Quiz 05/28/2022

In the diagram below, what neurologic information is carried by the tract labeled with the green arrow?

A 48-year-old man with a 20-year history of HIV stable on HAART therapy presents to your clinic accompanied by his partner who states that the patient has had mounting difficulties over the last 3 years. Most recently he has been unable to effectively manage finances, cook for himself, or arrange appointments. What is the best diagnosis at this time?

A 30-year-old woman with well-controlled epilepsy with lamotrigine monotherapy comes to the clinic today stating that she and her husband are planning to start a family. Which of the following statements is most correct regarding her clinical situation?

Which of the following medications is the most appropriate pharmacologic agent for paroxysmal kinesigenic dyskinesia?

Which of the following medications is the most effective in the management of PTSD-associated nightmares?

Which of the following EEG artifacts is prominently seen on this EEG?

What is the state of the patient in the EEG shown below?

A 35-year-old male with balance issues is referred for an EMG/NCS. Distal sensory loss of the feet, high-arched feet, and diffuse hyporeflexia are appreciated on the exam. His nerve conduction studies are shown below. Based on the available information what is the most likely diagnosis?

At a national conference, a pharmaceutical representative reaches out to you and offers you an all-inclusive trip to the Bahamas to hear about their newest available preventative migraine therapy. As a resident, which is the most appropriate response:

What is the mechanism of action of abciximab?

Which of the following is a side effect of glatiramer acetate?

Which of the following findings is depicted in the catheter angiogram shown?

A healthy 12-year-old female has a brain MRI performed because of a history of medically refractory headaches. Her imaging is shown below. What is the diagnosis?

A 67-year-old male presents with the inability to reach for objects in his visual field. He states that he can see the object, but on the clinical exam he can not grasp it accurately. He also is unable to see multiple objects at once. He has a past medical history of atrial fibrillation and an ischemic injury is suspected. A brain MRI would show which of the following areas of the brain is/are affected?

A 20-year-old male presents with severe burns on his hands after accidentally touching a stove. Neurology was consulted because the family noted that the patient did not initially pull away from the hot stove as one would expect. Physical exam shows decreased sensation of pain and temperature along the back and arms, with intact strength. T2 sagittal MRI of the cervical spine is shown below. Which of the following is commonly associated with the pathology shown?

Metachromatic leukodystrophy is due to a deficiency of which of the following enzymes?

Which of the following issues in early development has occurred in the photograph below?

Which of the following medication regimens would put a patient at the highest risk of medication overuse headaches?

A 36-year-old woman presents with facial weakness. She states that symptoms started on the right side of the face one week ago, but since then the left side has also become progressively weak. Other pertinent complaints include dry cough, shortness of breath, and joint pain. MRI of the brain shows bilateral contrast enhancement of the facial nerves. Chest X-ray reveals bilateral hilar adenopathy. A diagnostic lymph node biopsy is performed. Which of the following is most likely appreciated on pathologic analysis?

A 27-year-old previously healthy female is seen at the clinic for 5 days of leg weakness. The weakness has progressively been getting worse and now she has difficulty rising from a chair. Her past medical history is unremarkable except for a few days of an upset stomach and diarrhea that occurred two weeks ago. On physical exam, strength is diminished in the bilateral lower extremities. Deep tendon reflexes are 1+ in the lower extremities. A lumbar puncture is ordered. Testing of the cerebral spinal fluid (CSF) in this patient is most likely to show which of the following?