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A 22-year-old woman has a 1 week history of intermittent diplopia. Examination shows right ptosis, abnormal medial gaze eye movement, and normal pupil size. Presence of which of the following serum antibodies is most likely to be noted?
A 32-year-old amateur marksman has an anxiety tremor when engaged in a tournament. Intake of which of the following 1 hour before the competition is most likely to reduce the tremor?
A 59-year-old man has pain extending from his back down the posterior aspect of the left leg to the foot. Examination shows weakness of plantar flexion and weakness of toe flexion on the affected side. A radiculopathy affecting which of the following nerves is most likely?
A 4-year-old girl has her first febrile seizure characterized as generalized clonic activity lasting 2 minutes. Which of the following is proper management?
Which of the following medications is the treatment of choice for treating status epilepticus?
A 19-year-old male is brought in to the ED by his friends who state that the patient ingested some pills. Physical exam findings include a stuporous mental status, hypotension, pinpoint pupils, and slow/shallow respirations. Which of the following agents will most likely improve the patient’s signs and symptoms?
A 27-year-old man has the sudden onset of maximal intensity generalized headache with associated nausea and vomiting. Non-contrast computerized tomography (CT) imaging of the brain shows subarachnoid hemorrhage. Which of the following is the most likely associated disorder?
A 33-year-old epileptic patient was brought to the ER via ambulance after having a witnessed tonic-clonic seizure. The patient is currently conscious and not actively seizing but is unaware of his situation. The patient has a history of seizures since he suffered a closed head injury when he was 17 years old. He used to take 200mg of Tegretol twice daily but ran out of his medication a month ago. Vital signs are stable. Physical examination is unremarkable. You should initiate treatment of this patient with a loading dose of which of the following medications?
A 37-year-old male presents with new onset headaches for the past 3 months. They occur daily and are worse in the morning. In the past week, he has noticed a tendency to drop things from his right hand. On examination, vital signs are normal, and general examination is unremarkable. Complete neurologic examination reveals, only a mild weakness of the right upper extremity compared to the left. Which of the following is the most likely diagnosis?
A normal, healthy 18-month-old child would be expected to demonstrate which of the following developmental milestones?
A 59-year-old man has acute low back pain that radiates into the left buttocks and perineum. The presence of which of the following symptoms is most suggestive of S2/S3/S4 radiculopathy?
Donepezil (Aricept) therapy is initiated in an 83-year-old man for treatment of dementia. The caregiver should be counseled that which of the following is the most likely adverse effect of the medication?
The presence of which of the following differentiates a complex partial seizure from a simple partial seizure?
The presence of which of the following differentiates ptosis in the patient who has Horner syndrome from ptosis in the patient who has cranial nerve III (oculomotor nerve) palsy?
A 78-year-old woman has a 2 week history of right-sided headaches and pain in the jaws while chewing. She now has a 5 minute episode of painless blurred vision in her right eye. Which of the following is the most likely diagnosis?
Which of the following is a modifiable risk factor for stroke?
Which of the following sets of findings is most concerning for a mass lesion?
In order to avoid medication over-use, simple analgesics medications should be used how frequently per month?
A 32-year-old female patient presents with migraines that occur more than 3 times per month. The patient is incapacitated and cannot work during or after a migraine attack. After a work-up to assess for any secondary causes of headache, which of the following is the most appropriate treatment for the patient’s migraines at this time?
A 65-year-old man presents to your office complaining of left-sided headaches and left jaw pain while chewing. Upon further questioning, he admits to myalgia, malaise and loss of appetite over the past several weeks as well. Physical exam reveals tenderness over the left mandible and temple. Which of the following is the most likely diagnosis?
A middle-aged, active man with a medical history of hypertension presents to the office complaining of headaches and “panic attacks”. He describes semi-frequent episodes of headache, palpitations and diaphoresis. The given triad is suggestive of which of the following diagnoses?
A 57-year-old woman presents to the emergency department complaining of a very sever, sudden headache that began about one hour ago. She has never experienced a headache like this before. The headache onset was followed by nausea and vomiting on the way to the hospital. After completing a history and physical exam, which of the following is the most appropriate next step in the management of this patient?
A 45-year-old man presents to your office complaining of severe and stabbing headaches over the past several months. The headaches usually occur at night, wake him from sleep and last from several minutes up to several hours. He has noticed that the headaches occur only around his left eye and that he has left sided eye-lacrimation and rhinnorhea during the headaches as well. Physical exam is unremarkable. Which of the following is the most likely diagnosis?
Your patient has a medical history of cerebrovascular accident (CVA) and is first seen with speech arrest, right arm and leg weakness, and visual disturbance. You suspect that he may have had a stroke. Which of the following is the most likely pathophysiologic process?
Which of the following should be included in the evaluation of a patient in a comatose state?
Which of the following is true of Alzheimer’s disease?
The presence of which of the following differentiates a tic from a seizure?
A 33-year-old woman has a 2 week history of recurrent, one second, “electric shock” piercing pain in her left cheek. The pain does not radiate. There are no associated ear or eye symptoms. Which of the following is the most likely diagnosis?
Which of the following is considered to be the most serious complication of lumbar puncture in the patient who has increased intracranial pressure?
A 65-year-old woman comes to your office complaining of a one-month history of general weakness that worsens as the day progresses. Resting alleviates and physical activity worsens the weakness. She says that she has also been experiencing double vision as the day progresses. On exam you note slight bilateral ptosis and nystagmus on sustained lateral gaze as well as mild generalized muscle weakness. Reflexes and sensory exams are normal. Which of the following diagnostic tests is likely to be positive with this patient’s diagnosis?