Examples of lengthy questions.
How to read it in short time
Those marked in yellow are key words.
1.
A 73-year-old man
complained of a swelling along the anterior border of the sternocleidomastoid
(SCM) in the anterior cervical region (anterior triangle). On examination by
his physician, a small, firm swelling was palpated in the submental triangle.
It was moveable on the deep tissues and was not attached to the skin. Similar
swellings deeper in the neck along the course of the internal jugular vein made
the region of the SCM generally swollen. During examination of the man’s mouth,
a small carcinomatous
ulcer was detected on the left side of the apex of the man’s tongue. When asked how
long this sore was on his tongue, the man said it has been there for several
months but it was not painful so he ignored it. Which of the following
statements best describes the most likely cause of the swellings in the submental and lateral regions of
the man’s neck?
A 73-year-old man has Ca tongue. He develops multiple
swellings in neck. Which of the following statements best describes the most
likely cause of the swellings in the submental and lateral regions of the man’s
neck?
2.
A 20-year-old man was slashed in the right
anterior cervical region (anterior
triangle). An ambulance was called and the paramedics stopped the
bleeding from the external jugular vein. He was taken to an emergency room
where a physician examined him. When the man was asked to protrude his tongue, its apex
was turned to the right side. The physician concluded that there was a nerve lesion. Which of
the following statements best describes the most likely cause of the deviation of the man’s tongue?
A man sustains neck injury with knife. He is asked
to protrude tongue. Tip deviates to right side. Which nerve is injured?
3.
A 39-year-old woman
noticed a swelling in the anterior part of her neck. A fellow member of her
church choir suggested she consult their family physician because of the
swelling, her nervousness, and loss of weight. During palpation of her neck,
the physician determined that her thyroid gland was enlarged and moved up and
down during swallowing. He also detected a slight protrusion of her eyes,
making them appear too widely opened. He also observed an elevated pulse and
tremor of her fingers. He diagnosed her condition as hyperthyroidism
(exophthalmic goiter). When she failed to respond to medical treatment, he took
a biopsy of a hardened part of the swelling in the gland. It was determined
that she had several malignant nodules in her thyroid gland. She was referred
to a surgeon who removed the gland. After the surgery the woman complained
about the weakness of her voice and difficulty in singing her soprano parts. Which of the following
statements best describes the most likely cause of the woman’s hoarseness after
thyroidectomy?
Which of the following statements best
describes the most likely cause of a woman’s hoarseness of voice after
thyroidectomy?
Since there is NO
negative marks a tendency is to attempt as many questions as possible. The risk
is that the student who scores more mistakes is likely to go down in the rank
list because those who get same marks are ranked as per mistakes committed. If
two students score 150 marks, the one with ten mistakes is ranked below the one
with eight mistakes. In such situations the lengthy questions and image based
questions decide the rank.
One liner is attempted
by majority of students easily and quickly.
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