veryhot_post - Medical Board Vignettes - Science and Research Author Topic: Medical Board Vignettes  (Read 3098 times)

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Medical Board Vignettes
« on: March 10, 2011, 02:34:26 AM »
Soccer player who was kicked in the leg suffered a damaged medial meniscus.

What else is likely to have been damaged?

A: Anterior cruciate ligament ("unhappy triad")

Linkback: https://tubagbohol.mikeligalig.com/index.php?topic=38732.0
Easy way to borrow money online. Visit www.tala.ph

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #1 on: March 10, 2011, 02:35:47 AM »
X-RAY show bilateral hilar lymphadenopathy. What is diagnosis?

A: Sarcoidosis


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #2 on: March 10, 2011, 02:37:12 AM »
25 year old woman presents with a low grade fever, a rash across her nose that gets worse when she is out in the sun, and widespread edema.

You are concerned about what disease?

A: SLE (systemic lups erythermatosus)

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #3 on: March 10, 2011, 02:38:35 AM »
A 60 year old asian man  presents with acute knee pain and swelling. X-RAY shows joint space without erosion.

What is the diagnosis and what would you find on aspiration?

A: Pseudogout; rhomboid calcium pyrophosphate crystals in aspirate.


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #4 on: March 10, 2011, 02:39:34 AM »

Treatment?

A: Long-term NSAID treatment, colchicine, allopurinol.

A2: Advise patient to stay away from high cholesterol intake


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #5 on: March 10, 2011, 02:42:33 AM »
Man presents with 1 wild, flailing arm. Where is the lesion?

A: Contralateral subthalamic nucleus (Hemiballismus)


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #6 on: March 10, 2011, 02:43:28 AM »
Patient's tongue protrudes toward the left side, and patient exhibits a right-sided spastic paralysis.

Where is the lesion?

A: Left medulla, CN XII

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #7 on: March 10, 2011, 02:44:30 AM »
43 year old man experiences dizziness and tinnitus. CT shows an enlarged internal acoustic meatus.

What is diagnosis?

A: Schwannoma

Treatment: Surgical removal


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #8 on: March 10, 2011, 02:45:22 AM »
25 year old woman presents with sudden monocular vision loss and slightly slurred speech. She has a history of weakness and parethesias that have resolved.

What is the diagnosis?

A: Multiple Sclerosis

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #9 on: March 10, 2011, 02:47:47 AM »

Treatment: Steroids, Interferon

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #10 on: March 10, 2011, 02:53:13 AM »
10 year old child "spaces out" in class. During spells, the child has a slight quivering of the lips.

Diagnosis?

A: Absence Seizures

Treatment: Ethosuximide

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #11 on: March 10, 2011, 02:57:04 AM »
65 year old man presents with paranoia, obsessive compulsion, delusion of neighbours following him, presents with introverted lifestyle.

What is diagnosis?

A: Cluster A personality disorder with possible schizoid tendency

Treatment: Neuroleptics (Thioridazine, fluphenazine, chlorpromazine ) + adjutant psychoanalytic psychotherapy




Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #12 on: March 10, 2011, 03:03:42 AM »
** very popular board question


Military Veteran becomes paralyzed upon hearing airplane engines.

What is the diagnosis?

A: PTSD (post traumatic stress disorder)


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #13 on: March 12, 2011, 01:08:08 AM »
child has been anemic since birth.

splenectomy would result in increased hematocrit in what disease?

A: spherocytosis

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #14 on: March 12, 2011, 01:08:52 AM »
patient presents with fatigue and blood tests show a macrocytic , megaloblastic anemia.

what is the danger of giving folate alone?

A: corrects anemia, but neural damage progresses if the patient is B12 deficient.


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #15 on: March 12, 2011, 01:10:21 AM »
Patient presents with anemia, hypercalcemia, and bone pain on palpation; bone marrow biopsy shows a slide packed with cells that have a large, round, off-center nucleus.

what is the diagnosis and what may be found on urinalysis?

A: multiple myeloma (plasma cell neoplasm); Bence Jones protein (Ig Light Chains)

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #16 on: March 12, 2011, 01:11:15 AM »
AIDS patient has just been diagnosed with cancer.

What neoplasms are associated with AIDS?

A: B-cell lymphoma, kaposi's sarcoma

Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #17 on: March 12, 2011, 03:13:40 AM »
A 16 year old gymnast presents to the emergency department after landing awkwardly on her ankle. She is diagnosed with a sprained ankle. Which of the following ligaments is most commonly injured in an ankle sprain?



A: Anterior talofibular ligament

Reason: The lateral ligaments are most commonly injured , and the most common of these ligaments is the Anterior Talofibular Ligament.


Lorenzo

  • SUPREME COURT
  • THE LEGEND
  • *****
  • avatar_240_1418794287 - Medical Board Vignettes - Science and Research
  • Posts: 54226
  • medal1 - Medical Board Vignettes - Science and Research medal2 - Medical Board Vignettes - Science and Research medal3 - Medical Board Vignettes - Science and Research medal4 - Medical Board Vignettes - Science and Research medal5 - Medical Board Vignettes - Science and Research medal6 - Medical Board Vignettes - Science and Research
  • Be the change you want to see in the world...
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #18 on: March 12, 2011, 03:23:40 AM »
An 8 year old boy is brought to his pediatrician by his parents with complaints of swelling
and pain over his right femur for the past 2-3 weeks. The child and parents deny any history
of trauma to the region. The patient reports that the pain is often worse at night, and his
mother states that he has been having low grade fevers of 37.8 degs C. On physical exam,
there is no erythema of the region, but a firm immobile tender mass is palpable. Fine needle
aspiration cytology of the region reveals anaplastic small blue cells. Genetic evaluation of this
patient is most likely to reveal which of the following?


A: t (11; 22) chromosomal translocation


Reasoning: the patient's presentation and histology is most consistent with Ewing's Sarcoma and is associated with t(11;22) translocations.

Deepwater

  • STUDENT
  • *
  • avatar_2706 - Medical Board Vignettes - Science and Research
  • Posts: 102
    • Share Post
xx - Medical Board Vignettes - Science and Research
Re: Medical Board Vignettes
« Reply #19 on: March 18, 2011, 03:13:11 PM »
thanks for these, doc... nice ireview
"Live as if you were to die tomorrow. Learn as if you were to live forever." -Gandhi



Share via facebook Share via linkedin Share via pinterest Share via reddit Share via twitter
 

Sign-up or Log-in Free

 
 
Welcome, Guest. Please login or register.
SMF spam blocked by CleanTalk
Powered by SMFPacks SEO Pro Mod | Sitemap
Mobile View
SimplePortal 2.3.7 © 2008-2020, SimplePortal