SBAs for the Final FRCR 2A Unit 1

Question 1

ARDS diagnosis

Answer 1

Reduced partial pressure of arterial O2/Fraction of inspired O2 (<200mmHg) WITHOUT L heart failure (i.e. pleural effusions)

Question 2

Negative CTPA, follow up

Answer 2

No further imaging needed

Question 3

Commonest tracheal malignancy

Answer 3

Squamous cell

Question 4

Perfusion defect with rim of surrounding normally perfused lung (VQ)

Answer 4

Low probability for PE

Question 5

Chronic hypersensitivity pneumonitis distribution

Answer 5

Fibrosis occurs in mid to upper lungs, spares the posterior costophrenic angles

Question 6

Type 5 endoleak

Answer 6

Continued growth of aneurysm sac without radiological evidence of leak

Question 7

Main consideration in FNA vs core biopsy

Answer 7

Availability of cytopathologist

Question 8

Sinusitis, pulmonary haemorrhage, renal involvement

Answer 8

Wegeners

Question 9

Pulmonary hypertension with patchy oligaemia

Answer 9

Chronic thromboembolic pulmonary hypertension

Question 10

Cavitating lesion with halo of ground glass

Answer 10

Melanoma mets,
Bronchoalveolar carcinoma,
SCC,
Lymphoma

Question 11

Persistent lobar consolidation without mass seen on CT or pet

Answer 11

BAC

Question 12

Low attenuation filling defect occupying and expanding luminal diameter on CTPA

Answer 12

Pulmonary artery sarcoma

Question 13

GDA pseudoaneurysm Rx

Answer 13

Coiling proximal and distal

Question 14

NM test to prove righ to left shunt

Answer 14

99TC labelled MAA (Microaggregated albumin)

Question 15

TNM staging for small cell lung cancer

Answer 15

Not used

Question 16

Tree in bud appearance post bone marrow transplant

Answer 16

Endobronchial TB

Question 17

Siderosis clinical impact

Answer 17

Unlikely to cause functional lung impairment

Question 18

Commonest type of lung cancer

Answer 18

Adenocarcinoma (30%)

Question 19

Lung changes and hyperdense liver and spleen

Answer 19

Amiodarone

Question 20

Most specific finding in constrictive bronchiolitis

Answer 20

Air trapping

Question 21

Serum cold agglutination positive

Answer 21

Mycoplasma pneumonia

Question 22

Chronic changes post ARDS distribution

Answer 22

Posterior sparing

Question 23

Invasive aspergillosis Rx

Answer 23

Systemic amphotericin

Question 24

Flu, strongest predictor of adverse outcome on CXR

Answer 24

Multizonal peripheral opacity

Question 25

Locally invasive anterior mediastinal lesion with myasthenia gravis

Answer 25

Atypical thymoma

Question 26

Acute bat wing oedema

Answer 26

Acute mitral valve insufficiency

Question 27

Bihilar lymphadenopathy with paratracheal lymphadenopathy

Answer 27

Sarcoid

Question 28

Coronary artery stenosis <50% Rx

Answer 28

Lifestyle modifications

Question 29

Typical angina Hx with lack of risk factors - Ix

Answer 29

CT calcium score

Question 30

Drug causes of pulmonary eosinophilia

Answer 30

Nitrofurantoin, Penicillamine, Sulphasalazine, NSAIDs, Para-aminosalicylic acid

Question 31

Borders of retrotracheal space

Answer 31

Anterior border: Posterior trachea Posterior border: Vertebrae Inferior margin: aortic arch

Question 32

Common and external iliac occlusion - Rx

Answer 32

Surgical bypass

Question 33

?CTPA, CXR normal, pregnant. Next Ix

Answer 33

Venous ultrasound