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WWYD 1-5 Scenario quiz

Total questions: 12

Worksheet time: 9mins

Name
Class
Date
1.

Which sign is synonymous with a LEFT upper lobe collapse

a)

Veil sign

b)

S-sign of Golden

c)

Sail sign

d)

Black bronchus sign

2.

Which are possible causes for a LOBAR COLLAPSE?

a)

Endobronchial mass

b)

Pancreatitis

c)

Mucus Plugging

d)

Pleural Effusion

e)

Pneumothorax

3.

When would you suspect a malignant cause (rather than infective) for a lobar collapse when reporting a chest radiograph

a)

Completely normal previous chest radiograph

b)

Outpatient film

c)

Surrounding consolidation

d)

Infective symptoms in history

4.

What is the correct modality of imaging for SUSPECTED LUNG CANCER on a chest radiograph?

a)

CT Thorax, Abdomen and Pelvis with Contrast

b)

CT Thorax Non-contrast

c)

CT Thorax with Contrast

d)

CT Thorax and Abdomen with Contrast

e)

MRI Thorax and CT Abdomen

5.

What should be recommended if infective consolidation is suspected on chest radiograph?

a)

Repeat Chest Radiograph in 6 Weeks

b)

No Follow-up Imaging

c)

Respiratory Referral

d)

CT Thorax (Non-contrast

6.

What is the correct next step when malignancy of an unknown primary (i.e not lung) is suspected on a chest radiograph?

a)

CT Thorax Non-contrast

b)

CT Thorax, Abdomen and Pelvis with Contrast

c)

CT Head, Neck, Thorax, Abdomen and Pelvis with Contrast

d)

CT Thorax, Abdomen and Pelvis with Contrast

7.

What is the correct phase of contrast when suspected thoracic malignancy?

a)

Venous

b)

Arterial

c)

Non-contrast

d)

Pulmonary Arterial

e)

Dual phase (Split Bolus)

8.

Why is venous phase the correct choice of contrast in CT to characterise thoracic malignancy?

a)

Better enhancement of pleura

b)

Better enhancement of pulmonary arteries

c)

Better enhancement of mediastinal structures

d)

Better enhancement of primary lesion

e)

Reduced streak artefact

9.

What are suspicious features for pleural mesothelioma on chest radiograph?

a)

Unilateral effusion

b)

Circumferential pleural thickening

c)

Pleural plaques

d)

Rib destruction from pleural mass

e)

Chest wall invasion of pleural mass

10.

Which of these are differentials for an anterior mediastinal mass?

a)

Thymoma

b)

Lymphoma

c)

Thyroid goitre

d)

Toxic Mediastinitis

e)

Teratoma (Germ Cell Tumour

11.

What is the INITIAL choice of imaging for suspected anterior mediastinal mass?

a)

CT Thorax with Contrast

b)

MRI Thorax

c)

CT Thorax Non-contrast

d)

CT Thorax, Abdomen and Pelvis with Contrast

12.

When is MRI Thorax utilised for imaging an anterior mediastinal mass?

a)

Follow-up in young patients

b)

Initial staging of lesion

c)

Delineating between solid and cystic components

d)

Differentiating between thymoma and thymic hyperplasia

e)

Routine Follow-up in all patients