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Nuclear medicine imagingDownloads

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1

A 36-year-old male is taken to the emergency room after jumping from a building. Bilateral fractures to the femur were stabilized at the scene by emergency medical technicians. The patient is lucid upon questioning and his vitals are stable. Pain only at his hips was elicited. Cervical exam was not performed. What is the best imaging study for this patient?

AAP and lateral radiographs of hips

BLateral radiograph (x-ray) of hips

CMagnetic resonance imaging (MRI) of hips, knees, lumbar, and cervical area

DAnterior-posterior (AP) and lateral radiographs of hips, knees, lumbar, and cervical area

EComputed tomography (CT) scan of cervical spine, hips, and lumbar area

2

A 35-year-old woman is presenting for a general wellness checkup. She is generally healthy and has no complaints. The patient does not smoke, drinks 1 alcoholic drink per day, and exercises 1 day per week. She recently had silicone breast implants placed 1 month ago. Her family history is notable for a heart attack in her mother and father at the age of 71 and 55 respectively. Her father had colon cancer at the age of 70. Her temperature is 99.0°F (37.2°C), blood pressure is 121/81 mmHg, pulse is 77/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical exam is unremarkable. Which of the following is the most appropriate initial step in management?

AAlcohol cessation

BColonoscopy at age 60

CMammography at age 50

DColonoscopy at age 40

EMammography now

3

A 65-year-old man with a 40-pack-year smoking history presents with hemoptysis and a persistent cough. Chest CT shows a 3.5 cm centrally located mass in the right main bronchus. Positron emission tomography confirms a malignant nodule. Bronchoscopy with transbronchial biopsy is performed and a specimen sample of the nodule is sent for frozen section analysis. The tissue sample is most likely to show which of the following tumor types?

ACarcinoid tumor

BMetastasis of colorectal cancer

CSmall cell lung carcinoma

DLarge cell carcinoma

ESquamous cell carcinoma

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