0
Clinical Problem Solving: Radiology |

Radiology Quiz Case 1

Christian Koehler, MD; Monika Warmuth-Metz, MD; Robert Mlynski, MD
Arch Otolaryngol Head Neck Surg. 2010;136(5):518. doi:10.1001/archoto.2010.60-a.
Text Size: A A A
Published online

Extract

An 80-year-old man presented with a lesion that had been observed on magnetic resonance images (MRIs) of his head and neck. The MRIs had been obtained because of reduced motility of the patient's left eye and left facial weakness. Six months earlier, he had developed otitis externa maligna with a partial facial nerve palsy and had undergone a mastoidectomy with a radical cavity on the left. Physical examination revealed a unilateral bulge of the left soft palatine arch that was obstructing the nasopharynx and the oropharynx. The mass was not pulsatile, and fluid could not be aspirated on puncture. Also, there was paralysis of the left abducens nerve and the left vocal fold. Ear microscopy showed an unirritated radical cavity. The patient appeared somnolent and disoriented, without signs of pain.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure 1.
Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.
Graphic Jump Location
Place holder to copy figure label and caption
Figure 4.
Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination
Evidence Summary and Review 2

The Rational Clinical Examination
Detecting Pleural Effusion by Chest Radiograph

brightcove.createExperiences();