Case of the Week 5 Created on August 23, 2022 By Rajeev Mohanty Case of the Week 23 August 2022 1 / 2 The most likely diagnosis on this contrast CT image of the neck is? Infected 2nd branchial cleft cyst Tuberculous adenitis Cervical cavernous lymphangioma Plunging ranula 2 / 2 All of the following statements are true except? Second BCCs are most commonly observed (95%) branchial anomaly. Second branchial cleft anomalies most commonly present as cysts followed by sinuses and fistulae A tissue ‘beak’ between the internal and external carotid arteries is pathognomonic of Bailey type III 2nd branchial cysts. Fistulas and sinuses are usually observed between the ages of 10 and 40, while cysts are more common before the age of 10 Your score is The average score is 30% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 4 Created on August 08, 2022 By Rajeev Mohanty Case of the Week 08 August 2022 1 / 2 In a patient with Crohn’s disease what is the feature seen in the above provided image? Abscess Enteric fistula Free air Bowel obstruction 2 / 2 Which of the following statements regarding Crohn’s disease is true? The populations with the highest incidence of Crohn’s disease are in Spain, South America, and Asia The incidence among African Americans and Native Americans is higher than in those of Caucasian descent in North America. A person with Crohn’s disease is more likely to have a relative with Inflammatory Bowel Disease. The highest prevalence is among individuals 50 to 80 years old. Your score is The average score is 25% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 0 Created on August 01, 2022 By Rajeev Mohanty Case of the Week 01 August 2022 1 / 2 All are true about Vaginal cuff dehiscence except a) It is a common complication of hysterectomy b) It is more common after laparoscopic hysterectomy c) Presents with pain and vaginal bleeding or discharge d) May be precipitated by intercourse 2 / 2 In this patient with recent vaginal hysterectomy, the CT images show a) Pelvic fluid collection b) Pelvic fat induration c) Extraluminal gas d) All of the above Your score is The average score is 0% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 1 Case of the Week 25 July 2022 1 / 2 The underlying pathology is most likely to be a) Periampullary neoplasm b) Distal common bile duct calculus c) Ureteric calculus d) Pancreatitis 2 / 2 The sign demonstrated on the contrast CT of the abdomen is a) Drooping lily sign b) Donald Duck sign c) Double duct sign d) Double arc sign Your score is The average score is 100% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 2 Created on July 18, 2022 By Rajeev Mohanty Case of the Week 18 July 2022 1 / 2 The CT scan of the cervical spine shows a) Type I odontoid fracture b) Type II odontoid fracture c) Type III odontoid fracture d) Jefferson fracture 2 / 2 All of the following are true about odontoid fractures except a) The incidence of this injury increases with age, making it the most common cervical spine fracture in the elderly population b) Type III is the commonest type c) Open mouth radiographs have been traditionally used in diagnosis, although CT is now the standard of care d) Os odontoideum can mimic a type I fracture Your score is The average score is 100% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 0 Created on July 11, 2022 By Rajeev Mohanty Case of the Week 11 July 2022 1 / 2 The radiographs of the shoulder depict a) Anterior dislocation of the shoulder b) Posterior dislocation of the shoulder c) Bankart Lesion d) Hill Sachs Deformity 2 / 2 All are true about Posterior dislocation of the shoulder, except a) It is more common than anterior dislocation of the shoulder b) can be difficult to identify if only AP projections are obtained c) In adults, convulsive disorders are the most common cause d) the humeral head is forced posteriorly in internal rotation while the arm is abducted Your score is The average score is 0% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 1 Created on July 07, 2022 By Rajeev Mohanty Case of the Week 07 July 2022 1 / 2 In a patient with diverticulitis the arrow most likely indicate a) Fistula b) Adhesion c) Mass. d) Stricture. 2 / 2 Of the following, the most common complication of diverticulitis is a) Fistula b) Neoplasm c) Abscess d) Bowel obstruction Your score is The average score is 50% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 1 Case of the Week 27 June 2022 1 / 2 The arrow in the above image indicates a a) Mass b) Filling defect c) Cavitary lesion d) consolidation. 