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ACCREDITATION

Rev Assoc Med Bras 2012; 58(5):644

1. It is indicated in burn patients (Alternative B).

2. Periodical visits by a pharmacist (AlternativeD).

3. It can be 2.7 times lower than in-hospital costs (AlternativeA).

4. Catheter-related infection is the major cause of hospitalizations (AlternativeB).

5. he family members must be trained before the patient is discharged (AlternativeC).

RESPONSESTOTHECLINICALSCENARIO: UPDATEONHOMENUTRITIONTHERAPY (HNT)

[PUBLISHEDINRAMB 2012; 58(5)]

Update on hearing loss: radiological diagnosis

WANDERLEY M. BERNARDO, ANDREA F. DOS SANTOS, FELIPE FELIX, GRAZIELA SOUZA QUEIROZDE MARTINS, MARIANA HAUSEN PINNA,

TATIANA ALVES MONTEIRO, NATHALIA CARVALHODE ANDRADAAND RICARDO FERREIRA BENTO

1. What is the role of computed tomography (CT) in suspected schwannoma of the eighth cranial nerve?

a. It has 90% sensitivity for schwannomas. b. he sensitivity for ear canal tumors is 86%.

c. By using air cisternography, the sensitivity of the CT increases to 100%. d. For cerebellopontine angle tumors, the sensitivity is 94%.

2. What is the exam indicated for diagnosing suspected cases of schwannoma of the eighth cranial nerve ?

a. Nuclear magnetic resonance with gadolinium as a contrast. b. Tomography associated to cisternography.

c. Nuclear magnetic resonance with no contrast. d. Computerized tomography in sharp contrast.

3. How to radiologically diferentiate schwannoma of the eighth cranial nerve from cerebellopontine angle meninigioma?

a. Meningioma has a globular shape.

b. Schwannoma of the eighth cranial nerve is a large base sessile tumor. c. Schwannomas do not usually present microhaemorrhages.

d. Meningiomas usually present calciications.

4. How oten should magnetic resonance imaging be performed in patients with schwannoma of the eighth cranial nerve that have been conservatively treated?

a. Monthly ater the initial diagnosis.

b. Every six months ater the initial diagnosis for ive years.

c. Every two years ater the third imaging from the initial diagnosis. d. Annually from the initial diagnosis and continuing throughout life.

5. May magnetic resonance imaging present a false-positive result for schwannoma of the eighth cranial nerve?

a. T1 images with gadolinium identify lesions up to 2 mm size. b. False-positive rates may reach 50%.

c. At the bottom of inner ear canal there are no false-positive results. d. he positive likelihood ratio is low (10).

©2012 Elsevier Editora Ltda. All rights reserved.

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