Answer Trial Radio

8/13/2019 Answer Trial Radio

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Answer Trial Radio

Onn Azli bin Puade



Question 1

A 46 years old gentlemancame to you with headache,

confusion and fever for 4

weeks duration

a) Name the radiological

procedure (1 mark)b) State 3 findings in this

patient (6 marks)

c) State your provisional

diagnosis (1 mark)

d) State 2 risk factors of

developing the abovecondition (2 marks)



Question 1

a) Contrasted T1 weighted MRI (Coronal Section)

• Fluid (hypointense)

• Fat (hyperintense)

• Bone (hypointense)



Question 1

a) Findings

a) Thin rim-enhancing lesion involving the area of

caudate and lentiform nucleus extended to right

lateral ventricleb) Brain oedema surrounding the lesion

c) Obliteration of right anterior ventricle



Question 1

a) Brain toxoplasmosis

b) HIV/AIDS, IVDU, Immunocompromised patient



Question 2

A 25 yeas old came to you for

Barium swallowinvestigations

a) State 2 findings in the

investigations (2 marks)

b) State 2 differential

diagnosis (2 marks)c) Name 1 other

investigation you would

like to do in order to

confirm your diagnosis (1

mark)

d) State 3 expected findingsin the investigations (3

marks)

e) State the treatment

based on your provisional

diagnosis (2 marks)



Question 2

a) Findings

a) Dilatation of lower oesophageal body

b) Stricture of the gastro-oesophageal junction



Question 2

a) Differential diagnosis

a) Achalasia cardia

b) Oesophageal stricture (fibrosis)

b) Oesophageal manometry/ OGDS

c) Findings based on the investigations

d) Hertel’s myomectomy/ Balloon dilatation



Question 3

Choose 1 best answer

State your diagnosis

a) Tetralogy of Fallot

b) Total anomalous

pulmonary venousdrainage

c) Transposition of great

arteries

d) Tricuspid atresia

e) Hypoplastic left heart

syndrome

(2 marks)



Question 3

• B) Snowman’s heart seen in TAPVD



Question 4

A 4 months old boy was born

cyanosed was admitted forfailure to thrive

a) Describe 3 findings on

the Chest radiograph (3

marks)

b) State the most likelydiagnosis (2 marks)

c) State 1 further

investigation to confirm

your diagnosis (1 mark)

d) Name 2 other

complications of the

disease (2 marks)

e) State 1 pharmacological

and 1 surgical treatment

in this patient (2 marks)



Question 4

a) Findings

a) Narrowing of superior mediastinum

b) Globular shaped heart and cardiomegaly

c) Increase pulmonary vascular marking

b) Transposition of great arteries



Question 4

a) Echocardiography

b) Complications

a) Heart failure

b) Pulmonary hypertension

c) Treatment

a) Pharmacological – Prostaglandin

b) Surgical – Arterial Switch operation



Question 5

The above image serves as one of the method to assess the heart

a) Name the investigation (1 mark)

b) What does it measure? (1 mark)

c) Base on the measurement given, state the function of the heart (3 marks)

d) Name 3 other use of the investigation (3 marks)

e) Name 2 condition that will reduce the function of the heart (2 marks)

3 cm1.5 cm



Question 5

a) Echocardiograph

b) Ejection-fraction

c) 1.5 / 3.0 x 100 = 50% (heart function is

acceptable)d) Functions of echoa) Valvular heart lesion

b) Structural integrity of the heart

c) Flow of the blood (Doppler)e) Right ventricular dilatation/hypertrophy,

obstructive cardiomyopathy



Question 6

A 42 years old female cameto you with swelling of the

wrist for 5 months duration

a) State 3 findings in the

radiograph (3 marks)

b) State 2 differentialdiagnosis (2 marks)

c) State 1 investigation to

confirm your diagnosis (1

mark)



Question 6

a) Findings

a) Cortical destruction with expansion of distal

radius

b) Soap-bubble appearance

c) Lesion extended to the articular surface



Question 6

a) Differential diagnosis

– Aneurysmal bone cyst

– Giant cell tumour

b) Definitive investigation

– Biopsy and histopathological examination



Question 7

Name the deformity of the diagram A and B and state your diagnosis (4 marks)

A B



Question 7

A – Dinner fork deformity in Colles fracture

B – Gunstock deformity in malunion of

supracondylar fracture



Question 8

A 54 years old gentleman

presented to you with

haematuria for 5 monthsduration

a) Name the investigation (2

marks)

b) State 3 findings (3 marks)

c) Give 2 differentialdiagnosis (2 marks)