2 / 2 Additional radiological signs which may be seen in Pulmonary Thromboembolism include a) Right heart enlargement b) Reflux of contrast into the IVC c) Wedge-shaped lung opacity d) All of the above. Your score is The average score is 50% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 2 Case of the Week 20 June 2022 1 / 2 The images in this patient with acute onset of chest pain show Aortic intramural hematoma Hemopericardium Potential cardiac tamponade All of the above 2 / 2 The sign on the noncontrast CT that indicates this diagnosis is Hyperdense crescent sign Doughnut sign Terry Thomas sign Drooping lily sign Your score is The average score is 25% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 5 Case of the Week 13 June 2022 1 / 2 The type of fracture is Avulsion fracture Greenstick fracture Blowout fracture Pathologic fracture 2 / 2 The structure that is fractured is the Greater tubercle Lesser tubercle Humeral neck Humeral head Your score is The average score is 70% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 6 Case of the Week 06 May 2022 1 / 2 The CT scan of the neck shows A) Peritonsillar abscess B) Ludwigs Angina C) Retropharyngeal abscess D) Submandibular sialadenitis 2 / 2 All are true about retropharyngeal abscess except a) Half of the retropharyngeal abscesses are believed to be attributed to antecedent upper respiratory tract infection b) the number one cause of death in patients with retropharyngeal abscess is upper airway occlusion c) Retropharyngeal abscesses are often polymicrobial infections d) Oral antibiotics are generally sufficient to treat this infection Your score is The average score is 67% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 3 Case of the Week 30 May 2022 1 / 2 The sign on the noncontrast CT that indicates this diagnosis is Hyperdense crescent sign Doughnut sign Terry Thomas sign Drooping lily sign 2 / 2 The images in this patient with acute onset of chest pain show a) Aortic intramural hematoma b) Hemopericardium c) Potential cardiac tamponade d) All of the above Your score is The average score is 50% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 3 Case of the Week 23 May 2022 1 / 2 The sign on the noncontrast CT that indicates this diagnosis is Hyperdense crescent sign Doughnut sign Terry Thomas sign Drooping lily sign 2 / 2 The images in this patient with acute onset of chest pain show a) Aortic intramural hematoma b) Hemopericardium c) Potential cardiac tamponade d) All of the above Your score is The average score is 33% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 0 Case of the Week 16 May 2022 1 / 2 The delayed contrast CT images show a) Rectal perforation b) Intraperitoneal bladder rupture c) Extraperitoneal bladder rupture d) Hemoperitoneum 2 / 2 The following are true about extraperitoneal bladder rupture except a) It is the least common type of bladder injury, accounting for 10 % of cases b) It is usually the result of pelvic fractures or penetrating trauma. c) The site of injury is usually at the bladder base anterolaterally d) It is represented by the molar tooth sign Your score is The average score is 0% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 12 Case of the Week 09 May 2022 1 / 2 The delayed contrast CT images show a) Rectal perforation b) Intraperitoneal bladder rupture c) Extraperitoneal bladder rupture d) Hemoperitoneum 2 / 2 The following are true about extraperitoneal bladder rupture except a) It is the least common type of bladder injury, accounting for 10 % of cases b) It is usually the result of pelvic fractures or penetrating trauma. c) The site of injury is usually at the bladder base anterolaterally d) It is represented by the molar tooth sign Your score is The average score is 50% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 15 Case of the Week 02 May 2022 1 / 2 The pelvic radiograph shows a) AVN of the left hip b) AVN of the right hip c) Left pubic ramus fracture d) Right femoral neck fracture 2 / 2 Risk factors for this entity include all except a) Femoral neck fracture or dislocation b) Chronic steroid use c) Abstinence from alcohol d) Sickle cell disease Your score is The average score is 60% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 9 Case of the week 25 April 2022 1 / 2 All are true of this injury except a) These are flexion-distraction type injuries of the spine that extend to involve all three spinal columns b) high