SMJ CME January 2012: Set B

Singapore Medical Journal

 

Instructions :

1) Please read this article : Clinics in diagnostic imaging (137)

2) Answer the questions below. Fill in your full name, email address and MCR No.

3) Click on "submit answers" to send your answers to the SMJ editorial office.

4) Deadline for submission (January 2012 SMJ 3B CME programme) is 07 February 2012, 12 noon.

Results :

Answers will be published in the SMJ March 2012 issue.

The MCR numbers of successful candidates will be posted online at www.sma.org.sg/cme/smj by 14 February 2012.

All online submissions will receive an automatic email acknowledgment.

Passing mark is 60%. No mark will be deducted for incorrect answers.

One CME point is awarded to successful candidates.

The SMJ editorial office will submit the list of successful candidates to the Singapore Medical Council. You may log in at the SMC-CME website www.smc.gov.sg to verify your points. If you experience login problems at the SMC-CME website, please contact SMC at email: MOH_SMC@moh.gov.sg .


Link to CME article:

Clinics in diagnostic imaging (137)

Question 1. Concerning gallbladder carcinoma:

(a) It is usually diagnosed early.
(b) It is prevalent among adolescence and young adults.
(c) Women are more commonly affected.
(d) Adenocarcinoma is the least common histologic subtype.


Question 2. Predisposing risk factors of gallbladder carcinoma include:

(a) Porcelain gallbladder.
(b) Chronic biliary infection.
(c) Primary sclerosing cholangitis.
(d) Cholelithiasis.


Question 3. Concerning imaging of gallbladder carcinoma:

(a) Diagnosis can be made on plain abdominal radiograph.
(b) Gallbladder mass is poorly visualised by computed tomography.
(c) Mural irregularity and asymmetric wall thickening on ultrasonography images indicate benign aetiology.
(d) Gallbladder carcinoma shows less contrast washout in the portal venous and delayed phases compared to hepatocellular carcinoma.


Question 4. The following are common patterns of sonographic findings in gallbladder carcinoma:

(a) An extra-luminal mass.
(b) Comet tail artefacts arising from the gallbladder wall.
(c) A mass occupying or replacing the gallbladder.
(d) Focal or diffuse thickening of the gallbladder wall.


Question 5. Concerning magnetic resonance (MR) imaging and positron emission tomography (PET) in the workup of gallbladder carcinoma:

(a) MR imaging is the modality of choice in the initial workup of patients with suspected gallbladder carcinoma.
(b) MR imaging is useful in determining local extend of gallbladder carcinoma.
(c) Gallbladder tumours are usually hypointense relative to the liver parenchyma in both T1- and T2-weighted images.
(d) PET is highly specific in differentiating gallbladder carcinoma from benign inflammation involving the gallbladder.

*Name:
*Email Address:
*MCR No.:

This CME programme is a property of the Singapore Medical Journal. All rights reserved.