Pectus Ecavatum Case Assignment
Pectus Ecavatum Case Assignment
Pectus Ecavatum Case Assignment
Pectus Ecavatum Case Assignment
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Question 23. 23. Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right shoulder blade) and is often accompanied by nausea or vomiting and often follows a heavy, fatty meal. (Points : 2) Acute pancreatitis Duodenal ulcer Biliary colic Cholecystitis Question 24. 24. Mr. A presents to your office complaining of chest pain, mid-sternal and radiating to his back. He was mowing his lawn. He reports the pain lasting for about 8 minutes and went away after sitting down. What is his most likely diagnosis based on his presenting symptoms? (Points : 2) Acute MI GERD Pneumonia Angina Question 25. 25. In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in diagnosing ACD and IDA? (Points : 2) Serum iron Total iron binding capacity Transferrin saturation Serum ferritin Question 26. 26. If it has been determined a patient has esophageal reflu, you should tell them: (Points : 2) They probably have a hiatal hernia causing reflu They probably need surgery They should avoid all fruit juices Smoking, alcohol, and caffeine can aggravate their problem 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
