Case of the Week 22 Case of the Week 9 September 2024 1 / 2 The CT images of the abdomen demonstrate Small densely enhancing/calcified spleen H shaped vertebrae Both of the above Neither of the above 2 / 2 Imaging features of sickle cell anemia commonly include all except Splenic infarction and autosplenectomy Gallstones H shaped vertebrae Lung cavities Your score is The average score is 77% LinkedIn Facebook Twitter 0% Restart quiz Previous Week Cases 21 Case of the Week 2 September 2024 1 / 2 The signs demonstrated are respectively Coffee bean sign, beak sign, whorl sign Football sign, wing sign, twist sign Rigler sign, claw sign, loop sign Continuous diaphragm sign, feather sign, curl sign 2 / 2 All of the following are true about Sigmoid volvulus except Is the commonest type of colonic volvulus Can be treated endoscopically if uncomplicated Is more common in Africa It is seen more commonly in young people Your score is The average score is 64% LinkedIn Facebook Twitter 0% Restart quiz 26 Case of the Week 26 August 2024 1 / 2 What type of Salter Harris injury does this represent. Type 1: Separation through the physes Type 2: Fracture through a portion of the physes that extends through the metaphyses Type 3: Fracture through a portion of the physes that extends through the epiphyses and into the joint. Type 4: Fracture through the metaphyses, physes and epiphyses 2 / 2 Is this a stable or unstable injury? Stable because of faster healing rates in pediatric age group. Stable because fragments are undisplaced. Unstable because of injury to the growth plate/physes Unstable because of intra-articular extension Your score is The average score is 33% LinkedIn Facebook Twitter 0% Restart quiz 33 Case of the Week 19 August 2024 1 / 2 The CT scan of the abdomen and pelvis in a patient with right lower quadrant pain shows Acute appendicitis Epiploic appendagitis Rectus sheath hematoma Terminal ileitis 2 / 2 Contrast Extravasation within a soft tissue hematoma is evidence of Recent trauma Active hemorrhage Underlying tumor Developmental anomaly Your score is The average score is 70% LinkedIn Facebook Twitter 0% Restart quiz 29 Case of the Week 12 August 2024 1 / 2 What is the diagnosis? Flipped lateral meniscus Root tear of the lateral meniscus Discoid lateral meniscus Lateral meniscus extrusion. 2 / 2 Which of these statements about flipped meniscus is false? Most flipped menisci occur on the lateral side. It is a type of bucket handle tear. The ACL prevents the meniscal fragment from completely migrating into the intercondylar notch. Meniscus within meniscus sign is seen. Your score is The average score is 36% LinkedIn Facebook Twitter 0% Restart quiz 20 Created on August 05, 2024 Case of the Week 5 August 2024 1 / 2 What is the diagnosis? Complete rupture of brachialis tendon Partial rupture of brachialis tendon Complete rupture of distal biceps tendon Partial rupture of distal biceps tendon. 2 / 2 Which of these is true about the attachment of the short head of the distal biceps tendon onto the bicipital tuberosity? Short head attaches anteriorly and distally Short head attaches posteriorly and distally Short head attaches anteriorly and proximally Short head attaches posteriorly and proximally. Your score is The average score is 28% LinkedIn Facebook Twitter 0% Restart quiz 47 Created on July 23, 2024 Case of the Week 23 July 2024 1 / 2 The sign demonstrated on this CT examination is White cerebellum sign Pseudosubarachnoid hemorrhage sign Both of the above Neither of the above 2 / 2 The findings are most consistent with the following clinical presentation Near drowning Mild headache Slipped and fell Developmental delay Your score is The average score is 46% LinkedIn Facebook Twitter 0% Restart quiz 49 Created on July 17, 2024 Case of the Week 17 July 2024 1 / 2 What is the the likely diagnosis? Encrusted ureteric stent Uterine calcified fibroid Calcified vesical mass Peritoneal loose body 2 / 2 What are the potential complications of an encrusted ureteric stent? Urinary tract infection/urosepsis Dislodgement of stent Stent blockage All of the above Your score is The average score is 70% LinkedIn Facebook Twitter 0% Restart quiz 36 Created on July 08, 2024 Case of the Week 8 July 2024 1 / 2 What is the most likely diagnosis in this 29-year-old male patient with diffuse abdominal pain nausea vomiting and diarrhea? Tubercular colitis Ulcerative colitis Ischemic colitis Amoebic colitis 2 / 2 What are the findings? Colonic wall thickening Pericolonic hyperemia Ahaustral colon All of the above Your score is The average score is 67% LinkedIn Facebook Twitter 0% Restart quiz 49 Created on June 27, 2024 Case of the Week 27 June 2024 1 / 2 The CT images of the chest show all the findings except Mediastinal hematoma Penetrating foreign body Hemopericardium Aortic