Quiz 07/24/2022 (13)

A 7-year-old boy with no significant past medical history presents to the clinic after declining school performance and daydreaming. A routine EEG is performed and shown below (bipolar montage). Which of the following medications is the most appropriate first-line therapy?

How long ago did the ischemic injury seen on this neuronal tissue micropathology slide occur?

A 4-year-old boy is brought to the pediatric neurology clinic with 4 months history of progressive dysarthria, ataxia, and abnormal limb movements. His mother says that the patient’s right side of the mouth seems to be pulled to the right and his left arm always seems to be pulled up towards his chest. An MRI was performed and shown below. What is the likely diagnosis?

A 28-year-old woman of Chinese descent was recently diagnosed with focal/symptomatic epilepsy. Which of the following medications should best be avoided in the management of her epilepsy?

A 72-year-old male with diabetes, hyperlipidemia, and tobacco abuse is admitted to the stroke service after he is found to have a left superior middle cerebral artery territory stroke. His EKG on admission showed a normal sinus rhythm. A transthoracic echocardiogram (TTE) is performed. Which of the following findings on TTE would lead to the recommendation of an anticoagulant medication over an antiplatelet medication for secondary stroke prevention?

Which of the following is an appropriate test to assess for dorsolateral frontal lobe dysfunction?

A 41-year-old male presents to the emergency room with a two-day history of neck pain and speech difficulties. CT head shows scattered hypodensities in the left ACA and MCA territories. His Sagittal CT angiogram of the neck is shown below. What is the most likely cause of the patient’s symptoms?

A patient with a recent history of ischemic stroke with almost no residual focal deficits except for a mild right-sided facial droop presents to the emergency room with altered mental status. Vital signs are only impressive for a low-grade fever. CT head and CTA show no acute changes when compared to imaging completed for his initial stroke. Blood work shows thrombocytopenia, anemia, and renal failure. A severe drug reaction is suspected. Which of the following medications is most likely the cause of this clinical presentation?

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 33-year-old industrial worker presents to the ED complaining of sudden onset nausea, bilateral headache, dyspnea, confusion, and eye irritation. His skin is flushed on physical exam. He states he forgot to wear protective equipment (mask, gloves) while working. A T2 flair MRI of the brain is shown. Exposure to which of the following substances is likely?