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Pathology FMGE Case Based Questions
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62-year-old woman has had atrial fibrillation since experiencing a myocardial infarction (MI) 7 months prior. Two weeks ago she was hospitalized following a car accident in which she suffered a compound fracture of her left femur and several severe contusions. She now returns to the emergency room with right flank pain, hematuria, and left-sided paralysis. These newly developing problems are most likely the result of which of the following?

Correct! Wrong!

67-year-old retiree was employed for many years in the plastics industry where he was exposed to vinyl chloride. This industrial exposure has increased his likelihood of developing which of the following?

Correct! Wrong!

50-year-old woman complains of a lump in her thyroid gland. Fine-needle aspiration of this lump is reported as medullary carcinoma. A test of her serum would most likely reveal an increased level of which of the following?

Correct! Wrong!

14-year-old boy is referred to you for nasal obstruction and frequent nosebleeds. Which of the following is the most likely diagnosis?

Correct! Wrong!

57-year-old woman had her last menstrual period at the age of 46. However, for the past 4 months she has experienced intermittent vaginal hemorrhage. A right ovarian mass is identified. Which of the following is the most likely diagnosis?

Correct! Wrong!

28-year-old recently divorced man with no significant past medical history presents to the emergency room with progressive lower abdominal pain and cramping over the past 4 days, both of which are relieved by defecation. He has suffered from substantial bloody and mucoid diarrhea during this time. His temperature is 102.8°F. Laboratory studies reveal an elevated white blood cell (WBC) count and a high erythrocyte sedimentation rate. Sigmoidoscopy reveals extensive rectal and sigmoid hyperemia and edema, numerous superficial ulcerations, and small focal mucosal hemorrhages, many of which have suppurative centers. Significant intestinal narrowing is seen in the distal transverse colon. These findings most likely suggest a diagnosis of which of the following?

Correct! Wrong!

52-year-old woman has had rheumatoid arthritis for many years. She now comes to you complaining of the development in the past few months of redness, burning, and itching of her eyes and a dry mouth, making swallowing difficult. This newly developing condition gives the patient a greatly increased risk for which of the following?

Correct! Wrong!

3-year-old girl develops gastroenteritis and a number of other children at the day care nursery that she attends are also affected. This was most likely caused by which of the following agents?

Correct! Wrong!

9-year-old boy is stung on the arm by a wasp and very rapidly develops redness and swelling at the site of the sting. Which of the following substances is most responsible for these early changes?

Correct! Wrong!

32-year-old man is admitted for neuropsychiatric evaluation after exhibiting bizarre behavior. During his medical workup, he is found to have cirrhosis and a mild parkinsonian tremor. Which of the following diagnoses provides the best explanation for these findings?

Correct! Wrong!

Pathology FMGE Case Based Questions


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