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Wacs Essay
Wacs Essay
Clinical Radiology
Part 1; Paper 2
2016, October
Answer all Questions
Time Allowed: 3 hours
1. A chest Radiograph shows a mass in the posterior mediastinum; list the possible causes. Discuss
the additional Radiological Investigations and their important features.
2. List the imaging modalities and describe the Radiological appearance of Jaw tumors.
5. Discuss how you would investigate a patient with suspected inflammatory bowel disease.
Describe the pertinent Radiological findings.
2016, April
Answer all Questions
Time Allowed: 3 hours
1. Discuss the Differential Diagnosis of Osteonecrosis.
2. How you would investigate a patient with suspected inflammatory bowel disease. Describe the
pertinent radiological findings.
3. How would you image a 3 year old boy with a Right Upper Abdominal Swelling. What are the
possible Radiological findings?
2015, October
Answer all Questions
Time Allowed: 3 hours
1. Give the differential diagnosis of acute swelling of the entire left lower limb in a 40 Year-old man
list the radiological method of investigation and discuss the findings (6 + 4 + 10marks).
3. Discuss the radiological investigations and findings in a patient with acute head injury (6 +
14marks).
5. List the possible causes of haematuria in a 60 year old male. Discuss their investigation. (8 + 12
marks)
2015, April
Answer all Questions
Time Allowed: 3 hours
1. Discuss the differential diagnosis and possible radiological findings in a 9 year old child who
presents with posterior fossa tumour in the brain. (20 marks)
2. A 20 year old man has sudden onset of pain in the chest. What conditions would you consider,
and how would radiological examinations help you establish the diagnosis? (10 + 10 marks)
3. List the possible causes of haematuria in a 60 years old male. Discuss their investigation. (8 + 12
marks)
2014, October
Answer all Questions
Time Allowed: 3 hours
1. Discuss the radiological evaluation of a 40 years old patient who develops acute stroke (20 marks).
2. Discuss the differential diagnosis of acute scrotal pain and the imaging findings (10 + 10 marks).
3. A 3 months old child presents with recurrent vomiting. Describe in details how you would
investigate the child using various imaging modalities and the likely findings (10 + 10 marks).
4. Describe the possible changes on the chest radiograph of a patient with metastatic disease (20
marks)
2014, April
Answer all Questions
Time Allowed: 3 hours
1. Write an essay on the radiological differential diagnosis, radiological investigations and possible
findings in a 45 year old man who presents with persistent headache (6 + 6 + 8 marks).
2. Discuss the causes of unilateral small kidney and the role of imaging in establishing the diagnosis
(10 + 10 marks).
3. Describe how you would radiologically manage a patient with chest trauma. (20 marks)
2013, October
Answer all Questions
Time Allowed: 3 hours
1. A 55 year old man came in with swelling of the right side of the jaw. Law the various imaging
modalities with which you will investigate him, the differential diagnosis of this mass and possible
radiological findings on imaging. (5 + 7 + 8)
2. Discuss the differential diagnosis and possible radiological findings in a patient with cavitating
pulmonary lesions. (10 + 10)
3. Enumerate various vascular complications in renal transplant. Discuss the role of imaging in these
conditions. (8 + 10)
2013, April
Answer all Questions
Time Allowed: 3 hours
1. Enumerate causes of subarachnoid haemorrhage. Discuss the role of CT in its evaluation. (6 + 14)
2. Classify diaphragmatic hernias. Describe the radiological means to establish the diagnosis with
relevant imaging findings. (4 + 6 + 10)
3. Enumerate the common locations of ectopic pregnancy in order of frequency. Discuss the
sonographic features of ectopic pregnancy. (5 + 15)
2012, October
Answer all Questions
Time Allowed: 3 hours
1. Classify aortic dissection. Discuss the role of imaging in diagnosis and management of aortic
dissection (4 + 10 + 6 marks).
2. Discuss the diagnostic determinants in a skeletal lesion suspicious for a tumour. (20 marks)
3. Discuss the causes of unilateral small kidney and the role of imaging in establishing the diagnosis.
(10 + 10 marks)
4. Enumerate causes of multiple nodular filling defects in the small bowel. Discuss the imaging
feature of small bowel lymphoma. (6 + 14 marks)
2012, April
Answer all Questions
Time Allowed: 3 hours
1. A 16 year old known HbSS patient presents with Acute Abdomen. Discuss the causes, radiological
findings and management in the patient.
2. Discuss the radiologic management of a 50 year old man who presents with acute chest pain and
breathlessness.
3. Discuss Anorectal malformaiton. What are the symptoms and how would you radiologically
investigate such a patient?
