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The Archives of volumes 1-13 - ie till Dec 2012, are available as a CD. The CD contains around 593 quizzes that were put up on the REF site in the years 1999-2012. For details on purchasing the CD, click here.

ARCHIVES VOLUME 10

Section Editors :

Abdominal Dr. Dushyant Sahani
Head & NeckDr. Meher Ursekar
Neuro Dr. Gaurang Shah

Quizzes By Region:
-Abdominal
-Chest
-Musculoskeletal

-Neuro
-Breast
-Vascular

-Cardiac
-Head & Neck
-Pelvis


Abdominal

Question
Answer
A 67-year old lady presented with pain in the abdomen. Intussusception
A 46-year old woman came with pelvic pain. A routine USG was performed. IUCD in the Urinary Bladder
A 52-year old man came with abdominal pain. A CT scan was performed. Carcinoid with Liver Metastases
A 28-year old mentally challenged lady came with abdominal distension. Abdominal USG was performed. Bilateral Angiomyolipomas: Tuberous Sclerosis
A 52-year old woman came with abdominal pain. A CT scan was performed.

Carcinoma Stomach
Liver metastases
Ovarian metastases (Krukenberg tumor)

A 55-year old man, being worked up, prior to a bypass surgery was found to have a vague abdominal lump on palpation. Subsequent studies revealed all tumor markers to be negative Mesenteric Panniculitis
A 21-year old woman presented with a history of chronic right upper quadrant pain lcified Roundworms (Ascariasis) in the Right Hepatic Duct
A 38-year old woman presented with fever, abdominal pain, weight loss for 7 months and anemia Ruptured Hydatid Cyst
A 38-year old woman presented with symptoms of subacute intestinal obstruction and systemic inflammatory response, 15 days after an open cholecystectomy. Gossypiboma (Retained gauze piece)
A 35-year old man presented with obstructive jaundice 1. Percutaneous transhepatic biliary drainage (PTBD) with a CT cholangiogram
2. Common hepatic duct stricture following laparoscopic cholecystectomy
A 38-year old lady presented with left iliac fossa pain. Spigelian hernia


Chest

Question
Answer
A 52-year old lady came with dyspnea. Scleroderma
A 66-year old man came with hemoptysis. There was no fever, malaise or dyspnea and the ESR was normal. Bronchoalveolar Carcinoma
A 2-year old came with breathlessness. Congenital Cystic Adenomatoid Malformation
A 43-year old man with interstitial disease came for evaluation Silicosis / Coal-Worker’s Pneumoconiosis / Progressive Massive Fibrosis
A 22-year old lady came with heaviness in the chest after having food. She had a history of surgery in childhood. Coloplasty

Musculoskeletal

Question
Answer
A 19-year old man with a history of trauma presented with pain for 1½ months. Freiberg Infraction
An 11-year old girl presented with scoliosis Neurofibromatosis
A 45-year old man presented with pain in the knee. Hemophilic Arthropathy
A 28-year old man presented with trauma.

1. Avulsion injury of the fibular head (fibular collateral ligament fracture avulsion)
2. Segond fracture (ilio-tibial tract fracture avulsion of tibial plateau).

A 21-year-old man presented with heel pain. Haglund’s Syndrome 
A 46-year old lady with carcinoma ovary came for a follow-up PET/CT study, post-chemotherapy with pain in the right hip joint Avascular necrosis of the femoral head
A 57-year old woman presented for an MRI of the lumbar spine with a history of low back pain. Osteopetrosis (Autosomal dominant adult type 1)
A 32-year old man presented with pain in the shoulder. Calcific tendonitis


Neuro

Question
Answer
A 67-year old man with a history of long-standing alcohol consumption came with sudden onset of slurring of speech, electrolyte imbalance and rigidity of all four limbs. Extrapontine Myelinolysis (EPM)
A 42-year old man presented with severe headache and vomiting. Venous Sinus Thrombosis
A 16-year old girl presented with short stature and primary amenorrhea. An MRI of the brain was performed. Pituitary Stalk Interruption Syndrome
A 56-year-old man presented with acute onset drowsiness and lethargy. A CT scan was performed. (Figs. 1, 2) Artery of Percheron Infarct
A 79-year old lady came with acute exacerbation of asthma. Hypoxic-Ischemic Encephalopathy
A 73-year old lady came for an MRI angiography. Persistent Hypoglossal Artery
A 20-year old man presented with sudden onset, excruciating headache. Leaking Dermoid
A 30-year old man presented with a history of unconsciousness, after severe head injury 4 months ago. He had developed right upper limb tremors. a. Hypertrophic olivary degeneration of the left medullary olive
b. Impairment of the Guillain-Mollaret triangle (dentatorubral-olivary pathway).
A 5-year old child presented with a history of trivial trauma. The father then noted a scalp swelling. There was no other history. An MRI was performed. Hydatid Cyst


Vascular

Question
Answer
A 54-year old man presented with intermittent claudication. Infra-renal Aortic Occlusion
A 48-year old man presented for angiography following subarachnoid hemorrhage. Subclavian Steal Phenomenon
A 35-year old lady came for a particular procedure Stellate ganglion block


Breast

Question
Answer
A 56-year old lady came for a screening mammogram. Fibroadenolipoma
A 50-year old lady with implants came for a breast MRI.

Right subglandular and left subpectoralis silicone implants
Left implant rupture


Cardiac

Question
Answer
An asymptomatic 11-year old body came with dextrocardia and chest X-ray abnormalities. A CT scan of the chest was performed. Scimitar Syndrome: Right Lung Hypoplasia with Trifurcation of the Trachea with Anomalous Drainage of the Right Superior Pulmonary Vein into the IVC
A 43-year lady underwent a cardiac MRI. Sarcoidosis
A 40-year old man was being evaluated for angina. Coronary-cameral fistula between the left main coronary artery and right atrium
A 15-year old boy presented with dyspnea and dysphagia Right sided aortic arch, circumflex and retro-esophageal
Kommerell’s diverticulum and aberrant origin of left subclavian artery


Head & Neck

Question
Answer
A 29-year old man came with a swelling in the right side of the face. An MRI was performed

Hemangioma
Buccal

A 45-year old man presented with pain in the right side of the face. PET/CT
Recurrent buccal carcinoma
A 54-year old woman presented with the history of a foreign body sensation in the throat and difficulty in swallowing. There was no history of vomiting, pain during swallowing, fever, weight loss or difficulty in breathing Lingual Thyroid


Pelvis

Question
Answer
A 15-year old girl presented with right iliac pain. Acute Ovarian Torsion
A 48-year old lady came for a routine check-up. USG pelvis was performed Dermoid cyst













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