Medical Examination Review Quiz
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Questions and Answers

Which topic is covered in Volume 1 of the book?

  • Biostats
  • Neuro
  • Thoracic (correct)
  • Mammo
  • The author of the book assumes responsibility for any injuries arising from the use of the material.

    False

    What should readers do in case of clinical decision-making based on this book?

    Double check all facts provided.

    The book states that a PhD in biochemistry can fail a med school exam due to not being accustomed to ______ style questions.

    <p>medicine</p> Signup and view all the answers

    Match the following topics with their corresponding volumes:

    <p>Endocrine = Volume 1 Legal Stuff = Volume 2 Physics = War Machine Vascular = Volume 2</p> Signup and view all the answers

    What is one of the main aims of this text?

    <p>To speculate how questions might be asked</p> Signup and view all the answers

    The author uses profanity to make the book more engaging.

    <p>True</p> Signup and view all the answers

    How many sections are listed in Volume 1 of the book?

    <p>9</p> Signup and view all the answers

    What is the optimal small hourly dose of caffeine suggested?

    <p>0.3 mg per kg of body weight</p> Signup and view all the answers

    It is suggested to study with a group of friends to enhance focus.

    <p>False</p> Signup and view all the answers

    What is one reason suggested for studying early in the morning?

    <p>Fewer distractions as everyone else is asleep.</p> Signup and view all the answers

    It is recommended to avoid __________ and focus on caffeine tablets for accurate caffeine dosing.

    <p>energy drinks</p> Signup and view all the answers

    How many hours of studying are recommended on weekends?

    <p>8-12 hours</p> Signup and view all the answers

    Listening to music is encouraged during studying for better focus.

    <p>False</p> Signup and view all the answers

    What should you do if studying in a public location?

    <p>Make it clear to classmates that you don't want to be interrupted.</p> Signup and view all the answers

    Match the study strategies to their descriptions:

    <p>Caffeine tablets = Help maintain steady caffeine levels Study alone = Avoid distractions from others Study in the morning = Greater focus with fewer distractions Use ear plugs = Prevent interruptions from nearby conversations</p> Signup and view all the answers

    What is the primary goal of the Self Remembering Exercise?

    <p>To increase your ability to harness power and focus</p> Signup and view all the answers

    The Self Remembering Exercise is the same as being present in the moment.

    <p>False</p> Signup and view all the answers

    What should you focus on during the Self Remembering Exercise after achieving presence?

    <p>Your breathing</p> Signup and view all the answers

    The Accountability Mirror involves putting sticky notes of ______ on the mirror.

    <p>things you want to accomplish</p> Signup and view all the answers

    Match the following methods to their descriptions:

    <p>Self Remembering Exercise = A technique to increase focus through presence Accountability Mirror = A daily reminder system using sticky notes Meditation = A practice to relax and concentrate Anxiety Management = Handling future dread through presence</p> Signup and view all the answers

    What phrase should be added after centering oneself during the Self Remembering Exercise?

    <p>Happiness is a delusion of the weak</p> Signup and view all the answers

    Both self remembering and meditation are suggested as methods to defeat anxiety.

    <p>True</p> Signup and view all the answers

    Name the person who introduced the Accountability Mirror concept?

    <p>David Goggins</p> Signup and view all the answers

    What is the main imaging method to demonstrate Sinus Pericranii?

    <p>MRI with a vascular sequence</p> Signup and view all the answers

    Subdural hematomas are less commonly associated with non-accidental trauma than epidural hematomas.

    <p>False</p> Signup and view all the answers

    What condition can be indicated by an inconsistent history of injury in children?

    <p>Non-Accidental Trauma (Abusive Head Trauma)</p> Signup and view all the answers

    The communication between a dural venous sinus and an extra cranial venous structure in Sinus Pericranii leads to a vascular malformation known as a __________.

    <p>low flow vascular malformation</p> Signup and view all the answers

    Match the terms with their descriptions:

    <p>Sinus Pericranii = Rare disorder with focal skull defect and vascular malformation Non-Accidental Trauma = Abusive head trauma in children Subdural Hematoma = Associated with bridging cortical vein tears in trauma Retinal Hemorrhage = Common indication in abusive head trauma cases</p> Signup and view all the answers

    What is described as the main focus of the pursuit according to the content?

    <p>The quest for gold</p> Signup and view all the answers

    The author believes that the quest for excellence is a lonely journey.

    <p>True</p> Signup and view all the answers

    What is the ultimate reward offered to high achievers?

    <p>Recognition in the book and a lion trophy.</p> Signup and view all the answers

    The katana sword of the black dragon society cannot be stolen; it can only be _____ .

    <p>earned</p> Signup and view all the answers

    Match the following elements with their meanings:

    <p>Gold medal = Recognition of the ultimate achievement Quest = The journey towards excellence Loneliness = Feeling during the pursuit of success Victory = The achievement of goals</p> Signup and view all the answers

    What does the author consider more important than simply winning?

    <p>The journey itself</p> Signup and view all the answers

    What is the author's perspective on achieving victory?

    <p>Achieving victory comes from focusing on the quest rather than just outcomes.</p> Signup and view all the answers

    The author suggests that focusing on outcomes always leads to success.

    <p>False</p> Signup and view all the answers

    What is the most common cause of an abnormal skull shape in infants?

