1 Discuss with brief notes and diagrams, the radiological management of

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1 FC Rad Diag(SA) Part II THE COLLEGES OF MEDICINE OF SOUTH AFRICA Incorporated Association not for gain Examination for the Fellowship of the College of Diagnostic Radiologists of South Africa 29 August 2006 Paper I Clinical Medical Practice (3 hours) All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) 1 Discuss with brief notes and diagrams, the radiological management of a) A 40-year-old patient presenting with stridor. (13) b) An adult with pneumomediastinum. (12) 2 A 12-year-old male patient presents with a vague clinical history of a firm mid-thigh mass. a) Describe and discuss a suitable differential diagnosis you would consider prior to subjecting the patient to any imaging. (6) b) What imaging modalities would you use, in order of diagnostic significance, to assist the clinician with narrowing the differential diagnosis? Indicate your reasoning (14) c) What advice would you offer the clinician regarding the choice of imaging modality/modalities, and the frequency of their usage, for the monitoring of progress with the patient s management? (5) 3 Discuss with brief notes and diagrams, the radiological management of a) Pulmonary oedema. (15) b) Aortic valve pathology. (10) 4 Discuss with brief notes and diagrams, the radiological management of a) Unilateral swelling of the parotid gland. (12) b) Laryngeal pathology. (13)

2 DIE KOLLEGES VAN GENEESKUNDE VAN SUID-AFRIKA Ingelyfde vereniging sonder winsoogmerk Eksamen van die Genootskap van die Kollege van Diagnostiese Radioloë van Suid-Afrika 29 Augustus 2006 GK Rad Diag(SA) Deel II Vraestel I Kliniese Geneeskunde Praktyk (3 uur) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word 1 Bespreek met kort notas en tekeninge, die radiologiese behandeling van: a) n 40-jaar-oue pasiënt wat met stridor presenteer. (13) b) n Volwassene met pneumomediastinum. (12) 2 n 12-jaar-oue manlike pasiënt met n vae kliniese geskiedenis van n ferm mid bobeen massa. a) Beskryf en bespreek n paslike differensiële diagnose wat u sou beskou voor u die pasiënt aan enige afbeelding blootstel. (6) b) Watter afbeelding modaliteite sou jy gebruik, in orde van diagnostiese belangrikheid, om die klinikus te help met die verkleining van die differensiële diagnose? Motiveer u voorstelle. (14) c) Watter advies sou u aan die klinikus voorstel aangaande die keuse van afbeelding modaliteit/e, en hoe dikwels die beelding om die pasiënt se behandeling te monitor? (5) 3 Bespreek met kort notas en tekeninge, die radiologiese behandeling van a) Pulmonale edeem. (15) b) Aorta klep patologie. (10) 4 Bespreek met kort notas en tekeninge, die radiologiese behandeling van a) Unilaterale swelsel van die parotis klier. (12) b) Larinks patologie. (13)

3 FC Rad Diag(SA) Part II THE COLLEGES OF MEDICINE OF SOUTH AFRICA Incorporated Association not for gain Examination for the Fellowship of the College of Diagnostic Radiologists of South Africa 29 August 2006 Paper II Clinical Radiology (3 hours) All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) 1 A middle-aged male presents with a second episode of haematuria a) Discuss the possible causes. (7) b) Describe the imaging strategy you would follow. (10) c) Describe the key imaging findings per modality. (8) 2 Discuss the imaging and radiological follow up of the complications of the following clinical conditions. Tabulate your answer for each condition a) Diabetes Mellitus. (15) b) Alcohol Substance Abuse. (10) 3 Discuss with brief notes and diagrams, the radiological management of a) Craniopharyngioma. (15) b) Hypothalamic tumours. (10) 4 Discuss your radiological approach to the following a) Blunt chest trauma associated with road traffic accidents. (10) b) Blunt abdominal trauma in a child. (15)

4 DIE KOLLEGES VAN GENEESKUNDE VAN SUID-AFRIKA Ingelyfde vereniging sonder winsoogmerk Eksamen van die Genootskap van die Kollege van Diagnostiese Radioloë van Suid-Afrika 29 Augustus 2006 GK Rad Diag(SA) Deel II Vraestel II Kliniese Radiologie (3 uur) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word 1 n Middeljarige man presenteer met n tweede episode van hematurie a) Bespreek die moontlike oorsake. (7) b) Beskryf die afbeelding strategie wat u sou volg. (8) c) Beskryf die belangrikste beelding bevindings per modaliteit. (7) 2 Bespreek die beelding en radiologiese opvolg van die komplikasies van die volgende kliniese toestande. Tabuleer u antwoord vir elke toestand a) Diabetes mellitus. (15) b) Alkohol misbruik. (10) 3 Bespreek met kort notas en tekeninge, die radiologiese behandeling van a) Kraniofaringioom. (15) b) Hipotalamiese tumore. (10) 4 Beskryf u radiologiese benadering van die volgende a) Stomp borskas trauma veroorsaak deur n motorvoertuig ongeluk. (10) b) Stomp abdominale trauma in n kind. (15)

5 FC Rad Diag(SA) Part II THE COLLEGES OF MEDICINE OF SOUTH AFRICA Incorporated Association not for gain Examination for the Fellowship of the College of Diagnostic Radiologists of South Africa 30 August 2006 Paper III Clinical Radiology (3 hours) All questions are to be answered. Each question to be answered in a separate book (or books if more than one is required for the one answer) 1 a) Discuss the physics of Magnetic Resonance Imaging Angiography techniques. (15) b) Table the advantages, disadvantages and application of the different techniques. (10) 2 a) List the differential diagnosis of the dural tail sign. (5) b) Discuss the pathology of each in short. (20) 3 a) Discuss the physics of diffusion weighted imaging of the Brain. (10) b) Elaborate on the use of diffusion weighted imaging ( DWI) of Brain tumour characterisation and treatment response. (10) c) The use of diffusion weighted imaging in stroke patients. (5) 4 Discuss the imaging of fistula in Ano under the following headings a) Anatomy and etiology. (5) b) Fistula classifications. (5) c) Who should be imaged. (5) d) Imaging. (10)

6 DIE KOLLEGES VAN GENEESKUNDE VAN SUID-AFRIKA Ingelyfde vereniging sonder winsoogmerk Eksamen van die Genootskap van die Kollege van Diagnostiese Radioloë van Suid-Afrika 30 Augustus 2006 GK Rad Diag(SA) Deel II Vraestel III Kliniese Radiologie (3 uur) Al die vrae moet beantwoord word. Elke vraag moet in n aparte boek (of boeke indien meer as een nodig is vir n vraag) geskryf word 1 a) Bespreek Magnetiese Resonans Angiografie tegnieke. (15) b) Tabuleer die voordele, nadele en toepassing van die verskillende magnetiese resonans angiografie tegnieke. (10) 2 a) Lys die differensiële diagnose van die durale stert teken. (5) b) Beskryf die patologie van elk in kort. (20) 3 a) Bespreek die fisika van diffusie beelding van die brein. (10) b) Brei uit op die gebruik van diffusie beelding van brein tumor eienskappe en behandelings respons. (10) c) Die gebruik van diffusie beelding in beroerte pasiënte. (5) 4 Beskryf die beelding van anale fistels onder die volgende opskrifte a) Anatomie en etiologie. (5) b) Fistel klassifikasie. (5) c) Wie moet gebeeld word. (5) d) Beelding. (10)

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