PBR 2/3 MC (SIR NINS) PAGE 2 Flashcards

1
Q

MC neoplasm of small intestine

A

Carcinoid

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2
Q

MC location of carcinoid tumor that arise in the small bowel

A

Ileum
(Terminal)

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3
Q

MC location of small bowel adenocarcinoma

A

Duodenum (50%) and prox jejunum

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4
Q

MC site of extranodal origin of lymphoma

A

GIT

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5
Q

MC site for primary GI lymphoma

A

Stomach

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6
Q

MC SITE FOR SMALL BOWEL LYMPHOMA

A

Distal ileum

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7
Q

MC site for Burkitt lymphoma

A

Ileocecal

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8
Q

MC source of intraperitoneal implantation on the small bowel serosa in women

A

Ovarian Cancer

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9
Q

MC source of intraperitoneal implantation on the small bowel serosa in men

A

Colon, gastric, pancreatic cancer

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10
Q

MC location of intraperitoneal implantation on the GIT

A

Terminal ileum, cecum, and ascending colon ( right lower abdomen)

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11
Q

MC location of small bowel lipoma

A

Ileum

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12
Q

MC location of GIT hemangioma (projecting as polyp)

A

Jejunum

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13
Q

MC location of multiple hamartomatous polyps which are seen in Peutz Jeghers syndrome

A

Small especially jejunum

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14
Q

Where does the GI duplication cyst most commonly arise?

A

Distal small bowel near terminal ileum

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15
Q

Most radiosensitive organ in the abdomen

A

Small bowel

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16
Q

MC pattern of GI involvement in Crohns?

A

Colon and terminal ileum (55%)

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17
Q

Most frequent fistulae in Crohn’s

A

Ileocecal and ileocolonic

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18
Q

MC location of small bowel diverticula?

A

Jejunum, mesenteric border

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19
Q

MC CONGENITAL ANOMALY OF THE GI TRACT

A

Meckela diverticulum

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20
Q

2nd most common encountered small bowel disease

A

Lymphoma and Crohns

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21
Q

MC location of lymphoid hyperplasia

A

Terminal ileum and cecum

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22
Q

MC submucosal tumor of the colon

A

Lipoma

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23
Q

MC LOCATION OF COLONIC LIPOMAS

A

Cecum and ascending colon

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24
Q

Common location of endometriosis in the colon

A

Sigmoid and rectum

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25
Q

MC primary sites of amoebic colonic disease

A

Cecum and rectum

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26
Q

MC location of typhlitis (neutropenic colitis)

A

Cecum and ascending colon

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27
Q

Most susceptible to ischemic colitis

A

Splenic flexure and descending colon

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28
Q

MC location of AIDS ASSOCIATED COLITIS AND CATHARTIC COLON

A

Right colon

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29
Q

MC location of epiploic appendages

A

Cecum and sigmoid (sparing the rectum)

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30
Q

MC location of diverticulosis

A

Sigmoid

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31
Q

MC fistula formation in acute diverticulitis

A

Bladder, vagina, or skin

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32
Q

MC tumor of the appendix

A

Carcinoid (85%)

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33
Q

MC location of carcinoid tumor

A

Appendix (60% of all carcinoids)

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34
Q

MC primary tumor with splenic mets?

A

Melanoma

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35
Q

MC inflammatory biliary tract stricture

A

Post operative

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36
Q

MC site of gallbladder perforation

A

Fundus

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37
Q

MC microbe in solitary pyogenic abscess

A

K. Pneumoniae

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38
Q

MC microbe in multiple pyogenic abscess

A

E. Coli

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39
Q

MC site of pancreatic injury

A

Body

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40
Q

MCC of peritonitis in the adult

A

Perforated duodenal ulcer

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41
Q

MC viral pathogen affecting the GIT in AIDS patient

A

CMV

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42
Q

MC benign epithelial neoplasm in the stomach

A

Hyperplastic polyp

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43
Q

MC injured intra-abdominal organ

A

Spleen

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44
Q

Most pathognomonjc barium manifestation of Crohn’s disease

A

String sign

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45
Q

MC consistent landmark in the porta hepatis

A

Portal vein

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46
Q

Now the MC pathogen causing liver abscess in Western countries

A

K. Pneumonia (historically, E. Coli)

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47
Q

Organism most commonly isolted in culture in adults from pyogenic liver abscess

A

E.coli (gulo ni G and L)

