FRCR Self Assessment Mock 1

Question 1

Commonest location for oesophageal carcinoma

Answer 1

Mid oesophagus

Question 2

MRI findings of adhesive capsulitis

Answer 2

Thickened joint capsule,
Thickened coracohumeral ligament,
small subscapularis bursa
Lymphatic filling

Question 3

Klippel-Feil syndrome associated with

Answer 3

Chairi I

Question 4

Multiple, intra-articular cartilaginous nodules, some with calcification

Answer 4

Young = primary osteochondromatosis
Older = Secondary osteochondromatosis

Question 5

Osteosclerosis, calcifications in right and left upper quadrants

Answer 5

Sickle cell

Question 6

MRI features of hip AVN

Answer 6

T2: Adjacent subchondral hypo and hyperintense T2 linear signal (double line sign)

Question 7

Multiple pulmonary nodules with epistaxis

Answer 7

HHT (pulmonary AVMs and nasal telangiectasia)

Question 8

Causes of basilar invagination

Answer 8

PF ROACH
Pagets
Fibrous dysplasia
RA, Rickets
Osteogenesis imperfecta, Osteomalacia
Achondroplasia
Chairi I/II, cleidocranial dysostosis
Hyperparathyroidism

Question 9

Infective colitis organism vs location

Answer 9

CMV - Ileocolic
Salmonella - Ascending colon
Shigella - Sigmoid
HSV - Proctitis

Question 10

Carmen meniscus

Answer 10

Gastric folds don’t reach edge of ulcer, sus for malignant ulcer

Question 11

Most specific MRI sign of carpal tunnel syndrome

Answer 11

Enlargement or change in diameter of median nerve

Question 12

Haematuria, no obvious cancer on CT, Ix

Answer 12

Cystoscopy (CT is poor at assessing bladder)

Question 13

Infant, Low T1/T2, minimal enhancement in kidney

Answer 13

Nephroblastomatosis

Question 14

Usually ABSENT in ARDS

Answer 14

Pleural effusions

Question 15

Focal GB mural thickening with foci of T2 high signal in curvilinear pattern

Answer 15

Adenomyomatosis

Question 16

Fever, fatigue, malaise, rash on arms and back. Next Ix

Answer 16

Dermatomyositis
CXR - associated with lung malignancy and ILD

Question 17

Commonest causes of medullary nephrocalcinosis

Answer 17

Hyperparathyroidism,
Renal tubular acidosis,
Medullary sponge kidney

Question 18

rarely seen in PCP

Answer 18

Pleural effusion,
Lymphadenopathy

Question 19

DISH skeletal associations

Answer 19

Calcaneal spur,
Dysphagia,
Ossification of patella tendon,
PLL calcification

Question 20

Post surgical fibrosis vs recurrent disc prolapse

Answer 20

Fibrosis enhances early, prolapse enhances late or not at all

Question 21

Upper vs lower pole of duplex collecting system

Answer 21

Ectopic usually arises from upper pole, inserts more inferiomedially or sometimes into vagina.
Upper pole is prone to ureterocele and obstruction, causing drooping lily appearance

Question 22

Low density, well rounded lesion in chest with serpiginous structure

Answer 22

Hydatid cyst

Question 23

Pyogenic discitis and osteomyelitis in IVDU

Answer 23

Strep viridans

Question 24

Commonest mets to breast

Answer 24

Lymphoma,
Melanoma,
Choriocarcinoma,
RCC
(In that order)

Question 25

Microhaemorrhages at grey-white matter junction and cerebellum

Answer 25

Amyloid

Question 26

Multiple osseous lytic lesions, normal bone scan, Dx and Ix

Answer 26

Multiple myeloma, get biopsy

Question 27

Commonest site of lymph node involvement in Hodgkin's lymphoma

Answer 27

Anterior mediastinum and paratracheal stripe

Question 28

Colorectal cancer with lung mets, without liver mets, likely site of cancer

Answer 28

Rectum, inferior and middle rectal veins drain into IVC, bypassing portal vein unlike rest of colon

Question 29

Bone lesions, hepatosplenomegaly, diabetes insipidus, proptosis and dermatitis

Answer 29

Hand-Schueller-Chrostian disease (chronic LCH)

Question 30

Most common visceral injury in blunt abdominal trauma vs penetrating

Answer 30

Blunt - Spleen Penetrating - Liver

Question 31

Rathke clefts sometimes

Answer 31

contain an intracystic nodule

Question 32

Hepatosplenomegaly, Paranasal sinus obliteration due to medullary expansion

Answer 32

Gaucher

Question 33

Gastric lymphoma vs carcinoma

Answer 33

Lymphoma more likely to spread to duodenum

Question 34

Haemangiopericytoma vs meningioma

Answer 34

Both can have dural tail. Haemangiopericytomas cause bony erosion

Question 35

Iso T1, low T2, enhancing in joint

Answer 35

Gout

Question 36

Vasculitis affecting renal and multiple other medium arteries

Answer 36

Polyarteritis nodosa

Question 37

Most useful MRI sequences to assess cartilage

Answer 37

T2 or proton density fat sat

Question 38

Cardiac defects associated with VACTERL

Answer 38

Most commonly VSD then ASD

Question 39

Ischial tuberosity avulsion fracture caused by (muscle)

Answer 39

Hamstrings (Biceps femoris, semimembranosus, Semitendinosus and adductor magnus)

Question 40

Vomiting, abdo pain, retrocardiac air-fluid level, raised lactate

Answer 40

Gastric volvulus

Question 41

Gastric volvulus types

Answer 41

Organoaxial more common in adults, mesentro-axial commoner in kids

Question 42

Hypovascular, poorly enhancing renal cancer

Answer 42

Papillary RCC

Question 43

Midline cerebellar lesion, with low T1, heterogenous T2 and diffusion restriction, Ix

Answer 43

Medulloblastoma, get MRI whole spine

Question 44

Contrast enhancement extending into the sulci

Answer 44

Leptomeningeal carcinomatosis, associated with breast primary