He denies any recent trauma, fever, chills, numbness, tingling, or incontinence. Given the portable nature of radiology and high bandwidth network connections, it is possible to have a radiologist on the other side of the world report the same studies we are doing here. He denies having any chest pain or SOB. She works in an office 10 hours a day, and rarely gets exercise. Books and eBooks. His wife first alerted him to it, hasn't noticed it change and he has not noticed any symptoms associated with it. Which of the following screenings are recommended by the U.S. Preventative Services Task Force (USPSTF)? What is the reasoning behind your response? Her physical exam is significant for tenderness to palpation over the left calf. Ms. Anderson is a 60-year-old woman who comes in to clinic as a walk in appointment. 50 Best Radiology Interview Questions and Answers 2020 Latest Update. He has been attempting to reduce his blood pressure with behavioral changes, but has had difficulty maintaining the changes. A 72-year-old woman with a 30-year history of Type 2 diabetes returns to your office for routine visit. Urine alkalinization (G) with sodium bicarbonate has also been shown to reduce the incidence of contrast nephropathy (although this remains controversial). She has an allergy to latex and penicillin. A 24-year-old previously healthy female has been exhibiting some new concerning symptoms over the past four months. She is taking 20 units of insulin glargine every morning and five units of insulin aspart with meals. Innovative Teaching Curriculums. See How To Register for Institutional Subscribers. The patient reports that the week prior to his four-day trip, he was mostly in bed recovering from a bout of the flu. He says he goes to church to pray. "Outsourcing." A 19-year-old female with no significant past medical history is involved as the driver in a motor vehicle accident and brought to the Emergency Department by EMS. Promotion Resources. Her fasting glucose was 240 mg/dL and her A1c was 8.9%. His x-rays show narrowed joint spaces and subchondral calcification. You recommend lifestyle changes. Her previous visit two months ago showed blood pressure of 148/82. He is intermittently noncompliant with his medications. Aquifer Radiology Flipped Classroom Workshops: Can be completed in a 60-90 minute session; contain excellent case images and annotations, chosen to emphasize learning outcomes in the corresponding Aquifer Radiology online case; are in PowerPoint format; flexible for educators’ adjustment to needs specific to their setting He reports that his wife died four weeks ago, and he is now experiencing insomnia most days of the week and fatigue and loss of energy nearly every day; reports decreased enjoyment of his activities, such as playing chess with his neighbor; and is also experiencing loss of appetite but no weight loss. Her home BP measurements have been in a similar range. Since this study aims at exploring the effect of K i and S si on the tidal response of leaky aquifers, we assume for simplicity that the Skempton coefficient (B i) and the undrained bulk modulus (K ui) are uniform in all layers. Her BP has been 148/90 and 146/86 at two separate office visits. She is not sexually active. History reveals that he has been smoking a pack of cigarettes daily since age 20. (You can choose more than one correct answer.). Her periods have been regular since they started at the age of 13 and occur every 32 days. His creatinine is 0.9, urinalysis is normal, and electrolytes are within normal limits. She admits to marijuana drug use in the past and is a nonsmoker. 2))How)can)you)tell)the)diﬀerence) between)these)three)causes?) Aquifer Radiology Exam Answers. Co-authored by the author of Radiology Masterclass, Radiology at a Glance is a complete overview of medical imaging suitable for medical students, junior doctors and other health professionals. On repeat testing of HbA1C today, you find that his HbA1C has increased to 7.5%. This CT scan has been performed without contrast - in this case, it is a KUB scan that was performed to look for renal stones. At that visit, you discussed dietary modification including eliminating carbohydrates like rice from his diet. Radiology Case Reports is an open-access journal publishing exclusively case reports that feature diagnostic imaging. - Size of the nodule (malignancy increases over 1 cm). A comprehensive database of more than 33 radiology quizzes online, test your knowledge with radiology quiz questions. She presents to her primary care physician after two weeks of lower lumbar back pain. A pertinent review of systems is negative. On breast exam, you note a mobile rubbery mass of approximately 1 x 1cm and with regular borders that is tender to palpation. A 55-year-old man with a family history of melanoma presents to the clinic for evaluation of a skin lesion on his back which appeared three months ago. She is worried because she has an aunt who had breast cancer that was BRCA positive, though her mother is BRCA negative. North American MD, DO & PA Programs He is a lifelong non-smoker, and he doesn't drink alcohol or use recreational drugs. Menarche began at the age of 10. Most Read; Give Answer; What is an example of particulate radiation? STEP 1: Choose Your Sign-in . You have a CT scan with an indeterminate nodule. Personal Statement Examples. He has a 25-pack-year smoking history. - Patients with symptoms that may be caused by complications of rib fractures such as hemothorax and/or pneumothorax, should