wall & diaphragm

• used in small pneumoperitonium & sick patient “

Question 12

Rigler’s sign & Falciform sign
Seen in

Answer 12

Wall of stomach & Falciform ligament
- pneumoperitonium

“ X ray Abdomen AP view “

Question 13

Best modality for Diagnosis of pneumoperitonium:

Answer 13

CT scan

Then
X ray lateral decubitus position
CXR PA view erect

Question 14

Necrotising enterocolitis
In newborn
X ray

Complication :

Answer 14

X ray abdomen AP view
Pneumatosis intestinalis

Pneumoperitonium

Question 15

Foot ball sign seen in :

Answer 15

Pneumoperitonium in newborn

X ray Abdomen AP view supine
Air filling the flanks

Question 16

Medical importance of porcelain Gall bladder “ Calcified G.B wall “ :

Answer 16

Precancerous condition

Question 17

Barium swallow
Normal esophaugus show normal indentation because of

Answer 17

Arch of Aorta.

Question 18

…………..: normal oesophagus finding in old age
Barium swallow

Answer 18

Cork screw esophagus

Question 19

Disc space
Intravertevral Disc are ( opaque / lucent ) in plain radiograph

Disc space narrowing either due to …. Or …..

Answer 19

Lucent ( disc space )

By compare disc space with each other , can detect disc space
Narrowed due inflammation or degenerative process

Question 20

Preferred diagnostic test for disc herniation

Answer 20

Raised leg test ( 30-70” ) !

Question 21

MRI T2 sagital spine
Axial spine
Show hypointense IVD , herniation at left lateral disc

Dx:

Answer 21

L4 L5 dehydrated lumbar disc herniation

Question 22

Vertebrae inflammation = spondylitis
Can be due to :
-
-
Difference :

Answer 22

TB “ intracellular ; need cells ,which need blood “ affect body of vertebra , sparing Disc = spondylitis

Staph aureus “ no need for Blood”
Affect body of vertebra & disc = spondylodiscitis

Vertebra vascular , disc Avascular

Question 23

MRI T1 saguaro spine with IV contrast
Show 2 consecutive vertebral enhancement in B
DX:

Answer 23

Spondylodescitis

Question 24

How TB spread from one vertebra to another :

Answer 24

Paraverbral abscesses
Multiple ring enhanced lesion on sides of vertebra below kidneys on MRI T1 coronal spine
Not affecting disc “ spondylitis “

Question 25

Deformity seen in pott’s disease :

Answer 25

Gibbus deformity
Acute angular ion of the spine with loss of normal kyphosis

Question 26

Reactive Arthritis “ Ritter “
Can’t
Can’t
Can’t

Answer 26

Can’t see “ uveitis “
Can’t pee “ urethritis “
Can’t walk “ arthritis “

Question 27

CT abdomen with IV contrast
Potts disease “ way of spread
Description

Answer 27

CT abdomen axial with IV contrast
MRI T1 coronal abdomen with IV contrast
Large paravertebral abscesses with vertebral enhancement sparing the disc

Question 28

Sacroillitis
Plain radiograph
Description

Answer 28

Sclerosis of the end plate particularly at the illiac side

Irregular joint end plate

Widening of joint spaces

Question 29

Sacrollitis B/L + diarrhea
Etiology
Next step :

Answer 29

Enteropathic arthritis
Can be ulcerative colitis / crohn’s

Colonoscopy , biopsy

Question 30

X ray PA view spine
X ray PA view pelvis
Ankylosing spondylitis
Describe
Signs
Complication

Answer 30

Ossification of intraspinous ligament
“Extensive calcification with fused vertebra”
Ossification of SI joint
Bambo stick appearance & sydenmophytes

Spinal fracture

Question 31

Ivory vertebra sign
Describe :
Differential diagnosis :

Next Step :

Answer 31

Radiopaque shadow of the vertebral body

Osteosarcoma
Paget disease
Metastasis
Lymphoma

CT , skeletal survey X ray

Question 32

Osteoporosis
Lead to fracture of vertebra called :……..
Sequence of effect of osteoporosis on vertebra

Answer 32

Compression fracture

Can be seen on CT spine sagital spine
Loss of height , vertebral collapse
Also biconcavity can be seen

Ostepenia> biconcavity > compression fracture > Burst fracture

Question 33

Osteoporosis can be due to

Next step in management : Dexa scan , skeletal survey

Answer 33

Steroid induced
Menopausal “ physiological cause”

Question 34

-
-
Subdural” intradural” lesion can be :
-
-
-

Answer 34

Abscess
Disc
Hematoma

Abscess
Hematoma
Metastasis
Schwannoma

Primary tumour of the cord : ependymoma
Metastasis
Lymphoma