Once again this year, I am presenting 10 cases from our precall quiz. These cases will help to determine if you are ready for taking call at your institution. Each of these is the sort of the case you will likely encounter on call at some point. Sixty-five percent is passing. Partial credit is possible. Make sure to write down the answers on a sheet of paper and cross-reference them with the answers provided on the bottom of the page. See if you will be competent to take overnights or if you need to study a bit more before you are ready!
By the way, if you think you can score better the next time or if you want some more practice, check out the previous years’ precall quizzes. The links to the 2018 and 2017 quizzes are right below. Good luck with the exam!
2018 precall quiz
2017 precall quiz
Case 1:
Case 2:
Case 3:
What is the possible diagnosis?
How would you manage this case at nighttime?
Case 4:
Case 5:
Case 6:
Case 7:
Case 8:
Case 9:
What is the diagnosis?
What else would be of help to increase the specificity of the study?
Case 10:
Answers to Cases:
- Right-sided ileocolic intussusception
- Right perihilar mass with pneumothorax
- Possible diagnosis: fetal demise with conflicting images in M-mode, How to manage: scan yourself in real time with M-mode or cine
- portal venous gas, bowel pneumatosis, SMA thrombosis- call surgeons
- Proximal transverse colonic apple core lesion, suspicious for primary colonic neoplasm
- Normal CT brain
- Hill-Sachs deformity with a loose body (greater tuberosity overlying the glenohumeral joint)
- Mets with multiple levels of cord compression. Abnormal signal within the cord, suggesting ischemia.
- Findings suspicious for PE (High probability study- old verbiage), What would increase specificity? A prior V/Q SPECT
- Left distal ureteral stone with left-sided hydronephrosis and hydroureter and adjacent inflammatory change, porcelain gallbladder (increased risk for carcinoma)
