A champion is defined not by their wins but by how they can recover when they fall.–Serena Williams
A 46-year-old man presents with a progressive dull headache over the past 3 weeks. It is worse in the morning and with bending over or coughing. He denies any fever or congestion. For the last two days, he has had associated nausea and three episodes of vomiting. Which of the following characteristics seen on neuroimaging would be most consistent with a glioblastoma?
A. Heterogenous mass with central necrosis
B. Lack of enhancement with administration of contrast
C. Presence of calcifications
D. Well circumscribed margins
A 16-year-old African American boy presents with a scalp rash. On examination, it is a 5 x 5 cm boggy and thickened area of the right parietal cap with an overlying scaly and crusty plaque and hair loss. The lesion appears yellowish-green under a Wood’s lamp. What is the treatment of choice for this lesion?
A. Clotrimazole ointment
B. Ketoconazole shampoo
C. Oral amphotericin B
D. Oral griseofulvin
A 22-year-old man recently diagnosed with schizophrenia presents to the ED with altered mental status. His blood pressure is 160/80 mm Hg, pulse 130 beats per minute, and temperature is 39.5°C. He is noted to be confused and diaphoretic. He has muscle rigidity and a tremor in his hands. What is the most likely diagnosis?
A. Malignant hyperthermia
B. Neuroleptic malignant syndrome
C. Serotonin syndrome
D. Tyramine reaction
A 21-year-old woman presents with painful urination. She has no vaginal discharge and is not sexually active. Which of the following is most sensitive for a urinary tract infection on urine dipstick testing?
C. Leukocyte esterase
Which of the following findings would be consistent with a diagnosis of tetralogy of Fallot?
A. Bounding pulses and a continuous machine-like murmur
B. Decreased pulses in lower extremities
C. Increased pulmonary vascular markings on chest radiography
D. Loud, single second heart sound with a harsh systolic murmur
A 73-year-old man presents with painless vision loss in the right eye. Which of the following on funduscopic examination is most characteristic of central retinal vein occlusion?
A. Cherry red fovea
B. Pale retina
D. Retinal hemorrhages
That wraps up RoshCast Episode 51! Be sure to also check out the rest of the Rosh Review Blog for questions from prior episodes, related images, and tables, and bonus teaching points. There are also tons of other great free resources to help prepare you for the boards and the wards. Don’t forget to follow us on twitter @RoshCast. And you can always email us at RoshCast@RoshReview.com with any feedback, corrections, or suggestions.
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Megha and Nachi