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48
Q

Most often isolated from hepatic abscesses in children

A

Staphylococci

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49
Q

MC accessory fissure

A

Inferior accessory fissure (divides the posterior segment of the right lobe into lateral and medial portions

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50
Q

MC accessory lobe

A

Riedel’s lobe (most frequently seen in asthenic women)

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51
Q

MC liver tumor during the first 6 months of life/MC benogn vascular tumor of infancy

A

Infantile hemangioendothelioma

Multiple solid tumor nodules predominantly peripheral with capsular retraction
Lollipop sign on CT
White target sign in T2 sequence

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52
Q

MC primary liver neoplasm in childhood

A

Hepatoblastoma

Increased AFP

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53
Q

MC primary neoplasm associated with calcified liver mets

A

Mucinous adenocarcinoma of the colon

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54
Q

Now the most common source of pyogenic liver abscess

A

Ascending cholangitis (before the cholangitis)

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55
Q

MC complication of amebic liver abscess

A

Pleuropulmonary amebiasis

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56
Q

MCC OF PORTAL HYPERTENSION/obstruction worldwide

A

Schistosomiasis

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57
Q

Most common intrahepatic cause of portal vein thrombosis

A

Cirrhosis

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58
Q

MC opportunistic infection in patients with AIDS

A

Pneumocystis carinii

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59
Q

Most hepatotoxic chemotherapeutic agent

A

Mithramycin

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60
Q

MC complication of cirrhosis

A

Ascites

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61
Q

MC visible varix in portal hypertension

A

Let gastric (coronary) vein

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62
Q

Uncommon but most commmon visceral aneurysm

A

Anuerysm of the portal venous system

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63
Q

Mc site of hepatic injury

A

Posterior segment of the right lobe

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64
Q

MC site of PTLD

A

Abdominal cavity

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65
Q

MC anomaly associated with annular pancreas

A

Intestinal malrotation

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66
Q

MC location of ectopic rests of pancreatic tissue

A

Proximal portion of duodenum or gastric antrum

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67
Q

MC location of ectopic pancreas

A

Proximal GIT (duodenum > antropyloric region of the stomach > jejunum

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68
Q

Most often involved segment in segmental form of acute pancreatitis

A

Head

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69
Q

MC abnormality in patients with pancreatic ductal adeno Ca

A

Segmental dilatation of the main pancreatic duct

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70
Q

Most often location of serous cysadenoma

A

Head

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71
Q

MC location of IPMN

A

Uncinate, head, and neck

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72
Q

Most widely expected imaging appearance of PNET

A

Hypervascular mass best seen in the pancreatic phase of enhancement on MDCT or brisky enhancing focus in MRI

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73
Q

MC functioning PNET/neuroendocrine tumor

A

Insulinoma (2nd MC: gastrinoma)

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74
Q

Most likely etiology of a solid-appearing pancreatic mass with dense calcifications

A

Non functioning PNET

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75
Q

MC primary neoplasm to metastasize to the pancreas

A

RCC

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76
Q

MCC of a prominent LA appendage

A

Prior rheumatic carditis

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77
Q

MCC of rigth sided heart failure

A

Left sided heart failure

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78
Q

MCC of pulmonary venous hypertension

A

Elevation of LA pressure sec to LV failure

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79
Q

MC CHDs associated with bilateral left-sidedness

A

ASD or anomalous pulmonary venous return

80
Q

MC involved ribs in COA rib notching

A

3rd to 8th ribs (4th to 8th posterior ribs kay Swischuk)