injury 2 / 2 All of the following statements are true about penetrating cardiac injury, except Penetrating cardiac injuries are uncommon and represent a small fraction of penetrating trauma overall. Penetrating Cardiac Injury can result in Cardiac Tamponade, shock and death Iatrogenic penetrating cardiac trauma is most often seen following pericardiocentesis. Beck’s Triad (muffled heart sounds, jugular venous distension and hypotension) and Kussmaul’s sign (jugular venous distension with inspiration) are seen in the majority of patients who present with pericardial tamponade Your score is The average score is 31% LinkedIn Facebook Twitter 0% Restart quiz 56 Created on June 13, 2024 Case of the Week 13 June 2024 1 / 2 What is the diagnosis? Intestinal obstruction. Distal CBD calculus and biliary obstruction Pancreatic cancer and biliary obstruction Portal vein thrombosis. 2 / 2 What is the associated complication? Liver abscess. Acute cholecystitis. Pneumoperitoneum. None. Your score is The average score is 56% LinkedIn Facebook Twitter 0% Restart quiz 52 Created on June 03, 2024 Case of the Week 3 June 2024 1 / 2 What is the most likely diagnosis based on the given AP chest XR image? Mediastinal mass Right sided thoracic aorta Thyroid enlargement Thoracic aortic aneurysm 2 / 2 Which among the following is true of this pathology? Thymoma is located in the middle mediastinum Unlike lung lesions, a mediastinal mass will not contain air bronchograms A mediastinal mass will sit under the surface of the mediastinum and create acute angles with the lung. Mediastinal lipoma may contain fluid Your score is The average score is 55% LinkedIn Facebook Twitter 0% Restart quiz 63 Created on May 27, 2024 Case of the Week 27 May 2024 1 / 2 What is your diagnosis? Hematometra Hematocolpos. Hematometrocolpos. Uterus didelphys 2 / 2 What are the diagnostic features of this case? Distension of the uterine cavity and cervical canal. Distension of the vagina. High density fluid content. All of the above. Your score is The average score is 53% LinkedIn Facebook Twitter 0% Restart quiz 67 Created on May 10, 2024 Case of the Week 10 May 2024 1 / 2 What is the diagnosis? Gastritis. Cholecystitis. Acute necrotizing pancreatitis Omental infarction. 2 / 2 What is the associated complication? Bowel perforation. Splenic vein thrombosis. Active hemorrhage. Bowel obstruction. Your score is The average score is 64% LinkedIn Facebook Twitter 0% Restart quiz 77 Created on March 26, 2024 Case of the Week 26 March 2024 1 / 2 What’s your diagnosis? Small bowel obstruction. Internal hernia. Cecal volvulus Ileus. 2 / 2 Which of the following are diagnostic clues in such a case Haustral folds in distended bowel loop. Whirl sign of mesentery. Coffee bean sign. All of the above. Your score is The average score is 43% LinkedIn Facebook Twitter 0% Restart quiz 66 Created on February 27, 2024 Case of the Week 27 Feb 2024 1 / 2 In a patient with sore throat and fever, the CT scan of the neck demonstrates a small Retropharyngeal abscess Peritonsillar abscess Bezold abscess Parotid abscess 2 / 2 The traditional name for this condition was Dropsy Quinsy Flimsy Banksy Your score is The average score is 58% LinkedIn Facebook Twitter 0% Restart quiz 70 Created on February 06, 2024 Case of the Week 6 Feb 2024 1 / 2 In a patient with paroxysmal cough and left anterior chest pain the images likely represent Rib fracture Costal cartilage fracture Sternal fracture Clavicle fracture 2 / 2 The associated finding is Pneumothorax Pneumomediastinum Chest wall hematoma Hemopericardium Your score is The average score is 64% LinkedIn Facebook Twitter 0% Restart quiz 77 Created on January 29, 2024 Case of the Week 29 Jan 2024 1 / 2 All are seen on the scan except Colonic obstruction Colonic wall pneumatosis Rectal wall thickening Ruptured aneurysm 2 / 2 Pneumatosis is a sign of Infarcted bowel Penetrating trauma Bowel obstruction Gastrointestinal hemorrhage Your score is The average score is 53% LinkedIn Facebook Twitter 0% Restart quiz 59 Created on January 11, 2024 Case of the Week 11 Jan 2024 1 / 2 The vascular lesion demonstrated is most likely a Penetrating Aortic Ulcer Aortic Dissection Intramural Hematoma Aortic Pseudoaneurys 2 / 2 Differentiators between Penetrating Aortic Ulcer (PAU) and Aortic Dissection (AD) are related to PAU occurs in older patients with atherosclerosis PAU more commonly occurs in the distal thoracic aorta PAU can be classified by the Stanford classification PAU may occur as an incidental finding Your score is The average score is 27% LinkedIn Facebook Twitter 0% Restart quiz 49 Created on January 02, 2024 Case of the Week 2 Jan 2024 1 / 2 What is the diagnosis? Ruptured aortic aneurysm Endoleak Saccular pseudoaneurysm Hemorrhagic cyst 2 / 2 Which of the following is not correct