Get Through Mock 7

Question 1

Ix for ?urethral diverticulum

Answer 1

MR urethra pre and post void

Question 2

Causes of right tracheal wall indentation

Answer 2

Double aortic arch,
Right arch with aberrant left subclavian,
Left arch with aberrant right subclavian with PDA,
Common origin of innominate and left common carotid

Question 3

Uniformly enhancing retro-orbital mass in child, progressive exophthalmos

Answer 3

Rhabdomyosarcoma

Question 4

Cobra shaped pelvic mass/abscess, long standing IUCD

Answer 4

Actinomycosis

Question 5

Biggest risk factor for pulmonary haemorrhage & pneumothorax in lung biopsy

Answer 5

Depth of lesion (deeper is worse)

Question 6

Heel-toe maneuvre on US improves picture by…

Answer 6

Minimising anisotropy

Question 7

Stable sized adnexal cystic lesion over months

Answer 7

Paraovarian cyst

Question 8

Pancreatic transplant performed usually with which procedure1

Answer 8

Simultaneous renal transplant

Question 9

Post-menopausal, Low T1 and T2

Answer 9

Ovarian Fibroma

Question 10

Meigs syndrome

Answer 10

Ovarian fibroma, ascites, pleural effusion

Question 11

Previous endometriosis, bright on T1 and T1 fat sat, enhancing nodules

Answer 11

Clear cell carcinoma

Question 12

Previous endometriosis associated with

Answer 12

Clear cell carcinoma,
Endometrioid carcinoma (no enhancing solid nodules)

Question 13

SAH within 4th ventricle, responsible vessel

Answer 13

PICA

Question 14

Non-cyanotic child, mild cardiomegaly and increased pulmonary vascularity

Answer 14

VSD or ASD (VSD is more common)

Question 15

Pulmonary nodules with endobronchial abnormality

Answer 15

Amyloid

Question 16

Lung amyloid features

Answer 16

Parenchymal - recurrent infections, peripheral tree-in-bud.
Bronchial - Mass like lesions arising from internal walls

Question 17

Compressive vertebral haemangiomas distribution

Answer 17

Most commonly in thoracic spine

Question 18

Most common cause of oesophageal rupture

Answer 18

Iatrogenic

Question 19

Commonest location of traumatic (blunt) oesophageal rupture (& associated hydrothorax)

Answer 19

Upper third, causing right sided hydrothorax

Question 20

Acute congestive heart failure and joint pain, recent infection (child)

Answer 20

Rheumatic fever

Question 21

Common causes of basal ganglia calcification

Answer 21

Hypoparathyroidism, pseudohypoparathyroidism,
idiopathic,
Normal variant,
Ageing

Question 22

Endometrial thickening & ovarian mass in postmenopausal woman

Answer 22

Granulosa cell tumour

Question 23

Lytic lesion with cortical expansion and lack of sclerotic rim in spine

Answer 23

Spinal giant cell tumour

Question 24

Commonest location for spinal GCT

Answer 24

Sacrum

Question 25

Filling defect in uterine fundus on HSG, low T2 mass abutting the junctional zone on MRI

Answer 25

Adenomyosis

Question 26

Low T1/T2 ovarian lesion, with multilocular cystic lesion in same ovary

Answer 26

Brenner tumour, commonly associated with mucinous cystadenoma of same ovary

Question 27

Cervical cancer with T1 high signal

Answer 27

Suggests haemorrhage

Question 28

Cystic lesion in cervix with high T1, post radiotherapy for cervical ca

Answer 28

Cervical stenosis with haematometra

Question 29

Liver biopsy indicated, pt is on anticoagulant and has acute liver failure

Answer 29

Transjugular biopsy

Question 30

2YO, painless supraorbital fluctuant lump, scalloping of underlying bone and low internal echoes

Answer 30

Angular dermoid

Question 31

Absolute contraindications to percutaneous vertebroplasty

Answer 31

Haemorrhagic diathesis Infection

Question 32

Indications for percutaneous vertebroplasty

Answer 32

Symptomatic vertebral angioma Painful vertebral body tumours Painful osteoporosis with loss of height or compression fractures

Question 33

Commonest cause of bone mets to preipheral bones

Answer 33

Lung cancer

Question 34

Air embolus during dialysis line insertion - Rx

Answer 34

Left lateral position and high flow O2

Question 35

LeFort fractures

Answer 35

All involve pterygoid plate LeFort 1 involves maxilla and nasal septum. LeFort 2 involves nasal bones, frontal process of maxilla, maxillary sinus, medial and inferior orbital wall LeFort 3 involves lateral orbital wall and zygomatoco-frontal suture LeFort 2 = Pyramidal fracture

Question 36

Thickening and clumping of cauda equina nerve roots

Answer 36

Arachnoiditis

Question 37

Similar to HOA, autosomal dominant

Answer 37

Pachydermoperiostosis

Question 38

High pressure chronic retention

Answer 38

Caused by prostatic hypertrophy usually. Rx is catheter and possible TURP, not nephrostomy

Question 39

Testicular vein rupture during coiling, Rx

Answer 39

Conservative management

Question 40

Liver mets resectability criteria

Answer 40

No strict number of mets, but more than 6 is unlikely. At least 3 segments spared. No nodal involvement. At least one hepatic and portal vein branch spared

Question 41

Most specific CT sign for mesenteric injury and associated bowel wall ischaemia

Answer 41

Decreased or absent enhancement

Question 42

Neonate, HIDA scan shows no tracer in bowel at 24hrs. Normal GB on US

Answer 42

Biliary atresia

Question 43

Angiographic signs of active bleeding

Answer 43

Contrast extravasation, Vessel spasm, Vessel cut-off, Early venous filling

Question 44

MRI signal in brain swelling

Answer 44

Can be normal

Question 45

Scaphoid fractures distribution

Answer 45

Waist 70%, proximal pole 20%, distal pole 10%.

Question 46

Scaphoid AVN

Answer 46

Proximal pole is at more risk

Question 47

Focal dissection at site of angioplasty, next step

Answer 47

Is usually normal, measure pressure gradient, should be <10mmHg

Question 48

Endotracheal tube correct location

Answer 48

Should be at least 5cm above the carina

Question 49

Intra-aortic counter pulsation balloon location

Answer 49

Proximal aspect distal to arch vessels

Question 50

DISH extraspinal manifestations

Answer 50

Calcification of enthesis and hypertrophic bone changes, commonly involving olecranon, patella, calcaneum

Question 51

Stable low T2 and diffusion restriction in peripheral prostate. Firm nodule on DRE

Answer 51

Granulomatous prostatitis

Question 52

Gout erosion location

Answer 52

Typically extra-articular

Question 53

MCUG, child already on prophylactic Abx, what to do with Abx

Answer 53

Take 3 day course of treatment dose Trimethoprim, starting on day of procedure

Question 54

Heterogenous, hemispheric mass with necrosis, haemorrhage and enhancement

Answer 54

PNET

Question 55

Enhancing intravascular mass with flow voids and hydrocephalus

Answer 55

Choroid plexus papilloma

Question 56

Urothelial vs squamous cell bladder Ca

Answer 56

Squamous cell is sessile, rather than papillary, and doesn't demonstrate pure intraluminal growth