【临床医学】英文医学影像学考题及答案

FinalExaminationofForeignStudentsLThefollowingfigureisanX-rayfilmofnormalchest.Pleasenametheorgansinthefigure>(ISpoints)1 2 4 5 7 8 10 11 13 14

3 6 9 12 15 ILTerminterpretation(6points)Foggingeffect:ChemoembolizationIILFillingtheblanks(24points)Forpatientswithbraintraumatherearethreetypesofextracerebralhemorrhage: ， , OnX-rayfilm,therearefourfundamentalradiographicdensities.Bonesappear •Musclesappear •Fatappears >Airandgasesappear •3 Theindicationsofembolizationconclude ， ， Theaimofinferiorvenacavafilterplacementwasto •Endovascularstenthastwokindsofunfoldtypes: and Angiographycanbeperformedby , 9 technique.Givesomeexampleofnon-vascularintervention:&Themainlimitationofangioplastywas Answerthequestions.(35points)LPleasewritedownthecommonsiteofhypertensivecerebralhemorrhageanditsCTappearance(10points)PleasewritedownCTandMRIappearanceofmeningioma.(14points)Whatistheprincipleoftranscatheterarterialinfusion?(6points)Pleasegiveanintroductionofangioplastyanditsmaintechnique.(5points)Accordingtotheclinicalmaterialsandradiologicexamination,pleasewritetheradiologicappearanceandyourimpression.(20points)leCase1A38-year-oldmanwithahistoryoffever,cough,rustedsputumandleftchestforoneweek.Thewhitebloodcellcountwas12.0X19/L<Theposteroanteriorandlateralviewfilmsasfollows:2eCase2A34-year-oldma， Hesufferedfromlowgradefeverintheafternoon,weaknessforhalfamonth*ThefindingsofCTscanasfollows:3>Case3A-70-year-oldfemalwithahistoryofcoloncarcinoma>4<Case4A38-year-oldmanwithmyastheniagravisforhalfayear.SeCaseS68-year-oldfemalewithahistoryofsmokingfor30years.Theclinicalsymptomwascough,hemoptysisfortwomonths.2002-2003FinalExaminationofForeignStudents(Answers)1trachea2rightmainbronchus3leftmainbronchus4scapula5clavicle6sternum7azygosvein8aorticarch9leftpulmonaryartery10upperleftcardiacborder11lowerleftcardiacborder12rightatrium13lowerlobearteries14lateralcostophrenicangle15breastII.Foggingeffect:During2~3weeksaftercerebralinfarction^thedensityoftheinfarctedlesionincreasedandbecameisodcnse.Thisisduetoreductioninedema^leakageofproteinsfromcelllysisandinvasionofmacrophage.Chemoembolization:Atechniquethatcombinestranscatheterarterialinfusionchemotherapydrugsandembolization.IILepiduralhemorrhage,subduralhemorrhage,subarachnoidhemorrhageblack,gray-black,gray,white3・controlofhemorrage,devascularizationoftumors,ablationoforganortissue,varicocele,modificationofbloodflow,perigraftleakandbackbleeding，followingstent-graft,localizationofsmallbowelangiodysplasia(choose5)4.preventthepummonaryembolism5.balloon-expandblestent,self-expandablestent6>DSA,MRA,CTA7.percutaneousbiopsy，percutaneousdrainage&aspiration,transcatheternonvasclularlumen,percutaneousinterstitialtherapy8.restenosisIV.Verycommonreasonishypertensionandthecommonsitearebasalganglionthalamus.Acutehemorrhage:hyperdense,60-80Hu(hemoglobin)Subacutehemorrhage:attenuationdecreasedwithtime(L5Huperday);startperipheryprogresscentrally;isodensebetween1to6weeks;peripheralenhancementChronichemorrhage:hypodenseResiduaofhemorrage:hypodensefoci(37%);slitlikelesion(25%);calcification(10%);abnormal(27%)CT:Sharpcircumscribedroundorsmoothlylobulatedmass;Connectedwithduraorinnertablewithabroad・Homogenoushyperdense(75%),isodense>Calcification20-25%,diffuse^focal,sandlike,sunburst,globular,rimlike.BonedestructureorhyperosteogenySofttissuemassinscalpEdema:nonexceptforvenousorsinuscompressedNecrosisorcystformation:seldom8*25%Hemorrhage:uncommonEnhancement:obviousanduniformenhancementMRI:IsointensewithgraymatteronT1WI,T2WI;CSFcleftandpialvesselstumor;Flowvoidvesselswithintumor;Enhancedrapidlyandintensely,Duraltailsign*Duraadjacenttotumorshowlinerenhancemet.suggestivenotspecificformeningioma,alsocanbeseeninschwannoma,gliblastomamultiforme,metastasesDrugsadministratedthroughveinswerediluted,combinedwithprotein,thelevelofdrugsinthetargetorganislow,untargetorganswasalsoaffected， sideeffectswasseriousTAIincreasethelevelofdrugsinthetargetorgan,prolongthecontacttimewithlesion,enhancetheeffectiveness,lowerthesideeffectsBallonangioplasty*Endovascularstent.Atherectomy/thrombousremovel.angioplasty.Ultrasoundangioplasty.V.lxasel:leftlowerlobe;confluentpatchyopacities;obliteratetheposteriorlefthemidiaphragmonthelateralview;impression:leftlowerlobepneumonia2.case2:multiple(diffuse);small(military)nodulesthroughoutbothlungs;homogeneousdensity;impression:militarytuberculosis3 case3:multiplenodules;bilaterallungflelds;well-definedmargins;homogeneousdensity;impression:pulmonarymetastases4>case4:anteriormediastinum(anteriortothegreatvessels);mass;well-definedmargins;softtissuedensity;homogeneousdensity;impresson:thymoma5xase5:hilumenlarged;thewallofthebronchusthickened;softtissuedensitymass;me