regarding endovascular leak ? Type I endoleak leakage of blood between stent-graft and one of Type II endoleak: reflux of blood into aneurysm sac through collateral vessels, most commonly lumbar or inferior mesenteric arteries Type III endoleak: leakage of blood through defect in stent-graft wall. Type III is the most common type Your score is The average score is 45% LinkedIn Facebook Twitter 0% Restart quiz 67 Created on December 07, 2023 Case of the Week 07 Dec 2023 1 / 2 Which of the following is the most common predisposing factor for emphysematous cystitis? Prolonged catheterization. Diabetes mellitus. Neurogenic bladder Immunocompromised state 2 / 2 The main diagnostic feature of emphysematous cystitis on imaging is Gas within the urinary bladder wall. Wall thickening. Perivesical fat stranding. Intraluminal gas. Your score is The average score is 60% LinkedIn Facebook Twitter 0% Restart quiz 53 Created on November 15, 2023 Case of the Week 15 Nov 2023 1 / 2 What diagnosis best fits the above images? Metastatic carcinoid tumor. Small bowel obstruction due to intussusception. Colon carcinoma with colonic obstruction. Impacted fecal matter and stercoral colitis. 2 / 2 All the following are true except In small bowel obstruction, abdominal pain is described as intermittent and colicky but improves with vomiting, while the pain associated with LBO is continuous. The vomiting in small bowel obstruction tends to be more frequent, in larger volumes, and bilious, which is in contrast to vomiting during an large bowel obstruction, which typically presents as intermittent and feculent when present. Abdominal distention is marked in large bowel obstruction with obstipation more commonly present Large bowel obstruction will mimic small bowel obstruction if the ileocecal valve is competent. Your score is The average score is 44% LinkedIn Facebook Twitter 0% Restart quiz 40 Created on October 16, 2023 Case of the Week 16 Oct 2023 1 / 2 Which is the most likely etiology based on the reformatted image? Ureterocele. Retroaortic left renal vein Bladder Neoplasm Trauma 2 / 2 What is the most likely diagnosis for the renal finding? Left pyelonephritis. Obstructed left ureter Left renal vein thrombosis Left renal artery stenosis Your score is The average score is 20% LinkedIn Facebook Twitter 0% Restart quiz 60 Created on September 25, 2023 Case of the week 25 Sept 2023 1 / 2 What is the diagnosis? TORCH infection AVM Sturge weber syndrome Healed cortical infarct 2 / 2 Which of the following is not CT findings in sturge weber syndrome subcortical calcification (seen at an earlier age than plain film) and associated parenchymal volume loss Tram-track sign of cortical and subcortical calcification ipsilateral choroid plexus may be enlarged Ventriculomegaly Your score is The average score is 53% LinkedIn Facebook Twitter 0% Restart quiz 49 Created on September 19, 2023 Case of the Week 19 Sept 2023 1 / 2 What is the diagnosis? Retroperitoneal rhabdomyosarcoma Retroperitoneal extramedullary hematopoiesis Retroperitoneal fibrosis Abdominal aorta thrombosed aneurysm 2 / 2 Which of the following is a false statement regarding retroperitoneal fibrosis? Which of the following is a false statement regarding retroperitoneal fibrosis? It causes medial deviation of the middle third of the ureters. It develops around the renal hila and spreads downwards where it can envelop the aortic bifurcation. On MRI, the soft tissue mass is usually dark on T1W and T2W unless there is an active inflammation whereby the T2W images can be hyperintense. Your score is The average score is 49% LinkedIn Facebook Twitter 0% Restart quiz 74 Created on September 04, 2023 Case of the Week 4 September 2023 1 / 2 In this patient with head trauma the most likely diagnosis is Epidural hematoma Subdural hematoma Diffuse Axonal Injury Duret Hemorrhage 2 / 2 Features of DAI include all except The mechanism is commonly a shear injury The neurologic manifestations are disproportionate to the imaging findings Hemorrhages commonly involve the grey-white interface and corpus callosum CT is superior to MRI in evaluation Your score is The average score is 59% LinkedIn Facebook Twitter 0% Restart quiz 54 Created on August 29, 2023 Case of the Week 28th August 2023 1 / 2 What is the diagnosis? Lacunar infarcts Prominent Virchow Robin space Carbon monoxide poisoning Neurogenic cyst 2 / 2 Which of the following is a false statement regarding carbon monoxide poisoning? arbon monoxide poisoning may result in an anoxic-ischemic encephalopathy, with acute as well as delayed effects. Carbon monoxide strongly binds to hemoglobin and the resultant carboxyhemoglobin in the bloodstream can cause profound hypoxic/anoxic injury Treatment consists of administering 100% oxygen which accelerates the elimination of carboxyhemoglobin 9.
