By Juzar Ali, Warren G. Summer
Now up-to-date to mirror the USMLE Step 2 examination, with better emphasis on case shows and diagnostic abilities. nearly four hundred new medical vignettes with accompanying questions (500 questions in all)--now that includes accelerated solutions referenced to top textbooks or magazine articles. Reviewed by way of McGraw-Hill's clinical pupil Advisory Committee to make sure simulation of the USMLE test-taking adventure.
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Corresponding to the chapters in Radiography necessities for constrained perform, 4th variation, this useful research device is helping you recognize and practice the cloth you would like for constrained radiography perform. routines contain multiple-choice, matching, and labeling of diagrams and anatomy.
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Additional info for Chest Radiology: PreTest Self- Assessment and Review
42, PCO2 35 mm Hg, PO2 58 mm Hg. Spirometry: FVC 60% of predicted; FEV1 60% of predicted. PPD skin test is negative (0 mm); induced sputum for AFB smear is negative. Chest radiograph is shown below in Fig. 5. 8. What is the most likely diagnosis? a. b. c. d. Silicosis Miliary TB Metastatic thyroid carcinoma Sarcoidosis 9. What is the next step in the workup of this patient that would most likely yield the diagnosis? a. b. c. d. CT scan of the chest Thyroid function tests Bone marrow aspiration for culture Thoracoscopic lung biopsy Multiple Pulmonary Nodules Fig.
A. b. c. d. TB Lymphoma Sarcoidosis Mycetoma 27. What is the next management option? a. b. c. d. Obtain ACE level Start four-drug anti-TB treatment Start antifungal treatment Repeat PPD and start INH chemoprophylaxis Cavitary Lesions Fig. 16 49 50 Chest Radiology Items 28–29 A 56-year-old male smoker with a history of chronic dry cough for many months is admitted with hemoptysis and significant weight loss. He gives a remote history of aspiration of a tooth many years ago while undergoing a dental procedure.
This chest x-ray shows a 7 × 4-cm oval-shaped opacity in the left lower lung zone behind the heart. It does not obscure the left heart border but silhouettes out the descending aorta, documenting its posterior location. Note that the absence of any air bronchograms within the mass is generally inconsistent with pneumonia. General Discussion Bronchogenic carcinoma is the leading cause of cancer death in the United States. The male-female ratio has dropped from 7:1 in 1960 to 2:1 in 1998. Lung cancer is the leading cause of cancer death in women.
Chest Radiology: PreTest Self- Assessment and Review by Juzar Ali, Warren G. Summer