Medicine Cases Quiz

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| By Ceolado

Ceolado

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Quizzes Created: 4 | Total Attempts: 31,046

Questions: 5 | Attempts: 5,535 | Updated: Mar 21, 2023

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General level. Note that cases are simulated cases for learning purposes and not known patients. Just enter your name and enjoy the quiz.

Questions and Answers

1.

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.
  
  Small cell Lung Cancer
- B.
  
  Squamous Cell Cancer
- C.
  
  Mesothelioma
- D.
  
  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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2.

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
- A.
  
  To reduce intracranial pressure from edema associated with the tumor
- B.
  
  To aid the shrinking of tumor
- C.
  
  To inhibit tumor markers produced by the tumor
- D.
  
  To aid subsequent surgical resection of tumor
Correct Answer
A. To reduce intracranial pressure from edema associated with the tumor

Explanation
The primary rationale for placing the baker on oral dexamethasone is to reduce intracranial pressure from edema associated with the tumor. Dexamethasone is a corticosteroid that has anti-inflammatory and immunosuppressive effects. It can help reduce swelling and inflammation in the brain caused by the tumor, thereby relieving the pressure on the surrounding tissues. This can help alleviate symptoms such as headaches and neurological deficits. It is important to note that dexamethasone does not directly shrink the tumor or inhibit tumor markers. Surgical resection of the tumor may be aided by reducing the intracranial pressure beforehand.

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3.

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.
  
  Cranial MRI with gandolium contrast adminstration
- B.
  
  Skull X-ray
- C.
  
  Cranial MRI
- D.
  
  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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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?
- A.
  
  Visual field deficit
- B.
  
  Headache
- C.
  
  Seizure
- D.
  
  Aphasia
- E.
  
  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?
- A.
  
  Visual field deficit
- B.
  
  Hemiparaesis
- C.
  
  Headache
- D.
  
  Aphasia
- E.
  
  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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Current Version
Mar 21, 2023

Quiz Edited by
ProProfs Editorial Team
Dec 31, 2014

Quiz Created by
Ceolado

Medicine Cases Quiz

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 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

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 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?