X-rays are not indicated. The rest of her physical exam is unremarkable. (C) A question in the style of the Water Level Test. She is 5' 2" and weighs 250 lbs. Mr. Giovanni is a 37-year-old male who drives a delivery truck. His BMI is 32. These are what we call 'ground glass' opacities. ACR DOES NOT advocate the use of routine preoperative CXR in patients who have no cardiac or respiratory symptoms regardless of smoking history and age. Aquifer Radiology. What imaging study should you order in patients with low level trauma and clinically suspected rib fractures and new shortness of breath? A 64-year-old woman who is overweight with well-controlled hypertension comes to your office complaining of a lump in her breast that she noticed while showering. There is no family history of cancer. The patient notes blurry vision for the past several months and a few days of dark spots in her vision. She has had good relief from taking propranolol for her palpitations. - Previous allergic reaction (B) to IV iodinated contrast, including hives, tongue swelling, laryngospasm, and vascular collapse, predisposes to repeat reaction. 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%. Case 14 vascular marking extending beyond the edge of the questioned pnuemothorax (PTX). She reports trouble falling asleep and staying asleep. She reports first noticing the pain after her yoga class earlier in the week. 50 Best Radiology Interview Questions and Answers 2020 Latest Update. You also emphasized the importance of exercise and recommended he join a gym. 3. She is worried because she has an aunt who had breast cancer that was BRCA positive, though her mother is BRCA negative. (Pick one or more.). He reports that he has had these symptoms off and on for some time but noticed that the redness and swelling on the right has worsened over the past few days and he also noticed fevers and chills. Mr. Jones is an 82-year-old man who presents to the office for his six-month chronic disease visit. Aquifer (formerly MedU) is an online case-based learning environment available to UMass Medical students. 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. 7-10 day history of mild cough and low fever. 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). Vitals today are blood pressure 138/88 mmHg, pulse 65 beats/min, respirations 10/min, afebrile, BMI 29 kg/m2. The patient reports that the week prior to his four-day trip, he was mostly in bed recovering from a bout of the flu. The ankle quickly became edematous, but she used ice and was able bear weight on the foot. (Check all that apply.). First name He used to play basketball three times a week with his friends but stopped about seven months ago because he was finding it difficult to keep up. Your physical exam reveals a fine tremor in the bilateral upper extremities, sweaty palms, and a smooth, mildly enlarged thyroid gland. There is no swelling or tenderness of the right foot or ankle but the right dorsalis pedis and posterior tibial artery pulses are barely palpable. A 22-year-old female with no significant past medical history experienced an inversion-type injury to her right ankle while playing volleyball. A Vegan Hiker With a Rash Self-Treated With Coconut Oil A 29-year-old strict vegan and avid outdoors enthusiast presents with a worsening rash on her feet. Her last BP reading was one year ago and was 120/76 mmHg. Aquifer Vitutal Patient Cases are case-based clinical simulations designed to develop clinical reasoning and self-directed learning and self-assessment skills. She denies having any chest pain or shortness of breath. A dissection only involving the descending aorta is a Stanford Type B. Her periods have been regular since they started at the age of 13 and occur every 32 days. He last saw a doctor five years ago. What is the next best step in the management of this patient? 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. Her BMI is 34. She cannot confirm light touch of the foot and cannot wiggle her toes on command. A 47-year-old woman comes into your office for a health care maintenance exam. 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. We also cannot allow any ferromagnetic metal into the MRI scanner and it can be very difficult to be sure there is no metal in or on a trauma emergency patient. She has noticed some significant swelling which is mostly still present. Case of the Month Archives. 125 example questions you must prepare for prior to interview! You repeat the blood pressure in her other arm and get 148/92 mmHg. A 62-year-old man with hypertension and diabetes is discharged home from the hospital, following a viral upper respiratory tract infection. Question4: What type of image will it produce when using the bisecting angle technique, directing the x-ray beam perpendicular to the long axis of the teeth? He is prescribed several medications, including low dose aspirin. She denies suicidal or homicidal ideation, but she does have a history of a previous suicide attempt following her divorce seven years ago for which she was hospitalized. In general, her chronic diseases are well controlled and she has suffered no target organ damage. Personal Statement Examples. CME Gateway. Join now! Second edition published September 2017. He has recently returned from a four-day cross-country trip after which he had onset of his current symptoms. A lateral decubitus study may not, however, show free-flowing pleural fluid if it is loculated (and therefore does not change position when the patient is placed into a right lateral decubitus position). Ms. Vasquez is a 38-year-old female with a past medical history of sarcoidosis and recently completed a six-month steroid taper. However, oral contrast is still indicated in some cases, such as for IBD, abscess, evaluation for extravasation after surgery or trauma or for fistula mapping. She thinks that there is a strange odor to her urine but denies any hematuria. 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. 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. Mentoring-Advising. which of the following is the most appropriate medication to begin in this patient? WHAT IS AN AQUIFER??? Notice how there is relative sparing of the lung bases and apices. 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. Ask a question or add answers, watch video tutorials & submit own opinion about this game/app. In addition, she has started to notice what she describes as "burning and tingling" in her right foot. His physical exam shows a temperature of 101.1, 2+ pitting edema of his calves bilaterally, and dry, flaking skin over both calves. She has noted some weight loss without working on diet or exercise. She used to be the head of her Bridge club, but quit two weeks ago and doesn't feel like going out anymore. A 24-year-old previously healthy female has been exhibiting some new concerning symptoms over the past four months. 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