Avoid Aquifer Clinical Learning hack cheats for your own safety, choose our tips and advices confirmed by pro players, testers and users like you. When she comes to clinic two days later, there is mininmal edema, she has good motor function, and has normal sensation. Not all patients with diffuse abdominal pain need imaging studies. To ensure the best experience, please update your browser. After counseling the patient, he agrees to start an antihypertensive medication. X-rays are not indicated. She wonders if using a perfumed bubble bath for the first time a few days ago might have triggered her symptoms. AMSER-SCARD Survey 2011. What is the most appropriate initial counseling for this patient? MRI (A) is a great means of studying the aorta, but it is a much longer examination and may not be suitable for unstable patients. Explore our library of interesting radiology cases. He is prescribed several medications, including low dose aspirin. A 35 year old overweight woman in good health comes to the clinic for a routine physical. He reports that his wife died four weeks ago, and he is now experiencing insomnia most days of the week and fatigue and loss of energy nearly every day; reports decreased enjoyment of his activities, such as playing chess with his neighbor; and is also experiencing loss of appetite but no weight loss. A 41-year-old male with no significant past medical history is brought to the Emergency Department after falling to the ground in the middle of a pick-up basketball game with friends. What is the most appropriate next step in diagnosis? She began having sex at the age of 18 and is currently sexually active with one partner. At that visit, you discussed dietary modification including eliminating carbohydrates like rice from his diet. He takes no medications and has no significant past medical history. His physical exam shows 2+ pitting edema of his right leg. What is the best next option for the evaluation and management of Mr. Little's condition? CME Gateway. You repeat the blood pressure in her other arm and get 148/92 mmHg. Her mother died of colon cancer when she was 65 and her father passed away from metastatic prostate cancer at the age of 70. Did this patient need a preoperative CXR? This patient's symptoms-general malaise, chills, hesitancy and pain on urination-and signs (fever) suggest acute bacterial prostatitis. Cyril Answered: May 21, 2018. He has also been feeling general malaise and chills over the past few days. 50 Best Radiology Interview Questions and Answers 2020 Latest Update. His vital signs are: A 45-year-old woman presents to the ED with two weeks of abdominal pain, progressive weakness and palpitations. A 72-year-old woman with a 30-year history of Type 2 diabetes returns to your office for routine visit. Many institutions would do a PET scan (E) as this would allow non-invasive evaluation of metabolic activity. An aquifer is an underground layer of water-bearing permeable rock, rock fractures or unconsolidated materials (gravel, sand, or silt). A rough guide is a cardiothoracic ratio of >0.5 on a PA study (0.6 on an AP), 25-year-old previously healthy male, who presents with a two-day history of diffuse abdominal pain, diarrhea and a mildly elevated temperature of 37.8°C. A 24-year-old previously healthy female has been exhibiting some new concerning symptoms over the past four months. First name A 34-year-old woman who has no past medical problems nor is currently taking any medications comes into your office because she noticed a tender lump in her left breast starting approximately one month ago. You have a CT scan with an indeterminate nodule. (Pick one or more.). Work-up for hyperthyroidism, which is high on your differential, is pending. Most lung tumors will have high metabolic activity. Lung cancer screening - chest radiograph or CT? Access to our 100-question summative multiple-choice exams for Aquifer Family Medicine, Pediatrics, and Radiology has been extended through June 30, 2022. About. Radiology Questions and Answers (Q&A) Follow . At this time, the most appropriate diagnosis is... A 68-year-old male was diagnosed with Stage 1 essential hypertension a few months ago and has been working on diet and lifestyle modifications. Aquifer Vitutal Patient Cases are case-based clinical simulations designed to develop clinical reasoning and self-directed learning and self-assessment skills. She denies fevers, dysuria, back pain, diarrhea and abdominal pain. Pre-medication (see expert comment) reduces the probability of a severe contrast reaction but does not necessarily prevent one. A 19-year-old female with no significant past medical history is involved as the driver in a motor vehicle accident and brought to the Emergency Department by EMS. She also reports a greatly diminished appetite. Her fasting glucose was 240 mg/dL and her A1c was 8.9%. A 55-year-old man with no significant past medical history and generally healthy behaviors presents to clinic for a health care maintenance exam. Her physical exam is significant for tenderness to palpation over the left calf. A 47-year-old woman comes into your office for a health care maintenance exam. MedEdPORTAL Resources for Educators. The AquiferTest window is set up so the information can be entered in logical succession from left to right using Navigation tabs. He reports increased sweating, racing heart, diarrhea, and fatigue. She spends most of her day on the sofa crying while watching TV. Mentoring-Advising. Ms. Vasquez is a 38-year-old female with a past medical history of sarcoidosis and recently completed a six-month steroid taper. Menarche began at the age of 10. Her BP has been 148/90 and 146/86 at two separate office visits. What type(s) of barium studies might be helpful in this situation? She denies having any