have a CXR, preferably PA and lateral projections. Physical examination reveals a 7 mm uniformly black macule that is symmetrically round with sharply demarcated borders on his upper back near the right shoulder. This is an important radiographic finding to allow you to distinguish between a true PTX and skin folds projected over the lung. Crohn's disease most commonly involves the terminal ileum, but can also involve the stomach, duodenum or jejunum. X-rays are not indicated. His physical exam shows 2+ pitting edema of his right leg. There is no family history of cancer. You may pick one or more answers. She states that she likes to walk 30 minutes every other day with her husband and has been doing that for years now. You are trying to determine if your patient's symptoms are normal grief or if you should diagnose and treat him for Major Depressive Disorder (MDD). CT (C) is generally more readily accessible than MRI (E) in the ED, but either could be considered. A 27-year-old woman comes into your office because she heard from her friend about a vaccination against cervical cancer and would like one. She has no significant PMH. Her pulse is 70 and regular. Aquifer Clinical Learning tricks hints guides reviews promo codes easter eggs and more for android application. She is found to have a blood pressure of 146/96 mmHg. Which of the following changes is least likely to improve his blood pressure? Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, Her BMI is 34. She has never had an abnormal Pap smear. Radiology Questions and Answers (Q&A) Follow . COM provide excellent service and interpretation - that's our challenge. Working at your clinic, you receive a call from a patient of yours, Mr Smith, a 45-year-old male who was seen three days ago complaining of lower back pain. Radiology & Diagnostic Imaging Veterinary Vocations; ASVAB Automotive Aviation Barbering Boating Cosmetology Diamonds Electrical Electrician Firefighting ... what is a typical case presentation of a, what are key findings from the history o, what are key findings from the physical 71 Cards Preview Flashcards Case 14. When you ask him if he has considered quitting, he replies, "I just don't see what the big deal is!". Aquifer is the most‐utilized source of case‐based learning in medical education in the world, with over 10 million cases completed by over 300 000 learners since 2006. Ms. Rogers is a 75-year-old woman who was found unresponsive in her house by her neighbor who had come over to help clean her house. She has noted some weight loss without working on diet or exercise. This patient's symptoms-general malaise, chills, hesitancy and pain on urination-and signs (fever) suggest acute bacterial prostatitis. Question2: What are the radiations and technology that radiologist uses? She is tearful and is carrying a box of tissues in her hand. You repeat the blood pressure in her other arm and get 148/92 mmHg. Radiology Interview Questions: Except you are a radiology professional, you probably don’t know much about the job interview process. After counseling the patient, he agrees to start an antihypertensive medication. Mr. Brown is a 42-year-old male accountant with a significant past medical history of obesity who presents to his primary care physician after one week of lower back pain. Notice how there is relative sparing of the lung bases and apices. She reports trouble falling asleep and staying asleep. He did not lose consciousness nor hit his head when he fell. Today, his vitals are blood pressure 144/90 mmHg, pulse 78 beats/min, respirations 12/min, temperature 98.7 F. His recent basic metabolic panel was completely normal. Distinguishing between small bowel obstruction (SBO) and ileus. Aquifer Radiology. Access to our 100-question summative multiple-choice exams for Aquifer Family Medicine, Pediatrics, and Radiology has been extended through June 30, 2022. She has been icing the ankle since the injury as her coach recommended. He has also been feeling general malaise and chills over the past few days. Aquifer (formerly MedU) is an online case-based learning environment available to UMass Medical students. - CXRs are not usually indicated in otherwise healthy patients under the age of 40 with no other signs or symptoms to suggest pneumonia. Which of the following patients is an appropriate candidate for a exercise stress test? A dissection only involving the descending aorta is a Stanford Type B. Mr. Jones says he often hears his wife's voice while going to bed. The Learning Experience; About Aqueduct; Mission & Vision; Leadership Team & Staff; Board of Directors; Careers; COVID-19 Response. He has recently returned from a four-day cross-country trip after which he had onset of his current symptoms. Some physicians might consider doing a barium enema (D) first since colon disease is also present, and we can see the terminal ileum on the barium enema if the ileocecal valve is not competent. A 65-year-old truck driver presents to your office complaining of right calf redness and swelling. She wonders if using a perfumed bubble bath for the first time a few days ago might have triggered her symptoms. What might you do differently when counseling the patient at this visit? Choose the one best answer. His right foot shows interdigital maceration and he has redness, warmth, and tenderness just inferior to the knee. What are the two types of Stanford Dissections? 