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Chest and Abdomen COPY (BINGO) > Final Exam > Flashcards

Final Exam Flashcards

1
Q

What is a solitary mass in the lung periphery or fissure?

A

pleural fibroma

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2
Q

Malignant Pleural Mesothelioma is related to what exposure?

A

asbestos

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3
Q

A Malignant Pleural Mesothelioma will shift the mediastinum in which direction?

A

toward the involved side

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4
Q

What is the sign associated with an Malignant Pleural Mesothelioma; described as a body wall lesion?

A

“Extrapleural sign”

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5
Q

What is the most common primary tumor of the pleura?

A

Pleural Mesothelioma

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6
Q

What is the 3rd MC site of a teratoma?

A

Thorax

– (following gonadal and sacrococcygeal location)

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7
Q

Intrathoracic teratomas are usually found where in the thorax?

A

anterior mediastinum

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8
Q

What are the 3 T’s + H for Anterior Mediastinal Masses?

A
    • Hodgkins lymphoma
    • Thymoma
    • Teratoma
    • Substernal Thyroid
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9
Q

Adult Respiratory Distress Syndrome (ARDS) isa result of what?

A

systemic capillary damage

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10
Q

What radiographic sign indicates ARDS

A

Silhouette sign bilaterally

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11
Q

Extrinsic Allergic Alveolitis (EAA) is an allergic lung disease d/t _____ inhalation of ____.

A

occupational inhalation of organic agents

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12
Q

Farmer’s lung is associated with what organic agent?

A

moldy hay

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13
Q

Bird fancier’s disease is associated with what organic agent?

A

bird droppings

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14
Q

Pneumoconiosis is a pulmonary disease caused by inhalation of ____ and its accumulation in the lung.

A

inorganic dust

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15
Q

Siderosis is associated with what profession?

A

iron = welders

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16
Q

Silicosis is associated what profession?

A

silicon = coal miners

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17
Q

Reticulonodular; “eggshell” calcifications of lymph nodes is associated with what patholody?

A

silicosis

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18
Q

What is a collection of air in pleural space?

A

pneumothorax

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19
Q

What is the MCC of Pneumothorax?

A

Traumatic

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20
Q

Which type of spontaneous pneumothorax is a “bleb” rupture?

A

primary

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21
Q

Which type of spontaneous pneumothorax is a result of a chest disease that produces cavities?

A

secondary

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22
Q

What is a collection of air cysts in the lung?

A

bullae

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23
Q

What is a small bulla on edge of lung?

A

Bleb

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24
Q

What Dx is associated with an image finding of a “flap defect”?

