FRCR 2A

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Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast

1. Which of the following is true of hysterosalpingogram?
		Active bleeding is a relative contraindication
		15-20ml of non-ionic contrast is used
		Bleeding of uterine origin is a common complication
		It can be used for investigation of recurrent miscarriage
		A uterine polyp can be reliably detected

True, It can be used for investigation of recurrent miscarriage

2. A 40 year old woman with a history or previous D and C attends for HSG. An irregular filling defect is present on all images with accompanying uterine distortion. Which of the following is most likely?
		Submucous fibroid
		Intramural fibroid
		Synechiae
		Endometrial polyp
		Adenomyosis

True, Synechiae

3. A 57 year old lady is found to have a 3 cm renal cyst on USS. A subsequent CT shows it to contain thickened irregular septae and a small solid non-enhancing area. What is the Bosniak stage?
		1
		2
		2f
		3
		4

Bosniak 3 renal cysts contain irregular thickened septa, nodular irregular calcification or solid non-enhancing areas.

4. A 35 year old man presents with scrotal swelling. An USS shows a well circumscribed hypoechoic lesion with an onion skin appearance. The mass contains some calcifications. What is the most likely diagnosis?
		Microlithiasis
		Teratoma
		Epidermoid tumour
		Seminoma
		Non Hodgkins lymphpma

True, Epidermoid tumou

5. A 37 year old man presents with a painless scrotal lump. USS shows the lump to be a hypoechoic homogenous lesion almost replacing the entire testis. The serum beta-HCG is normal. What is the most likely diagnosis?
		Seminoma
		Teratoma
		Abscess
		Metastasis from prostate cancer
		Hodgkins lymphoma

True, Seminoma. The peak incidence of seminomas is in the 4th and 5th decades. Seminomas are usually well defined, hypoechoic homogenous lesions.

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