6.1 practice

Question 1

What type of esophageal cancer typically arises from Barrett’s esophagus?
a) Sarcomas
b) Squamous cell carcinoma
c) Barrett’s carcinomas
d) Adenocarcinoma

Answer 1

d) Adenocarcinoma

Question 2

Which was not mentioned as an abnormality indicating Crohn’s?
a) R colon, terminal ileum string sign
b) Submucosal edema
c) Skip areas
d) Fistulas
e) Obstruction

Answer 2

b) Submucosal edema (this is abnormal, but not Crohn’s)

Question 3

Which is NOT a method of intraluminal imaging?
a) Colonoscopy
b) CT colonography
c) Double contrast barium enema
d) CT A/P PO and rectal contrast

Answer 3

d) CT A/P PO and rectal contrast

Question 4

___________ polyps are benign, but can still cause intussusception
a) Hyperplastic
b) Adenomatous
c) Sessile serrated
d) Inflammatory

Answer 4

a) Hyperplastic

Question 5

“Coil spring” on imaging is indicative of?
a) Diverticulitis
b) Colon carcinoma
c) Intussusception
d) Colitis

Answer 5

c) Intussusception

Question 6

A pt has been having grossly bloody stools and on CBC, shows anemia. You do some imaging and note an “Apple core lesion/annular constriction” causing a large bowel obstruction. What is the most likely diagnosis?
a) Diverticulitis
b) Colon carcinoma
c) Intussusception
d) Colitis

Answer 6

b) Colon carcinoma

Question 7

Which is NOT a finding indicating colitis?
a) Thickening of bowel wall
b) Narrowing of the lumen
c) Infiltration of surrounding fat
d) Submucosal edema

Answer 7

d) Submucosal edema

Question 8

Multiple calcifications, dilated ducts, pseudocyst, and atrophy are indicative of?
a) Acute pancreatitis
b) Chronic pancreatitis

Answer 8

b) Chronic pancreatitis

Question 9

What imaging modality best defines and characterizes masses of the liver?
a) U/S
b) Double phase CT
c) Triple phase CT
d) MRI

Answer 9

c) Triple phase CT
(MRI can be useful for tiny lesions though)

Question 10

Fatty infiltration may indicate __________ cirrhosis
a) Early
b) Late

Answer 10

a) Early

Question 11

Ascites is _________ to hemidiaphragm; pleural effusion is ____________ to hemidiaphragm on CT scan
a) Anterior; posterior
b) Posterior; anterior

Answer 11

a) Anterior; posterior

Question 12

The most common primary malignancy of the liver is what?
a) Hepatic Cysts
b) Liver Metastases
c) Hepatocellular Carcinoma (Hepatoma)
d) Cavernous Hemangiomas

Answer 12

c) Hepatocellular Carcinoma (Hepatoma)

(Cavernous Hemangiomas are most common primary liver tumor but are benign; Liver metastasis are more common than HCC but are not primary)

Question 13

You do an MRI and note a lesion of the liver that enhances and then washes out. It is clearly invading the portal system vessels, has calcifications, and is a solitary lesion. What is this describing?
a) Hepatic Cysts
b) Liver Metastases
c) Hepatocellular Carcinoma (Hepatoma)
d) Cavernous Hemangiomas

Answer 13

c) Hepatocellular Carcinoma (Hepatoma)

Question 14

A woman has a characteristic solitary nodular enhancement from the periphery of her liver inward following injection of intravenous contrast. She has no Sxs. This describes?
a) Hepatic Cysts
b) Liver Metastases
c) Hepatocellular Carcinoma (Hepatoma)
d) Cavernous Hemangiomas

Answer 14

d) Cavernous Hemangiomas

Question 15

What is the first choice for imaging the pelvis?
a) U/S
b) Double phase CT
c) Triple phase CT
d) MRI

Answer 15

a) U/S (especially transvaginal)

Question 16

What imaging is best for the urinary bladder specifically?
a) U/S
b) CT with contrast
c) CT w/o contrast
d) MRI

Answer 16

b) CT with contrast

Question 17

___________ is the study of choice in abdominal trauma.
a) U/S
b) CT w. PO/IV contrast
c) CT without PO contrast
d) MRI

Answer 17

c) CT without PO contrast

Question 18

If contents constricted at level of diaphragm (more commonly left diaphragm), this is called what?
a) Neck sign
b) Shock bowel sign
c) Collar sign
d) Pancreatic sign

Answer 18

c) Collar sign

Question 19

________________ trauma is relatively uncommon but occurs more frequently with penetrating trauma than with blunt.
a) Splenic
b) Liver
c) Pancreatic
d) Liver

Answer 19

c) Pancreatic

Question 20

Which is most commonly used in hemodynamically stable LGIB patients?
a) Colonoscopy
b) CTA A/P
c) Tagged RBC scan
d) CT colonography

Answer 20

a) Colonoscopy (can also Tx)

Question 21

Which is a very good imaging modality for liver lesions especially with tiny lesions (<10 mm)?
a) CT w. and without contrast
b) MRI

Answer 21

b) MRI

Question 22

What is used to stage gastric carcinoma?
a) UGI
b) EGD
c) CT
d) MRI

Answer 22

c) CT