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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 11

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 1-year old girl presented with vomiting

Gastric Volvulus
Mesentericoaxial

A 22-year old man presented with abdominal trauma
Renal artery / vascular pedicle injury
A 32-year old man presented with acute abdominal pain and vomiting for 1 day
Right Paraduodenal Hernia
A 46-year old afebrile woman presented with pain in the right lower abdomen for 2 days.
Epiploic Appendagitis
A 28-year old man had episodic severe abdominal pain.
Median Arcuate Ligament Syndrome (Celiac Axis Compression Syndrome)


Chest

Question
Answer
A 23-year old man presented with fever, chills and rigor. After a visit to a family physician, a chest radiograph was performed.
Mercury Poisoning
A 62-year old man with a stroke came to the ICU.
Endotracheal tube related aspiration of tooth into the pyriform sinus
A 4-year old boy presented with a history of recurrent cough and suspected foreign body aspiration
Bronchial Atresia of the Right Middle Lobe
A 50-year old man presented with gradually increasing disorientation
Dysphagia Lusoria
A 1- 1/2 year old had cough and breathlessness (Figs. 1, 2).
Obstructive Overinflation – Foreign Body in the Left Main Bronchus
A 55-year old man presented with a 6-months history of breathlessness.
Mitral Stenosis with Left Sided Failure

Musculoskeletal

Question
Answer
A 43-year old man presented with pain along the ulnar aspect of the thumb
Gamekeeper’s thumb
A 17-year old presented with pain and swelling in the left shoulder.
Telangiectatic Osteosarcoma
A 40-year old presented with left hip joint pain for 2 years.
Synovial Osteochondromatosis
A 6-year old presented with unilateral knee pain, a limited range of movement and a genu varus deformity.
Dysplasia Epiphysealis Hemimelica – Trevor disease
A 46-year old presented with backache.
1. Ankylosing spondylitis
2. Andersson lesion
A 55-year old presented with right hip pain
1.Thick mean CT scan images
2. Dislocation of the femoral component of a right THR
A 1-year old girl presented with failure to thrive, joint swelling and persistent crying.
Rickets
A 7-year old boy presented with a history of trauma a few weeks ago and inability to completely extend his arm.
Avulsion of the Medial Epicondyle (Salter-Harris I Injury)
A 5-month old child presented with pain, swelling and redness over the right clavicle over the last 3 months, which had remained static over the last 1 month.
Idiopathic Cortical Hyperostosis of the Clavicle
A 1- 1/2 year old had cough and breathlessness (Figs. 1, 2).
Lipoma Arborescens
A 15-year old boy presented with backache..
Aneurysmal Bone Cyst
A 53-year old lady presented with pain and swelling of the wrist joints.
Rheumatoid Arthritis
A stillborn baby was delivered to a diabetic mother
Sirenomelia
A 62-year old woman presented with knee pain for 3 months. There was no history of trauma.
Spontaneous Osteonecrosis of the Knee (SONK)
A 27-year old man presented with long-standing pain in the right foot and ankle region.
Non-Osseous Talocalcaneal Coalition
A 19-year old boy presented with pain in the left knee.
Telangiectatic Osteosarcoma
A 46-years old man presented with pain in the dorsal region. Subacute Posterior Epidural Hematoma
A 53-years old man presented with foot pain and difficulty in walking. There was no history of trauma.
Neuroarthropathy


Neuro

Question
Answer
A 50-year old man presented with gradually increasing disorientation
CADASIL (Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarct and Leukoencephalopathy)
A 10-year old boy presented with intractable myoclonic seizures for the last 5 years.
Subacute Sclerosing Panencephalitis
A young boy presented with seizures.
Corpus Callosal Lipoma
A patient presented with seizures and visual problems.
Neurofibromatosis 1
A patient presented with headaches
Colloid Cyst
A 9 year old boy presented with seizures.
Subependymal Nodular Heterotopia


Vascular

Question
Answer
A 44-year old man came with hemobilia. He had a history of a recent laparoscopic cholecystectomy
Mycotic pseudoaneurysm of the right hepatic artery
A middle-aged patient presented with abdominal pain.
Persistent Sciatic Artery


Breast

Question
Answer
A 69-year old man presented with a firm swelling in the right breast
Male breast cancer
A 73-year old lady presented with a history of lump in the left breast. There was no pain, fever, trauma or a family history of cancer. Mucinous Carcinoma of the Breast (other terms: Colloid, Mucous or Gelatinous Carcinoma)


Cardiac


Head & Neck

Question
Answer
A 42-year old anemic woman presented with dysphagia, more for solids than liquids, for 3 months.
Plummer-Vinson syndrome
A 55-year old woman, known to have Stage IV carcinoma of the larynx, presented with acute sensory deterioration and fall in blood pressure/hypotension. An emergency CT angiogram (Fig. 1) was performed.
Tumor Invasion of the Internal Carotid Artery with Extravasation of Contrast
A 22-year old woman presented with chronic left facial pain of a few months’ duration.
Left Trigeminal Nerve Schwannoma
An 18-year old man presented with persistent vague pain in the right upper neck for 3 weeks. Foreign Body (Fish-Bone) in the Submandibular Gland
An 18-year old man presented with persistent vague pain in the right upper neck for 3 weeks. Foreign Body (Fish-Bone) in the Submandibular Gland


Pelvis

Question
Answer
A 24-year preganant lady, of 17-18 weeks gestational age came for an antenatal scan. USG was performed.
Alobar holoprosencephaly
A 36-year old lady presented with lower abdominal pain
Migration of an intrauterine contraceptive device
A 20-year old pregnant lady, with a 21 weeks gestation came for her first obstetric scan
Arnold Chiari – II Malformation
An adult man
Bladder Duplication
This fetus had iniencephaly and an associated congenital anomaly.
Congenital Diaphragmatic Hernia













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