WBR1041
Jump to navigation
Jump to search
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Internal medicine |
| Sub Category | SubCategory::Head and Neck, SubCategory::Neurology |
| Prompt | [[Prompt::A 55 year old male came to clinic with a mild headache for the last three months. The headache has been getting worse over time. Recently he noticed a progressive numbness in his left leg. He denies any motor or gait abnormality. He reports falling while playing with grand son 4 months on backyard. He is taking aspirin 80 mg, plavix 75 mg, propranolol 20 mg, insulin lantos injection for the last 1o years. He takes long acting analgesics for chronic back pain. The pin brick test reveals bilateral loss of fine sensation till knee level.His surgical history includes two time retinal laser surgery for retinal detachment and hemorrhage.What would be the underlying lesion?]] |
| Answer A | AnswerA::Middle vessel disease |
| Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
| Answer B | AnswerB::Microangiopathy |
| Answer B Explanation | [[AnswerBExp::Incorrect-[[]].]] |
| Answer C | AnswerC::Nerve degeneration and microcapillary occlusion |
| Answer C Explanation | [[AnswerCExp::Correct-[[]]]] |
| Answer D | AnswerD::Microcapillary occlusion |
| Answer D Explanation | [[AnswerDExp::Incorrect-[[]].]] |
| Answer E | AnswerE::Terminal nerve degeneration |
| Answer E Explanation | [[AnswerEExp::Incorrect-[[]]]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Educational Objective: Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |