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Archives
of Quizzes: Contents of Volume 5
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
| Question |
Answer |
| | A
55-year old man presented with severe pain in the abdomen, progressive abdominal
distension and vomiting. A CT scan of the abdomen was performed. |
| |
| | A
62-year old chronically ill man presented with mild distension of abdominal and
pain in the right hypochondriac region. | |
| | Right-sided
Heart Failure | |
| | A
45-year old lady presented with acute onset obstructive jaundice. MRCP was performed |
|
| | Intra-Biliary
Rupture of a Hydatid Cyst | |
| | A
7 year-old girl came with pain on and off in the abdomen. UGS was performed. |
| |
| | A
15-year old girl presented with hypertension and hypokalemia. USG, CT and renal
angio were performed. | |
| | Juxtaglomerular
Cell Tumor (Reninoma) | |
| | A
58-year-old female, presented with severe colicky pain in the upper abdomen with
nausea and vomiting for duration of 2 days. Lab investigation results were as
follows - Hb-10gms/dl, TLC-16,000, DLC-N46L40E14M2, Bilirubin-3.5 mg, AST-145
HU, ALT-128 IU, alkaline phosphatase-900 KA units. Ultrasonography showed a distended
gall bladder with sludge. An MRCP was performed. | |
| | Biliary
ascariasis (CBD and gall-bladder) | |
| | A
52-year old old diabetic male presented with right upper quadrant pain and diaphroresis. |
|
| | Emphysematous
Cholecystitis | |
Breast
| Question |
Answer |
| | A
25-year old lady on treatment for two weeks, for renal tuberculosis, complained
of a lump in the upper inner quadrant of the left breast. A mammogram was performed.
| |
| | Chest
Wall Abscess - Tuberculosis | |
| | A
55-year old lady presented with a breast lump. A 3D breast ultrasound was performed. |
|
| | 1.
Coronal
2. Carcinoma breast
3. Spiculations | |
| | A
48-year old lady presented with a bloody nipple discharge from the right breast.
A mammogram was performed. | |
| | Duct
Ectasis / Intra-Ductal Papilloma | |
Cardiac
| Question |
Answer |
| | A
55-year old man with a past history of myocardial infarction has stenosis of two
of the coronary arteries on a coronary angiogram. | |
| | 1.
No
2. Circumflex and Left Anterior Descending (LAD) arteries |
|
| | A
33-year old man came with raised JVP, hepatomegaly and dilatation of the IVC on
ultrasound. A cardiac MRI was performed. | |
| | Constrictive
Pericarditis | |
| | A
45-year old man with a characteristic clinical presentation came in for a cardiac
MRI. | |
| | Arrhythmogenic
Right Ventricular Cardiomyopathy / Dysplasia | |
Chest
| Question |
Answer |
| | An
18-year old girl presented with progressive dyspnea and orthopnea for a few months
with pain and swelling in the left side of the chest which was progressive for
the past 10 years. | |
| | Benign
Mediastinal Teratoma | |
| | A
65-year old lady presented with dyspnea and cough. An HRCT was performed. |
|
| | Focal
Lung Fibrosis due to Vertebral Osteophytes | |
| | A
5-year old boy presented with cough and fever. | |
| | Sail
Sign (due to a prominent thymus) | |
| | A
55-year old lady treated earlier for carcinoma of the right breast presented with
a one-year history of neuralgic pain in the right arm. A mastectomy followed by
radiotherapy had been the plan of action 1 1/2 years back. | |
|
| | A
55-year old man has mild cough and gets a chest radiograph (Fig. 1). Please go
through the question carefully. | |
|
| | A
22-year old asymptomatic male was rejected by the merchant navy recruitment board,
as he had an opacity in the left upper zone of his chest radiograph. Anti-tuberculosis
therapy (ATT) was given. CT was performed after completion of ATT, as there was
no change in the opacity. | |
| | Congenital
apico-posterior bronchus atresia | |
| | A
seventy-five year old man came with complaints of chest pain and a vague history
of difficulty in swallowing on and off. A chest radiograph and CT were performed.