81
Q

Catheter induced spasm of the coronary arteries is most often seen

A

RCA

82
Q

MC form of PAPVR

A

RPV (draining the RUL RML) connects RA to SVC

83
Q

MC form of cardiomyopathy

A

Dilated>hypertrophic>restrictive

84
Q

MC form of dilated cardiomyopathy

A

Ischemic cardiomyopathy(in adults), idiopathic (children)

85
Q

MC form of dilated cardiomyopathy

A

Ischemic cardiomyopathy(in adults), idiopathic (children)

86
Q

MCC CHF in children

A

Idiopathic dilated cardiomyopathy

87
Q

MCC cause of acute myocarditis; MCC cause of infectious myocarditis

A

Coxsackie B virus

88
Q

MCC of mitral regurgitation

A

MVP; ischemia-related papillary dysfunction m and/or infarct with papillary muscle rupture

89
Q

MCC fungal agent of endocarditis

A

Candida>Aspergillus (MC bacterial agent: S. aureus)

90
Q

MCC of an intracardiac mass

A

Thrombus

91
Q

MC location of cardiac thrombi/common location of atrial thrombi

A

LA and LV/posterior wall of LA

92
Q

MC primary benign cardiac tumor

A

Atrial myxoma (female >60 years)

93
Q

MC location of myxoma

A

LA (attached to interatrial septum)

94
Q

2nd MC benign cardiac tumor

A

Lipoma

95
Q

MC prenatal cardiac tumor

A

Rhabdomyoma (associated with Tuberous sclerosis)

96
Q

Mc commonly resected and 2nd most common primary cardiac tumor of childhood

A

Fibroma

97
Q

Mc pericardial tumor in infants

A

Teratoma

98
Q

MC malignant cardiac tumor/MC cardiac tumor

A

Mets

99
Q

MC neoplasm to metastasize to the heart

A

Breast, lung, melanoma, and lymphoma

100
Q

MC primary malignant cardiac tumor

A

Angiosarcoma (followed rhabdomyosarc and liposarc

101
Q

MC abnormality of the pericardium

A

Pericardial effusion

102
Q

MCC of constrictive pericardial disease

A

Pericardiotomy

103
Q

MC location of pericardial cysts

A

Cardiophrenic angles (R>L)

104
Q

MC type of VSD that is seen with PTA and TOF

A

Bulbar

105
Q

MC type of VSD

A

Perimemebranous (2nd MC: muscular)

106
Q

MC TAPVR type

A

Type 1 (supracardiac)

107
Q

MC circumstance wherein a snowman heart is erroneously diagnosed

A

Large VSD with a large thymus

108
Q

MCC of cyanotic CHD beyond the immediate neonatal period

A

TOF

109
Q

MC of the conditions comprising the hypoplastic right heart syndrome

A

Tricuspid atresia

110
Q

MC form of pulmonary stenosis that are most frequently seen in trilogy and tetralogy of Fallot

A

Trilogy-valvular
Tetralogy-subvalvular/infundibular

111
Q

MC type of aortic stenosis

A

Valvular>subvalvular>supravalvular

112
Q

MC valve disease occurring older patients

A

Aortic stenosis

113
Q

MC form of LVOT obstruction

A

Valvular aortic stenosis

114
Q

MC/Earliest lesion to produce left side cardiac faliure in the immediate post natal perior/MCC of CHF in the 1st week of life and certainly in the 1st day or two of life

A

Hypoplastic left heart syndrome

115
Q

MCC type of cardiac dextroposition

A

Mirror image dextrocardia (2nd MC: dextroversion)

116
Q

MCC vascular anomaly

A

Anomalous/aberrant right subclavian artery

117
Q

MC CHD that is associated with a right aortic arch with right descending aorta and mirror

A

TOF

118
Q

Hypoplastic left pulmonary artery and lung most commonly occur in

A

TOF

119
Q

MC left-sided pericardial defect

A

Complete absence of the left pericardium

120
Q

MC simple L to R shunt in adult

A

ASD>PDA>VSD

121
Q

MC type of congenital heart defect

A

VSD

122
Q

MCC of cardiomegaly in an acyanotic px with increased pulmonary vascularity

A

VSD

123
Q

MCC congenital anomaly (involving the coronary arteries?)

