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A 62-year-old man has a 2 week history of stumbling when walking in the dark. Which of the following neurologic signs is most suggestive of neuropathy caused by vitamin B12 deficiency?
An 18-year-old man has headaches. Evaluation shows an unruptured cerebral aneurysm. The patient most likely has which of the following disorders?
The presence of which of the following differentiates cranial nerve VII palsy caused by brainstem infarction from Bell’s palsy?
A 78-year-old man has a 2 week history of left-sided headaches. Giant cell arteritis is suspected. Which of the following is the most likely associated symptom to be noted by the patient?
A 66-year-old woman awakens with painless drooping of the left side of her face. Presence of which of the following differentiates peripheral cranial VII palsy (Bell’s palsy) from a tumor in the brainstem?
Which of the following is the most common complication of a lumbar puncture?
A 44-year-old woman has the acute onset of foot drop caused by weakness of right foot dorsiflexion. Injury to which of the following nerves is the underlying cause?
An 80-year-old man has recent-onset headaches and scalp tenderness when brushing his hair. Erythrocyte sedimentation rate is 90 mm/hr. Giant cell arteritis is diagnosed. Which of the following is the preferred initial therapy?
A normal, healthy 12-month-old child would be expected to demonstrate which of the following developmental milestones?
A 33-year-old man has optic neuritis related to multiple sclerosis. Which of the following is characteristic of the eye disorder?
A 44-year-old man has the sudden onset of a new, unbearable generalized headache followed by coma. Subarachnoid hemorrhage is noted on computerized tomography imaging. Which of the following is the most likely associated disorder?
A 29-year-old man has sudden, recurrent episodes of falling asleep during the day. Narcolepsy is diagnosed. Which of the following is the preferred initial therapy?
The presence of which of the following differentiates delirium from dementia?
A patient with complex regional pain syndrome is not responding to the alendronate and neurontin therapy. What agent should be added next to help treat the patients condition?
A 26-year-old woman has painful loss of vision in her right eye that is progressive over two days. Optic neuritis is diagnosed. Which of the following is the most likely underlying cause of the visual disturbance?
While awaiting culture results, common initial antibiotic therapy(ies) for bacterial meningitis include which of the following?
Which of the following is not included in the recommendations by the Centers for Disease Control and Prevention for managing neurosyphilis?
Which of the following is true regarding MS (multiple sclerosis)?
A 68-year-old man arrives in the emergency department after having had a seizure while shoveling snow. His wife noted a sudden loss of consciousness, after which he became rigid, fell, appeared to grunt, and began jerking all four limbs. Emergency medical services arrived to find him lethargic with a tongue laceration. Which of the following best describes the type of seizure he had?
Management of viral meningitis may include all but which of the following?
Which of the following statements is true regarding the treatment of bacterial meningitis?
Which of the following represents an abnormal presentation period of the Moro reflex in an infant?
Management of acute coma may include which of the following?
Which of the following is the drug of choice for treatment of an uncomplicated or benign pediatric febrile seizure?
Which of the following statements is true regarding herpes encephalitis?
Management of muscular dystrophy may include which of the following?
Which of the following is a determinant of gestational age?
A 74-year-old woman presents to her PCP with her son. Her son reports that his mother has been acting strangely for the past 6 hours. When he called her this morning she seemed confused and inattentive. She has never had these symptoms in the past. Her past medical history includes osteoporosis. On physical exam, patients scores less than 20/30 on a mini-mental status exam but neurologic exam is otherwise intact. There is no evidence of head trauma. Lungs are clear to auscultation throughout all fields. U/A is negative. Which of the following is the most likely diagnosis?
A 24-year-old graduate student presents to your office with a complaint of daily headaches for the last 3 days. He reports that he has had rare, mild headaches before but not for several days in a row. He describes the headache as bilateral, generalized pressure that does not throb. Over the counter acetaminophen reduces, but does not resolve the symptoms. He has been studying for upcoming final exams for the past week and is very stressed. He wants the headaches to resolve to he can get back to studying. He has no significant past medical history and no family history of neurologic disorders. Neurologic exam is unremarkable.
Which of the following is the most appropriate next step in the management of this patient, at this time?
A 66-year-old gentleman presents with complaints of memory problems. He appears to be upset or distressed. Examination reveals attention span and concentration to be intact. Based on patient’s presentation and examination, which of the following is the most likely diagnosis?