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Archives
of Quizzes: Contents of Volume 7
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
middle aged Asian male, 45 years of age, presented with of episodes of increased
blood pressure and mild discomfort in the right side of the abdomen. |
| |
| |
A
65-year old lady came with acute onset pain and tenderness in the left lower quadrant. |
|
| | Non-rotation
/ Malrotation of Bowel with Appendicitis
| |
| | A
7-year old boy presented with abdominal pain and vomiting. An ultrasound was performed
(Figs. 1, 2). | |
| | Intusussception
due to Roundworms | |
| | A
10-month old baby had PU junction obstruction of the left kidney, for which she
was operated. The USG images show hydronephrosis with echogenic foci within. |
|
| | Fungal
(Aspergillus) Infection | |
| | A
60-year old man with squamous cell carcinoma of the lung came for an MRI of the
upper abdomen. | |
| | 1.
In-phase & opposed-phase images
2. Adrenal adenoma
|
|
| | A
35-year old man presented with lower quadrant pain, guarding and hematuria. |
|
| | Jejunal,
Retroperitoneal and Renal Pelvic Hematomas / Hemorrhage in a Patient on Anti-Coagulant
Therapy | |
| | A
60-year old lady presented with a history of left upper quadrant pain. |
| |
| | An
80-year old man with a past history of partial gastrectomy for recurrent peptic
ulcer, now presents with abdominal pain. A CT scan was performed. |
|
| | Zollinger-Ellison
Syndrome | |
| | A
24-year old man presented with pain in the right abdomen. A multi-phasic multi-planar
CT scan was performed. | |
| | Right
Uretero-Vesical Junction Calculus with Obstructive Dense Nephrogram |
|
Breast
| Question |
Answer |
| | A
52-year old lady presented with an indeterminate nodule on mammography.
A
dynamic contrast-enhanced breast MRI was performed for further characterization. |
| |
| | A
60-year old lady came with a palpable breast lump. A mammogram was performed,
with a BB used to localized the lesion. | |
|
| | A
56-year old woman, presented with a lump in the breast. Mammograms (Figs. 1, 2)
were obtained. | | |
Cardiac
| Question |
Answer |
| | A
63 year old man has been treated earlier for coronary artery disease. A cardiac
CT was performed. |
|
| | a.
LIMA-LAD graft
b. Circumflex artery
| |
| | A
42-year old man presented with mild chest pain and was referered for a cardiac
CT. |
| |
| | A
40-year old patient with a family history of coronary artery disease and mild
hypercholesterolemia, presented for a cardiac CT.
| | |
| | A
25-year old lady presented with a congenital anomaly. A gated cardiac CT was performed |
|
| | Sinus
Venosus ASD with Anomalous Drainage of Right Superior Pulmonary Vein into SVC | | | |
|
| | A
43-year old, asymptomatic man, presented for a cardiac CT. | | |
| | A
60-year old man presented with chest pain. The ECG was suggestive of ischemia
and a cardiac CT was performed. | |
| | Anomalous
Origin of the Left Coronary Artery from the Main Pulmonary Artery (ALCAPA) |
|
Chest
| Question |
Answer |
| | A
45 year old, non-immunocompromised, chronic smoker, presented with a 2-weeks history
of gradually increasing dyspnea. An HRCT of the lungs was performed |
|
| | Respiratory
Bronchiolitis - ILD (RB-ILD) or Desquamative Interstitial Pneumonitis (DIP) |
|
| | A
23-year old woman presented with a sore throat, cough, mild nausea, and high-grade
fever. She was diagnosed as having tonsillitis. A CT of the chest was performed
(Figs. 1-3) with a color Doppler ultrasound (Fig. 4) of the neck. |
| |
| | A
31-year old male presented with 3 month history of chronic low grade fever, cough,
elevated ESR and eosinophilia- not responding to treatment. | |
|
| | A
45-year old lady presented with gradually progressive breathlessness. She had
a history of hysterectomy done 18 months back which was followed by complications
and required prolonged hospital stay including ventilator support. |
| |
| | A
66 year old man presented with an abnormal chest radiograph. A CT scan was performed. |
| |
| | A
10-month old child presented with an abnormal chest radiograph. What is the diagnosis? |
|
| | Foramen
of Morgagni Hernia | |
| | A
54 year old lady presented with fever, polyarthralgia and microscopic
hematuria
of recent onset. An HRCT (Figs. 1-4) was performed. | |
|
| | A
40 year old man, being treated for myasthenia gravis was referred for a CT of
the chest. | |
| | Aberrant
Origin of the Right
Subclavian Artery (ARSA) | |
| | A
56-year old man presented with hemoptysis. Following chest radiographs, a CT scan
was performed | |
| | Poland
Syndrome / Anomaly | |
Head
& Neck
| Question |
Answer |
| | A
42 year old man presented with nausea and vomiting. Plain radiographs were obtained.
