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Radiology	
  Quiz	
  	
  
Medical	
  Students	
  Workbook	
  
Author:	
  Dr	
  Aussami	
  Abbas	
  
SpR	
  Radiology	
  
Case	
  1	
  
	
  
Ques>ons:	
  
	
  	
  
1)	
  What	
  is	
  the	
  diagnosis?	
  
2)	
  Name	
  two	
  possible	
  complica>ons.	
  
	
  
	
  
83	
  yr	
  old	
  pa>ent	
  presents	
  
with	
  abdominal	
  pain	
  
Case	
  2	
  
	
  
	
  
Ques>ons:	
  
1)	
  What	
  is	
  the	
  diagnosis?	
  
2)	
  What	
  is	
  the	
  clinical	
  deformity	
  
associated	
  with	
  this	
  injury	
  called?	
  
3)	
  Name	
  2	
  methods	
  of	
  providing	
  local	
  
anaesthesia	
  for	
  manipula>on	
  of	
  this	
  
injury.	
  
4)	
  What	
  degree	
  of	
  misalignment	
  is	
  
acceptable	
  following	
  reduc>on?	
  
72	
  yr	
  old	
  pa>ent	
  presents	
  
with	
  clinical	
  deformity	
  of	
  the	
  	
  
right	
  wrist	
  following	
  a	
  fall	
  
onto	
  out	
  stretched	
  hand	
  
Case	
  3	
  
	
  
Ques>ons:	
  
1)	
  Name	
  three	
  causes	
  for	
  the	
  
appearance	
  of	
  a	
  hemithorax	
  “white	
  
out”	
  on	
  CXR.	
  
2)	
  How	
  can	
  you	
  tell	
  the	
  difference	
  
between	
  these	
  three	
  causes?	
  
3)	
  What	
  is	
  the	
  diagnosis	
  in	
  this	
  case?	
  
4)	
  What	
  management	
  should	
  the	
  
pa>ent	
  have?	
  
65	
  yr	
  old	
  pa>ent	
  on	
  AMU	
  
develops	
  worsening	
  
respiratory	
  distress	
  
Case	
  4	
  
	
  
Ques>ons:	
  
	
  
1)	
  What	
  is	
  the	
  diagnosis?	
  
2)	
  What	
  is	
  the	
  most	
  likely	
  cause	
  
3)	
  AUer	
  ensuring	
  the	
  pa>ent	
  is	
  
clinically	
  stable	
  what	
  further	
  
management	
  would	
  you	
  	
  arrange?	
  
	
  
65	
  yr	
  old	
  pa>ent	
  presents	
  
with	
  dyspnoea	
  and	
  cough	
  
Case	
  5	
  
	
  
Ques>ons:	
  
	
  
1)	
  What	
  is	
  the	
  diagnosis?	
  
2)	
  Which	
  infec>ous	
  organism	
  is	
  
this	
  associated	
  with?	
  
	
  
	
  
45	
  yr	
  old	
  pa>ent	
  presents	
  
with	
  dysuria.	
  A	
  plain	
  film	
  
radiograph	
  is	
  performed	
  
Case	
  6	
  
	
  
Ques>ons:	
  
	
  
1)	
  What	
  is	
  the	
  diagnosis?	
  
2)	
  Is	
  this	
  the	
  cause	
  of	
  the	
  pa>ents	
  
symptoms	
  
3)	
  Name	
  3	
  complica>ons	
  associated	
  
with	
  this	
  condi>on	
  
4)	
  Name	
  three	
  other	
  common	
  sites	
  
of	
  disease	
  involvement.	
  
61	
  yr	
  old	
  pa>ent	
  presents	
  	
  
With	
  leU	
  hip	
  pain	
  
Case	
  7	
  
	
  
	
  
	
  
Ques>ons:	
  
1)	
  What	
  is	
  the	
  main	
  abnormality?	
  
2)	
  What	
  instruc>ons	
  should	
  you	
  
give	
  the	
  nursing	
  staff	
  on	
  the	
  
ward?	
  
3)	
  What	
  surgery	
  has	
  the	
  pa>ent	
  
had	
  in	
  the	
  past?	
  
You	
  are	
  on	
  call	
  covering	
  the	
  
medical	
  wards.	
  A	
  colleague	
  
hands	
  over	
  to	
  check	
  a	
  CXR	
  	
  
on	
  the	
  stroke	
  ward	
  
Case	
  8	
  
	
  
	
  
	
  
Ques>ons:	
  
	
  
1)	
  What	
  is	
  the	
  diagnosis?	
  
2)	
  Name	
  four	
  poten>al	
  causes.	
  
3)	
  What	
  is	
  the	
  most	
  likely	
  cause	
  in	
  
this	
  case?	
  
	
  
	
  
35	
  yr	
  old	
  asthma>c	
  pa>ent	
  
suddenly	
  deteriorates	
  on	
  the	
  
ward	
  
Case	
  9	
  
	
  
	
  
Ques>ons:	
  
1)	
  What	
  is	
  the	
  differen>al	
  diagnosis?	
  
