Neurology collections 2020

2021-11-18 21:47:38 More than the half of the exam is repeated

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https://t.me/USMLERECALLS2021/305 Open / Comment

2021-10-15 10:05:58 A 70-year-old man is admitted with an acute stroke.
Examination revealed a left Horner's syndrome, loss of corneal reflex on the left together with loss of pinprick
sensation on the left face.
His left gag reflex was also decreased. He had left limb ataxia with right hemi-sensory loss of pain and
temperature sensation.
Which one of the following arterial territories has been affected? Open / Comment

2021-10-15 10:05:58 A 70-year-old man is admitted with an acute stroke.
Examination revealed a left Horner's syndrome, loss of corneal reflex on the left together with loss of pinprick
sensation on the left face.
His left gag reflex was also decreased. He had left limb ataxia with right hemi-sensory loss of pain and
temperature sensation.
Which one of the following arterial territories has been affected? Open / Comment

2021-10-14 20:21:58 Open / Comment

2021-10-14 20:20:58 A 18-year-old man is referred with a six month history of daily headache which is mostly frontal in location and
occasionally associated with nausea. He has been taking paracetamol 3 g/day, aspirin 300 mg thrice daily and
codeine 40 mg thrice daily, which has only a temporary effect.
He has a two year history of depression, treated with paroxetine. No abnormalities were found on examination.
What is the most likely diagnosis? Open / Comment

2021-10-14 06:30:58 Open / Comment

2021-10-14 06:19:58 A 54-year-old male presents with progressive pins and needles and numbness in both feet which have
deteriorated over the last six months.
He has a 10 year history of type 2 diabetes mellitus and had cervical spondylosis for which he underwent
surgery eight years ago. He also confessed to drinking approximately 40 units of alcohol weekly.
On examination he had a mild bilateral weakness of foot dorsiflexion, both ankle reflexes were absent and
plantar responses were flexor. There was absent sensation to light touch to mid-shin level with loss of joint
position sensation in the toes and absent vibration sensation below the hips. He had a marked sensory ataxia
and pseudoathetosis of upper limbs. He had no evidence of a retinopathy and urinalysis was normal.
What is the most likely diagnosis? Open / Comment

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@usmle_recall Open / Comment

2021-10-13 23:24:57 Open / Comment

2021-10-13 23:23:57 A 63-year-old man presents with a three month history of tremor affecting his left arm.
In his past medical history he had suffered from a depressive psychosis for 10 years for which he had received
intermittent chlorpromazine and amitriptyline but had had not taken any therapy for the last four months. He
describes that his two brothers also had tremors.
On examination he had a resting tremor of his left hand, with cogwheel rigidity of that arm and he had a mild
generalised bradykinesia.
What is the most likely diagnosis? Open / Comment