1. A 71 year old female with scleroderma undergoes a barium swallow examination. Which one of the following findings concerning the oesophagus would not be consistent with this diagnosis?

1. a. Oesophageal dilatation

2. b. Superficial ulcers

3. c. Hypoperistalsis in the upper third of the oesophagus

4. d. Stricture 5 cm above the gastro-oesophageal junction

5. e. Oesophageal shortening

2. A 32 year old male front seat passenger is involved in a road traffic accident and sustains blunt abdominal trauma. He is admitted via the emergency department and CT reveals a splenic laceration with subcapsular haematoma. Which one of the following associated injuries is most likely to be found?

1. a. Diaphragmatic rupture

2. b. Injury to the liver

3. c. Injury to the left kidney

4. d. Ipsilateral rib fractures

5. e. Injury to the small bowel mesentery

3. A neonate is diagnosed with congenital tracheoesophageal (TE) fistula. A plain film demonstrates a gasless abdomen. Which type of TE fistula is associated with this finding?

1. a. Type B

2. b. Type C

3. c. Type D

4. d. Type E

5. e. None of the above

4. A 60 year old female has a plain abdominal film which shows a grossly distended segment of bowel. Which one of the following features makes a diagnosis of caecal volvulus more likely than sigmoid volvulus?

1. a. Pelvic overlap sign

2. b. Apex lying above the level of T10

3. c. Liver overlap sign

4. d. Coffee bean sign

5. e. Presence of haustral markings

5. A 40 year old man is admitted to the surgical ward with acute abdominal pain and subsequently a CT abdomen and pelvis is requested. The findings include a 3 cm oval mass with central fat density adjacent to the sigmoid colon and with associated fat stranding.