Correct Answer - A
Answer- A. Ileocecal TB
Conical cecum or Amputed cecum Cecum is shrunken in size and
pulled out of the iliac fossa due fibrosis and contraction of
mesocolon.
Stierlin sign :- Narrowing of terminal ileum with rapid emptying into a
shortened, rigid or obliterated cecum.
String sign

Correct Answer - B
Carcinoma esophagus REF: sabiston's 18' edition chapter 41 See table in the previous question
"Rat-tail" appearance on barium study is seen in carcinoma esophagus

Correct Answer - A
A i.e. Coarctation of aorta
Inferior rib notching in coarctation of aorta is d/t pressure erosion of
intercostal arteriesQ It usually takes several years to develop, so is
unusual before 10 years of age.
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Correct Answer - A
Answer is A (Doppler flow USG):
'Stenosis at the origin of the internal carotid Artery can be identified
and quantified reliably by ultrasonography that combines B mode
ultrasound image with a Doppler ultrasound assessment of flow
velocity.'
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Correct Answer - C
Ans. Small bowel obstruction
String of beads sign is virtually diagnostic of small bowel obstruction
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Correct Answer - B
Answer- B. Multiple myeloma
F: fibrous dysplasia (FD) or fibrous cortical defect (FCD)
O: osteoblastoma
G: giant cell tumor (GCT)
M: metastasis(es)/myeloma
A: aneurysmal bone cyst (ABC)
C: chondroblastoma or chondromyxoid fibroma
H: hyperparathyroidism (brown tumor)
I: infection (osteomyelitis)
N: non-ossifying fibroma (NOF)
E: enchondroma or eosinophilic granuloma (EG)
S: simple (unicameral) bone cyst
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Correct Answer - B
Ans:B. Delirium
Confusion Assessment Method (CAM), a widely-used instrument
and diagnostic algorithm for identification of delirium.
The CAM instrument assesses the presence, severity, and
fluctuation of 9 delirium features:
Acute onset
Inattention
Disorganized thinking
Altered level of consciousness
Disorientation
Memory impairment
Perceptual disturbances
Psychomotor agitation or retardation
Altered sleep-wake cycle.
The CAM diagnostic algorithm is based on four cardinal
features of delirium:
Acute onset and fluctuating course
Inattention
Disorganized thinking
Altered level of consciousness.
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Correct Answer - A
Answer- A. Hyperparathyroidism
Pepperpot skull is occasionally used in place of salt and pepper
skull to describe the typical radiographic appearance of multiple
small radiolucent lesions of the skull vault.
In primary hyperparathyroidism, extensive resorption bone in the
skull in combination with cystic areas of osteopenia are
termed pepper pot skull.
Classically seen in hyperparathyroidism, and is occasionally used
(inaccurately) to describe the raindrop skull of multiple myeloma.
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Correct Answer - C
Answer- C. Endoluminal ultrasound
Five layers of the gastric wall can be identified by endoluminal
ultrasound and the depth of invasion of tumor can be assessed by exquisite accuracy.
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Correct Answer - B
Sigmoid volvulus
Sign Disease
Rat tail appearance Carcinoma esophagus
Bird beak appearance Achalasia
Beak sign/double track/ tram track Hypertrophic pyloric stenosis
Medusa head colonies on CT Round worm
Pincer/claw/coiled
spring/target/meniscus sign
Intussception
Coffee bean sign Sigmoid volvulous
Lead pipe appearance Ulcerative colitis
String of kantor/bull's eye Chron's disease
Thumb printing sign Ischemic colitis
Saw tooth appeance on barium
enema
Diverticulosis
Apple core sign Carcinoma colon
Cork screw appearance Diffuse esophageal spasm
String sign Hypertrophic pyloric stenosis
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