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  • R1 Oral Examc

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    MOHSEN kkuh
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    1. A 22 year old male presented with right frontoparietal head injury showing hyperdense lesions and midline shift consistent with right EDH and left SAH on CT. 2. A 45 year old male with left sided weakness showed hyperdense right MCA, loss of insular ribbon, and low ASPECTS score consistent with large vessel occlusion. CTA and thrombectomy were recommended. 3. A 45 year old male with left flank pain showed no abnormalities on CT. Further imaging with US or CT was suggested to evaluate for urolithiasis or other causes.

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    1. A 22 year old male presented with right frontoparietal head injury showing hyperdense lesions and midline shift consistent with right EDH and left SAH on CT. 2. A 45 year old male with left sided weakness showed hyperdense right MCA, loss of insular ribbon, and low ASPECTS score consistent with large vessel occlusion. CTA and thrombectomy were recommended. 3. A 45 year old male with left flank pain showed no abnormalities on CT. Further imaging with US or CT was suggested to evaluate for urolithiasis or other causes.

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    2 views19 pages

    R1 Oral Examc

    Uploaded by

    MOHSEN kkuh
    1. A 22 year old male presented with right frontoparietal head injury showing hyperdense lesions and midline shift consistent with right EDH and left SAH on CT. 2. A 45 year old male with left sided weakness showed hyperdense right MCA, loss of insular ribbon, and low ASPECTS score consistent with large vessel occlusion. CTA and thrombectomy were recommended. 3. A 45 year old male with left flank pain showed no abnormalities on CT. Further imaging with US or CT was suggested to evaluate for urolithiasis or other causes.

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    of 19

    R1 oral exam

    Case 1: 22 M RTA
    • 7 Findings
    • 2 Right front-parietal-temporal biconvex hyperdense
    • 2 Contralateral midline shift
    • 1 Left parietal-temporal hyperdensity in cortical sulci
    • 2 Linear minimally displaced fracture of the right temporal bone
    • 2 Dx
    • Right front-parietal-temporal EDH left parietal-temporal acute SAH
    • 1 Most common artery involved in EDHs
    • MMA
    Case 2: 45 M with left side
    weakness
    Case 2: 10 marks
    • 4 Findings
    • Hyperdense right middle cerebral artery
    • Loss of normal grey-white matter (Insular ribbon sign)
    • 2 Negative
    • 2 Scoring system name, points and use
    • lberta stroke program early CT score (ASPECTS)
    • 10 points
    • Predict outcome
    • 2 Management
    • Thrombolytic
    • Thrombectomy
    • 2 What to do next? why?
    • CTA
    • To localize occlusion
    Case 3:
    45 M with left flank pain
    Case 3: 2 marks
    • 1 Finding
    • HN
    • 2 DDx
    • Urolithiasis
    • Pelvic mass
    • UPJO
    • 1 Next steps
    • Try to find a stone by US
    • CT
    • Priors
    Case 3: 7 marks
    • 2 positive and 1 negative Findings
    • Colon wall thickening
    • Diverticuli
    • Any negative
    • 2 DDx
    • Diverticulitis
    • Colon mass
    • Any colitis
    • 1 Most likely Dx
    • Diverticulitis
    • 1 Next step
    • Follow-up
    • Colonoscopy
    Case 3: 1 marks
    • 1 What is the Dx
    • Colon cancer
    Case 4:
    48M with distention and pain
    Case 4: 5 marks
    • 3 Findings
    • Dilated bowels
    • Multiple air-fluid
    • Pneumobilia
    • Gallstone 
    • 1 DDX
    • Gallstone ileus
    • Bowel Obstruction
    • 1 Next step
    • CT
    Case 4: 5 marks
    • 2 Findings
    • Dilated bowels / Bowel obstruction
    • Gallbladder Gas/ Fistula
    • Gallstone in Bowel 
    • 1 Dx
    • Gallstone ileus
    • 2 What is Rigler triad
    • Pneumobilia
    • small bowel obstruction
    • ectopic calcified gallstone

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