Question no. 365

     A 60 year old man complains of shortness of breath and aching left sided chest pain that radiate to the left shoulder. Physical examination shows no abnormalities. his CXR as this

Which of the following statements is true concerning this disease?

a) This tumor frequently metastasizes to distant sites.

b) Direct exposure to asbestos is required.

c) Most cases are associated with recent, massive exposure to            asbestos.

d) Diffuse forms may be cured by chemotherapy alone.

e) Localized forms may be cured by surgery alone.

USMLE 32

     A 2 year old child was recently adopted from India.She appears to be healthy,and there are no abnormal symptoms.Her weight and height are at 25th percentile for age.Her examination is normal .On screening,you find a positive TB skin test using  PPD with 20mm induration.She has a history of receiving a BCG vaccination at birth.

Your management plan is to do which of the following?

A) Obtain a chest x-ray and treat only of this is abnormal.

B) Repeat the test in 3-6 months.

C) Attribute the +ve PPD to the BCG vaccination & do serial yearly x-rays.

D) Obtain sputum cultures.

E) Obtain a CXR and initiate prophylactic ttt with INH.

USMLE 27

A 46 year old male living in a homeless shelter is exposed to TB from a fellow resident. He is found to have a 15 m of induration on the mantoux skin test.

Which of the following risk factors will increase the man's likelihood of developing active TB subsequent to his infection?

a) History of cough variant asthma.

b) Scliosis.

c) Chronic obstructive pulmonary disease (COPD).

d) Bronchitis.

e) Siderosis.

X ray 40

What is your radiological finding?

CT 4

What is your radiological diagnosis?

Whooping cough

Spot Diagnosis 50

This patient is 60 years old who had 90 pack year history of smoking.

What is your diagnosis?

what is the causative organism?

Respiration 3D Medical Animation

Spot Diagnosis 42

What is your dermatological diagnosis?

Spirometry

USMLE 11

A 28 year old man presents to the physician's office for a routine health maintenance examination. He has a two year history of bronchial asthma for which he uses an albuterol inhaler. He states that he experiences asthma symptoms an average of 2 times per week, for which his albuterol inhaler provides relief. He has not had nighttime awakenings over the past month. He does not use tobacco, alcohol or illicit drugs. His family history is significant for asthma in his grandfather. 

Physical examination is unremarkable.

Which of the following is the most appropriate next step in his management?

a) Add long acting beta-2 agonist inhaler.

c) Add inhaled corticosteroids.

d) Add oral theophylline.

e) Continue current medical regimen.

Medical Instrument 6

What do you know about this medical instrument?

Spot Diagnosis 32

What is your medical diagnosis?

what are the possible causes of this condition?

USMLE 5

   
A 26 year old caucasian male comes to the physician because of severe productive cough for the past two months. He also complains of occational blood in sputum, and dyspnea for the last three weeks. His past medical history is significant for otitis media. two episodes of pneumonia, and sinusitis. He and his wife were recently worked up for infertility. Physical examination shows crackles in the left upper lobe. Chest X-ray shows dialed and thickened airways and irrigular peripheral opacitis in the left upper lobe. 

X-ray 23

What is your medical diagnosis?

Croup

X-ray 18

60 year old female with history of heavy smoking , what is the radiological marking can you see?

Spot Diagnosis 7

What is your medical diagnosis?

a) Pectus excavatum.

b) Pectus craniatum.

c) Normal.

CT 1

What is your radiological diagnosis?

X-ray 13

Q: What is your medical diagnosis...?