CPD QUESTIONNAIRE

120     SAJR  August 2013  Vol. 17  No. 3

A maximum of 5 CEUs will be awarded per correctly completed test.

Regarding imaging of the paediatric paranasal sinuses:
1.    The maxillary sinus is the first paranasal sinus to develop from the ethmoid 

sinuses.
2.    Aeration of the sphenoid sinuses usually begins at about age 3 years, with 

aeration beginning anteriorly and progresses in an inferior posterolateral 
direction and with the sinus attaining its mature size by the age of 14 years.

3.    The ostiomeatal complex (OMC) is a functional entity of the anterior 
ethmoid complex that represents the final common pathway for drainage and 
ventilation of the frontal, maxillary and anterior ethmoid cells.

4.    The maxilla is the most frequent facial bone affected by fibrous dysplasia.
5.    An antrochoanal polyp refers to a solitary lesion that arises in the maxillary 

antrum of an atopic person, increases in size to widen the sinus ostium, and 
then extends into the nasal cavity.

Regarding quality management systems in radiology:
6.    Quality management of patient radiation dose monitoring is fundamental to 

safety and quality improvement of radiological services.
7.    The radiologists or medical practitioners in charge should oversee the 

establishment of local quality systems, guided by local practice as well as 
international standards that are currently available in most developed countries.

Regarding the face of the giant panda sign in Wilson disease:
8.    When patients with Wilson disease have predominant hepatic involvement, T2 

hyperintensity is noted in the globus pallidus, putamen and mesencephalon.
9.    In neurologically symptomatic patients, T1 hyperintensity is noted in the 

putamina, caudate nuclei, thalami, midbrain and pons.
10.  The face of the giant panda sign is produced as a result of high signal intensity 

in the tegmentum with preserved normal signal intensity in the red nuclei 
and lateral portion of the pars reticulata of the substantia nigra as well as 
hypointensity of the superior colliculi.

Regarding extramedullary haematopoiesis: an uncommon posterior 
mediastinal mass:
11.  Extramedullary haemotopoiesis is seen in a variety of haematological 

disorders, including severe haemolytic anaemias (thalassaemia, sickle-

cell anaemia, spherocytosis), leukaemia, lymphoma, myelodysplasia and 
myelofibrosis.

12.  Main considerations in the differential diagnosis of EMH are tumours 
of the middle and posterior mediastinum, including neurogenic masses, 
lymphoma, paravertebral abscesses, pleural cysts, lateral meningoceles, 
mediastinal lymph node hyperplasia, and primary and metastatic malignant 
neoplasms.

Regarding imaging of disease progression in a case of idiopathic moyamoya:
13.  Disorders associated with secondary moyamoya include Down syndrome, 

neurofibromatosis type 1, tuberous sclerosis and sickle cell disease.
14.  The typical angiographic appearance is narrowing of the supraclinoid internal 

carotid artery, proximal anterior cerebral artery and proximal middle cerebral 
artery.

Regarding thymic masses: a radiological review:
15.  Normal thymic thickness should be <13 mm before 20 years of age and 

<18 mm after 20 years of age.
16.  True thymic hyperplasia is diagnosed when there is >50% increase in thymic 

volume over baseline, usually within a year of the stress period, with preserved 
microscopic features.

17.  Lymphoma is the most common cause of an anterior mediastinal mass in 
children and the most common cause of an anterior mediastinal mass in 
adults.

18.  Thymomas are classified into noninvasive (benign) or invasive (malignant), 
and are usually seen in adults in the 5th - 6th decade and commonly seen in 
children.

Regarding nasolabial cysts – a rare case:
19.  Nasolabial cysts comprise approximately 0.6% of all jaw cysts, most 

commonly affect patients in the 4th and 5th decades of life, and have a male 
predominance.

20.  Nasolabial cysts are benign, slow-growing developmental cysts occurring in 
the nasolabial folds below the alae nasi and are nonodontogenic, extraosseous 
and locally expansile.

Instructions:
1.  CPD questionnaires must be completed online by registering with www.cpdjournals.co.za.
2.  Read the articles in the journal to find the answers to the questions.
3.  After completing the questionnaire, you can check the answers and print your CPD certificate(s). 
4.  Please contact the online manager (021 681 7200 or publishing@hmpg.co.za) in the event of queries.

Accreditation number: MDB001/012/01/2013 (Clinical)

CPD QUESTIONNAIRE

Mark each numbered statement as true (A) or false (B).

C

M

Y

CM

MY

CY

CMY

K

mPH513 - Clarity IQ advert DoseWise FA.pdf   1   2013/08/06   11:54:02 AM

http://www.cpdjournals.co.za
mailto:publishing@hmpg.co.za