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Archives of Quizzes: Contents of Volume 2

The Archives of volumes 1-7 - ie till Dec 2005, are available as a CD. The CD contains around 313 quizzes that were put up on the REF site in the years 1999-2005. For details on purchasing the CD, click here.

Section Editors :

Abdominal :	Dr. Dushyant Sahani
Neuro :	Dr. Gaurang Shah
Head & Neck:	Dr. Meher Ursekar

- Abdominal - Chest - Head & Neck - Musculoskeletal - Neuro - Pelvis

Abdominal

Question	Answer
This is an elderly gentleman with a clinical history of pyeloplasty for PUJ. He had recurrent hematuria and multiplerenal calculi. Renal scan showed poor function and drainage. Whitaker’s test performed was inconclusive for UPJ and subsequently an antegrade pyelogram was performed.	Pyelitis Cystica
An elderly lady was brought to the emergency room with pain in the abdomen and vomiting.	Small Bowel Volvulus and Closed Loop Obstruction with Ischemia
An 11-years old girl presented with acute pain in the abdomen and a lump in the epigastrium. A CT scan was performed.	Wandering Spleen with Torsion and Infarction
A 37 Years old woman with complaints of recurrent upper abdominal pain not associated with nausea and vomiting.	Intraductal Papillary and Mucin Secreting Tumor of Pancreas (IPMT)
A 28-years old woman presented with a long-standing history of recurrent abdominal pain, weight loss and diarrhea.	Crohn’s Disease
An elderly male presents to the emergency room for acute flank pain. A contrast enhanced CT of the abdomen and pelvis was performed.	Primary Epiploic Appendagitis (PEA)
A 40-years old lady presented with pain in the abdomen. A CT was performed.	Splenic Hydatid
A 27-years old man with acute lymphoblastic leukemia on chemotherapy presented with acute pain in the right iliac fossa. A CT of the abdomen and pelvis was obtained.	Neutropenic Typhlitis
A 50-years old man presented to the emergency room with acute pain in the right iliac fossa and diarrhea. An appendiceal protocol CT was ordered. Axial contrast CT images are shown.	Carcinoid Tumor of the Appendix
A 72-years old lady presents with pain in the abdomen, vomiting and constipation. A CT scan was performed.	Intestinal Obstruction due to Obturator Hernia

Chest

Question	Answer
This is a three months old boy who came with difficulty in breathing. Chest radiographs were obtained followed by CT.	Pulmonary Blastoma
This is a sixty-years old lady who came with breathlessness. A chest radiograph was performed followed by a CT scan.	Microphthalmos with Coloboma – CHARGE syndrome
A 13-years old girl came with cough, fever and dyspnea. A chest radiograph was performed followed by a CT.	Apergilloma (fungal ball) in a Tuberculous Cavity
A 26-years old man came with a 3-4 days history of acute breathlessness. He was a goldsmith working with nitric acid.	Acute Lung Injury (Chemical Pneumonitis) due to Nitrogen Dioxide Inhalation (Silo-Filler’s Lung)
A 5 years old girl came with dysphagia.	ADEM – Acute Disseminated Encephalomyelitis
A 54 years old man presented with hemoptysis. A recent radiograph was available (Fig. 3) along with radiographs obtained 2 years	Fungal Ball in a Cavity
A 35 years old lady presented with a two-week history of mild cough.	Right Middle Lobe

Head & Neck

Question	Answer
This is a 45-years old man who had undergone previous surgery on the neck for a rapidly enlarging lump. The lump had been partially excised, along with the right external carotid artery. It recurred six months later.	Osteosarcoma of the Carotid Sheath
A 12-years old presented with gastro-esophageal reflux, deformed ears and nose, cardiac murmurs and myopia.	Microphthalmos with Coloboma – CHARGE syndrome
A six-years old girl comes with multiple head and neck abnormalities.	T\HIV Positive Patient with Lymphoepithelial Lesions in the Parotid Gland, Adenoid Hypertrophy and Cervical Lymphadenopathy
A 28 years old boy presented with pain in the anterior upper neck. A CT was performed. Spot the abnormality.	Right Submandibular Gland Calculus with Dilated Submandibular Duct
A 35-yrs old woman presented with bilateral, progressive decreased hearing, for the last few years. An MR was performed.	Cochlear Otosclerosis
A 15-yrs old girl presented with left eye proptosis. An ultrasound of the orbit was performed, followed by an MR	Cavernous Hemangioma of the Orbit

Musculoskeletal

Question	Answer
This is a thirty-five years old lady who came with a six months history of pain in the elbow joint with stiffness and mild fixed-flexion deformity.	Tuberculous Arthritis of the Elbow
A 58 years old lady presented with pain of three weeks duration in the upper half of the left leg.	Stress Fracture of Tibia
A 65 years old man presented with pain in the left hip and generalized weakness.	Carcinoma Prostate with Pelvic and Spinal Bone Metastases
A nine-years old boy presented with a rapidly growing swelling in the right upper arm.	Osteosarcoma Humerus
A 30 years old lady had low backache without radiation. A plain radiograph and MRI were obtained.	Osteitis Condensans Ilii - SI Joints
A 38-years old man presented with weakness of both lower limbs with loss of sensation below the umbilicus.	Hydatid Cyst of the Spine

Neuro

Question	Answer
This is an 8-year-old with visual disturbances and headaches. An MR of the brain was performed.Post-contrast T1W coronal, T2 sagittal and T2 coronal images were obtained.	Hypothalamic and Optic Nerve Glioma
A 50-years old lady presented with occasional slurred speech and decrease in mental status followed by seizures.An MR was performed .	Subdural Empyema
A 44-years old, presents with headache, progressive diplopia, lateral gaze difficulty, ataxia and hypopituitarism. An MR was performed.	Clivus Chordoma with Metastases
A 29-year-old lady presented with right arm numbness, bilateral lower extremity weakness and blurred vision. An MR was performed.	Multiple Sclerosis with Demyelinating Plaques
An 18-year-old gentleman presented with acute-onset lower extremity weakness, fatiguability and retention of urine. He had a flu-like syndrome with fever and sore throat for two days	ADEM – Acute Disseminated Encephalomyelitis
An 8 years old boy presented with a relatively large head, developmental delay and seizures.	Alexander's Disease
A 12-year-old fell while riding a bicycle and had tonic-clonic seizures.	Cortical Dysplasia
A 15-years old girl presented with progressive weakness of the both lower limbs. There was no bladder and bowel involvement. There was loss of sensation in the lower limbs and lower abdomen. An MRI of the spine was performed	Hemangioblastoma of the Cord
A 2-1/2 months old afebrile baby presented with poor feeding and multiple episodes of seizure. Lumbar punctures were negative. EEG showed status epilepticus.	Neonatal Hypoglcemia
A 25 years old man presented with seizures. An MRI was performed.	Neurocysticercosis - Disseminated

Pelvis

Question	Answer
A 55-years asymptomatic lady went for ultrasound (Figs 1-3). An abnormality was found and a CT was also performed.	Pseudocystic Degeneration of the Para-urethral Skene’s Glands.
A 40 years old lady presented with a palpable right adnexal mass on routine gynecologic examination. Abdominal and trans-vaginal ultrasound was performed (Figs 1-4). Based on the USG findings MRI (Figs 5-7) was recommended before the patient was subjected to surgery.	Ovarian Fibroma
A 20-years old man presented with pain, swelling and discharge at a particular site in the pelvis. An MR was performed	Pilonidal Sinus