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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана

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A.Medullaryspongekidney B.RenaltubularacidosistypeI C.Primaryhyperparathyroidism D.Chronicglomerulonephritis E.HypervitaminosisD
2a.  A 66-year-old male presents with hematuria. Ultrasound images ofthe midlinepelvis are shown.
Whichofthefollowingisthemostlikelydiagnosis?
A.Bladdercancer B.Fungusball C.Bloodclot D.Bladderstone
2b.Whichofthefollowingisthemostcommontypeofbladdercancer?
A.Adenocarcinoma B.Transitionalcellcarcinoma C.Squamouscellcarcinoma D.Neuroendocrinecarcinoma
2c.WhichofthefollowingisthemostimportantriskfactorforbladdercancerintheUnitedStates?
A.Smoking B.Calculus C.Recurrenturinarytractinfections D.Chemicalcarcinogens
3.A32-year-oldfemalereceivesanultrasoundaspartofaroutineobstetricworkupandisfoundtohave
anabnormalityadjacenttotheleftkidney.Whatisthemostlikelydiagnosisfromthefollowingchoices?
A.Adrenocorticalcarcinoma
B.Adrenaladenoma C.Adrenalpseudocyst D.Adrenalpheochromocytoma
4a.Imagingoftherightflankwasperformedforflankpainina55-year-oldmale.Whatisthemostlikely
explanationforthesonographicappearanceofthesuprarenallesion?
A.Bloodproducts B.Bowelgas C.Calcification D.Fat
4b.Whichofthefollowingfactorsisexpectedtointroduceuncertaintyinmeasurementofthismass?
A.Speedofsoundwithinthemassishigherthanwithintheliver. B.Speedofsoundwithinthemassislowerthanwithintheliver. C.Speedofsoundisequalwithinthemassandliver.
4c.Whatisthemostlikelydiagnosisforthislesion?
A.Adrenalmyelolipoma B.Renalcellcarcinoma C.Adrenalcorticalcarcinoma D.Adrenalhemorrhage
4d.Whatisthelikelihoodofmalignanttransformationofadrenalmyelolipomas?
A.0% B.10%
C.30% D.50%
5.Theultimategoalofrootcauseanalysis(RCA)isto:
A.Identifyindividualsresponsibleforseriousadverseevents B.Eliminateactiveerrors C.Eliminatelatenterrors D.Identifythesinglerootcauseofanadverseevent
6.AccordingtotheJointCommission,“asentineleventisanunexpectedoccurrenceinvolvingdeathor
seriousphysicalorpsychologicalinjury,ortheriskthereof.”Theseeventssignaltheneedforimmediate investigation and response. Which of the following sentinel events between 2004 and 2014 had the highestreportedincidence?
A.Radiationoverdose B.Anesthesia-relatedevent C.Medicationerror D.Wrongpatient,wrongsite,wrongprocedure
7a.A53-year-oldfemalepatient presentswithlow urineoutput.Transverseand sagittalUS imagesof
bladderareshown.Whatisthemostlikelydiagnosis?
A.Bladderdiverticulum B.Ureterocele C.Urachalcyst D.MalpositionedFoley E.Gartnercyst
7b.Whatisthemostcommonhistologyforaneoplasmarisingwithinaurachalcyst?
A.Adenocarcinoma B.Clearcell C.Squamouscell D.Transitionalcell
7c.  Which key imaging feature of a Gartner ductcystdistinguishesitfrom other cystic lesions inthe
femalepelvis?
A.Locationintheanterolateralvaginaabovethepubicsymphysis B.Directcommunicationwiththeurethra C.Locationinthewallofthecervix D.Locationintheposteriorlateralaspectoftheinferiorone-thirdofthevagina
8.  Combining images from thesame siteusing different scanning angles to reduce imagespeckle and
improvedelineationoftissueinterfacesistermed:
A.Spatialcompounding B.Tissueharmonicimaging C.Three-dimensionalultrasound
9.Whatistheclinicalsignificanceofside-lobeartifacts?
A.Theycanproducetheappearanceofdebrisortissuewithinfluid-filledstructures. B.Theycancreatethefalseimpressionofaduplicatedstructuresuchastheabdominalaorta. C.Theycancreateaseriesofregularlyspacedechoesatincreasingdepth. D.Theycanresultinimpairedpenetrationofdeeperstructures.
10a.Thepatientherehasahistoryofepilepsyandhadanunwitnessedseizure.Heisnowcomplainingof
left upper quadrant pain and presents to the emergency department where an abdominal ultrasound is ordered toevaluatethepain.Thescanshowednofreefluid,hematoma,orotherfindingssuspiciousfor trauma,buttherenallesionshownwasincidentallynotedonthescan.Basedonthehistoryandimaging findings,whatotherextrarenalfindingsmightthispatienthave?
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