Medicine Cases Quiz

2.

A 80 years old retired military man was diagnosed of glial tumor after recurrent episodes of seizures. Which is the most likely neuroimaging modality that was used?

Cranial MRI with gandolium contrast adminstration
Skull X-ray
Cranial MRI
Cranial CT scan

Correct Answer

A. Cranial MRI with gandolium contrast adminstration

Explanation

The most likely neuroimaging modality that was used in this case is cranial MRI with gadolinium contrast administration. This is because MRI (Magnetic Resonance Imaging) is a preferred imaging technique for brain tumors as it provides detailed images of the brain and surrounding structures. Gadolinium contrast administration enhances the visualization of tumors, making it easier to detect and diagnose glial tumors. Skull X-ray is not suitable for imaging brain tumors, and cranial CT scan may not provide as detailed images as MRI.

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3.

A 70 years old man who has been smoking for 40 years was observed to be losing weight,having occasional seizures and coughing for 3 weeks. Three months to presentation he was noted during a clinic visit to be depressed and having memory impairment.Which is the most likely diagnosis?

Small cell Lung Cancer
Squamous Cell Cancer
Mesothelioma
Pulmonary Tuberculosis

Correct Answer

A. Small cell Lung Cancer

Explanation

The most likely diagnosis in this case is Small cell Lung Cancer. The patient's history of smoking for 40 years, along with symptoms such as weight loss, seizures, and coughing, are consistent with lung cancer. Additionally, the presence of depression and memory impairment could be indicative of paraneoplastic syndrome, which is commonly associated with small cell lung cancer.

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4.

A patient presented to the hospital and was subsequently diagnosed of High grade glial malignant tumor. Which of the following is not likely to be a presenting feature?

Visual field deficit
Headache
Seizure
Aphasia
Hemiparaesis

Correct Answer

A. Visual field deficit

Explanation

Visual field deficit is not likely to be a presenting feature of a high-grade glial malignant tumor. This type of tumor typically presents with symptoms such as headache, seizure, aphasia, and hemiparesis. Visual field deficits are more commonly associated with tumors that affect the optic nerves or visual pathways, rather than glial tumors. Therefore, it is less likely to be a presenting feature in this case.

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5.

After extensive investigation a patient was diagnosed of Meningioma. Which is not likely to be presenting features when he presented to the hospital?

Visual field deficit
Hemiparaesis
Headache
Aphasia
Seizure

Correct Answer

A. Visual field deficit

Explanation

Visual field deficit is not likely to be a presenting feature when a patient is diagnosed with Meningioma. Meningioma is a type of brain tumor that typically grows slowly and does not cause immediate symptoms. However, as the tumor grows, it can eventually compress surrounding structures and cause symptoms such as headache, seizures, hemiparesis (weakness on one side of the body), and aphasia (difficulty speaking or understanding language). Visual field deficits, which involve a loss of vision in specific areas of the visual field, are not commonly associated with Meningioma as a presenting symptom.

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Medicine Cases Quiz

A 60 years old baker was diagnosed of a Primary Brain tumor. He was placed on oral dexamethasone 16 mg daily in divided dose by the managing Oncologist. The primary rationale for such action is

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A 80 years old retired military man was diagnosed of glial tumor after recurrent episodes of seizures. Which is the most likely neuroimaging modality that was used?

A 70 years old man who has been smoking for 40 years was observed to be losing weight,having occasional seizures and coughing for 3 weeks. Three months to presentation he was noted during a clinic visit to be depressed and having memory impairment.Which is the most likely diagnosis?

A patient presented to the hospital and was subsequently diagnosed of High grade glial malignant tumor. Which of the following is not likely to be a presenting feature?

After extensive investigation a patient was diagnosed of Meningioma. Which is not likely to be presenting features when he presented to the hospital?