Quiz 06/21/2022

Exposure to which of the following in utero is associated with low birth weight?

A 37-year-old man with a past medical history of depression, hypothyroidism, fibromyalgia, and nephrolithiasis presents with a well-documented history of migraine headaches. In the past, his headache frequency was less than 5 days a month but they are now occurring at least three times a week. Your suspicion of secondary causes of headache is low and you are considering starting a prophylactic migraine treatment. Which of the following medications should be avoided?

A 24-year-old female with a past medical history of major depressive disorder with her last major depressive episode 6 months ago is brought to the emergency room by her boyfriend because of unusual behavior. For the past 4 weeks, the patient has had bizarre delusions, auditory hallucinations, and disorganized speech. She believes that her boyfriend is having a sexual relationship with a character from one of the early morning soap operas on television. Outside of her psychiatric symptoms, her neurologic examination is normal. Which of the following is the most likely diagnosis?

A patient with newly-diagnosed early state amyotrophic lateralized sclerosis (ALS) presents to your multidisciplinary clinic for the first time. After discussing the effectiveness and side effects of riluzole and endavarone, the patient informs you that he doesn’t want to start either medication. Which of the following basic principles of medical ethics could be best applied to this scenario?

Which of the following comorbidities are responsible for the lesion appreciated in the image below?

A 37-year-old male presents with sudden onset of tachycardia and hypertension, followed shortly by unilateral rhythmic facial and then arm jerking. The autonomic symptoms of tachycardia and hypertension are most likely to reflect the involvement of which region of the brain during a seizure?

Which of the following is the most accurate statement regarding driving with epilepsy?

Optic nerve glioma is associated with which of the following diseases?

A 53-year-old Spanish-speaking woman comes to your clinic for the first time with complaints of memory loss. She is accompanied by her 16-year-old daughter who is bilingual. You quickly realize that the patient does not have a strong grasp of the English language. After proposing to use a professional translator the daughter says that she feels comfortable translating for her mother. What is the most appropriate next step?

Paralysis of the stapedius muscle can occur with ipsilateral damage to which cranial nerve?