11. meconium ileus. Her first child was born when she was 31 and she had her second and last child at the age of 33. What is the best medicine to start at this time? A 55-year-old man with no significant past medical history presents for a routine physical exam. Case 14 She is taking metformin 500 mg twice daily, simvastatin 20 mg daily and hydrochlorothiazide (HCTZ) 25 mg daily, and she is compliant with her daily medications. Her creatinine is 0.9 and she has no known heart disease. He does not have any family history of cancer. 125 example questions you must prepare for prior to interview! A 53-year-old man has been experiencing three months of weight loss and palpitations. A 21-year-old female with no significant past medical history experienced an inversion-type injury to her right ankle while playing soccer a day prior to presentation. Her blood pressure is 125/80 and her physical exam otherwise is within normal limits. Work-up for hyperthyroidism, which is high on your differential, is pending. His vitals are: A 61-year-old female has recently been diagnosed with Type 2 diabetes. Oh no! She has tenderness at the anterior lower lateral malleolus but not inferiorly nor posteriorly. When she comes to clinic two days later, there is mininmal edema, she has good motor function, and has normal sensation. She has no medical problems and has had a Mirena IUD for three years. He works as a truck driver. What is the best way to counsel this patient about what to do after her treatment? Palpation of the posterior edge of the lateral malleolus elicits significant pain from the patient. About. You recommend continued relative rest and also tell the patient to keep it elevated and ice it several times during the day to help with the pain and swelling. Most lung tumors will have high metabolic activity. MedEdPORTAL Resources for Educators. He has not had any urinary frequency or dysuria. Lung cancer screening - chest radiograph or CT? Her blood pressure is 118/78, her BMI is 34 and the remainder of her physical exam is within normal limits. As he landed on the ball of his foot after having taken a shot, he recalls hearing a popping sound followed by immediate pain in the posterior right ankle. Vitals today are blood pressure 138/88 mmHg, pulse 65 beats/min, respirations 10/min, afebrile, BMI 29 kg/m2. Second edition published September 2017. Portfolio Template. He reports increased sweating, racing heart, diarrhea, and fatigue. The patient experienced no known head trauma. Physical exam reveals that the lateral right ankle is edematous with purplish bruising, bilateral pulses are good and the patient had good sensation and motor function in both feet about equally. What can mimic a Pneumothorax? Mr. Roberts is a 78-year-old male with a significant past medical history of chronic kidney disease stage II, coronary artery disease, and hypertension who presents lumbar back pain. You may choose more than one answer. CV Templates. IV contrast will optimize their ability for showing extra-luminal complications such as perforation and abscesses and fistulae. A 56-year-old Spanish-speaking male presents to your office for a six-month follow-up visit for DM Type 2 diagnosed at his previous visit with a HbA1C of 7.0%. What imaging method(s) could you use to confirm the presence of a right pleural effusion? She occasionally uses condoms. Multiple Choice Questions and Answers (Quiz, MCQs & Tests Radiology and Radiography MCQs EBooks for DHA / HAAD / SLE / MOH. Explore our library of interesting radiology cases. WHAT IS AN AQUIFER??? Pain is still present near the lateral malleolus. Ms. Marcos is a 65-year old woman with a past medical history of Type 2 diabetes, hypertension, and hypercholesterolemia who presents with six months of insomnia despite self-medication with acetaminophen, diphenhydramine, and herbal remedies. Case of the Month. On physical exam, she has point tenderness along her vertebrae in the L1-L2 region. CME Gateway. Case3% % Quesons: 1))Name)three)causes)for)the) appearance)of)ahemithorax) “white) out”)on)CXR.) She has no history of tobacco use ever and occasionally drinks a glass of wine with dinner. (C) A question in the style of the Water Level Test. In contrast to surface waters, which are tightly controlled by water laws and appropriation rights, Right lateral decubitus - The simplest and fastest way to diagnose a right pleural effusion in an ICU patient is to obtain a right lateral decubitus film (C). What is the most appropriate next step in diagnosis? His diabetes and hypertension are controlled on his usual home medications. She has worked hard to begin exercising, and is walking vigorously five times a week. 'Ground glass' is a radiology descriptive term (used in both chest radiographs and CT imaging) to indicate that blood vessels are not obscured as would be the case in alveolar lung opacities. He is unable to plantarflex his right foot. AMSER-SCARD Survey 2011. If Mr. Roger was allergic to intravenous iodinated contrast media, which of the following would be alternative means of evaluating his aorta? A 20-year-old female who is a long-standing patient at this clinic with no significant past medical history presents with first-time onset of dysuria accompanied by frequency and urgency for the past day. The CXR may be helpful for COPD because: (Choose one or more correct answers), Indications for baseline CXR for patients with chronic dyspnea of suspected pulmonary origin. CXR (B) is part of the normal staging, and provides a baseline for follow-up by CXR, but CT is much more sensitive for small pulmonary metastases. (We will talk more about