Final FRCR Part A Modules 4-6 Single Best Answer MCQS

The SRT Collection of 600 Questions with Explanatory Answers

Robin Proctor

• Publisher: CRC Press
• Year: 2021
• Print ISBN: 9781846193644
• eBook ISBN: 9781000477047
• Edition: 1
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

Single best answer (SBA) questions have been introduced into the FRCR Part 2A examination of the Royal College of Radiologists in the UK for the first time. This book of 600 SBA questions and explanatory answers has been written to aid students preparing for the exam by current trainees in clinical radiology, coordinated through The Society of Radiologists in Training (SRT). Questions are grouped by topic and each topic is split into three papers of 70 questions, with explanations separated into chapters to enable readers to either attempt a whole mock exam paper or to browse question by question. The book is a bridge between a pure revision aid and a reference text, including a bibliography of useful references for further information. Candidates for other professional exams in Radiology will find the text useful, as will and those from other specialties wishing to explore the radiological aspects of their syllabus in greater depth. This is a companion volume to Final FRCR Part A Modules 4-6 Single Best Answer MCQs by the same team.

Genito-urinary, adrenal, obstetric, gynaecological and breast radiology

PAPER 1

1. 1 A 50-year-old male patient undergoes a CT examination following the administration of intravenous and oral contrast medium in the portal venous phase for investigation of persistent abdominal pain. His left adrenal gland is noted to have a ‘bulky’ anterior limb width measuring 2 cm with Hounsfield units of 18. What is the most likely diagnosis?
   1. a Adrenal haemorrhage
   2. b Adrenal tuberculosis
   3. c Adrenal adenoma
   4. d Adrenocortical carcinoma
   5. e Adrenal myelolipoma
2. 2 A 45-year-old man with a spiculated mass on his chest radiograph undergoes staging CT examination following the administration of intravenous contrast medium for a possible bronchial carcinoma. There is an enlarged right adrenal mass of 2 cm found with an average density of 40 HU. What is the appropriate next investigation for characterisation of the adrenal mass?
   1. a PET
   2. b Unenhanced and delayed phase CT examination
   3. c MRI
   4. d MIBG
   5. e Follow-up staging CT examination in three months
3. 3 A female neonate with a family history of an autosomal recessive lipoidosis is found to have hepatomegaly and splenomegaly on clinical examination. Punctate cortical adrenal calcification is visible on her abdominal X-ray. What is the most likely diagnosis?
   1. a Neuroblastoma
   2. b Ganglioneuroma
   3. c Phaeochromocytoma
   4. d Wolman’s disease
   5. e Benign cystic disease
4. 4 A 65-year-old female patient with a history of hypertension presents with acute right flank pain and shock. A CT demonstrates a right-sided adrenal mass, which is of predominately low attenuation (several areas measure –100 HU) and associated retroperitoneal haemorrhage. What is the most likely diagnosis?
   1. a Myelolipoma
   2. b Phaeochromocytoma
   3. c Adenoma
   4. d Adrenal artery aneurysm
   5. e Adrenocortical carcinoma
5. 5 A 38-year-old man undergoes investigation for persistent hypertension. He is found to have an increased aldosterone and decreased renin level. What investigation is most likely to help establish the diagnosis?
   1. a CT examination with adrenal protocol (unenhanced and delayed phases)
   2. b MRI examination with fat suppression sequences
   3. c MIBG
   4. d Ultrasound
   5. e Adrenal venous sampling
6. 6 A 50-year-old female presents with sweating, palpitations and uncontrollable hypertension. As part of her work-up a MIBG (metaiodobenzylguanidine) nuclear medicine scan is performed. How will this advance her management?
   1. a Distinguish phaeochromocytoma from carcinoid
   2. b Locate an extra-adrenal phaeochromocytoma
   3. c Distinguish between Cushing’s disease and Cushing’s syndrome
   4. d Exclude papillary thyroid carcinoma
   5. e Exclude Addison’s syndrome
7. 7 A 55-year-old man with acute necrotising pancreatitis was assessed with CT after being cared for on the ITU for six days. An unenhanced examination was performed due to renal impairment, which demonstrated bilateral adrenal enlargement with an attenuation of 75 HU. What is the most likely cause for this?
   1. a Adrenal adenomas
   2. b Adrenocortical carcinoma
   3. c Metastatic deposits
   4. d Adrenal haemorrhage
   5. e Adrenocortical hyperplasia
8. 8 A newspaper article reports that using HRT may double the risk of breast cancer. Assuming that the report refers to the relative risk attributable to HRT and that the underlying risk in the population studied is 1.5 per 100 women over five years then what is the absolute increase in risk? (Options are per 100 women over five years.)
   1. a 0.003
   2. b 0.03
   3. c 0.15
   4. d 0.3
   5. e 1.5
9. 9 A 40-year-old woman presents with a breast lump felt over the past four weeks. On examination, there is a firm, discrete, mobile mass palpable in the right upper outer quadrant. Mammography demonstrates a 1-cm well-circumscribed round soft-tissue density in the upper outer quadrant of the right breast. What is the most appropriate management of this patient?
   1. a Reassure that the lesion is benign in nature and discharge to primary care
   2. b Perform ultrasound to confirm benign appearance, provide reassurance and discharge to primary care
   3. c Perform ultrasound and ultrasound-guided core needle biopsy if a solid lesion is visible
   4. d Perform stereotactic-guided core needle biopsy
   5. e Discuss at MDT meeting with a view to proceeding to wide local excision
10. 10 A 40-year-old woman presents with a palpable breast lump for several weeks. On examination, a firm, relatively mobile mass is palpable in the left upper outer quad...

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Table of Contents
• Foreword
• Preface
• About the editor
• Contributors
• Abbreviations
• Introduction
• Genito-urinary, adrenal, obstetric, gynaecological and breast radiology
• Paediatric radiology
• Neuroradiology, head and neck and ENT radiology
• Genito-urinary, adrenal, obstetric, gynaecological and breast radiology
• Paediatric radiology
• Neuroradiology, head and neck and ENT radiology
• Bibliography
• Index