Q11. You order a PET scan shown below. The radiologist suspects a malignancy. In general, which malignancy is least likely to occur in this location?
a. Adenocarcinoma
b. Squamous cell cancer
c. Large cell cancer
d. Carcinoid
e. Small cell cancer
Tuesday, December 21, 2021
Clinical Case MCQs
Q10. If this was a malignancy in the apex of the lung, what type of arm problem may occur?
A. Swelling of the entire arm
B. Loss of pulses
C. Pain and paresthesias in the middle three fingers
D. Numbness and tingling in the ring and little finger
E. Discoloration of the hand when exposed to cold
Monday, December 20, 2021
Clinical Case MCQs
Q9. You order the blood work. What is the cause of this abnormality in this patient suspected of having a lung malignancy?
a. Bone breakdown
b. Secretion of a parathyroid peptide
c. Renal failure
d. Use of medications
e. Excess production of vitamin D
Clinical case mcqs
Q8. After the CXR is obtained, you order an ECG in the patient with the lung mass. The strip is shown below. You immediately suspect that this patient may have developed?
a. Renal failure
b. Paraneoplastic syndrome
c. Parathyroid adenoma
d. Sarcoidosis
e. Tuberculosis
Clinical Case MCQs
Q6. Based on the below diagram which of the following ganglia is involved in the patient’s eye pathology (horner syndrome)?
Clinical Case MCQs
Q5. When a patient presents with the eye features shown below, what would you ask the patient to determine if the cause if benign or malignant?
A. Do you have any old facial photos?
B. Do you drink alcohol?
C. Does the condition alternate between the eyes?
D. Do you see double?
E. Do you have eye pain?
Sunday, December 19, 2021
Clinical Case MCQs
Q3. In the condition in the previous slide (horner syndrome), which muscle shown below is responsible for the ptosis?
a. Orbicularis oculi
b. Muller’s muscle
c. Levator palpebrae
d. Inferior rectus
Clinical Case MCQs
Q2. While you are examining the patient (see Q1 for history), you are thinking of the differential diagnosis. Which of the following may be helpful in his investigations?
A. Chest x-ray
B. Ophthalmology consult
C. Fundoscopy exam
D. CT brain
E. Arterial blood gas
F. Liver function tests
G. Testing for syphilis
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