Body

Question 1

adult pt –> normal- to small-sized kidneys –> echogenic renal parenchyma –> multiple cysts measuring less than 3 cm –> dx?

Answer 1

Acquired cystic disease of dialysis

Question 2

Acquired cystic disease of dialysis –> complication?

Answer 2

RCC

Question 3

Mullerian duct abnormality –> assoc w what other congenital abnormality?

Answer 3

ipsilat renal agenesis

Question 4

what is renal lipomatosis?

Answer 4

Renal sinus fat increase gradually due to:

• aging
• obesity
• loss of parenchyma due to disease.

Question 5

emphysematous cholecystitis –> assoc w what underlying disorder?

Answer 5

DM

Question 6

choledochal cyst –> hypothesized etiology?

Answer 6

anomalous formation of pancreaticobiliary ductal jx

Question 7

Zenker diverticulum –> location?

Answer 7

posterior hypopharynx –> Killian dehiscence

Question 8

Killian-Jamieson diverticulum –> location?

Answer 8

proximal cervical esophagus –> just below cricopharyngeus –> L side

Question 9

traction diverticulum –> MC location?

Answer 9

mid-esophagus –> level of carina

Question 10

goblet sign –> dx?

Answer 10

ureteral TCC

Question 11

imaging shows Fournier gangrene –> next step in management?

Answer 11

immed surg consult

Question 12

liver lesion –> central scar w calcification –> dx?

Answer 12

fibrolamellar HCC

Question 13

ectopic ureter –> inserts where?

Answer 13

med & inf to normal ureter

Question 14

MC type of RCC?

Answer 14

clear cell

Question 15

MC type of RCC assoc with dialysis?

Answer 15

papillary

Question 16

type of RCC with best prognosis?

Answer 16

chromophobe

Question 17

what type of RCC is assoc with sickle cell?

Answer 17

medullary

Question 18

liver metastasis –> what kind is hypovascular?

Answer 18

adenoCA

Question 19

primary sclerosing cholangitis –> MC assoc condition?

Answer 19

UC

Question 20

primary sclerosing cholangitis –> increased risk for what malignancy?

Answer 20

cholangioCA

Question 21

R kidney is absent –> renal agenesis vs post-nephrectomy –> what can you look for to differentiate?

Answer 21

lying down adrenal gland –> renal agenesis

Question 22

lying down adrenal gland –> useful sign to confirm what condition?

Answer 22

renal agenesis or ectopia

Question 23

adenomyosis –> classic MRI imaging feature?

Answer 23

jxal zone >12 mm

Question 24

duplicated renal collecting system –> upper & lower moiety –> ureter insertion location? which one is ectopic/orthotopic?

Answer 24

upper moiety: ectopic –> inf & med

lower moiety: orthotopic –> sup & lat

Question 25

duplicated renal collecting system --> which is prone to ureterocele? obstruction? reflux?

Answer 25

upper moiety --> ureterocele --> obstruction lower moiety --> reflux

Question 26

pancreas --> mucinous cystadenoma/carcinoma --> findings (3)

Answer 26

- macrocystic - thick wall - mural nodules

Question 27

pancreas --> mucinous cystadenoma/carcinoma --> MC location

Answer 27

tail

Question 28

pancreas --> mucinous cystadenoma/carcinoma --> MC epidemiology

Answer 28

middle age F

Question 29

lipomatous pseudohypertrophy of pancreas --> assoc w what condition?

Answer 29

cystic fibrosis

Question 30

cystic fibrosis --> can develop what intestinal condition?

Answer 30

distal intestinal obstruction synd

Question 31

what is distal intestinal obstruction synd?

Answer 31

cystic fibrosis --> enteric contents become viscous/inspissated --> distal SBO

Question 32

distal intestinal obstruction synd --> tx

Answer 32

enema & laxatives

Question 33

h/o prostate CA --> rising PSA --> best modality to look for mets?

Answer 33

bone scan

Question 34

peritoneal thickening & omental caking --> ddx? (2)

Answer 34

- peritoneal mets | - primary peritoneal mesothelioma

Question 35

What is the MOST common malignant primary hepatic tumor?

Answer 35

HCC

Question 36

splenic infx --> percutaneous drainage is BEST performed for unilocular, unruptured splenic abscesses --> T/F?

Answer 36

T

Question 37

A patient with a history of celiac disease presents with recurrent abdominal pain and weight loss. A CT scan demonstrates enlarged, homogeneously enhancing retroperitoneal and mesenteric lymph nodes. What is the MOST likely diagnosis?

Answer 37

lymphoma

Question 38

A 1.5 cm simple, unilocular pancreatic cyst is incidentally discovered on a CT scan in a 45-year-old patient with no history of pancreatic disease. What is the MOST appropriate recommendation?

Answer 38

MRCP

Question 39

What is the expected median survival in patients who undergo successful surgical resection for pancreatic adenocarcinoma?

Answer 39

1.5yr

Question 40

What is the MOST common cause of a gastrocolic fistula?

Answer 40

chronic NSAID use

Question 41

cholelithiasis --> RF for gallbladder CA --> T/F?

Answer 41

T

Question 42

Which pancreatic neoplasms has the LOWEST malignant potential?

Answer 42

serous (or microcystic) neoplasm

Question 43

What is the MOST common type of biliary cancer?

Answer 43

Gallbladder carcinoma

Question 44

pancreatic neuroendocrine tumor --> hypo or hyper-vascular?

Answer 44

hyper

Question 45

Giardiasis --> MC location?

Answer 45

prox small bowel

Question 46

focal nodular hyperplasia --> enhancemt pattern?

Answer 46

- noncontrast: hypo to iso - arterial: homogeneous enhance (except central scar) - portal venous: hypo to iso - delayed: scar enhance

Question 47

Meckel's diverticulum --> comp is diverticulitis --> T/F?

Answer 47

T

Question 48

mesenteric desmoid tumors --> assoc synd?

Answer 48

Gardner's synd

Question 49

graft versus host disease --> classic appearance?

Answer 49

ribbon bowel

Question 50

primary biliary cirrhosis --> MC in M/F?

Answer 50

F

Question 51

primary biliary cirrhosis --> rapid liver fail --> T/F?

Answer 51

F

Question 52

primary biliary cirrhosis --> assoc autoAb?

Answer 52

anti-mito Ab

Question 53

amebiasis --> MC location?

Answer 53

R hemicolon

Question 54

spleen --> angiosarcoma --> Prognosis is very poor with only 20% survival rate at 6 months --> T/F?

Answer 54

T

Question 55

There is an increased risk of adenocarcinoma in patients with a duodenal web --> T/F?

Answer 55

F

Question 56

duodenal adenocarcinoma --> UGI --> classic appearance?

Answer 56

apple core lesion

Question 57

Peutz - Jeghers Syndrome --> inheritance pattern?

Answer 57

AD

Question 58

Peutz - Jeghers Syndrome --> associated with a high risk for the development of adenocarcinoma of the pancreas --> T/F?

Answer 58

T