chest pain or shortness of breath. [suspected Crohn's disease rather than ulcerative colitis]. She remembers immediate pain and swelling but was able to weight bear and limp off the field. (We will talk more about PET imaging later). North American MD, DO & PA Programs 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%. A 62-year-old woman presents for follow-up of her hypertension and diabetes. Your physical exam reveals a fine tremor in the bilateral upper extremities, sweaty palms, and a smooth, mildly enlarged thyroid gland. Which of the following are other potential ways of decreasing the renal toxicity of intravenous iodinated contrast media? Which of the following symptoms are most likely to be due to acute coronary syndrome? She has no history of tobacco use ever and occasionally drinks a glass of wine with dinner. You may pick one or more answers. A 63-year old woman comes into your office for her annual preventive exam. What imaging study should you order in patients with low level trauma and clinically suspected rib fractures and new shortness of breath? Case of the Month Archives. She is taking 20 units of insulin glargine every morning and five units of insulin aspart with meals. Which of these factors may be a contraindication to giving intravenous iodinated contrast? The Learning Experience; About Aqueduct; Mission & Vision; Leadership Team & Staff; Board of Directors; Careers; COVID-19 Response. They may produce a ground glass appearance and increased interstitial markings. A 52-year-old woman with a history of diabetes and rheumatoid arthritis presents for her annual examination. You also emphasized the importance of exercise and recommended he join a gym. You determine that serum testing is warranted. Her pulse is 70 and regular. Her last colonoscopy was eight years ago and her last mammogram one year ago was normal. She has had good relief from taking propranolol for her palpitations. A 65-year-old truck driver presents to your office complaining of right calf redness and swelling. She has no other medical problems. There is no family history of cancer. Vitals today are blood pressure 138/88 mmHg, pulse 65 beats/min, respirations 10/min, afebrile, BMI 29 kg/m2. (You can choose more than one correct answer.). Ask a question or add answers, watch video tutorials & submit own opinion about this game/app. She presents to her primary care physician after two weeks of lower lumbar back pain. After moving into a new home three days ago, he woke up the next morning with bilateral lower back pain without any radiation. A pertinent review of systems is negative. In general, her chronic diseases are well controlled and she has suffered no target organ damage. As he landed on the ball of his foot after having taken a shot, he recalls hearing a popping sound followed by immediate pain in the posterior right ankle. Her A1c is found to be 8.0%. She has no medical problems and has had a Mirena IUD for three years. Palpation of the posterior edge of the lateral malleolus elicits significant pain from the patient. 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. You may choose more than one answer. Which of the following patients is an appropriate candidate for a exercise stress test? He is asymptomatic and a 20-pack-year smoker. 125 example questions you must prepare for prior to interview! Menu. The best method is to hydrate with IV fluids thoroughly for several hours both before and after the study (A & B). Aquifer Radiology Exam Answers. She has never had an abnormal Pap smear. Her BMI is 34. Co-authored by the author of Radiology Masterclass, Radiology at a Glance is a complete overview of medical imaging suitable for medical students, junior doctors and other health professionals. She reports first noticing the pain after her yoga class earlier in the week. The circumference of her left calf is 10 cm and the circumference of her right calf is 9 cm. Choose the one best answer. An empty unlabeled pill container was found next to her on the bathroom floor. 250+ Radiology Interview Questions and Answers, Question1: Explain the principle of X-ray in radiology? What might you do differently when counseling the patient at this visit? The UGI with SBFT would be most appropriate (C). Review of the state immunization database reveals that the only immunization he has received as an adult was a tetanus diphtheria shot administered 12 years ago. He is a lifelong non-smoker, and he doesn't drink alcohol or use recreational drugs. He did not lose consciousness nor hit his head when he fell. She is worried because she has an aunt who had breast cancer that was BRCA positive, though her mother is BRCA negative. CT or MR "enterography" can be also considered if available. She has an allergy to latex and penicillin. A dissection only involving the descending aorta is a Stanford Type B. She cannot confirm light touch of the foot and cannot wiggle her toes on command. She is 5' 2" and weighs 250 lbs. 7-10 day history of mild cough and low fever. - Patients with symptoms that may be caused by complications of rib fractures such as hemothorax and/or pneumothorax, should have a CXR, preferably PA and lateral projections. Urinalysis of a mid-stream catch is within normal limits, and a pregnancy test on the same sample, performed despite her history, is negative. Her labs today include an A1C of 6.6, an LDL of 88 and a basic metabolic panel within normal limits. She is a non-smoker and consumes one to two glasses of wine per week. Which of the following screenings are recommended by the U.S. Preventative Services Task Force (USPSTF)? 