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Which of the following is the mechanism of action for amantadine?
Which of the following is the mechanism of action of memantine?
What is a common comorbid issue seen in newborns with the vascular abnormality appreciated in the imaging provided?
Which of the following syndromes are most likely associated with the lesion shown in the image below?
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?
Which of the following is NOT known to cause a drug-induced tremor?
Which of the following would not constitute or be concerning for a HIPAA violation?
A 67-year-old male presents to the clinic with his wife due to a gradual decline in his balance over the past two years. His balance issues have resulted in him falling twice in the past month. His wife states that she notices that he has been walking more slowly than usual. The patient also complains of double vision when reading the newspaper. On physical exam, the patient is noted to have a vertical gaze palsy and impaired smooth ocular pursuit, and a subtle right hand resting tremor. A brain MRI is ordered which shows atrophy in the midbrain tegmentum. What is the most likely diagnosis?
A 62-year-old 50 kg female with a history of myasthenia gravis presents to the hospital with shortness of breath and generalized weakness felt to be secondary to a myasthenic crisis. Her medication history in the chart states she is currently taking pyridostigmine 60 mg QID, prednisone 20 mg daily, and just started cyclophosphamide 4 weeks ago. She was safely intubated in the ED with a NIF of -18 cm H2O and a VC of 600 ml. Select the appropriate next steps regarding pharmacotherapy and management for a myasthenic crisis.
I. Discontinue pyridostigmine
II. Increase the dose of prednisone
III. Increase the dose of azathioprine
IV. Consult general surgery for thymectomy
V. Consider PLEX or IVIg therapy
VI. Start rituximab
Which of the following is the mechanism of action of prazosin?
Which of the following findings is depicted in the MR Angiogram shown below?
A 40-year-old textile worker is brought to the clinic for slowly progressive symptoms including shuffling gait, tremor, and profuse drooling. On examination, his speech is difficult to understand and there is cogwheel rigidity in his arms and legs. His tremor is most evident when his limbs are at rest. Exposure to which of the following is the most likely cause of the patients’ symptoms?
A 45-year-old female presents to the emergency room after experiencing a first-time seizure. On examination, she has some mild RUE weakness and anomia. MRI w/o contrast was performed and shown below. Which of the following is the likely cause of her lesion?
What is the mechanism of action of abciximab?
A 7-month-old girl with a past medical history of hypotonia, weight loss, and failure to thrive is brought to the clinic by her parents. An MRI was performed and T2 sequence images from this study are shown below. What is the most likely diagnosis?
A 45-year-old female who is a professional pianist was referred to the EMG lab for right-hand numbness and tingling. Based on the EMG data outlined below where is this patient’s pathological lesion?
Which is the following findings on EMG is suggestive of a chronic neurogenic lesion?
A 50-year-old male is admitted for 3 months of progressive memory loss, visual hallucinations, and myoclonus. Examination revealed myoclonic jerks. Which of the following tests is the most specific for this disease?
Which of the following vessels that supply the thalamus originates from the P2 segment of the posterior cerebral artery and supplies the medial geniculate nucleus?
A 4-month-old infant of Amish parents is evaluated in the emergency department for an acute onset of weakness, poor feeding, and irritability that started 2 days ago. Neurologic examination of the child was impressive for ptosis, decreased tone, generalized weakness, a poor suck reflex, and mydriasis. MRI of the brain was normal. Which of the following is the most likely cause of the patient’s symptoms?