GU/Breast/O&G/Endo Autumn 2012

1. Renal mass with central scar oncocytoma

2. Which MRI agent will cause nephrogenic systemic fibrosis Dotarem,
Omniscan, ProHance
3. 15 yr old girl with irregular periods, non sexually active, acute fever and
pain and raised BHCG cystic mass with thick septa on 1 side only
Malignant granulose cell, torted dermoid, torted malignant germ cell
tumour, PID, ectopic
4. Feature least likely to be PCOS (has come up once before) - >12 cysts,
enhancing stroma, multiple small cysts of <10mm, cysts >3cm, large
ovary 4cm
5. Best imaging for distinguishing cyst from urethral diverticulum pelvic
uss, abdo USS, MRI. IVU, CT
6. Breast mass with lobulations and acoustic enhancement Phylloides,
epidermoid cyst
7. Inguinal node lymph node FNA turns out to be SCC - most likely
primary, penile, scrotum, testicular
8. New Transplant kidney, no flow in renal vein. Taken to theatre, no
thrombus in RV whay no flow seen in renal vein? Incorrect angle
correction, angle correction less than 60 degrees, velocity too high, gain is
too high
9. Incidental mass on CTin kidney, 4mm enhancing septa which Bosniak
type?
10.48 year old lady kidney contains low density areas between HU -10 to
-15, low enhancement, kidney enlarged, pyuria XGP, acute PN, renal vein
thrombosis, sarcoid, TB
11.Incidental calcifications in adrenal most likely cause histoplamosis,
diabetes, TB, Haemorrhage, Addison
12.Urinary cast and pyuria - ?cause
13.Trauma blood at urethral meatus with bilateral pubic rami #. Best
modality to investigate cystogram, ascending urethrogram, IVU, CT
14.Which is least likely to be ovarian met sclerotic bone mets, left pleural
effusion, ascites, small bowel obstruction, peritoneal soft tissue deposit
15.What is the least likely location of metastatic kidney cancer on other
kidney, liver, lung, sclerotic bone met
16. Tubular breast ca fully treated 10 years ago, lymph node negative. Had
renal transplant on high dose cyclosporine. Now contralateral lymph
node in axilla Tb, sarcoid, breat mets, lymphoma, ALL
17.Features of seminoma on US 2.5 cm solid mass
18.MR appearances of fibroids
19.Meigs syndrome which cancer most likely cause cystadenocarcinoma,
cystadenoma, fibroma
20.MR appearances of adenomyosis
21.Testicle- which feature would make it more likely to be infection over
malignancy- hydrocele, epidydimal involvement, increased vascularity of
testicle, focal low density lesion
22.What feature of breast mass would make you think its a malignancyechogenic halo, axillary LN, solitary well defined mass, speculate mass,
calcification

23.Triple test assessment what re the components

24.What do you do with a 7mm papilloma in breast repeat scan in 3/12,
repeat scan in 6/12, excision biopsy, vacuum biopsy, repeat mammogram
25.Pregnant woman 32 yrs old, with malignant looking breast mass what do u
do ? mammo, MR post partum, US guided biopsy
26.You have done a biopsy of a malignant looking mass normal breat tissue
only what do you do next repeat biopsy, watch and wait, discharge
27.49 year old with BRCA 1 repeat mammo every 3/12, repeat mammo
annually, US annually, Breast MR and mammo yearly, MR yearly
28.Medullary sponge kidney
29.Reduced corticomeduallry differentiation- acute cortical necrosis, ATN,
30.Best phase for small masses arterial, nephrogenic, corticomedullary,
excretory, delayed phase
31.Washout for >60% - adenoma
32.55 year fat man, hypertension, reduced ACTH, mass which has focus of
Ca- 3cm phaeo, myelolipoma, AML
33.22 year old, anorexia, wt loss, anaemia, multiple low attenuation lesions
HU 35 - ? cause NHL, Lymphoma, TB, RCC
34.Mass at upper pole of testes multicystic with echogenic focus, spermatocele, epidydimal cyst, dilated rete
35.44 year old with hypotension, tachycardia, no history of trauma. Mass
lower pole of kidney, multiple aneurysms AML, RCC, ?VHL?
36.Young lady dilation and stenosis of renal arteries FMD, PAN,
37.Hypertension 160/100 starts ACEi and creat goes up why ?ostial
stenosis, FMD,
38.Woman, chronic pelvic pain 6/12, multiple serpigenous things pelvic
congestion, absent IVC, thrombosis
39.Stabbed 3/52, sudden hypotension, mass in renal pelvis, enhances on
arterial phase, renal vein in normal bleeding pseudoaneurysm, AVM
40.RCC inoperable mass, bleeding requiring treatment, mass invading renal
vein, 6cm. RV coil embolisation,