1

A 42-year-old septic woman, S/P volume resuscitation.

 1
.......Aujcharanan Prawatsilpa.......................................
1.

2.

3.

What is this study? (10 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (30 points)
..
..

.......................................

 2
A 30-year-old man, presents with acute dyspnea after motorcycle accident. After he
went out from X-ray room, his BP is 80/50 mmHg.

 2
.......Aujcharanan Prawatsilpa.......................................
1.

2.

3.

What is this study? (30 points)

..
..
..
..
Positive findings (50 points)
2.1. .
.
2.2. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 3
.......Aujcharanan Prawatsilpa.......................................

2.

1. Please described findings (50 points)

..
..
..
..
..
..
..
..
..
..
2.1.

3.

What is your diagnosis? (20 points)

.
.
2.2. What is your differential diagnosis? (20 points)
.
.
What is your further investigation? (20 points)
..
..
..
..

.......................................

 4
.......Aujcharanan Prawatsilpa.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

What is the positive finding? (60 points)

..
..
..
..
..

3.

What is the most likely diagnosis for this patient? (20 points)
.
.
.
...
...

.......................................

 5
.......Aujcharanan Prawatsilpa.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

4.

These lesions are usually associated with urinary tract infection. What is the
mos common bacterial oragnism. (30 points)
..
..

.......................................

 6
A 48-year-old man presents with high fever, cough, sore throat and dyspnea.

 6
.......Aujcharanan Prawatsilpa.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 7
.......Aujcharanan Prawatsilpa.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 8
.......Aujcharanan Prawatsilpa.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 9
A 40-year-old man with history of chronic alcohol drinking. He presents with acute
epigastrium pain for an hour.

 9
.......Aujcharanan Prawatsilpa.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 10
A 36-year-old man with history of chronic alcohol drinking, presents with acute
abominal pain.

 10
.......Aujcharanan Prawatsilpa.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..

3.

Negative findings (30 points)

..
..
..

4.

What is the most likely diagnosis? (20 points)

..
..

.......................................

 11
From this abdominal film, please answer the question.

 11
.......Aujcharanan Prawatsilpa.......................................
1.

Describe the abnormal findings in this film ? (20 points)

..
..
..
.....
..

2.

What is the most likely diagnosis? (20 points)

..
..
..

3.

What are the mainly compositions of the lesion in this film ? (60 points)
3.1.

3.2.

3.3.

.......................................

 12
A 55-year-old woman, presents with intermittent symptoms of nausea, vomiting,
abdominal distension, and pain. Film showns as the picture or Monitor

 12
.......Aujcharanan Prawatsilpa.......................................
1.

2.

3.

What is this study? (20 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 1
A 42-year-old septic woman, S/P volume resuscitation.

 1
.......Manoch Leechutiwat.......................................
1.

2.

3.

What is this study? (10 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (30 points)
..
..

.......................................

 2
A 30-year-old man, presents with acute dyspnea after motorcycle accident. After he
went out from X-ray room, his BP is 80/50 mmHg.

 2
.......Manoch Leechutiwat.......................................
1.

2.

3.

What is this study? (30 points)

..
..
..
..
Positive findings (50 points)
2.1. .
.
2.2. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 3
.......Manoch Leechutiwat.......................................

2.

1. Please described findings (50 points)

..
..
..
..
..
..
..
..
..
..
2.1.

3.

What is your diagnosis? (20 points)

.
.
2.2. What is your differential diagnosis? (20 points)
.
.
What is your further investigation? (20 points)
..
..
..
..

.......................................

 4
.......Manoch Leechutiwat.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

What is the positive finding? (60 points)

..
..
..
..
..

3.

What is the most likely diagnosis for this patient? (20 points)
.
.
.
...
...

.......................................

 5
.......Manoch Leechutiwat.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

4.

These lesions are usually associated with urinary tract infection. What is the
mos common bacterial oragnism. (30 points)
..
..

.......................................

 6
A 48-year-old man presents with high fever, cough, sore throat and dyspnea.

 6
.......Manoch Leechutiwat.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 7
.......Manoch Leechutiwat.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 8
.......Manoch Leechutiwat.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 9
A 40-year-old man with history of chronic alcohol drinking. He presents with acute
epigastrium pain for an hour.

 9
.......Manoch Leechutiwat.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 10
A 36-year-old man with history of chronic alcohol drinking, presents with acute
abominal pain.

 10
.......Manoch Leechutiwat.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..

3.

