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+--- Thread: psych cms - 2 - ckpath (/showthread.php?tid=838946)
psych cms - 2 - ckpath - ArchivalUser - 03-31-2017
Can anyone explain all of the choices and where we see each option? Thank you if you can! I have finished MTB 2/3 and UW, but this info was not there. So, I need doctors to explain me...
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; episodes occur approximately every 2 weeks. He also hears an intense hissing sound during these episodes. Examination shows no abnormalities. Which of the following is the most likely finding on EEG?
A) Burst*-suppression pattern
B) Diffuse 3*Hz spike and slow wave activity
C) Focal spikes localized to the temporal lobe
D) Hypsarrhythmia
E) Periodic lateralized epileptiform discharges
F) Polyspike and slow wave activity
G) Triphasic waves
0 - ArchivalUser - 03-31-2017
a...not sure
b..absence seizures--what i believe this pt has.
c..might be herpes encephalitis
d. seen in infantile spasms (west syndrome)
e..not sure
f..lenox gastau syndrome (not sure of spelling)
g..prion disease ie crutzfield jacob disease
0 - ArchivalUser - 04-01-2017
Thank you jazpreet!