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Archives of Quizzes: Contents of Volume 3

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.

Section Editors :

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

- Abdominal
- Breast
- Chest
- Head & Neck

- Musculoskeletal
- Neuro
- Pelvis


Abdominal

Question
Answer
 A fifty-years-old man had undergone upper abdominal surgery 4 months ago.
 Omental Infarction and Fat Necrosis
 A fifty-five-years old man presented with acute pain in the abdomen. A plain radiograph (Fig. 1) and CT (Figs. 2-4) were performed.
 Gallstone Ileus
 A 45-years old man presented with pain in the left loin. There was a history of febrile illness in the previous week.
 a. Striated Nephrogram
b. Acute Pyelonephritis
 A 67-years old lady presented with pain in the pelvis.
 Diverticulitis with Abscess
 A 20-years old man presented with sudden onset pain in the right iliac fossa. A barium enema was performed.
 Appendicular Intussusception
 A sixty-two years old man, taking oral antibiotics for a dental infection was admitted to the medical intensive care unit (MICU) for acute onset fever, diarrhea and abdominal distension.
 Pseudomembranous Colitis
 A 25-years old man presented with pain in the abdomen, weight loss and maleena for around 20 days. USG and barium meal follow-through were performed.
 Lymphoma
 A 76-years old man had a CT scan done for pain in the abdomen.
 Meckel Diverticulum
 A 45-years old lady was chronically sick.
 Caroliís Disease with Medullary Sponge Kidney
 A 4-years old boy presented with pain in the abdomen.
 a: MRCP
b: Choledochal Cyst
 A 56-years old man presented with acute abdomen. He had vomiting. A CT scan was performed.
 Carcinoid of the Ileum causing Obstruction
 A 65-years old man presented with acute abdomen. A CT scan was performed.
 Gallstone Ileus

Breast

Question
Answer
 A fifty-years-old lady presented with a lump in the breast.
 Calcified Fibroadenoma
 A thirty-nine years old lady presented for a mammogram.
 Ruptured Intraglandular Implants


Chest

Question
Answer
 A 1 1/2 months old baby presented with gradually increasing dyspnea. A plain radiograph of the chest (Fig. 1) and a CT (Figs. 2, 3) were obtained.
 Congenital Cystic Adenomatoid Malformation
 A 40-years old man presented with episodic pain in the left chest and mild cough.
 Rounded Atelectasis
 A 27-years old lady presented with increasing dyspnea over a period of 1 year.
 Lymphangiomyomatosis
 A 20-years old immunocompromised man presented with an acute history of increasing dyspnea.
 Pneumocystis Carinii Pneumonia
 A 45-years old lady presented with chest pain and dyspnea.
 Pulmonary Embolism with Cavitating Infarcts / Septic Emboli Multiple Lung Hydatid Cysts with Pulmonary Hydatid Embolism
 A 45-years old lady presented with dyspnea. She was a known case of carcinoma breast.
 Lymphangitis Carcinomatosis
 A 55 years old lady presented with dyspnea.
 Left Upper Lobe Collapse (due to Bronchogenic Carcinoma) (A Discussion of the Juxtaphrenic Peak Sign)


Head & Neck

Question
Answer
 A 25-years old man came with a swelling in the left submandibular region, of one month's duration, with mild pain.
 Diving Ranula
 A 41-years old man came with gradually increasing swelling and pain in both salivary glands, more on the right.
 Chronic Sialadenitis of the Parotid Gland
 An 85-years-old man had long-standing diabetic retinopathy in his right eye with recurrent vitreous haemorrhage.
 Spontaneous Supra-Choroidal Hemorrhage
 A 4-years old girl presented with odynophagia and fever with stiffness of the neck. A plain radiograph of the neck was obtained.
 Enlarged Tonsils
 A 50-years old man presented with blurring of vision. After ophthalmoscopic examination an MRI was performed.
 Choroidal Melanoma
 A 27-years old lady presented with a palatal mass that was blue-red on physical examination without mucosal ulceration or erosion. An MRI was performed.
 Minor Salivary Gland Tumor of the Palate


Musculoskeletal

Question
Answer
 A 40-years old man presented with left-sided radiculopathy. An MRI was performed.
 Lumbar Facet Synovial Cyst
 A 25-years old man had a fall on a ship-deck and difficulty in raising his arm. An ultrasound was performed.
 Fracture of the Greater Tuberosity of the Humerus
 A 45 years-old lady had pain and swelling on the lateral aspect of the wrist joint. A USG (Fig. 1) and MRI (Figs. 2,3) were obtained.
 DeQuervain's Tenosynovitis
 A 25-years old man with recurrent anterior dislocation of the shoulder presented to us.)
 a. MRI Arthrography
b. Bankart Lesion (antero-inferior labral tear)
 A 45-years old man from Rajasthan, otherwise asymptomatic, presented with non-specific low back pain.
 a. Fluorosis
 A 23-years old man presented with low back pain, non-radiating for the last two years.
 Bilateral L5 Spondylolysis
 A 52-years old man presented with pain in the cervical spine. An MRI of the cervical spine was performed.
 Ankylosing Spondylitis
 A 20-years old man presented with backache. An MRI of the dorso-lumbar spine was performed.
 Scheuermannís Disease
 A 45-years old man presented with pain and swelling in the posterior aspect of the ankle, just above the calcaneum.
 Achilles Tendon Xanthoma
 A 22 years old lady presented with pain in the knee for the last two months with a questionable history of injury.
 Discoid Lateral Meniscus with Tear

Neuro

Question
Answer
 A 60-years old man with a two-years history of left hemiparesis presented for an MRI.
 Wallerian degeneration
 A 39-years-old lady presented with confusion, fatigue, dryness of mouth and eyes and arthralgias.
 Sjogren's Syndrome
 A 6-years-old girl presented with left hemiparesis since birth with seizures.
 Polymicrogyria
 A one-month old boy presented with a pulsatile swelling at the vertex of the head.
 Atretic Parietal Cephalocele
 A 25-years-old man presented with vertigo, giddiness and mild sensorineural hearing loss.
 a. Intracanalicular Acoustic Neuroma b. Right
 A 30-years-old man presented with left sixth nerve palsy.
 Cholesterol Granuloma, Petrous Apex
 An infant presented with seizures and microcephaly.
 Congenital Cytomegalovirus (CMV) Infection
 A 27-years old newly married female presenting with altered sensorium, fever and seizures.
 Venous Infarcts due to Deep Cerebral Venous Thrombosis
 A 24-years old pregnant woman in the third trimester with ecclampsia presented with acute onset visual disturbances and headache. A CT of the brain was performed
 Reversible Posterior Leukoencephalopathy Syndrome


Pelvis

Question
Answer
 A 52 years old lady presented with pain and discomfort in the pelvis.
 Neurogenic Tumor (Neurofibroma)
 A 17-years old boy with a known, long-standing developmental abnormality, presented with testicular masses. A CT of the abdomen, USG of the testes and MRI of the testes were performed.
 Testicular Adrenal Rests in Congenital Adrenal Hyperplasia














 

 

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