The Essential Guide to the New FRCR. Part 1

208 Pages·2018·1.115 MB·English

by  Jeswani, Tony, Morlese, John

The Essential
Guide to the New
FRCR Part 2A and
Radiology Boards
Dave Maudgil
Consultant Radiologist
Heatherwood and Wexham Park Hospitals
Foreword by
Anthony Watkinson
ConsultantInterventionalRadiologist
TheRoyalDevonandExeterHospital
CRC Press
Taylor & Francis Group
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Boca Raton, FL 33487-2742
© 2005 by Dave Maudgil
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Version Date: 20170202
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Contents
Foreword iv
Preface v
Abouttheauthor vi
Contributor vii
Section1: Thorax 1
Section2: Cardiovascular 21
Section3: Musculoskeletal(includingtraumaand
softtissues) 43
Section4: Gastrointestinalandhepatobiliary 69
Section5: Obstetricsandgynaecology 95
Section6: Paediatrics 111
Section7: Centralnervoussystem 129
Section8: Dental 147
Section9: Headandneck 151
Section10: Genitourinary,adrenalandbreast 159
Bibliography 181
Index 185
iii
Foreword
Radiologists-in-training are faced with a continually widening
curriculum and ever-changing examinations. The FRCR Part 2
examinationisnoexceptionhavingchangedradicallyoverrecent
times.Notonlydoesitspanbasicphysics,anatomyandtechnique
but also includes clinical and cross-sectional imaging at an ad-
vancedlevel.
Thisbookisanexcellentrevisiontooltotestknowledgerequired
topassthisexam.Itiswrittenbyanewlyappointedconsultantwho
hasrecentlypassedtheFRCRandwhohasaproventrackrecordin
teaching, having been involved in running successfully the FRCR
course at the Royal Free Hospital for several years. The book
providesastructuredsystem-basedapproach,enablingmodulesto
bestudiedandrevisedseparately.Itprovidesdetailedexplanatory
textonMCQquestionsandanswers,enablingthecandidatetotest
theirknowledgeandreviseconcurrently.Italsoincludesreference
textsshouldthecandidatewishtosourcetheinformationanddelve
deeper.
I recommend this book to all radiologists-in-training and in
particularthosepreparingfortheFRCR.Iwishiteverysuccess.
DrAnthonyWatkinsonFRCSFRCR
ConsultantInterventionalRadiologist
TheRoyalDevonandExeterHospital
Exeter,UK
January2005
iv
Preface
ThisbookhasbeenwritteninresponsetothechangesinPart2of
the FRCR examination. The examination now includes basic
radiological science questions (i.e. relevant physics, anatomy and
technique)aswellastheoriginalclinicalimagingcomponentand
tests cross-sectional imaging, in particular, at an advanced level.
The book also includes some more traditional exam favourites
whichcropupfairlyregularly.
In terms of books for preparing for the exam, I would recom-
mend every examinee should have Dahnert’s Radiology Review
Manualtohandforreadyreference;otherusefulbookswhichhave
beenusedincompilingandcheckingthequestionsarelistedinthe
bibliography.
Severaldifferenttechniqueshavebeensuggestedtomaximisethe
examscore.Itisworthseeinghowwellyoufareonyour‘guesses’,
particularlyiftheexamisnegativelymarked.Evenifyourguesses
areright70%ofthetime,youcanstillscore40%versus0%fornot
guessingatall.
While researching for this book it became clear that many
questionswouldbeusefulforpreparationfortheAmericanBoard
ofRadiologyexams.
Goodluckandsuccessinyourexamsandcareers!
DaveMaudgil
January2005
v
About the author
DaveMaudgilqualifiedinmedicinefromGuy’sHospitalin1991
and did medical SHO jobs in London. He passed his MRCP in
1994. He worked as a medical registrar at St George’s Hospital,
Tooting, and then as a research registrar in neurology at the
National Hospital, Queen Square, and the National Society for
Epilepsy in Chalfont St Peter. His project was on identifying
cortical abnormalities on MRI scans of patients with epilepsy. He
underwent training in radiology at the Royal Free Hospital,
Hampstead, passing his FRCR in 2001. He was appointed as con-
sultantradiologist(withaninterestin interventionalradiology)at
HeatherwoodandWexhamParkHospitalsin2003.
vi
Contributor
DrCHartigan
SpecialistRegistrar
RoyalFreeHospital
Hampstead
London
vii
ForUdayandMegha,withlove.
Section 1
Thorax
(cid:1)
Q1 Are the following statements regarding severe acute res-
piratorydistresssyndrome(SARS)trueorfalse?
(a) SARScanbeconfidentlydiagnosedwithasingletest.
(b) ItiscausedbySARS-associatedcoronavirus.
(c) The chest radiograph (CXR) findings are easily dis-
tinguishable from those of other causes of atypical
pneumonia.
(d) The right lung is more commonly affected than the
left.
(e) Calcification,cavitation,pleuraleffusionsandlymph-
adenopathyarecommonfindings,particularlyinthe
paediatricpopulation.
(cid:1)
Q2 Are the following statements true or false? Broncho-
alveolarcarcinoma:
(a) typicallyoccursperipherally.
(b) maycausethecomputedtomography(CT)angiogram
sign.
(c) occursmostcommonlyinamulticentricform.
(d) is negative on fluorodeoxyglucose positron emission
tomography(FDGPET)inmorethan50%ofcases.
(e) canpresentwithbronchorrhea.
(cid:1)
Q3 Cigarette smoking is associated with the following con-
ditions.Trueorfalse?
(a) Cryptogenicfibrosingalveolitis(CFA).
(b) Non-specificinterstitialpneumonitis(NSIP).
(c) Eosinophilicpneumonia.
1