| |
| | Aberrant
right subclavian artery | |
| | A
35-year old man came with mild breathlessness and fever. A CT of the chest was
performed. Please read the question carefully. | |
| | Mitral
Valvular Disease with Left-Sided Failure | |
| | A
37-year old man with no history of smoking came with chronic shortage of breath. |
|
| | Panacinar
Emphysema due to Alpha-1 Anti-Trypsin Deficiency. | |
Head
& Neck
| Question |
Answer |
| | A
54-year old man presented with hoarseness of voice. A CT scan was performed. Please
read the question properly. | |
|
| | A
5-year old girl came with a persistent swelling in the right buccal region. It
had come up in infancy had increased in size and then mildly decreased till its
present status. | |
| | Involuted
Right Buccal Hemangioma | |
| | A
6-year old girl presented with a long-standing history of torticollis. An MRI
was performed. | |
| | Sternocleidomastoid
fibrosis | |
Musculoskeletal
| Question |
Answer |
| | A
53-year old lady presents with mild paraparesis. | |
| | Hemangioma
with Extra-Dural extension and Cord Compression. | |
| | A
45-year old lady presented with pain in the foot. | |
|
| | A
36-year old lady presented with backache, paresthesiae and dragging of her left
foot. | | |
| | A
54-years old lady presented with acute onset claudication and difficulty in walking.
An MRI was performed. | |
|
| | A
45-year old lady presented with pain and swelling of the knee with a palpable
nodule along the lateral joint line. An MRI examination was performed. |
|
| | Meniscal
Cyst with Lateral Meniscal Tear | |
| | A
38-year old lady presented with a 10-days history of pain and stiffness in the
neck. A plain radiograph of the cervical spine was obtained. |
|
| | Acute
Longus Colli Tendinitis | |
| | A
43-year old lady presented with severe ulnar-side wrist pain, gradually increasing
for the last 1 year. She had a past history of a conservatively treated Colles'
fracture 18months ago. An MRI was performed (Figs. 1-4). | |
|
| | A
31-year old man presented with the chief complaints of progressive leg numbness.
A CT scan was performed. | |
| | Ossification
of the Ligamentum Flavum | |
| | A
43-year old man presented with mild pain in the heel. An x-ray was obtained (Fig.
1). | | |
| | A
56-year old lady presented with pain in the knee. | |
|
| | A
23-years old man had a fall. A radiograph of the knee was obtained. |
|
| | Fibrous
cortical defect / Non-ossifying fibroma | |
| | A
35-year old lady presented with pain in the middle finger of the left hand. She
had a history of surgery in the past for similar complaints. |
| |
| |
A 20-year old lady came with chest swellings. | |
|
| | A
60 year old lady came with pain and tenderness over the lateral malleolus. An
MRI was performed (Figs. 1-4). Please read the question correctly. |
|
| | 1.
Longitudinal Tear of the Peroneus Brevis Tendon
2. Peroneus Quartus Muscle
crowding the Peroneus Space | |
Neuro
| Question |
Answer |
| | A
young child presents with seizures. | |
|
| | A
7-month old girl presented with new onset seizures and choreo-athetosis. An MRI
of the brain was performed. | |
| | A
Glutaric Aciduria Type 1 | |
| | A
15-year old girl presented with a history of seizures on and off. A CT scan was
performed (Figs. 1-3). | |
|
| | A
20 year-old man reported to this institute with complaints of unsteadiness of
gait since Feb 2003 on walking. There were no other complaints. Clinical examination
revealed positive cerebellar signs on the left side, in the form of left finger
nose in-coordination. An MRI of the brain was performed. | |
| | Left
cerebellar cavernous angioma with a right perimesencephalic cisternal lipoma |
|
Pelvis
| Question |
Answer |
| | A
27-year old lady presented with discharge per vagina, pain and discomfort. An
MRI was performed. | |
|
| | A
23-years old primigravida came for routine second trimester ultrasound. |
| |
| | A
53-year old lady comes with burning micturition and pus cells in the urine. USG
of the urinary bladder shows irregular, thickened walls consistent with cystitis. |
| |
Vascular
| Question |
Answer |
| | A
27-year old lady presented with discharge per vagina, pain and discomfort. An
MRI was performed. | |
|
| | A
47 year old man presented with a pulsatile mass following a cardiac catheterization
via the femoral route. | |
| | Femoral
Artery Pseudoaneurysm with an Arterio-Venous Fistula | |
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