+- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com)
+-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1)
+--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3)
+--- Thread: nbme-1, 4-43 - kgmom (/showthread.php?tid=191122)
nbme-1, 4-43 - kgmom - ArchivalUser - 06-01-2007
43. A 42-year-old man is brought to the physician by his wife because of a 2-month history of staring spells that last 1 to 2 minutes each. During episodes, he also smacks his lips and picks at his shirt collar. Four years ago, he was comatose for 2 weeks after sustaining a head injury in a motorcycle collision; he required 6 months of rehabilitation. He reports that, over the past year, he has had intermittent episodes of smelling burnt rubber that occur approximately every 2 weeks. He hears an intense hissing sound during these episodes. Examination shows no abnormalities. Which of the following is the most likely diagnosis?
A
) Absence seizures
B
) Complex partial seizures
C
) Transient ischemic attack
D
) Tourette's disorder
E
) Limbic encephalopathy
0 - ArchivalUser - 06-01-2007
this is toughhhhhhhh hmmmmm it can't be A, C or D . will go with EEE
0 - ArchivalUser - 06-01-2007
bb
0 - ArchivalUser - 06-01-2007
why not B, then?
0 - ArchivalUser - 06-10-2007
During episodes, he also smacks his lips and picks at his shirt collar"
THIS IS DEfinitely BBBBB
0 - ArchivalUser - 06-10-2007
To call it B..don't you have to have a h/o loss of consciousness?The aura definetely favours B though.
0 - ArchivalUser - 06-10-2007
B (temporal lobe epilepsy)