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(Created page with "{{WBRQuestion |QuestionAuthor={{AZ}} |Prompt=A |Explanation= '''Educational Objective:''' |AnswerA= |AnswerAExp='''Incorrect'''-[[]] |AnswerB= |AnswerBExp='''Incorrect'''-[...")
 
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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor={{AZ}}
|QuestionAuthor={{AZ}}
|Prompt=A  
|ExamType=USMLE Step 2 CK
|Explanation=
|MainCategory=Internal medicine
 
|SubCategory=Head and Neck, Neurology, Respiratory
'''Educational Objective:'''
|MainCategory=Internal medicine
 
|SubCategory=Head and Neck, Neurology, Respiratory
|AnswerA=
|MainCategory=Internal medicine
|SubCategory=Head and Neck, Neurology, Respiratory
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Head and Neck, Neurology, Respiratory
|MainCategory=Internal medicine
|SubCategory=Head and Neck, Neurology, Respiratory
|MainCategory=Internal medicine
|SubCategory=Head and Neck, Neurology, Respiratory
|MainCategory=Internal medicine
|SubCategory=Head and Neck, Neurology, Respiratory
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Head and Neck, Neurology, Respiratory
|Prompt=A 65 year old man comes to the clinic with a weakness and not feeling well. He has been in bad mood since he lost his best friend, that died of cancer. Since then, he has been worried alot about his health. He noticed that he has difficulty raising his right eyelid for the last 6 weeks. His medical history is significant for an ischemic brain stroke 5 years ago, with no residual motor or sensory deficits. He drinks a two glass of red wine every night with dinner with his wife. He has been smoking 1 PPD for the last 30 years. He is treated for COPD by Formeterol and Tiotropium. The physical examination shows a ptosis of right eye lid, however the extraocular muscles movement are intact. The full neurological examination does not reveal any abnormality. What would be the best next step in management?
|Explanation='''Educational Objective:'''
|AnswerA=Order a I131 thyroid scan
|AnswerAExp='''Incorrect'''-[[]]
|AnswerAExp='''Incorrect'''-[[]]
|AnswerB=
|AnswerB=order a chest X-ray
|AnswerBExp='''Incorrect'''-[[]].
|AnswerBExp='''Correct'''-[[]]
|AnswerC=
|AnswerC=order a chest CT
|AnswerCExp='''Correct'''-[[]]
|AnswerCExp='''Incorrect'''-[[]].
|AnswerD=oder a MRI for brain and orbit
|AnswerDExp='''Incorrect'''-[[]].
|AnswerDExp='''Incorrect'''-[[]].
|AnswerE=
|AnswerE=order a fasting blood sugar
|AnswerEExp='''Incorrect'''-[[]]
|AnswerEExp='''Incorrect'''-[[]]
|RightAnswer=C
|RightAnswer=C
|WBRKeyword=
|Approved=No
|Approved=No
}}
}}

Revision as of 03:37, 27 January 2014

 
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, SubCategory::Respiratory
Prompt [[Prompt::A 65 year old man comes to the clinic with a weakness and not feeling well. He has been in bad mood since he lost his best friend, that died of cancer. Since then, he has been worried alot about his health. He noticed that he has difficulty raising his right eyelid for the last 6 weeks. His medical history is significant for an ischemic brain stroke 5 years ago, with no residual motor or sensory deficits. He drinks a two glass of red wine every night with dinner with his wife. He has been smoking 1 PPD for the last 30 years. He is treated for COPD by Formeterol and Tiotropium. The physical examination shows a ptosis of right eye lid, however the extraocular muscles movement are intact. The full neurological examination does not reveal any abnormality. What would be the best next step in management?]]
Answer A AnswerA::Order a I131 thyroid scan
Answer A Explanation [[AnswerAExp::Incorrect-[[]]]]
Answer B AnswerB::order a chest X-ray
Answer B Explanation [[AnswerBExp::Correct-[[]]]]
Answer C AnswerC::order a chest CT
Answer C Explanation [[AnswerCExp::Incorrect-[[]].]]
Answer D AnswerD::oder a MRI for brain and orbit
Answer D Explanation [[AnswerDExp::Incorrect-[[]].]]
Answer E AnswerE::order a fasting blood sugar
Answer E Explanation [[AnswerEExp::Incorrect-[[]]]]
Right Answer RightAnswer::C
Explanation [[Explanation::Educational Objective:

Educational Objective:
References: ]]

Approved Approved::No
Keyword
Linked Question Linked::
Order in Linked Questions LinkedOrder::