Formative Evaluation
[page 6]
51. Tumor ã´µèÍ仹Õé ¢éÍã´ÁÕ calcification ä´é
 
A. Teratoma
B. Wilms' tumor
C. Neuroblastoma
D. Hepatoblastoma
E. ¶Ù¡·Ø¡¢éÍ
52. Complication ¢Í§ choledochal cyst ä´éá¡è
 
A. Liver cirrhosis
B. Cholangitis
C. Malignancy ¢Í§ cyst wall
D. Stone formation
E. ¶Ù¡·Ø¡¢éÍ
53. Serum alpha fetoprotein ¾ºä´éÊÙ§ã¹ tumor ã´µèÍ仹Õé
 
A. Hepatoblastoma
B. Neuroblastoma
C. Germ cell tumor
D. Wilms' tumor
E. ¢éÍ A áÅÐ C ¶Ù¡
54. A 2-year-old child is brought to your office with a history of choking after playing with her brother. She is in mild respiratory distress. You suspect foreign body aspiration. If you are correct, which of the following would you be least likely to see on a chest radiograph?
 
A. A mediastinal shift
B. A radiopaque object
C. Air trapping
D. Atelectasis
E. Normal findings
55. You are working in the emergency department one night when a worried mother brings in her 11-month-old son with a complaint of acute onset of "breathing hard".
There is no history of choking. He is in moderate respiratory distress with nasal flaring and subcostal retractions. There is no stridor, but bilateral faint wheezes are present. Air movement is fair, and oxygen saturation is 96% on room air. Administration of albuterol by inhalation provides minimal relief. Your next step would be to :
 
A. Continue albuterol and add oral steroids
B. Obtain chest radiography with bilateral decubitus views
C. Obtain inspiratory and expriatory films
D. Place the patient on 2 L of oxygen and admit him for observation
E. Take the patient to the operating room for immediate bronchoscopy
56. Which of the following treatments has been shown to be most effective in reducing morbidity and mortaltiy associated with foreign body aspiration?
 
A. Immediate bronchogram followed by antibiotic therapy
B. Inhalation and postural drainage
C. Positive pressure ventilation
D. Rapid administration of bronchodilators
E. Timely use of rigid bronchoscopy followed by aggressive pulmonary toilet
57. Which of the following is the most common complication of foreign body aspiration?
 
A. Bronchial perforaton
B. Bronchial stricture
C. Pneumothroax
D. Pulmonary infection
E. Reactive airway disease
58. Which of the following is incorrect concerning lingual thyroid in an 11-year-old girl?è
 
A. Is a congenital lesion
B. Is best diagnosed by thyroid scan
C. Reuires needle biopsy for confirmation
D. Often responds to thyroid hromone
E. Rarely requires operation
59. A large mediastinal mass is discovered on a routine P-A chest x-ray. The next step is :
 
A. Observe for one month and repeat x-ray
B. Bronchoscopy
C. Mediastinoscopy
D. Esophagogram
E. Lateral chest x-ray

60.

The enzyme throught to be most important in the pathogenesis of necrotizing pancreatitis is :
 
A. Phsopholipase A
B. Elastase
C. Trypsin
D. Lipase
E. Amylase

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