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A 40-year-old woman is hospitalized at an inpatient psychiatric facility for new behavioral disturbances and a suicide attempt. She has also begun to develop unusual movements of her bilateral upper extremities. The movements are non-rhythmic, high-amplitude, low-frequency, and involve the entire extremity. Her brain MRI is shown below. Which of the following may help to treat her movements?
Identify the structures labeled in the image below:
The medulla develops from which of the five primary vesicles of the brain?
Which of the following genetic abnormalities is most common in the pathology shown in the image below?
Which of the following arteries supplies the head of the caudate nucleus and the anterior limb of the internal capsule?
A 30-year-old man with a past medical history of migraines presents to the emergency department for his typical migraine symptoms, which have become intractable. He is treated with a “migraine cocktail” (normal saline, acetaminophen, and prochlorperazine) with some improvement. You are then called to the bedside for concern that he is having a possible seizure. His head is turned forcibly to the right without eye deviation and he is able to follow commands and verbalize. Which of the following is the best next step in management?
Which of the following is most commonly associated with NMDA-receptor encephalitis?
A 64-year-old female with no significant past medical history presents to the clinic because of concerns related to her memory. She states that she has difficulty recalling names and recent conversations. She had a planned retirement two years ago and was functioning well at work at that time. She continues to live alone and is independent with her basic and instrumental daily life activities. Depression screening is negative, but she scores a 27/30 on the Montreal Cognitive Assessment (MOCA), with deficits in delayed recall. Her neurological examination is otherwise non-focal. What is the most likely diagnosis?
Fibrillations and positive waves are first seen on electromyography (EMG) at which point following a nerve transection?
A 42-year-old male presents as a trauma for a large motor vehicle accident. He is comatose, intubated but not sedated, and admitted to the trauma ICU. His brain imaging shows diffuse axonal damage. On examination, his pupils are reactive equally and corneal reflexes are intact, but otherwise, he has no motor response to pain, upgoing plantar reflexes bilaterally. The family asks if the patient is “brain dead”. Which of the following is not part of the confirmatory criteria on the standard brain death exam?
Which of the following is the mechanism of action of riluzole?
A 57-year-old teacher presents to the clinic with reading difficulties. His first symptoms developed 12 months ago when he had trouble marking students’ homework. He progressively also lost the ability to write and had to retire from his profession. Now he needs help tying his shoes and buttoning his clothes. His visual acuity is 20/20. Funduscopic examination and the rest of the neurological examination are unremarkable. Which of the following is the most likely diagnosis?
Which of the following findings is depicted in the catheter angiogram shown?
A 30-year-old female with a history of Charcot-Marie Tooth disease, diagnosed with genetic testing that showed a duplication of the peripheral myelin protein (PMP22) gene, returns to the clinic for a routine follow-up. She expresses interest in starting a family and wants to know what is the risk of her children having the same issues. Which of the following is the most appropriate response?
A healthy 24-year-old female was admitted to the epilepsy monitoring unit for spell classification. What state is the patient during this segment of recording?