161. Which one of the following statements is correct regarding adrenal histoplasmosis:
1. In active disease, calcification is commonly seen.
2. Lymphadenopathy is not seen
3. The adrenal glands are usually symmetrically enlarged
4. Adrenal insufficiency is uncommon
Ans. -3
162. Plethoric lung fields are seen in all of the following conditions except:
1. Atrial septal defect (ASD)
2. TAPVC (Total Anomalous Pulomonary venous connection)
3. Ebstein’s anomaly.
4. Ventricular septal defect
Ans. -2
163. A 40 years old female patient presented with recurrent headaches. MRI showed an extra-axial, dural based and enhancing lesion. The most likely diagnosis is:
1. Meningioma
2. Glioma
3. Schwannoma
4. Pituitary adenoma
Ans. -3
164. Which of the following features on mammogram would suggest malignancy?
1. Well defined lesion
2. A mass of decreased density
3. Areas of speculated microcalcifications
4. Smooth borders
Ans. -2
165. On MRI in the differential diagnosis of spinal cord edema is:
1. Myelodysplasia
2. Myelomalacia
3. Myelochisis
4. Cord tumors
Ans. -2
166. A 17 years old boy presented with TLC of 138 × 109/L with 80% blasts on the peripheral smear. Chest X-ray demonstrated a large mediastinal mass. Immunophenotyping of this patient’s blasts would most likely demonstrate:
1. No surface antigens (null phenotype)
2. An immature T cell phenotype (Tdt/D34/CD7 positive)
3. Myeloid markers, such as CD 13 CD 33 and CD 15
4. B cell markers, such as CD 19 CD 20 & CD 22
Ans. -*
167. A 45 year old woman underwent a modified radical mastectomy 4 yr ago. She was treated for multiple bone metastases with cyclophosphamide, doxorubicin, and fluorouracil for 6 months. She is complaining of exertion on exercise, swelling of the legs, and swelling around eyes in the morning. On examination, she has bilateral rales in the lungs, S1, S2 audible, S3, S4 gallop present. Her BP is 149/117 mmHg, PR is 80/min. What is the most likely cause for her cardiac condition?
1. Systolic dysfunction CHF
2. Drug induced cardiac toxicity
3. Metastatic cardiac disease
4. Pneumonia
Ans. -1
168. A 48 year old sports photographer has noticed a small nodule over the upper lip from four months. The nodule is pearly white with central necrosis, teleangiectasia. The most likely diagnosis would be:
1. Basal cell carcinoma
2. Squamous cell carcinoma
3. Atypical melanoma
4. Kaposis sarcoma
Ans. -3
169. A 65 year old miner has lost 7 kgs weight within two months, has presented with cough, and blood streaked sputum. He was treated for pulmonary tuberculosis 10 years ago. He also has drooping of his left eyelid for one month. On physical examination, there is ptosis of the left eye and papillary miosis. Chest X-ray revealed round opacification in the left upper apical lobe. What is the most probable diagnosis?
1. Secondary tuberculosis
2. Adenocarcinoma
3. Squamous cell carcinoma
4. Asbestosis
Ans. -2
170. A 15-year-old boy is injured while playing cricket. X-rays of the leg rule out a possible fracture. The radiologist reports the boy has an evidence of an aggressive bone tumor with both bone destruction and soft tissue mass. The bone biopsy reveals a bone cancer with neural differentiation. Which of the following is the most likely diagnosis?
1. Chondroblastoma
2.Ewing ’s sarcoma
3. Neuroblastoma
4. Osteosarcoma
Ans. -2
1. In active disease, calcification is commonly seen.
2. Lymphadenopathy is not seen
3. The adrenal glands are usually symmetrically enlarged
4. Adrenal insufficiency is uncommon
Ans. -3
162. Plethoric lung fields are seen in all of the following conditions except:
1. Atrial septal defect (ASD)
2. TAPVC (Total Anomalous Pulomonary venous connection)
3. Ebstein’s anomaly.
4. Ventricular septal defect
Ans. -2
163. A 40 years old female patient presented with recurrent headaches. MRI showed an extra-axial, dural based and enhancing lesion. The most likely diagnosis is:
1. Meningioma
2. Glioma
3. Schwannoma
4. Pituitary adenoma
Ans. -3
164. Which of the following features on mammogram would suggest malignancy?
1. Well defined lesion
2. A mass of decreased density
3. Areas of speculated microcalcifications
4. Smooth borders
Ans. -2
165. On MRI in the differential diagnosis of spinal cord edema is:
1. Myelodysplasia
2. Myelomalacia
3. Myelochisis
4. Cord tumors
Ans. -2
166. A 17 years old boy presented with TLC of 138 × 109/L with 80% blasts on the peripheral smear. Chest X-ray demonstrated a large mediastinal mass. Immunophenotyping of this patient’s blasts would most likely demonstrate:
1. No surface antigens (null phenotype)
2. An immature T cell phenotype (Tdt/D34/CD7 positive)
3. Myeloid markers, such as CD 13 CD 33 and CD 15
4. B cell markers, such as CD 19 CD 20 & CD 22
Ans. -*
167. A 45 year old woman underwent a modified radical mastectomy 4 yr ago. She was treated for multiple bone metastases with cyclophosphamide, doxorubicin, and fluorouracil for 6 months. She is complaining of exertion on exercise, swelling of the legs, and swelling around eyes in the morning. On examination, she has bilateral rales in the lungs, S1, S2 audible, S3, S4 gallop present. Her BP is 149/117 mmHg, PR is 80/min. What is the most likely cause for her cardiac condition?
1. Systolic dysfunction CHF
2. Drug induced cardiac toxicity
3. Metastatic cardiac disease
4. Pneumonia
Ans. -1
168. A 48 year old sports photographer has noticed a small nodule over the upper lip from four months. The nodule is pearly white with central necrosis, teleangiectasia. The most likely diagnosis would be:
1. Basal cell carcinoma
2. Squamous cell carcinoma
3. Atypical melanoma
4. Kaposis sarcoma
Ans. -3
169. A 65 year old miner has lost 7 kgs weight within two months, has presented with cough, and blood streaked sputum. He was treated for pulmonary tuberculosis 10 years ago. He also has drooping of his left eyelid for one month. On physical examination, there is ptosis of the left eye and papillary miosis. Chest X-ray revealed round opacification in the left upper apical lobe. What is the most probable diagnosis?
1. Secondary tuberculosis
2. Adenocarcinoma
3. Squamous cell carcinoma
4. Asbestosis
Ans. -2
170. A 15-year-old boy is injured while playing cricket. X-rays of the leg rule out a possible fracture. The radiologist reports the boy has an evidence of an aggressive bone tumor with both bone destruction and soft tissue mass. The bone biopsy reveals a bone cancer with neural differentiation. Which of the following is the most likely diagnosis?
1. Chondroblastoma
2.
3. Neuroblastoma
4. Osteosarcoma
Ans. -2
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