Negative findings (30 points)

..
..
..

4.

What is the most likely diagnosis? (20 points)

..
..

.......................................

 11
From this abdominal film, please answer the question.

 11
.......Manoch Leechutiwat.......................................
1.

Describe the abnormal findings in this film ? (20 points)

..
..
..
.....
..

2.

What is the most likely diagnosis? (20 points)

..
..
..

3.

What are the mainly compositions of the lesion in this film ? (60 points)
3.1.

3.2.

3.3.

.......................................

 12
A 55-year-old woman, presents with intermittent symptoms of nausea, vomiting,
abdominal distension, and pain. Film showns as the picture or Monitor

 12
.......Manoch Leechutiwat.......................................
1.

2.

3.

What is this study? (20 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 1
A 42-year-old septic woman, S/P volume resuscitation.

 1
.......Pantipa Pettad.......................................
1.

2.

3.

What is this study? (10 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (30 points)
..
..

.......................................

 2
A 30-year-old man, presents with acute dyspnea after motorcycle accident. After he
went out from X-ray room, his BP is 80/50 mmHg.

 2
.......Pantipa Pettad.......................................
1.

2.

3.

What is this study? (30 points)

..
..
..
..
Positive findings (50 points)
2.1. .
.
2.2. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 3
.......Pantipa Pettad.......................................

2.

1. Please described findings (50 points)

..
..
..
..
..
..
..
..
..
..
2.1.

3.

What is your diagnosis? (20 points)

.
.
2.2. What is your differential diagnosis? (20 points)
.
.
What is your further investigation? (20 points)
..
..
..
..

.......................................

 4
.......Pantipa Pettad.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

What is the positive finding? (60 points)

..
..
..
..
..

3.

What is the most likely diagnosis for this patient? (20 points)
.
.
.
...
...

.......................................

 5
.......Pantipa Pettad.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

4.

These lesions are usually associated with urinary tract infection. What is the
mos common bacterial oragnism. (30 points)
..
..

.......................................

 6
A 48-year-old man presents with high fever, cough, sore throat and dyspnea.

 6
.......Pantipa Pettad.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 7
.......Pantipa Pettad.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 8
.......Pantipa Pettad.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 9
A 40-year-old man with history of chronic alcohol drinking. He presents with acute
epigastrium pain for an hour.

 9
.......Pantipa Pettad.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 10
A 36-year-old man with history of chronic alcohol drinking, presents with acute
abominal pain.

 10
.......Pantipa Pettad.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..

3.

Negative findings (30 points)

..
..
..

4.

What is the most likely diagnosis? (20 points)

..
..

.......................................

 11
From this abdominal film, please answer the question.

 11
.......Pantipa Pettad.......................................
1.

Describe the abnormal findings in this film ? (20 points)

..
..
..
.....
..

2.

What is the most likely diagnosis? (20 points)

..
..
..

3.

What are the mainly compositions of the lesion in this film ? (60 points)
3.1.

3.2.

3.3.

.......................................

 12
A 55-year-old woman, presents with intermittent symptoms of nausea, vomiting,
abdominal distension, and pain. Film showns as the picture or Monitor

 12
.......Pantipa Pettad.......................................
1.

2.

3.

What is this study? (20 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 1
A 42-year-old septic woman, S/P volume resuscitation.

 1
.......Thanakorn Sritiyos.......................................
1.

2.

3.

What is this study? (10 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (30 points)
..
..

.......................................

 2
A 30-year-old man, presents with acute dyspnea after motorcycle accident. After he
went out from X-ray room, his BP is 80/50 mmHg.

 2
.......Thanakorn Sritiyos.......................................
1.

2.

3.

What is this study? (30 points)

..
..
..
..
Positive findings (50 points)
2.1. .
.
2.2. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 3
.......Thanakorn Sritiyos.......................................

2.

1. Please described findings (50 points)

..
..
..
..
..
..
..
..
..
..
2.1.

3.

What is your diagnosis? (20 points)

.
.
2.2. What is your differential diagnosis? (20 points)
.
.
What is your further investigation? (20 points)
..
..
..
..

.......................................

 4
.......Thanakorn Sritiyos.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

What is the positive finding? (60 points)

..
..
..
..
..

3.

What is the most likely diagnosis for this patient? (20 points)
.
.
.
...
...

.......................................

 5
.......Thanakorn Sritiyos.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

4.

These lesions are usually associated with urinary tract infection. What is the
mos common bacterial oragnism. (30 points)
..
..

