Get Through Unit 4

Question 1

Renal cystic lesion with >70HU in portal venous

Answer 1

RCC

Question 2

Oestrogen treatment in pregnancy causes

Answer 2

Short cervix for dates (Cervical incompetence)

Question 3

Lobulated testicular mass with fibrovascular septations

Answer 3

Seminoma

Question 4

Unable to manually locate IUCD, Ix

Answer 4

Pelvis US, then AXR

Question 5

Distended endometrial cavity with secretions and blood

Answer 5

Cervical stenosis

Question 6

Sickle cell renal USS

Answer 6

Bilateral smooth enlarged kidneys

Question 7

Polyarteritis nodosa associated with

Answer 7

Perinuclear anti-neutrophil cytoplasmic antibodies

Question 8

Non-seminomatous germ cell tumour, follow up

Answer 8

Serial tumour markers.
3 monthly CT CAP for 1 year
6 monthly CT CAP for 1 year

Question 9

Unilateral testicular atrophy and Hx or orchidopexy

Answer 9

Follow-up clinical examination and surveillance US

Question 10

Peyronie’s disease

Answer 10

Fibrous thickening of Buck’s fascia and septum between corpora cavernosa.
Causes painful sexual intercourse

Question 11

Bell clapper deformity % bilateral

Answer 11

65%

Question 12

Liver parenchymal deposits in ovarian cancer stage

Answer 12

Stage 4 disease

Question 13

Nephroptosis

Answer 13

Underestimation of DMSA and unilateral loin pain on standing

Question 14

Phaeochromocytoma mets to

Answer 14

Bone
Lymph nodes
Liver
Lung

Question 15

SCC Vulva Nodal Staging

Answer 15

N1 = Ipsilateral femoral or inguinal nodes
N2 = Bilateral regional nodal involvement
Intrapelvic nodes are regarded as mets

Question 16

Bilateral confined prostate Ca

Answer 16

T2c

Question 17

Vanishing Twin

Answer 17

One twin is completely resorbed into the other in less than 13 weeks

Question 18

Cervical cancer local staging

Answer 18

T2a = upper 2 thirds vagina
T3a = lower third
T3b = Pelvic side wall
Bladder or rectal mucosa = T4

Question 19

Commonest appearance of haematospermia on US

Answer 19

Normal

Question 20

Ovarian cancer routine staging

Answer 20

CT AP with PO and IV contrast

Question 21

Placenta invasion of the myometrium

Answer 21

Placenta increta

Question 22

2 vessel cord associated with

Answer 22

Trisomy 18

Question 23

Lymph drainage of lower third of vagina

Answer 23

External iliac

Question 24

Placenta abruption

Answer 24

Acute haemorrhage appears hyper or iso echoic
Becomes anechoic at 2 weeks

Question 25

Commonest cause of gas in uterus

Answer 25

Endometritis

Question 26

Closter of many microcalcifications on mamogram

Answer 26

Sus if more than 5 in 1cc of tissue

Question 27

Benign breast tumour consisting only of well differentiated fibroblasts

Answer 27

Fibromatosis

Question 28

Most significant complication of renal AML

Answer 28

Haemorrhage

Question 29

Malignant degeneration of uterine fibroid

Answer 29

Leiomyosarcoma

Question 30

No peritoneal spill of contrast on HSG

Answer 30

Pelvic inflammatory disease

Question 31

AML vs RCC

Answer 31

AML never calcifies

Question 32

Slow growing breast carcinoma with rare mets

Answer 32

Pure mucinous

Question 33

Penile SCC MRI appearance

Answer 33

Hypointense to corpora on T1 and T2. Enhancement less than corpora

Question 34

Bladder seen 2cm below pubococcygeal line

Answer 34

Cystocele

Question 35

RCC vs TCC of collecting system

Answer 35

Renal vein thrombosis occurs in RCC

Question 36

Stauffer syndrome

Answer 36

Renal cancer with hepatosplenomegaly and no mets

Question 37

Alkaproteinuria inheritance

Answer 37

AR

Question 38

PET CT most useful for staging

Answer 38

Cervical cancer, Colorectal cancer NHL