2011, October
Answer all Questions
Time Allowed: 3 hours
1. Discuss the differential diagnsis of acute scrotal pain and the imaging findings.
2. A middle-aged man presents with jaundice, right upper quadrant pain and melaena. Discuss your
investigation, possible causes and findings.
5. A 40 years old woman presents to the emergency department with severe non-traumatic
headache. Discuss the differential diagnosis and the possible radiological findings.
2010, November
Answer all Questions
Time Allowed: 3 hours
1. A 30 year old presents with hearing loss. Discuss the possible causes radiological investigations
and findings.
2. An adult patient presents with paraplegia. Discuss the radiological investigations and possible
findings.
3. Discuss the radiological investigations and possible findings in clinically suspected case of deep
venous thrombosis.
2010, October
Answer all Questions
Time Allowed: 3 hours
1. Write an essay on the radiological differential diagnoses and possible findings in a patient who has
a posterior mediastinal mass.
2. Discuss the radiological management of a 35 year old patient with unilateral proptosis.
3. Give an account of the radiological management of a 30 year old woman who presents with acute
abdomen.
2010, April
Answer all Questions
Time Allowed: 3 hours
1. Enumerate the causes of hypertension arising from endocrine disease of the adrenal gland and
discuss in detail the radiological findings in a patient who develops hypertension from Cushing
syndrome.
2. Discuss the causes and possible radiological findings in a 50 year old patient who presents with
acute stroke.
5. Write an essay on the radiological investigations and possible findings in a 40 year old patient who
has a ballotable mass in the right flank.
2009, October
Answer all Questions
Time Allowed: 3 hours
1. Enumerate the causes of intracranial haematoma. Discuss the radiological features on Computed
Tomography and Magnetic Resonance Imaging in the changing phases of intra-cerebral haematoma.
2. Give an appraisal of the radiological management of a 50 year old man who presents with
recurrent bacterial pneumonia.
5. Write an essay on the radiological investigations and possible findings in a 40 year old man who
develops haematuria following pelvic girdle injury from road traffic accident.
2009, April
Answer all Questions
Time Allowed: 3 hours
1. Give an account of the radiological differential diagnosis of a patient who has diffuse
osteosclerosis.
2. Describe the radiological investigations and possible findings in patient who sustained acute head
injury from road traffic accident.
3. Write an essay on the radiological differential diagnosis and possible findings in a patinet who has
multiple micronodular opacities in the lungs.
5. Discuss the radiological management of a 25 year old woman who presents with acute abdomen.
2008, October
2. Enumerate the causes of subarachnoid haemorrhage and describe the radiological features in a
patient with this disease due to an intracranial aneurysm.
3. Describe the differential diagnosis, radiological investigations and possible findings in 60 years old
woman who presents with dysphagia.
2008, April
Answer all Questions
Time Allowed: 3 hours
1. Give an account of the radiological differential diagnosis of honeycomb shadowing in the lungs.
2. Discuss the differential diagnosis and possible radiological findings in a 40years old man who
present with acute swelling of the entire left lower limb.
3. Describe the radiological evaluation and possible findings in a women with bilateral ectopic
kidneys.
2007, October
Answer all Questions
Time Allowed: 3 hours
1. Write an essay on the radiological features of neurofibromatosis.
2. Give an account of the radiological management of a 65 year old man who presents with urinary
retention.
3. Discuss the radiological differential diagnoses, investigations and possible findings in a 60 year old
women who presented with dysphagia and weight loss.
2007, March
Answer all Questions
Time Allowed: 3 hours
1. Write an essay on the radiological differential diagnosis of multiple micronodular (miliary)
opacities in the lungs.
2. Give an account of the radiological management of a 30 year old man who presents with injury
from blunt abdominal trauma.
3. Discuss the radiological investigations and possible findings in a one month old child with l...
meningo-myelocele.
2. A 3 year old male child presents with a large swelling in the right upper abdomen. How would you
investigate the patient? Describe the possible findings.
3. Discuss the use and value of radiology in the evaluation of the following:
a. Chronic subdural haematoma
b. Fetal Maturity
c. Dense persistence Nephrogram
d. Breast Fibroadenomas
5. How would you evaluate radiologically an adult with Dysphagia? List the possible causes and
describe two of your findings.
2004, October
Answer all Questions
Time Allowed: 9am - 12noon
1. Describe the radiological feature of malignant Gastric Tumour.
2. How will you evaluate a 10 year old male child with haematura? Describe your radiological
findings.
5. Discuss the radiological investigations and findings in a patient with persistent headache.
2004, April
Answer all Questions
Time Allowed: 3 hours
1. Describe the radiological changes on the hand of a patient with sickle cell disease
2. Give the detail radiological changes that will be expected in a patient with suspected subdural
haematoma.
