Exam Hall

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TOPIC : GI radiology - extracted from Sutton's Textbook of Radiology and Medical Imaging
1. Spontaneous esophageal rupture resulting from trauma caused by vomiting or straining is      known as ________ syndrome.
2. What is Hampton's line ?
3. What are sump ulcers ?
4. Where are Brunner's glands located ?
5. What is porcelain gall bladder ?
6. What is Cronkhite-Canada syndrome ?
7. Which tube is used for small bowel enema ?
8. What is Caroli's disease ?
9. Which colonic polyposis syndrome is associated with osteomas and soft tissue tumors ?
10. What is Zollinger-Ellison syndrome ?
11. What is Chilaiditi's syndrome ?
12. Hydatid cyst is caused by which parasite ?
13. Liver gives a higher signal than spleen on T1WI and lower on T2WI - true or false
14. During embryological dvelepoment, the pancreas has 2 ducts - what are they called ?
15. Double bubble sign is seen in which condition ?
16. Which life threatening condition may give radioraphic sign of gas in the portal vein ?
17. In which condition are Rokitansky-Aschoff sinuses seen ?
18. In which condition does jejunal biopsy show subtotal villous atrophy ?
19. Pancreatic ectopic tissue in the stomach gives rise to which sign on barium examination?
20. Why does a patient have dysphagia in Plummer-Vinson syndrome ?

ANSWERS
1. Boerhaave's syndrome. If the tear is superficial and limited to the mucosa, it is called Mallory- Weiss syndrome.
2. A thin lucent line (1 mm wide) across the neck of the gastric ulcer, it represents the intact but undercut mucosa around the mouth of a benign ulcer.
3. They are ulcers seen along the dependent part of stomach along the greater curvature, usually following ingestion of tablets (aspirin / NSAIDs) which gravitate and lead to ulcer formation.
4. In the duodenum, hyperplasia of these glands may produce a cobblestone appearance on Ba studies.
5. Wall of the gall bladder may get affected by chronic inflammatory disease, and may undergo calcification - called porcelain GB, has a strong predisposition toward malignancy.
6. Polyposis coli, alopecia, dystrophic nails, brown skin
7. Bilbao-Dotter tube.
8. Dilated intra hepatic biliary radicles, classified as Type V choledochal cyst (Todani's classification) - leads to biliary stasis and stone formation.
9. Gardener's syndrome
10. Non-Beta cell tumor of pancreas - associated with increased production of gastrin, leading to ulcer disease involving stomach and small bowel.
11. Bowel (usually large bowel) interposed between liver and dome of diaphragm giving rise to a false appearance of gas under diaphragm.
12. Echinococcus granulosus
13. true
14. Ducts of Wirsung and Santorini
15. Duodenal atresia.
16. Necrotizing enterocilitis.
17. Adenomyomatosis of the gall bladder.
18. Malabsorption disorders - usually celiac disease, Wipples, primary lymphoma and chronic ulcerative enteritis.
19. Bull's eye (target lesion)
20. Esophageal web