11-08-2008, 02:00 PM
no ques tday buddy...missed ur brain teasers tday .......
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@pindi - strongdoc67
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11-08-2008, 04:01 PM
A 34-year-old female complains of lower extremity weakness for the last 3 days. She has noted progressive weakness in the lower extremities with loss of sensation "below the belly button" and incontinence. She had had some low-grade fevers for the last week. She denies recent travel.
Past medical history is unremarkable. Physical examination is notable for a sensory level at the level of the umbilicus. The lower extremities show +3/5 strength bilaterally proximally and distally. Reflexes, cerebellar examination, and mental status are normal. All the following are appropriate steps in evaluating this patient except A. antinuclear antibodies B. electromyography C. lumbar puncture D. MRI of the spine E. viral serologies enjoy...strongdoc!
11-08-2008, 04:32 PM
Question # 2....
A 62-year-old male with a history of hypertension and diabetes presents to the emergency department with a left facial droop and left-sided hemiparesis. He is not sure when the symptoms began. His wife noted that 4 h before he arrived at the hospital he was "normal" but did not see him again until 20 min before presentation. Past medical history is significant for reflux esophagitis seen on endoscopy 1 year ago. His medications include hydrochlorothiazide and omeprazole. Family history is noncontributory. Physical examination is notable for a blood pressure of 152/74 mmHg and an oxygen saturation of 98% on room air. He has an obvious left facial droop and has left-sided hemiparesis. Sensation is intact. The patient's stool is heme-negative. A complete blood count is normal, and coagulation studies are within normal limits. A computed tomography scan of the head shows a right middle cerebral artery territory infarct. There is no hemorrhage. What is the most appropriate next management step? A. Aspirin B. Clopidogrel C. Intraarterial catheter-based thrombolytic therapy D. Intravenous thrombolytic therapy E. Intravenous heparin
11-08-2008, 04:42 PM
Question # 3..
All the following have been shown to reduce the risk of atherothrombotic stroke in primary or secondary prevention except A. aspirin B. blood pressure control C. clopidogrel D. statin therapy E. warfarin |
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