2)	
  What	
  features	
  differen>ate	
  an	
  
aggressive	
  bone	
  lesion	
  from	
  a	
  non-­‐
aggressive	
  lesion?	
  
3)	
  What	
  clinical	
  informa>on	
  is	
  
par>cularly	
  useful	
  in	
  differen>a>ng	
  
primary	
  bone	
  lesions	
  from	
  
metasta>c	
  ones.	
  
18	
  yr	
  old	
  pa>ent	
  presents	
  
with	
  leU	
  shoulder	
  pain	
  and	
  
swelling	
  
Case	
  10	
  
	
  
Ques>ons:	
  
1)	
  What	
  is	
  the	
  diagnosis?	
  
2)	
  What	
  might	
  you	
  see	
  on	
  the	
  
corresponding	
  CXR?	
  
3)	
  Name	
  four	
  common	
  causes	
  for	
  
this	
  condi>on.	
  
	
  
55	
  yr	
  old	
  pa>ent	
  admiZed	
  to	
  
the	
  surgical	
  ward	
  develops	
  
worsening	
  abdominal	
  pain	
  	
  

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OSSSC Radiographer Previous Papers.pdf

  • 1. Radiology  Quiz     Medical  Students  Workbook   Author:  Dr  Aussami  Abbas   SpR  Radiology  
  • 2. Case  1     Ques>ons:       1)  What  is  the  diagnosis?   2)  Name  two  possible  complica>ons.       83  yr  old  pa>ent  presents   with  abdominal  pain  
  • 3. Case  2       Ques>ons:   1)  What  is  the  diagnosis?   2)  What  is  the  clinical  deformity   associated  with  this  injury  called?   3)  Name  2  methods  of  providing  local   anaesthesia  for  manipula>on  of  this   injury.   4)  What  degree  of  misalignment  is   acceptable  following  reduc>on?   72  yr  old  pa>ent  presents   with  clinical  deformity  of  the     right  wrist  following  a  fall   onto  out  stretched  hand  
  • 4. Case  3     Ques>ons:   1)  Name  three  causes  for  the   appearance  of  a  hemithorax  “white   out”  on  CXR.   2)  How  can  you  tell  the  difference   between  these  three  causes?   3)  What  is  the  diagnosis  in  this  case?   4)  What  management  should  the   pa>ent  have?   65  yr  old  pa>ent  on  AMU   develops  worsening   respiratory  distress  
  • 5. Case  4     Ques>ons:     1)  What  is  the  diagnosis?   2)  What  is  the  most  likely  cause   3)  AUer  ensuring  the  pa>ent  is   clinically  stable  what  further   management  would  you    arrange?     65  yr  old  pa>ent  presents   with  dyspnoea  and  cough  
  • 6. Case  5     Ques>ons:     1)  What  is  the  diagnosis?   2)  Which  infec>ous  organism  is   this  associated  with?       45  yr  old  pa>ent  presents   with  dysuria.  A  plain  film   radiograph  is  performed  
  • 7. Case  6     Ques>ons:     1)  What  is  the  diagnosis?   2)  Is  this  the  cause  of  the  pa>ents   symptoms   3)  Name  3  complica>ons  associated   with  this  condi>on   4)  Name  three  other  common  sites   of  disease  involvement.   61  yr  old  pa>ent  presents     With  leU  hip  pain  
  • 8. Case  7         Ques>ons:   1)  What  is  the  main  abnormality?   2)  What  instruc>ons  should  you   give  the  nursing  staff  on  the   ward?   3)  What  surgery  has  the  pa>ent   had  in  the  past?   You  are  on  call  covering  the   medical  wards.  A  colleague   hands  over  to  check  a  CXR     on  the  stroke  ward  
  • 9. Case  8         Ques>ons:     1)  What  is  the  diagnosis?   2)  Name  four  poten>al  causes.   3)  What  is  the  most  likely  cause  in   this  case?       35  yr  old  asthma>c  pa>ent   suddenly  deteriorates  on  the   ward  
  • 10. Case  9       Ques>ons:   1)  What  is  the  differen>al  diagnosis?   2)  What  features  differen>ate  an   aggressive  bone  lesion  from  a  non-­‐ aggressive  lesion?   3)  What  clinical  informa>on  is   par>cularly  useful  in  differen>a>ng   primary  bone  lesions  from   metasta>c  ones.   18  yr  old  pa>ent  presents   with  leU  shoulder  pain  and   swelling  
  • 11. Case  10     Ques>ons:   1)  What  is  the  diagnosis?   2)  What  might  you  see  on  the   corresponding  CXR?   3)  Name  four  common  causes  for   this  condi>on.     55  yr  old  pa>ent  admiZed  to   the  surgical  ward  develops   worsening  abdominal  pain