Assignment: Signs of Pulmonary Malignancy
Assignment: Signs of Pulmonary Malignancy
Question 27.
27. Which of the following imaging studies should be considered if a pulmonary malignancy is suspected? (Points : 2)
Computed tomography (CT) scan
Chest -ray with PA, lateral, and lordotic views
Ultrasound
Positron emission tomography (PET) scan
Question 28.
28. 2. (*There are multiple questions on this eam related to the following scenario. Be sure to read the whole way through to the question.)
Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of
significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,
was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His
pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore
denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor
genitourinary symptoms.
When all lab work is returned within normal limits, what is the most practical imaging study to order, considering cost, availability, and sensitivity?
(Points : 2)
Abdominal upright and flat plate -ray
Abdominal MRI
Abdominal CT scan with contrast
Abdominal ultrasound
Question 29.
29. Emphysematous changes in the lungs produce the following characteristic in COPD patients? (Points : 2)
Asymmetric chest epansion
Increased lateral diameter
Increased anterior-posterior diameter
Pectus ecavatum
Question 30.
30. (*There are multiple questions on this eam related to the following scenario. Be sure to read the whole way through to the question.)
Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset
of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor,
was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain
seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore
denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor
genitourinary symptoms.
The chosen imaging study reveals: “GB normal in size without wall-thickening, but with 5-6 stones with shadowing. Common bile duct not
dilated. Liver is homogenous and normal in size. Pancreas and kidneys are normal.” What is the most effective therapeutic/management
option at this point? (Points : 2)
Trial of ursodiol
‘Watchful waiting’
Surgical consult
HIDA scan