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. Aquifer (formerly MedU) is an online case-based learning environment available to UMass Medical students. Urine alkalinization (G) with sodium bicarbonate has also been shown to reduce the incidence of contrast nephropathy (although this remains controversial). Which of the following is a risk factor for coronary heart disease (CHD) that this patient has? 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. A 45-year-old female presents to your office complaining of left calf pain and swelling. Her father had a history of diabetes and her maternal grandmother died of rheumatic heart disease at the age of 42. COM provide excellent service and interpretation - that's our challenge. - CXRs are not usually indicated in otherwise healthy patients under the age of 40 with no other signs or symptoms to suggest pneumonia. On physical exam, she has point tenderness along her vertebrae in the L1-L2 region. From her history, you gather that she's been having increased diarrhea, tremors, palpitations, and fatigue over this time. Her mother had endometrial cancer several years ago and had a total hysterectomy. 12 MedU began as a resource to sustain a Health Resources and Services Administration–funded online, case‐based pediatrics curriculum (CLIPP, now Aquifer Pediatrics). A 55-year-old man presents to your office complaining of pain and stiffness in his knees. 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). Crohn's disease most commonly involves the terminal ileum, but can also involve the stomach, duodenum or jejunum. See How To Register for Institutional Subscribers. What is the next best step in the management of this patient? As you consider starting a medication for his hypertension, which of the following medications is most likely to cause an adverse event in this patient? His PMH is significant for DM type 2 and COPD. Each case belongs to a contributing member, which can then be viewed and added to articles or playlists by the community, and is guided by dedicated editors to match quality standards and privacy needs. He has been attempting to reduce his blood pressure with behavioral changes, but has had difficulty maintaining the changes. Some physicians might consider doing a barium enema (D) first since colon disease is also present, and we can see the terminal ileum on the barium enema if the ileocecal valve is not competent. The pain radiates bilaterally into her anterior abdomen. On exam, her vital signs are stable; she has no CVA tenderness and mild suprapubic discomfort. You recommend lifestyle changes. Which of the following management steps today do you consider the most appropriate? Case 80 Abdominal pain and diarrhoea in a 28-year-old woman 225 Case 81 Pain in the left wrist following a fall 229 Case 82 A known case of inflammatory bowel disease 233 Case 83 A tourist from New Zealand 237 Case 84 Spontaneous nose bleeds in a young person 241 Case 85 Abdominal weight gain and distension despite dieting 245 Mr. Roberts is a 78-year-old male with a significant past medical history of chronic kidney disease stage II, coronary artery disease, and hypertension who presents lumbar back pain. In which patient groups should you obtain a follow-up CXR? UMass offers four of the Aquifer modules - Aquifer Pediatrics (CLIPP), Aquifer Radiology (CORE), Aquifer Internal Medicine (SIMPLE), and WISE-MD (Surgery). How to distinguish? On repeat testing of HbA1C today, you find that his HbA1C has increased to 7.5%. Question2: What are the radiations and technology that radiologist uses? She does not recall any trauma but began to feel a sharp pain after bending over to pick up laundry. • Pumping Test tab (or Slug test, as the case may be) contains project, test, and aquifer information including units. A 21-year-old female with no significant past medical history experienced an inversion-type injury to her right ankle while playing soccer a day prior to presentation. On physical exam, the posterior right ankle is edematous and palpation is tender. She is currently menstruating. She states that she likes to walk 30 minutes every other day with her husband and has been doing that for years now. She has been icing the ankle since the injury as her coach recommended. She notes an unexplained 3-lb weight loss as well as black, sticky diarrhea. She smokes half a pack of cigarettes per day. Since this study aims at exploring the effect of K i and S si on the tidal response of leaky aquifers, we assume for simplicity that the Skempton coefficient (B i) and the undrained bulk modulus (K ui) are uniform in all layers. Radiology Registrars / Residents should score 90% - 100% correct answers. Today, his vitals are blood pressure 144/90 mmHg, pulse 78 beats/min, respirations 12/min, temperature 98.7 F. His recent basic metabolic panel was completely normal. What imaging method(s) could you use to confirm the presence of a right pleural effusion? The patient reports that the week prior to his four-day trip, he was mostly in bed recovering from a bout of the flu. Today his blood pressure is 156/94 mmHg. Radiology Interview Questions: Except you are a radiology professional, you probably don’t know much about the job interview process. A 30-year-old male with PMH significant for one month of progressive hoarseness and fever presents with a painful neck mass. She has noted some weight loss without working on diet or exercise. His creatinine is 0.9, urinalysis is normal, and electrolytes are within normal limits. Review imaging videos, clinical findings and diagnosis from a variety of categories, such as neuro. A 65-year-old truck driver presents to your office complaining of right calf pain and swelling. 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. Promotion Resources. Review of systems is negative for any symptoms of prostate cancer, such as urinary frequency, urgency, retention, hematuria, weight loss, or back pain. 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