Each case contained 2 parts A and B Total score 100 marks and time 30 minutes MEQ 11 50 marks and 15 minutes MEQ 12 50 marks and 15 minutes MEQ 11 A 30 marks 10 minutes A 47yearold man developed ID: 933805
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Slide1
MEQ 1
Included 2 cases (1.1 and 1.2)
Each case contained 2 parts (A and B)
Total score 100 marks and time 30 minutes
MEQ 1.1: 50 marks and 15 minutes
MEQ 1.2: 50 marks and 15 minutes
Slide2MEQ 1.1 A
( 30 marks, 10 minutes)
A 47-year-old man developed
dyspnea
for 1 day.
Last month, his abdomen was hit by motorcycle handle, he recovered from abdominal pain after 1-night rest.
Physical examination showed flat abdomen, decreased breath sounds on lower part of left lung
.
Please describe the following films:
Slide3Slide4Slide5MEQ 1.1 B
( 20 marks, 5 minutes)
A 47-year-old man developed
dyspnea
for 1 day.
Physical examination showed flat abdomen, decreased breath sounds on lower part of left lung.
Last month, his abdomen was hit by motorcycle handle, he recovered from abdominal pain after 1-night rest.
Slide6X-ray findings
Herniation
of
stomach
and
splenic flexure
of
colon
through
left
diaphragm
Discontinuity
of left
diaphragm
Minimal
pericardial effusion
Minimal
left pleural
effusion
Slide7Questions
What is the definite diagnosis?
What is the further plan of management?
Slide8MEQ 1.2 A
(30 marks, 10 minutes)
A 69-year-old man developed abdominal pain 10 hours ago.
Physical examination showed guarding abdomen with generalized rebound tenderness, no loss of liver dullness.
Underlying disease was non-
Hodgekin
lymphoma.Please describe the following films:
Slide9Slide10Slide11Slide12MEQ 1.2 B
(20 marks, 5 minutes)
A 69-year-old man developed abdominal pain 10 hours ago.
Physical examination showed guarding abdomen with generalized rebound tenderness, no loss of liver dullness.
Underlying disease was non-
Hodgekin
lymphoma.
Slide13X-ray findings
Free
air
was
detected beneath right
dome
of diaphragm Left
dome of diaphragm elevated
Fluid-filled
bowel loop
with
dilatation
Enlarged
aortic arch
and
ascending aorta
Fibro-reticular
nodular infiltrations
were
noted in both upper lobes
Calcifications
were noted in both lower lobes.
No
pleural effusion
was
noted.
Scoliosis /
spondylosis
/ degenerative joint disorder of lumbar spine
Slide14Questions
What is the definite diagnosis?
What is the further plan of management?