A

Separate origins of the LAD and LCx arteries arising from the left sinus of Valsalva

124
Q

MC anomaly in Ehlers Danlos, MC cardiac anomaly in Klinefelters

A

MVP

125
Q

MCC coronary artery aneursym in adults

A

Atherosclerotic vessel disease

126
Q

MCC coronary artery disease in children, leading cause of acquired childhood heart disease (US)

A

Kawasaki disease

127
Q

MCC of coronary artery pseudoaneurysm

A

Iatrogeniuc-catheterization

128
Q

MCC of coronary artery dissection

A

Angioplasty

129
Q

3rd MCC of coronary artery dissection

A

Spontaneous coronary artery dissection (SCAD)

130
Q

SCAD is MC associated with

A

Younger women, pregnant or postpartum, and undergoing intense exercise

131
Q

MC papillary muscle to rupture

A

Posteromedial of LV-supplied by PDA (2-7 days after acute MI)

132
Q

MC cause of mitral stenosis

A

RHD

133
Q

MC cause of severe non-ischemic mitral regurgitation

A

MVP

134
Q

MC affected aortic valve in RHD

A

Mitral valve (next aortic, tricuspid and pulmonary

135
Q

2 MC vascular rings

A
  1. R aa with aberrant left subclavian
  2. Double aortic arch
136
Q

MC variationin the origins of the great vessels from the aortic arch

A

Bovine anatomy/common origin of the right brachiocephalic and left common carotid artery

137
Q

MC congenital arch anomaly

A

Left arch with aberrant right subclavian artery

138
Q

MC congenital cardiac anomaly associated with COA as well as pseudocoarctation

A

Bicuspid aortic aorch

139
Q

MC site of post-traumatic thoracic aortic aneurysm

A

Aortic isthmus

140
Q

MC portion of thoracic aorta where aneurysms are seen

A

Ascending

141
Q

MC etiology of Ascending aortic aneurysm

A

Cystic medial degeneration/necrosis

142
Q

MC descending thoracic aneurysm

A

Atherosclerotic disease

143
Q

MC complaint in symptomatic px with PAVM

A

Epistaxis (from hereditary hemorrhagic telangiectasia)

144
Q

MC indication for bronchial angiography

A

Hemoptysis

145
Q

MCC of hemoptysis worldwide

A

Worldwide-infection
US-bronchgenic Ca, bronchitis, bronchiectasis

146
Q

MC location for atherosclerotic disease of the LE

A

SFA; common iliac, popliteal, tibioperoneal, origins of tibial artery

147
Q

MC location for atherosclerotic disease of the UE

A

Proximal left subclavian

148
Q

MC site of adventitial cystic disease

A

Popliteal artery

149
Q

MC causative pathogen of mycotic aneurysms of the abdoinal aorta

A

Salmonella

150
Q

MC commonly affected arteries in polyarteritis nodosa

A

Renal (85%)
Hepatic (65%)

151
Q

MC aneurysm outside of the aorta and iliac arteries

A

Splenic artery aneursym

152
Q

Mc location of aneurysm of aneurysm involving the peripheral arteries

A

Popliteal arteries

153
Q

MCC for bleedig from the small bowel

A

Tumor

154
Q

MCC of lower GI hemorrhage

A

Colonic diverticula

155
Q

MC enteric source of aortoenteric fistula

A

Duodenum (where it crosses the aorta)

