CASE OF THE WEEK 0 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 isThe average score is 0% LinkedIn Facebook VKontakte 0% Restart quiz 11 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 isThe average score is 41% LinkedIn Facebook VKontakte 0% Restart quiz 11 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 isThe average score is 18% LinkedIn Facebook VKontakte 0% Restart quiz 10 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 isThe average score is 35% LinkedIn Facebook VKontakte 0% Restart quiz 17 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 isThe average score is 56% LinkedIn Facebook VKontakte 0% Restart quiz 14 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 isThe average score is 61% LinkedIn Facebook VKontakte 0% Restart quiz 13 Case of the week 03 January 2022 1 / 2 In a young female with right pelvic pain the findings most likely represent Hydrosalpinx Appendicitis Ovarian torsion Diverticular abscess 2 / 2 The common organisms involved in PID are all except Chlamydia Gardnerella Neisseria Meningococcus Your score isThe average score is 65% LinkedIn Facebook VKontakte 0% Restart quiz 10 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 isThe average score is 70% LinkedIn Facebook VKontakte 0% Restart quiz 18 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 isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 10 Case of the week 13 December 2021 1 / 2 The significant finding is Pneumobilia Pneumatosis Pneumothorax Pneumoperitoneum 2 / 2 Other causes of this finding include Toxic caustic ingestion Scleroderma Steroids Lymphangioleiomyomatosis Your score isThe average score is 55% LinkedIn Facebook VKontakte 0% Restart quiz 16 Case of the week 06 December 2021 1 / 2 The significant abnormality is in the Pituitary gland Falx Pineal gland Septum pellucidum 2 / 2 The following are true about pituitary apoplexy except An existing pituitary macroadenoma is usually present Pregnancy is a predisposing factor It may result in oculomotor palsy Hypopituitarism is an uncommon sequelae Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 13 Case of the week 29 November 2021 1 / 2 Hemorrhage is seen in all except Right thalamus Right lateral ventricle Left lateral ventricle Right frontal convexity 2 / 2 The pattern of hemorrhage is suggestive of a Bleed from vascular malformation Bleed from tumor Hypertensive bleed Ruptured aneurysm Your score isThe average score is 73% LinkedIn Facebook VKontakte 0% Restart quiz 11 Case of the week 22 November 2021 1 / 2 The image shows Bartholin cyst Perianal abscess Urethral diverticulum Vulvar abscess 2 / 2 All of the following facts are true about this entity except Much more common in females Usually appears in early adolescence Its size does not correlate with symptoms Causes recurrent urinary infections Your score isThe average score is 36% LinkedIn Facebook VKontakte 0% Restart quiz 14 Case of the week 15 November 2021 1 / 2 The radiograph shows Right AC joint subluxation Sternal fracture Left clavicle fracture Pneumothorax 2 / 2 All the following except ___________ can be better diagnosed on a lateral radiograph Vertebral compression fracture Sternal fracture Retropharyngeal abscess Widening of the carinal angle Your score isThe average score is 64% LinkedIn Facebook VKontakte 0% Restart quiz 12 Case of the week 25 October 2021 1 / 2 In a patient with a history of gastric sleeve surgery, the hepatic finding seen on the CT images above most likely represents Thrombosed hepatic vein Thrombosed portal vein Dilated bile duct Hepatic laceration 2 / 2 All of the following statements are correct except Portal vein thrombosis is a common complication of laparoscopic bariatric surgery Portal venous flow is affected by increased intraabdominal pressure with carbon dioxide pneumoperitoneum. Treatment of PVT is guided by the acuity of the disease and the underlying cause, if known. Clinical presentation may be subtle and requires a high index of suspicion. Your score isThe average score is 17% LinkedIn Facebook VKontakte 0% Restart quiz 7 Case of the week 18 October 2021 1 / 2 The CT angiogram of the brain demonstrates all the findings except Left transverse sinus thrombosis Left sigmoid sinus thrombosis Left internal jugular vein thrombosis Basilar artery thrombosis 2 / 2 Risk factors for the above would include Heparin overdose Hemophilia Thrombocytopenia COVID-19 infection Your score isThe average score is 50% LinkedIn Facebook VKontakte 0% Restart quiz 6 Case of the week 11 October 2021 1 / 2 In a patient experiencing abdominal pain following a motor accident the findings most likely represent Rectal perforation Small bowel perforation Urinary Bladder trauma Iliac vessel injury 2 / 2 The follow up delayed rescan confirms Intraperitoneal bladder rupture Extraperitoneal bladder rupture Malpositioned Foley Catheter Bowel rupture Your score isThe average score is 67% LinkedIn Facebook VKontakte 0% Restart quiz 6 Case of the week 04 October 2021 1 / 2 In a patient with a recent drop in hemoglobin, the significant finding on this CT scan is Iliopsoas hematoma Gluteal hematoma Rectus sheath hematoma Hemoperitoneum 2 / 2 All are true about this condition except Generally self-limiting More common in males Contrast CT can demonstrate active hemorrhage Anticoagulation is a risk factor Your score isThe average score is 58% LinkedIn Facebook VKontakte 0% Restart quiz 12 Case of the week 27 September 2021 1 / 2 In a patient with left flank pain, the most likely diagnosis on this non-contrast CT is Left psoas hematoma Pancreatic pseudocyst Left UPJ obstruction Angiomyolipoma 2 / 2 All of the following are correct about this condition except It can be congenital or acquired There is a female predominance It increases the risk of renal injury An anomalous vessel can result in this entity Your score isThe average score is 71% LinkedIn Facebook VKontakte 0% Restart quiz 8 Case of the week 20 September 2021 1 / 2
