Case of the Week 0 Created on June 27, 2022 By Rajeev Mohanty 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 0% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 2 Created on June 20, 2022 By Rajeev Mohanty 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 4 Created on June 13, 2022 By Rajeev Mohanty 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 88% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 6 Created on June 06, 2022 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 Created on May 30, 2022 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 Created on May 23, 2022 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 Created on May 16, 2022 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 Created on May 09, 2022 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 Created on May 02, 2022 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 Created on April 25, 2022 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 19 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 58% 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 14 Case of the week 07 February 2022 1 / 2 In a patient with bloody diarrhea, the CT findings include Colonic wall edema Pneumatosis coli Portal venous gas All of the above 2 / 2 The diagnosis is most likely Ulcerative colitis Ischemic colitis Amebic colitis None of the above Your score is The average score is 61% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 12 Case of the week 31 January 2022 1 / 2 Findings are characteristic of Trauma Posterior reversible Encephalopathy syndrome (PRES) Cysticercosis Pick’s Disease 2 / 2 The lesions are in the Parietal lobes, grey matter Frontal lobes, white matter Temporal lobes, grey matter Occipital lobes, white matter Your score is The average score is 75% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 26 Case of the week 24 January 2022 1 / 2 In a patient presenting with sudden onset of abdominal pain, the findings above are most suggestive of a Sigmoid volvulus Cecal volvulus Gastric volvulus Intusussception 2 / 2 All of the following are correct except: Cecal volvulus accounts for approximately 50% of all intestinal volvulus Cecal volvulus generally occurs in somewhat younger patients than with a sigmoid volvulus. In the absence of bowel wall ischemia, the treatment can be performed endoscopically If unrecognized and untreated, it can result in bowel perforation and fecal peritonitis. Your score is The average score is 35% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 25 Case of the week 10 January 2022 1 / 2 The noncontrast CT in this patient who is post cardiac arrest (left image current, right image prior for comparison) shows all the following signs except: Effacement of sulci, ventricles and basal cisterns Loss of gray-white matter differentiation Pontine hemorrhage Pseudo Subarachnoid hemorrhage sign 2 / 2 The physiologic basis for these changes in the given setting includes Ruptured aneurysm resulting in Subarachnoid hemorrhage Hypoxic injury resulting in cerebral edema Vascular occlusion resulting in cerebral infarct Dehydration resulting in Dural sinus thrombosis Your score is The average score is 64% 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 9 Case of the week 27 December 2021 1 / 3 The location of the hemorrhage is the Falx Pons Midbrain Cerebellum 2 / 3 Risk factors for brainstem hemorrhage include Hypertension Vascular malformation Bleeding diathesis All of the above 3 / 3 The following are true about midbrain haemorrhage The majority present with acute symptoms Common presenting symptoms are alteration of consciousness and headache Most patients deteriorate rapidly In approximately 1/3 no cause is apparent Your score is The average score is 70% LinkedIn Facebook Twitter VKontakte 0% Restart quiz 12 Case of the week 20 December 2021 1 / 2 The CT images demonstrate a Gastric volvulus Small bowel volvulus Cecal volvulus Sigmoid volvulus 2 / 2 All are true except Approximately 60% of intestinal volvulus involves the sigmoid colon Sigmoid volvulus is more common in younger patients Bird beak sign is a radiologic feature of sigmoid volvulus Endoscopic detorsion in the initial treatment of choice. Your score is The average score is 58% LinkedIn Facebook Twitter VKontakte 0% Restart quiz