Spot the Fracture
Neuroanatomy
Chest X-Rays
Body CT
Spot the Brain Aneurysm
100
Name the bone that is fractured.
Bonus 100 points for the most likely mechanism of injury.
Transverse scaphoid bone fracture. Most common mechanism is falling on an outstretched hand (wrist extension)
100
What part of the brain is visible in this CT slice?
Bonus 100 points to name the main characteristic symptom of a stroke in this region.
Cerebellum. Cerebellar stroke causes ataxia
100
What is wrong with this chest x ray?
Bonus 100 points if you can name the disease process and what type of microbial agent (bacterial, viral, fungal) is responsible.
Right lower lobe consolidation. Bacterial pneumonia.
100
Point to the abnormality 
Bonus 100 points to name the pathology
Large abdominal aortic aneurysm
100
Bonus 200 points to name the artery its located on
Left internal carotid aneurysm
200
What is fractured?
Bonus 200 points to name a likely proximal injury associated with this type of fracture.
Bimalleolar fracture. It is likely associated with a Maisonneuve fracture -- proximal fracture of the fibula.
200
What structure is black in this image?
Lateral ventricles
200
What is wrong with this chest x-ray?
Bonus 150 points to name the immediate treatment
Left apical pneumothorax. Urgent treatment is needle thoracostomy, subacute treatment is chest tube.
200
What organ is affected?
Bonus 100 points to name the pathology.
Left renal cyst
200
Bonus 200 points to name the artery of the aneurysm
Anterior communicating artery aneurysm
300
What type of fracture is this?
Bonus 200 points to name the main concern for the cause of this type of fracture
Mid diaphyseal humeral fracture (spiral fracture). Known sign of child abuse.
300
There is a tumour in the centre of the image. What structure is the tumour likely originating from?
Bonus 200 points to name how their vision is likely affected.
Pituitary tumor. Bitemporal hemianopia (lateral visual fields affected).
300
What is wrong with this X-ray?
Bonus 100 points if you can name 1 medication this patient is likely taking
Cardiomegaly with pulmonary edema -- congestive heart failure.
CHF meds ex. Any ACEi, ARB, beta blocker, spironolactone, lasix, SGLT2 inhibitor (e.g. empagliflozin)
300
What is the major abnormality on this CT?
Bonus 200 points to name the likely cause of this presentation.
Large volume ascites and severe cirrhosis. 100% due to alcohol
300
Bonus 100 points to name the location of the aneurysm.
Basilar artery saccular aneurysm
400
Where is the fracture?
Bonus 100 points to point out how we know this is a teenager. Additional 200 point bonus to name the most concerning long term complication of this fracture.
Distal radius fracture. Teenager because of appearance of growth plate in ulna. The most concerning long-term complication is stunted growth of the bone because the radial fracture occurs through the growth plate.
400
What is wrong with this CT? (hint: there's contrast)
Bonus 100 points to name the most likely mechanism of this pathology.
Subarachnoid hemorrhage. Little old lady fell.
400
What is the abnormality with this chest x-ray?
Bonus 200 points to name the pathology causing this abnormality.
Central air-fluid level at the contour of the heart. GIANT hiatal hernia.
400
What organ is affected in this CT?
Bonus 200 points to name the abnormality
Uterus enlarged -- because she is pregnant! Early early preggo. Bonus 100 if you mentioned she probably really has to pee.
400
Bonus 200 points to name the location of the aneurysm
Left middle cerebral artery aneurysm
500
Where is the fracture (must label correct vertebrae)?
Bonus 300 points what major complication has likely occurred in this case.
C4-C5 teardrop fracture of anterior vertebral bodies. This patient is likely paralyzed due to this fracture.
500
What is wrong with this image?
Bonus 200 points to state the likely outcome for this patient
Brain herniation (tonsillar and transtentorial). This person likely died due to this.
500
What is wrong with this chest x ray?
Bonus 200 points for naming the pathology. Additional 200 point bonus to name one of the medications for treatment.
Widespread reticulonodular pattern, representing miliary tuberculosis. Treatment -- rifampin, isoniazid, pyrazinamide, ethambutol.
500
Where is the tumour? Must name the organ the tumour is in.
Bonus 200 points to name the type of tumour this likely is?
Right adrenal tumour! Most likely a pheochromocytoma given medullary hypodensity.
500
Bonus 300 points to name the location of the aneurysm
Left internal carotid artery saccular aneurysm at the posterior communicating artery origin