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    Radiology 3

    Uploaded by

    Muhammed lotfi
    A 70-year-old woman presents with severe epigastric pain and shock. A plain film shows free air under the diaphragm. She is diagnosed with a perforated peptic ulcer, which is the commonest cause. About 80% of cases have no history of ulcer disease, and common predisposing medications are NSAIDs and corticosteroids. Plain films miss perforation in about 30% of cases. Treatment for a perforated peptic ulcer is surgical repair.

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    © All Rights Reserved
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    Radiology 3

    Uploaded by

    Muhammed lotfi
    31 views10 pages
    A 70-year-old woman presents with severe epigastric pain and shock. A plain film shows free air under the diaphragm. She is diagnosed with a perforated peptic ulcer, which is the commonest cause. About 80% of cases have no history of ulcer disease, and common predisposing medications are NSAIDs and corticosteroids. Plain films miss perforation in about 30% of cases. Treatment for a perforated peptic ulcer is surgical repair.

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    RADIOLOGY 3

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    A 70-year-old woman presents with severe epigastric pain and shock. A plain film shows free air under the diaphragm. She is diagnosed with a perforated peptic ulcer, which is the commonest cause. About 80% of cases have no history of ulcer disease, and common predisposing medications are NSAIDs and corticosteroids. Plain films miss perforation in about 30% of cases. Treatment for a perforated peptic ulcer is surgical repair.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views10 pages

    Radiology 3

    Uploaded by

    Muhammed lotfi
    A 70-year-old woman presents with severe epigastric pain and shock. A plain film shows free air under the diaphragm. She is diagnosed with a perforated peptic ulcer, which is the commonest cause. About 80% of cases have no history of ulcer disease, and common predisposing medications are NSAIDs and corticosteroids. Plain films miss perforation in about 30% of cases. Treatment for a perforated peptic ulcer is surgical repair.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 10

    1.

    All are sings of malignancy for a mass on mammogram except


    a) Speculations
    b) Lymphadenopathy
    c) Taller than wide
    d) Oval shape
    e) Calcifications

    2. The best way to evaluate the testicle and epididymis in the


    presence of a tense hydrocoele is:
    a) manual compression
    b) transillumination
    c) Doppler flow studies
    d) scrotal ultrasound
    e) DTPA scan

    3. Suspecting Hyperparathyroidism the following investigation is


    least helpful
    a) Serum Calcium
    b) Parathyroid scan
    c) Neck ultrasound
    d) X-ray neck lateral view
    e) Serum PTH

    4. Popcorn calcification in mammography is seen in:


    a. Fibroadenoma
    b. Fat necrosis
    c. Cystosarcoma phyllodes
    d. CA Breast
    5. BIRADS score 5 is:
    a. Negative
    b. Probably benign
    c. Suspicious abnormality
    d. Highly suggestive of malignancy
    6. Mercedes benz sign or Seagull sign is seen in:
    a. Gallstones (emphysematous cholecystitis)
    b. Renal stones
    c. CBD stones
    d. Hydatid cyst

    7. Initial investigation of choice for biliary obstruction:


    a. CT Abdomen
    b. ERCP
    c. MRCP
    d. USG

    8. Investigation of choice in suspected gallbladder stone is:


    a. Ultrasound
    b. X-ray
    c. Barium study
    d. Oral cholecystography

    9. “Chain of lakes” appearance seen in:


    a. Acute pancreatitis
    b. Chronic pancreatitis
    c. Carcinoma pancreas
    d. Strawberry gallbladder

    10. For hiatus hernia, investigation of choice is:


    a. Barium meal follow through
    b. Barium meal upper GI
    c. Barium meal upper GI in Trendelenberg position
    d. Barium meal double contrast

    11. A young patient presents with history of dysphagia more to


    liquid than solids. The first investigation you will do is:
    a. Barium swallow
    b. Esophagoscopy
    c. Ultrasound of the chest
    d. CT scan of the chest
    12. Radiologic feature suggestive of achalasia cardia is:
    a. Absence of gastric air bubble
    b. Air fluid level in mediastinum
    c. Sigmoid esophagus
    d. All of the above

    13. Bird’s beak appearance is seen in:


    a. Volvulus
    b. Intussusception
    c. Achalasia
    d. Ulcerative colitis

    14. Best investigation for Zenker’s diverticulum is:


    a. Barium swallow
    b. Endoscopy
    c. CECT
    d. EUS

    15. Barium esophagogram findings in carcinoma esophagus are


    all except:
    a. Rat-tail deformity
    b. Pencil tip appearance
    c. Apple-core appearance
    d. Filling defect

    16. Investigation contraindicated for LGI bleed:


    a. Endoscopy
    b. Angiography
    c. CT
    d. Barium studies

    17. Investigation of choice to diagnose hypertrophic pyloric stenosis


    in infants is:
    a. Contrast radiology
    b. Gastroscopy
    c. Ultrasound abdomen
    d. CT abdomen
    18. Best investigation for acute intestinal obstruction is:
    a. Barium studies
    b. X-ray
    c. USG
    d. ERCP

    19. Ectopic mucosa of Meckel’s diverticulum is diagnosed by:


    a. Tc-99 radionuclide scan
    b. Angiography
    c. CT
    d. Endoscopy

    20. Features of intussusceptions are:


    a. Claw sign
    b. Target sign
    c. Dove sign
    d. Coiled spring sign
    e. Dance sign
    A 40-year-old woman presents to hospital with epigastric discomfort and
    jaundice.
    1. What is the investigation and what does it show?
    2. What are the important complications of this condition?
    3. What is Charcot’s triad and what does it signify?
    4. What is the treatment for the X-ray findings?
    5. What are the important complications of this investigation?
    1. What is the radiological investigation and what are the features shown?
    2. What is the likely diagnosis ?
    3. List the suspected causes
    4. What are the local and general complications?
    5. Discuss the treatment options
    A 30-year-old woman presents with a change in bowel habit in the form of
    very frequent watery diarrhoea.
    1. What is the radiological investigation and what are the features shown?
    2. What is the likely diagnosis and how can this be confirmed?
    3. List the other associated radiological features encountered in this
    condition.
    4. What are the local and general complications?
    5. Discuss the treatment option
    A 30-year-old woman presents to her general practitioner with a history of
    recurrent chest infections and dysphagia.
    1. What are the radiological features shown?
    2. What is the diagnosis?
    3. What might be the next non-radiological investigation performed, and
    list the typical findings.
    4. What are the treatment options?
    A 70-year-old woman presents to Accident and Emergency with severe
    epigastric pain and in a shocked state.
    1. What does the plain film show?
    2. What is the clinical diagnosis and what is the commonest cause?
    3. What percentage of such cases have no previous history of ongoing
    disease? Name two common medications predisposing to this condition.
    4. What percentage of cases have no signs on plain films?
    5. What is the treatment for the commonest cause?

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