PET imaging later). At this time, the most appropriate diagnosis is... A 68-year-old male was diagnosed with Stage 1 essential hypertension a few months ago and has been working on diet and lifestyle modifications. She reports first noticing the pain after her yoga class earlier in the week. He says, "I'd like to get tested for all types of cancer." Register for a personal account using your PCOM email. Completion of the 19 online cases is Mandatory, as these cases provide the National Medical Student Curriculum in Radiology assembled by the Alliance of Medical Student Educators in Radiology (AMSER), an affinity group of the Association of University Radiologists. She does not recall any trauma but began to feel a sharp pain after bending over to pick up laundry. Her vital signs are: A 35-year-old woman has been diagnosed with Graves disease and has decided to go for treatment with radioactive iodine (RAI). His BMI is 32. She is a non-smoker and consumes one to two glasses of wine per week. Ask a question or add answers, watch video tutorials & submit own opinion about this game/app. When measuring the circumference of his right leg, you note that it is 14 cm compared to the left, which has a circumference of 10 cm. A 52-year-old woman with a history of diabetes and rheumatoid arthritis presents for her annual examination. She also says she has lost interest in walking her dog, and now just allows him to use the doggie door to let himself out. A 55-year-old man presents to your office complaining of pain and stiffness in his knees. Pre-medication (see expert comment) reduces the probability of a severe contrast reaction but does not necessarily prevent one. The rest of her physical exam is unremarkable. What is the best next option for the evaluation and management of Mr. Little's condition? (Check all that apply.). 3. Based on cholesterol levels he had done in the prior week, you calculate his 10-year ASCVD risk at 11%. Oral - With increasing resolution of CT scanners, use of routine oral contrast is decreasing. Review imaging videos, clinical findings and diagnosis from a variety of categories, such as neuro. She denies any pain, tenderness, or skin changes. She has had good relief from taking propranolol for her palpitations. which of the following is the most appropriate medication to begin in this patient? Non-subscribers – For programs new to Aquifer. A recent CBC, CMP, CXR, TSH, U/A and CT of the head were all within normal limits. Avoid Aquifer Clinical Learning hack cheats for your own safety, choose our tips and advices confirmed by pro players, testers and users like you. When you enter the room, you find him standing, unable to sit comfortably. 12 MedU began as a resource to sustain a Health Resources and Services Administration–funded online, case‐based pediatrics curriculum (CLIPP, now Aquifer Pediatrics). She is not sexually active and has not yet experienced menopause. The ankle quickly became edematous, but she used ice and was able bear weight on the foot. The realistic case scenarios teach evidence-based decision making and include excellent interactive radiology resources. She denies having any chest pain or shortness of breath. On exam, he is afebrile. This will also give us the ability to detect any other lung lesions, evidence of tumor spread to nodes (ipsilateral or contralateral), pleural effusion, or bone metastases. Mr. Giovanni is a 37-year-old male who drives a delivery truck. He has a 25-pack-year smoking history. A 60-year-old male with a past medical history of chronic gout, depression, and Stage 1 hypertension presents to your office for a follow-up visit. She remembers immediate pain and swelling but was able to weight bear and limp off the field. How to distinguish? Her BMI is 28. You inform the patient that immobilization and compression is good for the conservative management of her condition. He has no current concerns, review of systems is negative, and his physical exam is unremarkable. His PMH is significant for DM type 2 and COPD. Consider doing an alternative imaging exam if possible. Choose the one best answer. Radiology Interview Questions And Answers Global Guideline . A 65-year-old female presents to your office for a routine visit. What is the most appropriate next step in this patient's care? 7-10 day history of mild cough and low fever. A 62-year-old woman presents for follow-up of her hypertension and diabetes. Her labs today include an A1C of 6.6, an LDL of 88 and a basic metabolic panel within normal limits. LMP was one week ago and was typical. The mass may appear pretty benign on CXR, but we need to further characterize this nodule on CT (C). He was treated conservatively along with pharmacologic intervention with NSAIDs and muscle relaxants. On the basis of the patient's symptoms, a pneumothorax was strongly suspected and further imaging recommended. Case 80 Abdominal pain and diarrhoea in a 28-year-old woman 225 Case 81 Pain in the left wrist following a fall 229 Case 82 A known case of inflammatory bowel disease 233 Case 83 A tourist from New Zealand 237 Case 84 Spontaneous nose bleeds in a young person 241 Case 85 Abdominal weight gain and distension despite dieting 245 On exam, her BMI is 32, up from 28 three years ago and her other vital signs are stable. Her concerns today are: fatigue, weakness, numbness, insomnia, feeling sad at times, anhedonia, increased appetite, weight gain, dry skin, and increasing hair loss within the past month.
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