Quiz 07/16/2022 (2)

What is the mechanism of action of abciximab?

A 32-year-old female with an acute ischemic stroke was sent for an urgent angiography. Below is the image captured from this study. What is the likely etiology of the patient’s acute ischemic stroke?

A 40-year-old man from Honduras presents to the emergency room after experiencing a first-time seizure. CT head showed multiple calcified intraparenchymal lesions. Physical examination in the emergency room was unremarkable except for the presence of multiple subcutaneous nodules. A biopsy of one of these nodules was completed and microscopic imaging of the lesion is shown below. What is the most likely diagnosis?

A 50-year-old male has noted winging of his right scapular and pain for the past four months following a hyperextension injury. Based on the EMG data outlined below where is this patient’s pathological lesion?

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?

A 72-year-old man with a history of right-sided carotid stenosis was transferred from an outside hospital to your institution to have a carotid stent placed after experiencing a mild right-hemispheric ischemic stroke. The patient was sent to the angiography lab and had a carotid stent placed, however, it was done so on the unaffected (left) side. What is this an example of?

A 28-year-old female is brought to the emergency room by her husband because of behavioral changes and memory issues over the last 4 days. Right after the MRI, shown below, the patient had a tonic-clonic seizure. Based on the limited clinical history and imaging provided, which of the following is the most likely diagnosis?

The pathology shown in the image below is most likely which of the following?

What anatomical structure is the most common location for a Mycobacterium tuberculosis-related CNS infection?

A 19-year-old female with a past medical history of anorexia and insomnia presents with major depressive disorder. Which of the following medications is the most appropriate at this time?

A 55-year-old male presents with progressive worsening new headache over several months. He did not wish to seek medical attention but now presents because his family reports his facial expressions “look different”. On exam, he has impaired upgaze, light near dissociation, and convergence retraction nystagmus. An MRI is done and shows a lesion. Where is the lesion likely located?

Which is the following findings on EMG is suggestive of a chronic neurogenic lesion?

A 31-year-old male comes to the clinic for evaluation of recurrent nightmares after returning from a tour of duty with the military two months ago. He is unable to concentrate on his new desk job and flinches every time he hears a door close. While once an avid bowler, he no longer goes to the bowling alley because the sounds of the pins falling remind him of bomb explosions. Which of the following is the most likely diagnosis?

A 45-year-old man with a past medical history of IV drug use presents with a 3-day history of back pain and fever with numbness and tingling in his arms bilaterally. He is now unable to write his name or button his shirt. His cervical MRI is shown below. Which of the following is the most likely diagnosis?

The vessel imaging shown below is consistent with which of the following?