association with visceral injuries c) Often result from seat-belt injury d) Patients with neurologic symptoms should be managed conservatively 2 / 2 The appropriate term for the injury seen on this CT scan is a) Chance fracture b) Chopart fracture c) Choice fracture d) Torus fracture Your score is The average score is 44% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 180 CASE OF THE WEEK 18 April 2022 1 / 2 The most likely diagnosis on this contrast CT of the abdomen and pelvis is a) Mesenteric volvulus b) Acute appendicitis c) Gallstone pancreatitis d) Perforated diverticulitis 2 / 2 All are true about this entity except a) In the Western world, gallstones are the leading cause of acute pancreatitis, causing up to 40% of cases b) Larger size of the stones increases the risk for biliary pancreatitis. c) For patients with gallstones, the risk of biliary pancreatitis is up to 7% on long term follow-up d) ERCP is indicated for ascending cholangitis Your score is The average score is 49% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 17 Case of the week 11 April 2022 1 / 4 In a young female with right pelvic pain the findings most likely represent Hydrosalpinx Appendicitis Ovarian torsion Diverticular abscess 2 / 4 The common organisms involved in PID are all except Chlamydia Gardnerella Neisseria Meningococcus 3 / 4 The most likely diagnosis on this contrast CT scan is a) Appendicitis b) Intususception c) Abdominal aortic aneurysm d) Internal hernia 4 / 4 The following facts about this entity are correct except a) Bariatric surgery predisposes to this condition b) The foramen of Winslow is the most common location c) Often presents with obstruction of bowel d) CT is the modality of choice for its evaluation Your score is The average score is 62% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 20 Case of the week 16 March 2022 1 / 2 Radiologic signs of mesenteric ischemia visible on this image include all of the following except Small bowel wall thickening Mesenteric vascular gas Mesenteric hyperemia SMA occlusion 2 / 2 Of the following, the most specific sign of mesenteric ischemia is Fluid levels in the bowel Bowel wall thickening Pneumatosis of the bowel wall Free intraperitoneal air Your score is The average score is 55% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 18 Case of the week 07 March 2022 1 / 2 What is the diagnosis?History: 13/y male with pain in right hip and walking difficulty. Perthes disease Slipped capital femoral epiphysis Tuberculous arthritis Juvenile rheumatoid arthritis 2 / 2 What is the main role of MRI in assessment of disease? Early diagnosis Cartilaginous involvement Assessment of joint congruence and containment All of the above. Your score is The average score is 81% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 10 Case of the week 28 February 2022 1 / 2 The CT scan of the neck shows Peritonsillar abscess Ludwigs Angina Retropharyngeal abscess Submandibular sialadenitis 2 / 2 All are true about retropharyngeal abscess except Half of the retropharyngeal abscesses are believed to be attributed to antecedent upper respiratory tract infection The number one cause of death in patients with retropharyngeal abscess is upper airway occlusion Retropharyngeal abscesses are often polymicrobial infections Oral antibiotics are generally sufficient to treat this infection. Your score is The average score is 50% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 5 Case of the week 21 February 2022 1 / 2 The images in this patient with acute onset of chest pain show Aortic intramural hematoma Hemopericardium Potential cardiac tamponade All of the above 2 / 2 The sign on the noncontrast CT that indicates this diagnosis is Hyperdense crescent sign Doughnut sign Terry Thomas sign Drooping lily sign Your score is The average score is 20% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 7 Case of the week 14 February 2022 1 / 2 The CT images demonstrate findings of all except Spondylitis Discitis Psoas phlegmon Compression fracture 2 / 2 All of the following are true about spinal infection except Accounts for less than 5% of osteomyelitis overall Fever is a common presenting symptom Vertebral endplates are more commonly involved because of their abundant vascular supply The thoracolumbar junction is the most commonly affected segment of the spine involved in tuberculous infection Your score is The average score is 21% LinkedIn Facebook Twitter VKontakte 0% Restart quiz