Question 8

a) Intravenous pyelogramb) Findings

a) Obstruction of contrastoutflow of right kidney

b) Dilatation of right renalcalyces and pelvis

c) Normal left kidney

c) Differential diagnosisa) Ureteric stone

b) Ureteral stricture



Question 9

• New born skull X-raywith fused sutures andabnormal looking orbit.There are

A - Harlequin eyeB - Fused sagittal sutureC - Fused coronal sutureD - Copper beaten skullE – Thickened skull vault

(5 marks)



Question 9

• New born skull X-ray with fused sutures and

abnormal looking orbit. There are

A - Harlequin eye (T)

B - Fused sagittal suture (F)C - Fused coronal suture (T)

D - Copper beaten skull (F)

E – Thickened skull vault (F)



Harlequin eye



Question 10

The diagram labeled A is a

normal thyroid scintigraphy

a) State your diagnosis of B, C

and D (3 marks)A B

C D



Question 10

• B – Multinodular goiter

• C – Grave’s disease

•

D – Functioning thyroid adenoma



Question 11

This is a hand radiograph of 19

years old gentleman with chronicrenal failure

a) State 3 findings in the hand

radiograph (3 marks)

b) State the most likely lesion

pointed by the arrow (2 marks)c) State your most likely diagnosis

(2 marks)

d) List 1 other cause of the above

appearance (1 mark)



Question 11

a) Findings

– Irregular, frayed and ill-defined cortical outline,

pronounced at radial aspect of middle phalanges

– Multiple lytic expansile lesions

– Osteosclerosis

b) Brown tumours

c) Secondary hyperparathyroidism (renal)

d) Aluminium intoxication



Question 12


a) Rigid cervical collar should be

applied in this patient

b) 3rd generation cephalosphorin

should be given to this patientc) Intubation should be done in

95% of the cases

d) Spinal shock is a complication

e) This is a case of unstable

fracture and 2 column is

involved

(2 marks)



Question 12

• 3rd generation cephalosphorin should be given

to this patient



Question 13

• The statement belowcan be describe thisdiagramA - Laminar periosteal

reactionB - Lytic bone lesionC - Well defined lesionD - Calcification

E - Multiple lesions

(5 marks)



Question 13

• The statement below can be describe this

diagram

A - Laminar periosteal reaction (F)

B - Lytic bone lesion (T)C - Well defined lesion (F)

D – Calcification (F)

E - Multiple lesions (T)



Question 14


a) Patient will be presented with

triad of Beck

b) Pericarditis is a complication

c) Anti-ischaemic therapy andanti-failure therapy should be

started

d) Intubation is the treatment of

choice

e) Needle decompression is the

treatment of choice

(2 marks)



Question 15


Regarding intervention shown in

the diagram on the left

a) Chiari malformation type 2 is a

complication

b) Indicated in Dandy-Walkersyndrome

c) Contraindicated in

intraventricular hemorrhage

d) Metronidazole is the antibiotics

of choice if infected

(2 marks)



Question 15

(B) VP, VA or VPL shunt is Indicated in Dandy-

Walker syndrome



Question 16


Regarding intervention and disease

shown in the diagram on the left

a) The condition affects males

predominantly

b) Mortality rate in this patient

was 2 %

c) Needle decompression should

be done on the right lung to

promotes lung expansion

d) Radiotherapy needed to be

done in this patient

e) TRAM flap can be performed inthis patient if the patient

request

(2 marks)



Question 16

(E) TRAM flap can be performed in this patient ifthe patient request – patient with post-

mastectomy



Question 17


Regarding the radiograph

a) Continuous manipulation and

reduction with POP cast is the

appropriate management

b) Anatomical reduction needed

in this case

c) Complication of the fracture is

femoral nerve palsy

d) Salter-Harris fracture grade 1

e) External fixation is indicated

(2 marks)



Question 17

• Anatomical reduction needed in this case(intra-articular fracture)



Question 18

V

U

T

W

X

Question 17

Label the diagram T, U, V, W, X

(5 marks)



Question 18

• T – Gallbladder

• U – Stomach

• V – Pancreas

•

W – Ribs• X – Left adrenal gland



Question 19

• The statement below can bedescribe this diagramA – Organ 12 received bloodsupply from left gastro-omental artery

B – 11 is a fundal gasC – 8 drained the blood toportal vein

D – stone in the 9 is calledcholelithiasis

E – the pH inside the organ 10is 5

(5 marks)



Question 19

• The statement below can be describe this

diagram

A – Organ 12 received blood supply from

left gastro-omental artery (F)

B – 11 is a fundal gas (T)

C – 8 drained the blood to portal vein (F)

D – stone in the 9 is called cholelithiasis (F)

E – the pH inside the organ 10 is 5 (F)



Marking

• Total Mark - 100

• Pass mark - >50

• C – 50 – 59

• B – 60 – 69

• A – 70 – 80

•A+ - 80 – 89

• A++ - 90 - 100

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