Thread Rating:
  • 0 Vote(s) - 0 Average
  • 1
  • 2
  • 3
  • 4
  • 5
psych cms - 2 - ckpath
#1
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
Reply
#2
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
Reply
#3
Thank you jazpreet!
Reply
« Next Oldest | Next Newest »


Forum Jump: