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Kaplan Qbank USMLE



Author10 Posts
  #1

After all investigations of an obese hypertensive patient you reach to a diagnosis of entopic source from lung. What will be best next investigation?
1. X-ray chest
2. CT chest
3. MRI chest
And explain why?

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  #2

I think it is CT chest, because X-ray is not enough sensitive for small objects, and MRI is more useful in cases, then we need to see structure of tissue between a lot of bones (for example, brain and posterior fossa tumors)

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  #3

i don't understand this q. :?:

  #4

May be the patient has small cell lung cancer producing ACTH----->Cushing ----->obesity-----> chest CT is the best choice here in the given options. If there were 24h urine free cortisol level that would have the best screening test.

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ELM

  #5

Thank bozhenka & ELM
I was confused between X-ray and ct scan. so I should pick ct in this case.

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  #6

After all investigations of an obese hypertensive patient you reach to a diagnosis of entopic source from lung. What will be best next investigation?
1. X-ray chest
2. CT chest
3. MRI chest

I'll be :oops: ....I can't believe my eyes grin . The same very test as the one I had on the exam 8) ???

The test was like that:

50-60 yo male (can't remember the age exactly), comes to you with respiratory Sx (cough, blood-streaked sputum..bla..bla), weight loss bla...bla..bla. Find HTN on physical exam. CXR - small opacity in the righ lung...bla..bla..renal tests, renin levels, etc...in the end, the options were 5 - they asked you what next investigation...CT scan is the answer, then biopsy.

Again, this is weird :? ...does USMLE give tests that were already posted online :roll: ? I doubt. I think this is a mere coincidence, but a nice one grin .

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the same miky - always ready to help my patients and friends as well

  #7

"mikyro" wrote:
After all investigations of an obese hypertensive patient you reach to a diagnosis of entopic source from lung. What will be best next investigation?
1. X-ray chest
2. CT chest
3. MRI chest

I'll be :oops: ....I can't believe my eyes grin . The same very test as the one I had on the exam 8) ???

The test was like that:

50-60 yo male (can't remember the age exactly), comes to you with respiratory Sx (cough, blood-streaked sputum..bla..bla), weight loss bla...bla..bla. Find HTN on physical exam. CXR - small opacity in the righ lung...bla..bla..renal tests, renin levels, etc...in the end, the options were 5 - they asked you what next investigation...CT scan is the answer, then biopsy.

Again, this is weird :? ...does USMLE give tests that were already posted online :roll: ? I doubt. I think this is a mere coincidence, but a nice one grin .

mikyro I can sewer to God that I made this question while I was reading my endo as I thought that x-ray chest would have been the first test but book was saying CT was I try to test this online and I got the right answer that is CT not x-ray
Can you tell me that did you rate this question in your exam as mild, moderate or most difficult question in comparison to other question? I just want to guess the level of difficultly of exam not real but just a guess.
I hope you understand that and help me with that.
It was basicaly not test some one but clear my own concept :oops:

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  #8

Steps - exam difficulty:

50 % of tests are simple - they test basic medical principles which any doc should know grin ;

25-30 % of tests - must think a bit smiling face ; usually you have to spot out complications of the disease; sometimes they test mere basic concepts while they give you plenty of info

20-25 % - brain-crushing tests sad ; must know medicine well and be very confident in yourself; in other words, never say: "what if this test might have a different right answer?"

Statistically, it has been shown that the first answer you pick up in this situation is usually the right one; don't change the answer you give and do not mark any test !!!

As for the SA's test, it's in the 2nd category. Tests in the 3rd category are much like those I posted on this site; they test your ability to interpret basic knowledge and make the right option.

Hope it helped grin .

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the same miky - always ready to help my patients and friends as well

  #9

if we mark the qs for revision in real exam n forget to un check them later on does it matter :?: :?: :?: :?: :roll:

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  #10

"noelle" wrote:
if we mark the qs for revision in real exam n forget to un check them later on does it matter :?: :?: :?: :?: :roll:

you will get the credit if write but nothing if wrong :idea:

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