    <p>Positional Plagiocephaly</p> Signup and view all the answers

    True unilateral lambdoid synostosis is a common cause of abnormal skull shape in infants.

    <p>False</p> Signup and view all the answers

    What management technique is recommended for positional plagiocephaly?

    <p>Conservative management, such as sleeping on the opposite side.</p> Signup and view all the answers

    In true unilateral lambdoid synostosis, the ipsilateral ear is positioned __________.

    <p>posterior/inferior</p> Signup and view all the answers

    Match the following conditions with their characteristics:

    <p>Positional Plagiocephaly = Flat spot on the preferred dependent area of the head True Unilateral Lambdoid Synostosis = Ipsilateral ear positioned posterior/inferior Frontal Bossing in Positional Plagiocephaly = Ipsilateral Frontal Bossing in True Unilateral Lambdoid Synostosis = Contralateral</p> Signup and view all the answers

    Which diagnostic tool is preferred for diagnosing synostosis?

    <p>CT with 3D reconstructions</p> Signup and view all the answers

    The onset of positional plagiocephaly occurs at birth.

    <p>False</p> Signup and view all the answers

    What imaging result would indicate a normal open suture?

    <p>Uninterrupted hypoechoic fibrous gap between hyperechoic cranial bones.</p> Signup and view all the answers

    Study Notes

    Art of War, Pediatrics, Gastroenterological, Urinary, Reproductive, Endocrine, Thoracic, Cardiac, Nuclear Medicine

    • Art of War: Located on pages 9-33.
    • Pediatrics: Pages 35-139.
    • Gastrointestinal: Pages 141-222.
    • Urinary: Pages 225-269.
    • Reproductive: Pages 271-341.
    • Endocrine: Pages 343-361.
    • Thoracic: Pages 363-430.
    • Cardiac: Pages 433-466.
    • Nuclear Medicine (Nukes): Pages 469-544.

    Volume 2 Topics

    • Neurology, Musculoskeletal (MSK), Vascular, Interventional Radiology (IR), Mammography (Mammo), Strategy

    War Machine Topics

    • Physics, Non-Interpretive Skills, Biostatistics
    • Book not for clinical decision-making.
    • Readers responsible for double-checking information.
    • Author not liable for injury/damage.
    • No recalls in the book.
    • Book aims to explain likely board question style and content, informed by the ABR's study guide.
    • Aims to explore likely question style and include high-yield material.
    • Author uses profanity and "grown-up" jokes.

    Radiology Master of Sport - National Champion

    • Being the best is a lonely quest.
    • Recognition brings friends.
    • The quest, not the outcome, is crucial.
    • Emphasizes dedication and commitment to excellence, not just winning.
    • Gold medal quest is more important than the medal itself.
    • Focus on the quest; outcomes are often unpredictable.

    Mental Optimization - The Self Remembering Exercise

    • Most people exist in a state of semi-hypnotic "waking sleep".
    • Self Remembering Exercise improves focus.
    • Being present in the moment is essential.
    • Morning (or before studying) practice for 5-10 minutes.
    • Focus on breathing until nothing can disrupt you.
    • Anxiety and dread melt away when focused on present.

    Mental Optimization - The Accountability Mirror

    • Mirror method (Goggins method)
    • Stick notes of goals, behavior, tasks on a mirror.
    • Minimal caffeine dose recommended per kg of body weight.
    • Avoid energy drinks and distractions.
    • Use motivational music (e.g., "Replacement Killers").
    • Studying should be done alone, ideally.
    • Don't get distracted with social interaction.
    • Use earplugs if studying in public.

    Study Hours

    • Minimum 2-3 hours weekdays, 8-12 hours weekends.
    • Optimal study time "however much would kill you minus one second."
    • Preferable study time is early morning.

    Positional Plagiocephaly vs. True Unilateral Lambdoid Synostosis

    • Positional Plagiocephaly:
      • Flat head spot on dependent area.
      • Onset: Weeks after birth.
      • Ear: Anterior; Ipsilateral.
      • Frontal Bossing: Ipsilateral.
      • Conservative management (sleep on other side).
    • True Unilateral Lambdoid Synostosis:
      • Onset: Birth.
      • Ear: Posterior/Inferior; Ipsilateral.
      • Frontal Bossing: Contralateral.
      • Rare.
      • Surgical management needed.

    Diagnosis of Synostosis

    • CT scan with 3D reconstruction is most common.
    • Plain films (from 1987) might be used in multiple-choice questions.
    • Ultrasound might be presented as a test, showing a normal open suture as an uninterrupted hypoechoic fibrous gap between hyperechoic cranial bones.

    Sinus Pericranii

    • Rare skull defect with associated vascular malformation.
    • Underlying pathology: Low flow vascular malformation.
    • Communication between dural venous sinus and extracranial venous structure via emissary veins.
    • Use MRI with vascular sequences for diagnosis.
    • CT scan for defect.

    Non-Accidental Trauma (NAT)

    • Inconsistent history often accompanies NAT.
    • Subdural hematomas strongly associated with NAT compared to epidural hematomas.
    • Retinal hemorrhage is a clue.
    • Think vigorous shaking.
    • Includes "gamesmanship" (vigorous, irregular activities, inconsistent history).

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