August Reading

EVMS 2019-2020 Reading For August Quiz

Welcome back to the EVMS Unofficial Quiz

Reading for the August Quiz - Musculoskeletal Imaging The Requisites 4th Edition - Ch. 1-5

The quiz will be up on August 4th

Answers due by midnight on August 7th.

April Quiz Answers

Hey the answers are Here - It has been a fun year! Hope everyone enjoyed it.

Dr. Dey is the grand winner with Dr. Bonney as the runner up and Dr. Trace coming in 3rd. For everyone who participated - thanks and here is to a hopefully successful one next year!

1. C

2. Associated with ureteroilial stricture

3. Through natural urethra or through straight cath of a stoma or urethra

4. Reabsorption of ammonium and chloride may lead to worsening hepatic impairment

5. Renal artery PSV > 200 cm/s; Renal artery PSV to abominal aorta PSV ratio of > 3.5:1; lack of Doppler US in cases of occlusion; Aliasing

6. Every 1-2 years; >1.5 cm

7. Crossing renal vessel

8. Nutcracker phenomenon - left renal vein compressed between aorta and SMA; Syndrome - clinical signs and symptoms from phenomenon - hematuria, left flank pain; pelvic congestion syndrome, lower limb varices and varicoceles

9. T1

10. at least T3a

11. When mass is suspected of being hematologic, metastatic, infectious or inflammatory

12. cT1a lesions; anatomic or functionally 1 kidney; bilateral tumors; multiple masses; familial syndromes; preexisting CKD, proteinuria; young, multiple masses, comorbidities

Bonus - D

April Quiz

April 2019 EVMS Unofficial Radiology Quiz

The Last for the 2018-2019 season!

The Final Countdown!

Man I wish I could still grow my hair that long

1. The typical diversion usually has the ostomy?

     a. Just below the umbilicus so they can use the urachal remnant

     b. In the left lower quadrant as it is easier for right handed people to handle the bag

     c. In the right lower quadrant similar to an ileostomy.

2. In incontinent diversions, why do they usually not implement antireflux anastomosis?

3. Continent diversion - How does one void?

4. Why does one need to have adequate liver function for a continent diversion?

5. What are the direct signs of renal artery stenosis

6. Patient has a 1.2 cm renal artery aneurysm. How often should she be reevaluated? When should she have definitive intervention?

7. UPJ obstruction is caused in 29-46% of the time by what?

8. What is nutcracker phenomenon and what is the distinction between this an nutcracker syndrome? 

9. Renal mass that is 3 cm in longest dimension with intact capsule and no involvement of the renal sinus fat would be considered what T stage?

10. Same mass but invades the renal pelvis would be at least what T stage? 

11. When should renal mass biopsy be considered?

12. Who should get partial nephrectomy?

Bonus:

Controversial, but what band may or may not have been partially responsible for the invention of CT?

a. The Who

b. The Stone Roses

c. New Order

d. The Beatles

ANswers Shmanshers for March Quiz!- So the winners for this round are Dr. Dey, Bonney and Trace! It was a three way Tie!

1. Periapical granuloma, periapical cyst, periapical abscess (3 points)

2. Cemento-osseous dysplasia (1 point)

No one was able to answer this correctly so it will not be counted for score.
3. Lucency near crown of unerupted tooth (1 point)

4. Septic thrombosis of venous sinus, brain abscess, epidural abscess, subdural empyema, meningitis (5 points)

5. Whether the lesion is related to a tooth? (1 point)

6. Cemento-osseous dysplasia (1 point)

7. 1st question - simple odontoma; 2nd question - complex odontoma (2 points)

8. torus palatinus (1 point)

9. Beam hardening artifact (1 point)

10. c (1 point)

11. b (1 point)

12. d (1 point)

Bonus
d (1 point)

April Articles!

It's time for your April Articles! This month we are going to focus on GU - Kidneys and ureters!

Follow the Stream - Imaging of Urinary Diversions

Multimodality Review of Native Renal Vasculature

2017 Renal Mass and Localized Renal Cancer Guidelines

Unofficial EVMS Journal Club March Quiz!

It is the 1st Sunday of March - that means it is time for another quiz! Hope you are ready for some questions about TEETH!

1. If you see some form of tooth disease and a periapical lucency - what are 3 things you should consider?

2. If the tooth is unrestored and without evidence of disease but has a periapical lucency, what should you consider?

3. How do dentigerous cysts appear?

4. What are 5 possible intracranial complications of apical periodontitis?

5. When evaluating teeth lesions, what is the third question you need to ask?

6. Sally McSallyface, an African American woman in her 50's, presents with a vital nonrestored tooth that has a periapical lucency not fused with the tooth. What do you think she has?

7. Job McJobface, a 9 yo boy, presents with a supernumary tooth. This could be a presentation of what? What type of lesion if the lesion is an amorphous hyperattenuating conglomerate mass adjacent an unerupted tooth?

8. Peter McPeterface has a CT of the maxillofacial sinuses and has an osseous protruberance from the hard palate. What does this represent?

9. Yoni McYoniface has a CT of the neck. The radiologist Courtney McCourtneyface is concerned there is a recurrent carious lesion. However, she notices that it is due to metallic fillings causing low attenuation at the junction between the filling and the tooth. This is because of what artifact?

10. Martin McMartinface passes out while watching "Without a Trace?" and injures his face. He gets a CT and there is a fracture of the alveolar socket on the outer side. This is a fracture of what surface?

a. The lingual surface
b. The tongue surface
c. The buccal surface
d. The hyoid surface

11. Jimbob has mucosal thickening of the right maxillary sinus with dehiscence adjacent a carious tooth. This is concerning for?

a. Obstructive maxillary sinusitis
b. Odontogenic sinusitis
c. Mucociliary dysplasia
d. Adenocarcinoma

12. Tony McTonyface has a tooth extracted. At the follow up examination, the dentist notices bubbles at the extraction site in the maxilla. The dentist reviews the incidentally obtained recent sinus CT, she likely notices at the extraction site?

a. Odontoma
b. Myxoma
c. Plasmacytoma
d. Oroantral fistula

Bonus:
This artist was an original member of Depeche Mode who went on to form another famous electronic band - who and which band

a. Andy McCluskey and OMD
b. Bernard Sumner and New Order
c. Chris Lowe and Pet Shop Boys
d. Vince Clarke and Erasure

February 2019 Quiz Answers

Great Job Dr.s Dey, Trace and Bonney!

1. LCL, popliteus tendon, and PFL

2. High PPV of arthroscopically confirmed posterior horn tears of the lateral meniscus

3. Posterior Cruciate Ligament; Anterior Cruciate Ligament

4. LCL or Biceps femoris

5. Osteonecrosis of the femoral head

6. Above or below the fovea capitis

7. Fracture of the femoral neck

8. Evaluate joint congruence, evaluate for intra-articular fragments, search for associated bone and soft tissue injuries

9. Biceps femoris, rectus femoris, gastrocnemius muscles.

10. Stretching injury with unaccustomed prolonged or overly vigorous eccentric exercise; Muscle enlargement and fluid signal with preserved architecture

11. More sensitive - allows dynamic viewing and hernia has anisotropy to origin muscle, may see the fascial defect

12. Zonal

Bonus:
Stan Kroenke who owns the LA Rams and Arsenal of London, England; Shahid Khan who owns the Jacksonville Jaguars and Fulham