.......................................

 6
A 48-year-old man presents with high fever, cough, sore throat and dyspnea.

 6
.......Thanakorn Sritiyos.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 7
.......Thanakorn Sritiyos.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 8
.......Thanakorn Sritiyos.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 9
A 40-year-old man with history of chronic alcohol drinking. He presents with acute
epigastrium pain for an hour.

 9
.......Thanakorn Sritiyos.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 10
A 36-year-old man with history of chronic alcohol drinking, presents with acute
abominal pain.

 10
.......Thanakorn Sritiyos.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..

3.

Negative findings (30 points)

..
..
..

4.

What is the most likely diagnosis? (20 points)

..
..

.......................................

 11
From this abdominal film, please answer the question.

 11
.......Thanakorn Sritiyos.......................................
1.

Describe the abnormal findings in this film ? (20 points)

..
..
..
.....
..

2.

What is the most likely diagnosis? (20 points)

..
..
..

3.

What are the mainly compositions of the lesion in this film ? (60 points)
3.1.

3.2.

3.3.

.......................................

 12
A 55-year-old woman, presents with intermittent symptoms of nausea, vomiting,
abdominal distension, and pain. Film showns as the picture or Monitor

 12
.......Thanakorn Sritiyos.......................................
1.

2.

3.

What is this study? (20 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 1
A 42-year-old septic woman, S/P volume resuscitation.

 1
.......Yada Moonpijit.......................................
1.

2.

3.

What is this study? (10 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (30 points)
..
..

.......................................

 2
A 30-year-old man, presents with acute dyspnea after motorcycle accident. After he
went out from X-ray room, his BP is 80/50 mmHg.

 2
.......Yada Moonpijit.......................................
1.

2.

3.

What is this study? (30 points)

..
..
..
..
Positive findings (50 points)
2.1. .
.
2.2. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................

 3
.......Yada Moonpijit.......................................

2.

1. Please described findings (50 points)

..
..
..
..
..
..
..
..
..
..
2.1.

3.

What is your diagnosis? (20 points)

.
.
2.2. What is your differential diagnosis? (20 points)
.
.
What is your further investigation? (20 points)
..
..
..
..

.......................................

 4
.......Yada Moonpijit.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

What is the positive finding? (60 points)

..
..
..
..
..

3.

What is the most likely diagnosis for this patient? (20 points)
.
.
.
...
...

.......................................

 5
.......Yada Moonpijit.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

4.

These lesions are usually associated with urinary tract infection. What is the
mos common bacterial oragnism. (30 points)
..
..

.......................................

 6
A 48-year-old man presents with high fever, cough, sore throat and dyspnea.

 6
.......Yada Moonpijit.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 7
.......Yada Moonpijit.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 8
.......Yada Moonpijit.......................................
1.

What is this study ? (30 points)

..
..
..

2.

Describe the postitive finding ? (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis (30 points)

.
..
..

.......................................

 9
A 40-year-old man with history of chronic alcohol drinking. He presents with acute
epigastrium pain for an hour.

 9
.......Yada Moonpijit.......................................
1.

What is this study? (30 points)

..
..
..
.....
..

2.

Positive findings (40 points)

..
..
..
..
..
..

3.

What is the most likely diagnosis? (30 points)

..
..

.......................................

 10
A 36-year-old man with history of chronic alcohol drinking, presents with acute
abominal pain.

 10
.......Yada Moonpijit.......................................
1.

What is this study? (20 points)

..
..
..
.....
..

2.

Positive findings (30 points)

..
..
..

3.

Negative findings (30 points)

..
..
..

4.

What is the most likely diagnosis? (20 points)

..
..

.......................................

 11
From this abdominal film, please answer the question.

 11
.......Yada Moonpijit.......................................
1.

Describe the abnormal findings in this film ? (20 points)

..
..
..
.....
..

2.

What is the most likely diagnosis? (20 points)

..
..
..

3.

What are the mainly compositions of the lesion in this film ? (60 points)
3.1.

3.2.

3.3.

.......................................

 12
A 55-year-old woman, presents with intermittent symptoms of nausea, vomiting,
abdominal distension, and pain. Film showns as the picture or Monitor

 12
.......Yada Moonpijit.......................................
1.

2.

3.

What is this study? (20 points)

..
..
..
..
Positive findings (60 points)
2.1. .
.
2.2. .
.
2.3. .
.
What is the most likely diagnosis? (20 points)
..
..

.......................................