Neuro and Head and Neck – Autumn 2012

  1. Young woman involved in RTA, weakness in hands, cystic lesion next to spinal cord with cord in opposite direction – which level is the lesion:
  2. C4/5
  3. C5/6
  4. C6/7
  5. C7/T1
  6. Old accident with non specific arm symptoms, fluid filled spaces at C6/7 exit foramina with nerve roots not visualised and weakness in right distribution –
  7. Nerve root avulsion
  8. Torlov cyst
  9. MRI for brain lesion 3-4/52. Now presents with pain and itching over foot, ankle, red indurating rash, parasthesia and SOB on lying flat and upright
  10. NSF
  11. Sarcoid
  12. Young man, headache, supra anterior part of 3rd ventricle, hyperintense on CT- Colloid cyst
  13. Young woman with parotid mass, unilateral, multicystic, low on T2
  14. Pleomorphic adenoma
  15. Diabetes insipidus, which lesion can it not be ? LCH
  16. Midline mass mainly cystic with some Calcs closely assoc with pineal gland
  17. dermoid
  18. pineoblastoma
  19. germinoma
  20. pineocytoma
  21. subarachnoidhaermorrhage 2/52 ago, MRI appearances
  22. What is best sequence of vertebral artery dissection
  23. Time of flight
  24. 2D/3D gad enhanced
  25. T1 Fat sat
  26. T2 Fat sat
  27. Young man, cystic lesions in parotids bilaterally with bilateral Lymph nodes
  28. Sarcoid
  29. HIV
  30. TB
  31. Warthins
  32. Young man in RTA, intracranial blood at vertex crossing the midline, straddling the falx
  33. Intercerebralparafalcine
  34. Subdural
  35. EDH
  36. Combined
  37. 41 year old man with seizures, symmetrical high T2 hyperintensities in ext capsule, periventricular and temporal
  38. cadasil
  39. Moyamoya
  40. SLE
  41. Facial rash and seizures – SLE
  42. Tram track calc in optic sheath – NF2
  43. 80 year old man mass in corpus callosum with T2 changes in periventricular regions ?lymphoma/GBM
  44. 16 year old girl, confusion, low attenuation ring enhancing lesions on T2- abscess
  45. Arachnoid cyst – CSF density, no restriction, disappears on FLAIR
  46. Epidermoid at CPM – restricts on DWI
  47. Post trauma, which on is abnormal
  48. Air in Prussak
  49. Air in ventricle
  50. Air in epitympanic recess
  51. Fluid in cochlear
  52. CN6/7
  53. Clivalchondrosarcoma
  54. Cavernous sinus meningioma
  55. Facial nerve schwanomma
  56. Positive cavernoma
  57. Midbrain demyelination
  58. MS – optic neuritis, now loss parathesia? Where is the lesion in the brain?
  59. Calloseptal interface
  60. Cortical
  61. Bells’ palsy – which part of the facial nerve enhances?
  62. 80 year old man. Lytic, sclerotic and subperiosteal bone resorption. Peripheral soft mass, past medical history.
  63. Bisphophanate
  64. Ameloblastoma
  65. Osteonecrosis
  66. Dentigerous cyst
  67. Orbital pseudotumourvs thyroid
  68. Not involvement
  69. Involvement of lacrimal
  70. Single muscle
  71. Extraconal
  72. Lymph node levels –
  73. Above hyoid
  74. Tonsillar cancer
  75. Level II/III
  76. Nasopharyngeal cancer. RCA totally occluded, left carotid – 90%
  77. Medical
  78. Stenting on right
  79. Endarterectomy
  80. Surgical revasc
  81. Endovasc stenting
  82. Alobarholoprosencephaly
  83. Difference between benign intracranial hypertension and sagittal sinus thrombosis
  84. Subtle bleed in ventricle
  85. Prominent temp horns
  86. Slit like lateral ventricles
  87. Bilateral haemorrhages
  88. Pregnant pre eclampsiapt then cortical thickness where is the lesion – bilateral occipital haemorrhages
  89. Young man with HIV, nodular enhancement of basal ganglia
  90. Cypto
  91. Toxo
  92. HIV encephalopathy
  93. Badly controlled DM and hypertension- CSF spaces in basal ganglia, no DWI
  94. Perivascular
  95. Lacunar infarcts
  96. Enhancement of leptomeninges, nodular enhancement of spine – sarcoid
  97. Soft tissue calc in hip and calc lesion in brain and oedema – neurocystercis
  98. MRI/CT of sagittal sinus thrombosis
  99. CNIII palsy, then SAH – where is aneurysm?
  100. ACOM
  101. Ophthalmic artery
  102. Horner syndrome – T2 crescentic high signal
  103. Differential BP, collapse when playing golf, reveral of flow in left vertebral, biphasic in axillary artery, biphasic is brachial
  104. HIV encephalopathy
  105. HIV – PML
  106. Seizures in young man, temporal lobe lesion – DNET
  107. Thoracic cord lesion extramedullary, intradural mass does not affect exit foramina ?
  108. Neurofibroma
  109. Meningioma
  110. Dural fistula vs AVM
  111. Cerebellar atrophy with T2 hyperintense ring, ataxia, hameosisderin
  112. Anti-onconeuroantibodies in CSF – where is the primary – breast, lung, colon, thymoma
  113. High T2 in mesial temporal lobe and confusion – paraneoplastic syndrome
  114. Bronchus
  115. Breast
  116. Renal
  117. Thyroid
  118. Melanoma
  119. Describe mesial temporal sclerosis – small hippocampus with high T2
  120. B12 deficiency – signal change in dorsal columns, loss in T1 in vertebral bodies
  121. Thyroid, calc, positive lymph node, young woman - papillary, medullary, nothing?
  122. Parathyroid PTH raised, raised calc but US normal – what next? PET,CT, MRI, sestamibi
  123. Lymph node, Level II- normal mediastinoscopy – FNA – SCC, CT Normal, what next? PET/CT
  124. Something moves PPS forward – where is the lesion? Parotid, masticator, carotid, retropharayngeal
  125. Describe paraganglioma – pulsatile tinnitus, flow voids, avid enhancement
  126. CN6 palsy, retrobulabar pain and otitis media, fluid in mastoid and middle ear, ill defined change in petrous apex
  127. mastoiditis,
  128. Cholesterol granuloma
  129. Petrous apex apicitis
  130. Cholesteotoma – area least likely to be involved – semi circular canal
  131. HMPAO SPECT – post temporal and parietal low activity and reduced in frontal area –
  132. Alzheimers
  133. Lewy body dementia
  134. RTA – mass, swelling in eye – carotico cavernous fistula
  135. CN 7 supplies all these muscles except one – masseter
  136. Antrochoanal polyp
  137. 15 year old boy, widened pterygopalatine fossa – juvenile angiofibroma
  138. Cyst at base of tongue – homogenously enhancing
  139. Thornwaldt cyst
  140. Thyroglossal
  141. Lingular thyroid
  142. What structures would definitely be missing in radical neck dissection
  143. SCM and submandibular
  144. Digastric and parotid
  145. Medial part of clavicle
  146. Mandible
  147. Carotid