A

tension penumothorax

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25
What Dx is associated with an image finding of a "check valve"?
passive atelectasis
26
What Dx is associated with an image finding of a "crescent-shaped radiolucent shadow" bordered medially by a thin radiodense line representing the visceral pleura?
penumothorax
27
Multisystem aggregation of NONcaseating epithelial granulomas?
Sarcoidosis
28
Sarcoidosis is MC in what population
black females
29
What lab test confirms Dx of Sarcoidosis?
Kviem lab test
30
What finding indicates stage 1 of Sarcoidosis?
bilateral hilar lymphadenopathy
31
What finding indicates stage 2 of Sarcoidosis?
hilar and parenchymal nodules
32
What finding indicates stage 3 of Sarcoidosis?
parenchymal nodules
33
What finding indicates stage 4 of Sarcoidosis?
parenchymal fibrosis (interstitial)
34
What are 3 anatomical areas that CT would be better than MRI and why?
abdominal, pelvic, thoracic caviteis | -- Motion is not an issue
35
Where is pain referred for the Aorta?
lumbar spine
36
Where is pain referred for the Colon?
Midlumbar spine
37
Where is pain referred for the Gallbladder?
Inferior border of right scapula
38
Where is pain referred for Gynecological disorders?
L4-pelvis
39
Where is pain referred for the Kidneys?
groin, flank
40
Where is pain referred for the Pancreas?
lower thoracic spine
41
Where is pain referred for peptic ulcers?
midthoracic spine, heart area
42
Where is pain referred for the rectum?
left lumbar paraspinal region
43
Where is pain referred for the sigmoid colon?
sacral region
44
What modality best visualizes the stomach?
plain film
45
What modality best visualizes the small bowel?
plain film w/ barium contrast
46
What modality best visualizes the large bowel?
contrast + plain film
47
What modality best visualizes the appendix?
ultrasound or CT
48
What modality best visualizes the liver/gallbladder?
ultrasound
49
What modality best visualizes the pancreas?
CT + contrast/ERCP
50
What modality best visualizes the spleen?
ultrasound or CT
51
What modality best visualizes the kidneys?
plain film
52
What modality best visualizes the adrenals?
CT or MRI
53
What modality best visualizes the ureter?
IV contrast
54
What modality best visualizes the bladder?
plain film
55
What modality best visualizes the blood vessels?
ultrasound
56
Bladder calculi is formed from what?
urinary stasis
57
What population is at risk for Bladder calculi?
elderly males
58
What radiograph finding is associated with bladder calculi?
oval radiodense shadows in bladder
59
How do you DDx kidney stones from gallstones on lateral films?
-- Kidney stones = At or Behind spine -- Gallstones = anterior to spine
60
Plain films demonstrate "popcorn", "mulberry bush" or "cauliflower" calcification. What is the Dx?
Uterine Fibroma
61
Gallstones form from an imbalance in the chemical composition of ___, where solid cholesterol fragments are formed leading to stones.
bile
62
What population is at risk for gallstones?
"SOAP" - - sickle-cell anemia - - obesity - - age (elderly) - - pregnancy
63
What is the pain referral pattern for gallstones?
inferior border of right shoulder (pain)
64
If you suspect gallstones, where should you look on a plain film?
RUQ for radiodense shadows
65
What is the best Dx for gallstones?
Ultrasound --(whearas kidney stones best identified by plain film)
66
Arise from malignant transformation of polyps.
Colorectal Carcinoma
67
What are 2 radiographic signs that indicate Colorectal Carcinoma?
napkin ring or apple core deformity
68
Is a tumor inside ore outside the lumen easier to find and why?
inside lumen = easier to find and take care of
69
What S/S should would suggest colorectal carcinoma?
rectal bleeding or hemoccult-positive stool
70
What is the #1 site of cancer in women?
breast
71
What is the #1 site of cancer in men?
prostate
72
What is #2 site of cancer in men and women?
lung
73
What is #3 site of cancer in men and women?
colon/rectum
74
What is #5 site of cancer in men and women?
hodgkins
75
What is the MC type of hiatal hernia?
sliding hernias
76
What is the best type of imaging for hiatal hernia?
plain film; barium swallow | -- look for gastric air bubble
77
Pancreatic lithiasis is related to __ in 90% of cases.
alcohol
78
Small irregular scattered densities at the L1-L2, sometimes L3 level "crossing" the spine. Dx?
pancreatic lithiasis
79
A "stippled" density that crosses spine indicates what?
pancreatic lithiasis
80
What is the best source of imaging for AAA's?
Ultrasound > CT > MRI
81
How big does a AAA need to be for surgery?
> 5-6 cm
82
Hydatid disease is an infestation of what parasite?
Echinoccoccus granulosus
83
Hydatid cysts are slow growing and may affect what organ?
liver
84
Hydatid cysts are best seen with what imaging?
CT
85
Do you adjust someone with a Hydatid disease?
no
86
What accounts for ~1/2 of traumatic brain injuries?
MVA's
87
What is the the gold standard for intracranial injuries?
CT
88
What is the gold standard for cervical spine fractures?
CT
89
What is the gold standard to define cervical spine soft tissue findings?
MRI
90
Subdural hematomas are due to injury of what structues?
dural venous sinus
91
Subarachnoid bleeds are due to injury of what structure?
circle of willis
92
Epidural bleeds are due to injury of what structure?
middle meningeal artery
93
Chronic, progressive (autoimmune) demyelinating disorder that affects nerves of brain, spinal cord and other parts of CNS?
MS
94
What imaging source is best at diagnosing MS?
T2 weighted MRI
95
What is the MC primary tumor?
astrocytoma
96
What is an aka for neurofibromas?
dumbbell tumors
97
Herniation of cerebellar tonsils into cervical spinal?
arnold-chiari malformation
98
What source of imaging is needed for complete evaluation?
MRI
99
Which is a dilation of cord - next to central canal -- Syringomyelia or Hydromyelia???
syringomyelia
100
Which is a dilation of cord due to fluid in central canal -- Syringomyelia or Hydromyelia???
Hydromyelia
101
Dilations of the subarachnoid space surrounding a spinal nerve root?
Tarlov or arachnoid cyst

Chest and Abdomen COPY (BINGO) (7 decks)

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