4. A patient presents with a radiolucent area in vault. Discuss the differential diagnosis.
5. Discuss the radiological management of a 30 year old woman with acute abdomen.
2003, April
Answer all Questions
Time Allowed: 3 hours
1. Describe the radiological features of cavernous haemangioma of the liver
4. A 46 year old patient presents with an epigastric mass, enumerate the differencial diagnosis and
describe the characteristic radiological features of two of your differentials
2002, October
Answer all Questions
Time Allowed: 3 hours
1. Describe the radiological changes on the hand of a patient with sickle cell disease
4. An unconscious patient has been referred for CT examination of the brain. Describe in detail the
possible radiological findings.
5. Discuss the radiological findings in a patient presenting with injury to the bladder and urethra.
2002, April
Answer all Questions
Time Allowed: 3 hours
1. How will you evaluate a 40 year old woman with jaundice? Describe your findings in detail.
2001, October
Answer all Questions
Time Allowed: 3 hours
1. Discuss how you will investigate a 6 month old baby who presents with projectile vomiting and
the possible radiological findings.
2001, April
Answer all Questions
Time Allowed: 3 hours
1. Discuss the differential diagnosis of a patient who present with a radiolucent area in the vault.
3. List the indication for ultrasound examination in normal pregnancy. Describe the sonographic
features of foetal demise.
4. A 50 yeaar old man has had a hematemesis 24 hours previously. Describe in detail how you would
investigate the patient radiologically and discuss the probable findings.
2000, October
Answer all Questions
Time Allowed: 3 hours
1. Discuss the differential diagnosis of a slow resolving or recurrent pneumonia
3. Discuss how you will investigate a patient with blunt chest trauma and the possible radiological
findings.
5. Discuss the radiological investigations and findings in a patient who presents with a mass in the
right iliac fossa.
2000, April
Answer all Questions
Time Allowed: 3 hours
1. Discuss the differential diagnosis of a coin lesion in the lung
4. How will you investigate haematuria in a 40 year old male clearly the radiological features of one
possible cause of this ....
1999, April
Answer all Questions
Time Allowed: 3 hours
1. How would you investigate a pelvic mass in an adult female patient. Discuss your finding.
2. A 40 year old adult presents with a middle mediastinal mass. Discuss the differential diagnosis.
5. What investigations would you carry out on a patient with frank per rectal bleeding. IN what
order would you proceed and what are your expected radiological findings.
1998, October
Answer all Questions
Time Allowed: 3 hours
1. Discuss the differential diagnosis of intracranial calcification.
2. How would you investigate a mass in the right iliac fossa. Comment on your findings.
1998, May
Answer all Questions
Time Allowed: 3 hours
1. Describe the possible radiological appearances of the chest following non-penetrating chest
trauma.
3. Which appearances on the plain radiographs of the hands would lead you to suspect systemic
disease.
4. Discuss the possible radiological appearances you may find in a sicker in abdominal crisis.
2. Discuss the differential diagnosis of a patient who presents with a radiolucent area in the vault.
1996, October
Answer all Questions
Time Allowed: 3 hours
1. Discuss the radiological findings in intestinal obstruction.
1994, October
Answer all Questions
Time Allowed: 3 hours
1. Discuss the differential diagnosis of miliary shadowing in the lungs.
2. How would you investigate radiologically a 55 year old lady with history of dysphagia.
4. Describe the radiological changes as seen on the plain chest of the following:
a. Pulmonary valvular stenosis
b. Aortic valvular stenosis
c. Atrial spetal defect
d. Patent ductus arteriosus
3. A patient presents with haematuria. Discuss the radiological examination and findings
5. Give the differential diagnosis of a swelling in the mandible with a detail description of the
radiological appearances of each entity cited.
1990, April
Answer all Questions
Time Allowed: 3 hours
1. Discuss the Radiological management in a patient suspected of pulmonary embolism.
2. What are the differential diagnosis of diffuse osteo-sclerosis? How may you differentiate them?
3. Describe the possible radiological findings in sickle cell disease on abdominal and pelvis x-ray.
5. Describe the various radiographic features used in the determination of fetal age.
0000, unknown
3. Classify the various causes of jaundice in an adult. Describe the radiological changes found in
these diseases as shown by each mode of investigation.
5. Describe:
a. Dislocation of the shoulder joint
b. Periluante dislocation
c. Pott's fracture of the ankle
d. Monteggai fracture
0000, unknown
Answer all Questions
Time Allowed:
1. Discuss the Radiological findings in intestinal obstruction.
5. Discuss the radiologic management of a 2 year old child with abdominal mass.
0000, unknown
2. A patient has vertebral collapse in the lumbar vertebrae. Enumerate the differential diagnosis.
What features and possible further investigation would lead you to a diagnosis.
3. Classify the diseases of the pancreas. Describe the radiological features of carcinoma of the head
of pancreas.