File 24 Flashcards

1
Q

What is true regarding thymus
A) It decreases in size between age of 2 to 8 yrs.
B) It decreases in size before the age of 2
C) It decreases in size gradually after the age of 8 years

A

C) It decreases in size gradually after the age of 8 years

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2
Q

Patient 4 or 6 weeks post total thyroidectomy, for whole body scan
which tracer to use:
A) I-131 2 mCi → Radiotherapy
B) I-123 5 mCi → for mets screening and residual.

A

B) I-123 5 mCi → for mets screening and residual.

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3
Q

Picture, patient increased parathyroid hormone, what suggests
parathyroid adenoma?

A) Increased uptake in the left lower thyroid lobe in the initial images
B) Increased residual uptake in the left lower thyroid in 2 hours delayed images
C) Thyroid wash out completely

A

B) Increased residual uptake in the left lower thyroid in 2 hours delayed images

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4
Q

Patient with mild progressive urticaria:

A

Answer: 50 mg diphenhydramine

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5
Q

Spatial resolution in CT:

A

Answer: Ability to differentiate 2 adjacent objects

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6
Q

To prepare a renal patient for contrast-enhanced study:

A) Give N-acetyl cysteine
B) IV fluid
C) Oral hydration

A

B) IV fluid

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7
Q

MCUG of a male patient shows urethral stricture “I forgot which
part”, he has difficult micturition and dilated filled litters glands

A) Gonococcal infection
B) Straddle injury

A

A) Gonococcal infection

Answer: A
Notes:
- Enlarged gland → infectious mostly seen in bulbous
- Trauma/ straddle injury → penile

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8
Q

Brain edema with high density in the area of the thalamus and basal
ganglia, what is the most common cause

A

Answer: Hypertensive bleed.

Notes:
- √ Basal ganglia
- 2ɴᴅ Dentate nucleus
- Brainstem hemorrhage
- Temporal horn → obstructive hydrocephalus
- Charcot-Bouchard aneurysm rupture
- Irregular shape
- Little edema
- Medially located

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9
Q

78 years old successful businessman is diagnosed to have pancreatic
cancer, his son asked you not to inform him, what will you do

A) Will not inform the patient as his son requested
B) Don’t inform him because you don’t want to affect his business
C) Inform him if he is competent and welling
D) Ask a family member to inform him

A

C) Inform him if he is competent and welling

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10
Q

Regarding DNR:
A) Do not resuscitate patient who have incurable condition.
B) Do not attempt CPR on patient with cardiac arrest
C) Do not do CPR on patient who will not survive

A

A) Do not resuscitate patient who have incurable condition.

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11
Q

Policeman brought a man to hospital to investigate possible alcohol use,
and he (the policeman) asks you to insert NGT to take samples, the patient refused NG tube.

A) Force the patient to insert NGT
B) Tell the policeman not to interfere in doctor’s job.
C) Sedate the patient and insert NG tube
D) Referred them to another department

A

B) Tell the policeman not to interfere in doctor’s job.

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12
Q

15, 16, 14, 14, 13, 15, 11, 12, 11 What is the range?
5, 25, 15 , 11

A

5

Highest - lowest number

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13
Q

A study was conducted to evaluate the risk of cardiovascular disease
(has cardiac dis/ no cardiac dis) With smoking (regular smoker/occasional
smoking/ nonsmoker). What test you will use?

A) ANOVA
B) Chi square
C) T-test
D) Correlation

A

B) Chi square

Answer: B
Notes:
The Chi Square statistic is commonly used for testing relationships between categorical
variables.

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14
Q

If you are studying diastolic BP in 2 groups: groups A and group B,
and u have a hypothesis that there is difference between the 2 groups, an alternative hypothesis would be:

A) H0 : group A= group B
B) Ha : group A= group B
C) H0 : group A is not equal to group B
D) Ha : group A is not equal to group B

A

D) Ha : group A is not equal to group B

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15
Q

An internist was following a diabetic patient for 10 years, but the
patient condition is worsening, and the patient is not happy with his
physician, what should the physician do?

A) Take a second opinion of another specialist
B) Refer the patient to another specialist
C) Make the patient sign consent before continuing the management
D) Change treatment plan of the pt.

A

B) Refer the patient to another specialist

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16
Q

Muslim patient should seek medical advice, scholars said it id ok
because it is part of?

A) Harm should be removed
B) Hardship brings forth ease
C) Certainty is not removed by doubt

A

A) Harm should be removed

17
Q

To study risk factors for brain tumor:

A) Case control
B) Prospective cohort
C) RCT
D) Comparative cross-sectional study

A

A) Case control