Please read the question properly. | |
| | Fibrous
Dysplasia of the Maxillary Bone | |
Musculoskeletal
| Question |
Answer |
| | A
15 year old boy presented with left hip pain. |
| |
| | A
38-year old man presented with pain and tenderness over the L2 spinous process.
The plain radiograph was unremarkable. Following an MRI, a CT scan was performed. |
| |
| | A
32-year old man presented with a swelling over the forearm. | |
|
| | A
45-year old lady, who had recently started brisk walking, came with pain in the
heel. A plain radiograph was obtained. | |
| | Stress
fracture of the calcaneum | |
| | A
20-year old man presented with a history of a motor vehicle accident. |
|
| | Pseudo-Dislocation
of the Right Sterno-Clavicular Joint | |
| | A
58-year old woman presented with pain and swelling in the right upper thigh for
the last few days. | |
|
| | A
22-year old man presented with acute onset pain in the left gluteal / thigh region.
A plain radiograph was normal, so an MRI was performed (Figs. 1-3) |
|
| | Gluteus
Maximus Ilio-Tibial Tract Injury with Sprain and Partial Separation / Avulsion
| |
| | A
47-year old man presented with neck pain following motor vehicle accident. A CT
was done to rule out a cervical spine fracture. | |
|
Neuro
| Question |
Answer |
| | This
is a 13 year old boy with acute lymphatic leukemia who completed chemotherapy
and then presented with altered sensorium. | |
| | Superior
Sagittal Sinus Thrombosis | |
| | A
51year old male, a chronic alcoholic living in a slum, presented with drowsiness,
altered sensorium and blurred vision of three days duration. |
| |
| | A
43 year old HIV positive lady was treated for retinal detachment, following a
CMV infection.
| |
| | Migration
of Silicone Oil from the Vitreous to the Ventricles | |
| | A
16-year old boy presented with generalised convulsions for one week. There was
no neurological deficit and developmental milestones were normal. MRI was performed. |
|
| | Focal
Balloon Cortical Dysplasia | |
| | A
23 year old woman presented with progressively increasing headache, vomiting and
blurring of vision since three months. A contrast-enhanced CT scan (Fig. 1) and
a contrast-enhanced MRI (Figs. 2,3) were obtained. | |
| | Multiple
Cerebellar Hemangioblastomas (Von-Hippel Lindau Syndrome) | |
| | A
10-year old girl with learning disabilities was referred for MRI brain (Figs.
1-4). | | |
| | A
30-year old man presented with tingling in the mid-face region. An MRI was performed
(Figs. 1-3) | |
| | Trigeminal
Nerve Schwannoma | |
Pelvis
| Question |
Answer |
| | A
lady, 33-weeks pregnant presented for an ante-natal USG. | |
| | CHAOS
- congenital high airway obstruction | |
| | A
young lady presented with mild abdominal pain. An ultrasound of the pelvis was
performed. She was eventually proved to have bilateral adnexal masses. Please
read the question carefully. | |
| | 1.
Bilateral ovarian dermoids
2. "Tip of the iceberg" sign |
|
Vascular
| Question |
Answer |
| | This
32 year old patient had a incidental finding on this CT scan.. |
|
| | Congenital
Interruption of the IVC | |
| | This
63-year old male, a case of CRF on regular hemodialysis, with an AV fistula
in the left hand, presented with an expansile swelling in the left ante-cubital
fossa. USG and color Doppler were performed. | |
| | Pseudoaneursym
of the Brachial Artery | |
| | This
is a 32-year old man who presented with significant hematuria following abdominal
trauma. A CT angiogram was performed. | |
| | Renal
Artery Pseudoaneurysm | |
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