Quiz 07/06/2022

A chronic alcoholic is admitted to the hospital for altered mental status. An MRI is performed and shown below. What symptoms/signs are most likely seen on examination?

A 62-year-old man complains of 5 years of vivid dreams. At times this involves punching and kicking, which has hurt his wife. He undergoes a polysomnogram and there is no sleep-disordered breathing and the EEG is normal. What would be the best first-line medication to treat this behavior?

Identify the finding noted with a blue arrow.

What is the benefit of using glucocorticoids in the treatment of bacterial meningitis?

The vessel labeled 1 in the angiogram provided supplies all of the following structures EXCEPT:

The thalamus and hypothalamus are derived from what embryonic structures?

An 80-year-old woman with uncontrolled HTN presents to the ED with symptoms upon awakening of left hemi-sensory loss, last seen well 8 hours prior. MRI is done and shows a lateral thalamic lacunar stroke. The small branch affected in this lacune is most often a branch of which major artery?

Which of the following medications do not worsen myasthenia gravis symptoms?

A 34-year-old female with poorly-controlled type 2 diabetes presents to the ED with a 3-day history of sinus and orbital pain, fever, and headache. Four hours ago, she was feeling confused and dizzy, which prompted her to come to the hospital. A head CT scan is performed and it shows erosion of the nasal bones and obliteration of the sinuses. Biopsy of antral tissue shows fungal hyphae. What is the most likely diagnosis?

A 15-year-old male comes to the clinic with his parents as they complain he has periods of the year where he will sleep up to 20 hours a day for multiple days in a row, as well as uninhibited eating and inappropriate sexual behavior. These episodes last for up to around 2 weeks at most, and then he is behaviorally back to normal in between episodes. Which is the most likely diagnosis?

Which answer correctly identifies all of the cranial nerve(s) that transverse through the structure (blue arrow) shown below?

A previously healthy 25-year-old female presents to the emergency room with lower extremity weakness, numbness, and urinary retention. Lower extremity hyperreflexia and a sensory level at T10 were appreciated on examination. A contrasted cervical/thoracic and lumbar MRI was performed and shown below. Lumbar puncture was performed after imaging was completed and showed an elevated protein concentration, normal glucose, 3 WBCs, and oligoclonal bands. Rheumatologic studies are negative. Based on the most likely diagnosis, what is the most appropriate next step in medical management?

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

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

Cytotoxic edema would be best appreciated on which of the following MRI sequences?