156
Q

MC central venous variation

A

Double SVC

157
Q

Mc tumor to extend to the IVC

A

Renal Cell Carcinoma

158
Q

MC primary tumor of the IVC

A

Leiomyosarcoma

159
Q

MCC tracheo-esophageal stripe thickening

A

Esophageal Ca

160
Q

MC accessory fissure

A

Inferior accessory fissure

161
Q

MC form of atelectasis

A

Obstructive/resorptive

162
Q

Most oftenly associated with localized cicatricial atelectasis

A

Chronic upper lobe fibronodular TB

163
Q

MCC of localized bronchiectasis

A

Prior TB

164
Q

MC thoracic inlet mass

A

Tortuous arterial structure in particular the confluence of the right brachiocephalic and right subclavian artery

165
Q

MC primary mediastinal neoplasm in adults

A

Lymphoma

166
Q

2nd MC primary mediastinal neoplasm

A

Thymoma

167
Q

MC benign mediastinal germ cell neoplasm

A

Teratoma

168
Q

MC type of mediastinal teratoma

A

Cystic or mature

169
Q

MC malignant germ cell neoplasm

A

Seminoma

170
Q

MC posterior mediastinal mass in patients neurofibromatosis

A

Meningocoele

171
Q

Most frequent site of a localized nodal mass in pxs with Hodgkins disease

A

Anterior mediastinum

172
Q

MC subtype of NHL that presen with mediastinal mass

A

Lymphoblastic lymphoma and diffuse large B-cell lymphoma

173
Q

Mc lymph nodes that are involved in NHL

A

Middle mediastinal and hilar LNs

174
Q

MC involved nodes in small cell ca

A

Paratracheal and aorticopulmonary nodes

175
Q

MC source of metastases to middle nodes

A

Bronchogenic Ca

176
Q

MC site of bronchogenic cysts

A

Middle mediastinum

177
Q

MC neurogenic tumors in children

A

Neuroblastoma and galnglioneuroma

178
Q

MC neurogenic tumors in adults

A

Neurofibroma and schwannoma

179
Q

MC primary site of thoracic spinal mets

A

Bronchogenic, breast, and RCC

180
Q

MCC of acute mediastinitis

A

Esophageal perforation

181
Q

MCC of chronic sclerosing (fibrosing) mediastinitis

A

Granulomatous infections, usaully secondary to Histoplasma capsulatum

182
Q

MC cxr finding of acute mediastinitis

A

Widening of the superior mediastinum (66%), pleural effusion (50%)

183
Q

MC finding of sclerosing mediastinitis on CXR

A

Asymmteric lobulated widening of the upper mediastinum

184
Q

MC CT finding of sclerosing mediastinitis

A

Enlarged LNs with calcification

185
Q

MC finindg on conventional radiographs in mediastinal lipomatosis

A

Smooth, symmetric widening of the superior mediastinum

186
Q

MC source of pneumomediastinum

A

Lungs

187
Q

Unilateral hiar enlargement resulting from metastatic LN is most often seen

A

Small cell Ca

188
Q

MC solid tumor producing bilateral hilar disease

A

Small cell Ca and malignant melanoma

189
Q

Extrathoraci neoplasm with the highest incidence of intrathoracic nodal metastases

A

Malignant melanoma

190
Q

Viral infectios most commonly associated with hilar LN enlargement

A

Infectious mononucleosis and measles pneumonia

191
Q

MC chest radiographic manifestation of leukemic involvement of the thorax

A

Hilar and mediastinal LN enlargement

192
Q

MC cause of a small hilum

A

Atelectasis and lung resection (small residual hilar artery supplying the remaining lobe or lobes)

193
Q

MC cause of imbalance of the Starling forces

A

Increased capillary hydrostatic pressure (hydrostatic pulmonary edema)

194
Q

MC form of pulmonary edema

A

Hydrostatic pulmonary edema

195
Q

MCC of acute pulmonary volume overload

A

Iatrogenic overhydration

196
Q

MC radiographic findings in PE w/o infarction

A

Peripheral airspace opacities and linear atelectasis

197
Q

MCC of increase in resistance to pulmonary blood flow w/c is the MCC of PAH

A

Parenchymal lung disease and chronic hypoventilation from obstructive sleep apnea