Get Through Unit 3

Question 1

Gastric ulcer confined within the gastric contour

Answer 1

Suggests malignant ulcer

Question 2

Coeliac disease

Answer 2

Dilatation of proximal small bowel with normal fold thickness

Question 3

Epiploic appendagitis

Answer 3

Oval fat density lesion with surrounding inflammation

Question 4

Insulinoma on CT

Answer 4

Arterially enhancing, solid mass. Can occur anywhere in pancreas

Question 5

Reduced peristalsis and distal oesophageal tapering in elderly person

Answer 5

Secondary achalasia due to cancer is more likely

Question 6

Phytobezoar

Answer 6

Mottled filling defect, no attachment to stomach wall, commonly in gastric surgery pts

Question 7

Buscopan contraindication

Answer 7

Unstable heart disease

Question 8

Generalised decrease in liver echogenicity

Answer 8

Acute hepatitis

Question 9

Anatomic feature separating the right and left subphrenic spaces

Answer 9

Falciform ligament

Question 10

Gastroduodenal artery usually originates from

Answer 10

Common hepatic arterty

Question 11

HCC appearance on TW after iron oxide particles

Answer 11

Unchanged signal in lesion, decreased signal elsewhere in liver

Question 12

AXR shows spleen and liver of increased density and stipples

Answer 12

Thorotrastosis

Question 13

Echogenic rounded structures in gallbladder wall with no posterior shadowing

Answer 13

Cholesterol polyps

Question 14

Oesophageal pseudodiverticulosis associated with

Answer 14

Diabetes

Question 15

Fibrolamellar carcinoma vs focal nodular hyperplasia

Answer 15

Calcifications within central scar

Question 16

Normal post op liver transplant findings include

Answer 16

Periportal oedema and small fluid collection at liver hilum

Question 17

TIPSS connects the portal vein to

Answer 17

Hepatic hein

Question 18

Barium aspiration during swallow, Rx

Answer 18

Physiotherapy

Question 19

Administered to improve pancreatic duct visualisation in MRCP

Answer 19

Secretin

Question 20

Splenic cystic lesion with low level echoes and thin wall calcification

Answer 20

Post traumatic false cysts

Question 21

Recommended contrast medium for barium follow through

Answer 21

300ml of 100% w/v barium sulphate

Question 22

Haemochromatosis MRI findings

Answer 22

Reduced T1 and T2 signal

Question 23

Commonest source of calcified liver mets

Answer 23

Mucinous adenocarcinoma of the GI tract

Question 24

Barium appearances of angiodysplasia

Answer 24

Normal

Question 25

Incisura angularis separates

Answer 25

Body and antrum of stomach

Question 26

Concentric dilatation of neostomach with widely patent stoma post gastric band

Answer 26

Due to overfilling of stomach, pt needs nutritional advice

Question 27

Broad based , papillary, >2cm lesion in rectum. Electrolyte disturbance

Answer 27

Villous adenoma

Question 28

Visipaque (Iodixanol)

Answer 28

Non-ionic, iso-osmolar, dimeric

Question 29

Normal radiolabelled white cell uptake at 18-24hrs

Answer 29

Spleen, Liver, Bone marrow

Question 30

Gastric cancer nodal staging

Answer 30

1-6 regional nodes = N1 7-15 regional nodes = N2 >15 regional nodes = N3

Question 31

Decrease in liver attenuation after treatment for cancer

Answer 31

Chemotherapy related fatty liver

Question 32

Advantage of metal vs plastic stent for biliary obstruction

Answer 32

Higher long term patency rates

Question 33

Oesophageal cancer local staging

Answer 33

T1 invades lamina propria T2 invades muscularis propria T3 invades adventitia T4 invades adjacent tissue

Question 34

Commonest complication of administering superparamagnetic iron oxide particles

Answer 34

Back pain

Question 35

Persistent smooth posterior bulge at pharyngo-oesophageal junction on swallow

Answer 35

Impaired cricopharyngeus relaxation

Question 36

Segmental saccular dilatation of intrahepatic bile ducts and ectasia of extrahepatic ducts

Answer 36

Caroli's disease

Question 37

Submucosal mass on barium meal forming an obtuse angle with stomach wall

Answer 37

GIST

Question 38

Pancreatic blood supply comes from which artery

Answer 38

Splenic artery