Shistasoma japonicum- True (best answer) Shistasoma mansomi- True? Clonorchis sinensis- Echinococcus- False Discussion- Shistasoma hematobium usually affects the urinary tract. Shistasoma japonicum affects SMV and can cause capsular calc. shell” “Tortoise calcifications of liver capsule. Shistasoma mansomi affects IMV and can cause capsular calc Clonorchis sinensis affects and calcifies subcapsular liver and has filling defects in the bile ducts. Can also cause liver abscess. Echinococcus- cyst in pulmonary cysts in lower lobes, air crescent sign, floating endocyst creates water lily sign. 13. Normal cranial caudal dimensions of the spleen with visible 9 cm 13 cm- True 15 cm 21 cm Discussion- 12-14 is normal 14. True of candidiasis Single column esophagram highly sensitive for diagnosis- Responds quickly to antifungals- True Primarily involves lower 1/3 esophagus- False Lesions shape- Diamond or circumferential- False Discussion- Double contrast is 90% sensitive Involves upper half of esophagus less than 1 cm plaques. Shaggy carpet or cobble stone appearance. Diamond shape is herpes or HIV Circumferential shape is chronic esophagitis or drug induced. 15. Metastasis most likely to mimic hemangioma Islet cell met- True Discussion- Hemangioma and Islet cell mets are hyperechoic on ultrasound. Early arterial enhancement and delayed solid or ring enhancement. 16. Least likely to cause a hyperechoic liver lesion on US
Shistasoma japonicum- True (best answer) Shistasoma mansomi- True? Clonorchis sinensis- Echinococcus- False Discussion- Shistasoma hematobium usually affects the urinary tract. Shistasoma japonicum affects SMV and can cause capsular calc. “Tortoise shell” calcifications of liver capsule. Shistasoma mansomi affects IMV and can cause capsular calc Clonorchis sinensis affects and calcifies subcapsular liver and has filling defects in the bile ducts. Can also cause liver abscess. Echinococcus- cyst in pulmonary cysts in lower lobes, air crescent sign, floating endocyst creates water lily sign. 13. Normal cranial caudal dimensions of the spleen with visible 9 cm 13 cm- True 15 cm 21 cm Discussion- 12-14 is normal 14. True of candidiasis Single column esophagram highly sensitive for diagnosis- Responds quickly to antifungals- True Primarily involves lower 1/3 esophagus- False Lesions shape- Diamond or circumferential- False Discussion- Double contrast is 90% sensitive Involves upper half of esophagus less than 1 cm plaques. Shaggy carpet or cobble stone appearance. Diamond shape is herpes or HIV Circumferential shape is chronic esophagitis or drug induced. 15. Metastasis most likely to mimic hemangioma Islet cell met- True Discussion- Hemangioma and Islet cell mets are hyperechoic on ultrasound. Early arterial enhancement and delayed solid or ring enhancement. 16. Least likely to cause a hyperechoic liver lesion on US
2008-2012-Combined-Written-Recalls.docx