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FRCR Part 2a - MCQ Paper 3

Submitted by David Salvage

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1. 

Regarding vertebral anomalies

TFD
a.

the posterior arch of the atlas is not fused in 5% of the normal population

b.

intervertebral fusion is commonest in the lumbar region

c.

cervical ribs are found in less than 2% of the normal population

d.

non-fusion of the neural arch of L5 or S1 is seen in 5% of the normal population

e.

a transitional L5 vertebra is found in 5% of the normal population

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2. 

In Chiari malformations

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a.

type I is seen in up to 10% of the normal population

b.

the medulla is kinked in 50% of type I

c.

the cerebellar tonsils are most inferior in type II

d.

myelomeningocoele is seen in 50% of type II

e.

50% of symptomatic type I will have syringomyelia

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3. 

In syringomyelia

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a.

the cavity has an ependymal lining

b.

the spinal cord is not expanded in 20% of cases

c.

cerebellar ectopia is seen in 50% of patients with syringomyelia

d.

there are plain film abnormalities in 10% of cases

e.

there is a change in the size of the cord between the supine and prone position in 15% of cases

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4. 

Regarding spinal tumours

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a.

meningiomas are most common in women

b.

enlarged intervertebral foramina are seen in 10% of neuromas

c.

capillary haemangioblastomas are solitary in 30% of cases

d.

50% of intramedullary tumours are associated with syringomyelic cysts

e.

enlarged vessels are seen on myelography with 50% ependymomas

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5. 

Gallstones

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a.

occur in 10-15% of the adult UK population

b.

are five times commoner in women

c.

cholesterol stones are associated with cirrhosis

d.

are found in two-thirds of patients with pancreatitis

e.

50% of pigmented stones are radio-opaque

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6. 

Calcification in the liver

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a.

is seen in 2% of hepatocellular tumours in adults

b.

is seen in 35% of hepatocellular tumours in children

c.

is stippled in angiomata

d.

is curvilinear in hydatid disease

e.

is nodular and scattered in TB granulomata

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7. 

Caroli's Syndrome

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a.

features congenital fibrosis of the intrahepatic bile ducts causing constriction

b.

is associated with medullary sponge kidney

c.

demonstrates X-linked inheritance

d.

has an association with cholangiocarcinoma

e.

is caused by a choledochal cyst

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8. 

Gas

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a.

seen in the portal vein with necrotising enterocolitis is central

b.

may be seen in the liver following tumour embolisation

c.

in the biliary tree indicates a life-threatening condition

d.

is seen in the portal vein after infarction of bowel

e.

is seen in the portal vein with haemorrhagic pancreatitis

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9. 

In the pancreas

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a.

microcystic cystadenomata are always benign

b.

microcystic cystadenomata usually have fewer than 6 cysts

c.

macrocystic cystadenomata usually have fewer than 6 cysts

d.

amorphous calcification occurs in microcystic cystadenomata

e.

cysts are a feature of Von Hippel Lindau disease

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10. 

Regarding ectopic hormone production

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a.

pancreatic carcinoma may produce ADH

b.

bronchogenic carcinoma may produce ADH

c.

oat-cell carcinoma may produce ACTH

d.

bronchogenic carcinoma may produce thyroxine

e.

thymic tumours may produce ACTH

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