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Chapter: 5 / Q: 20
A 53 year old woman presented with pain in the eye, blurry vision and clumsiness for 3 months. She has a history of difficulty in swallowing and weakness in her right upper limb 2yrs ago. What is the investigation of choice?
Chapter: 5 / Q: 21
A 44yo patient comes with right hemiparesis. Exam: left sided ptosis and left dilated pupil. Where is the lesion?
Chapter: 5 / Q: 22
A 30 year old woman has brief episodes of severe shooting pain in the rectum. Rectal examination and flexible sigmoidoscopy are normal. What is the most probable dx?
Chapter: 5 / Q: 23
A 23 year old lady presents with headache. Exam: photophobia and generalized rash that doesn’t blanch on pressure. What must be done immediately?
Chapter: 5 / Q: 24
A young girl complains of episodic headaches preceded by fortification spectra. Each episode last for 2-3 days. During headache patient prefers quiet, dark room. What is the treatment of choice for acute stage?
Chapter: 5 / Q: 25
A 33 year old man is hit by a car. He loses consciousness but is found to be fine by the paramedics. When awaiting doctors review in the ED he suddenly becomes comatose. What is the most likely diagnosis?
Chapter: 5 / Q: 26
A 77 year old male presents with history of enuresis and change in behavior. Examination: waddling gait. What is the most likely diagnosis?
Chapter: 5 / Q: 27
A 17 year old girl had an episode of seizure. Contraction of muscles started from around the interphalangeal joints, which spread to the muscles of wrist and elbow. Choose possible type of seizure?
Chapter: 5 / Q: 28
A 72 year old man fell while shopping and hurt his knee. His vitals are fine. He speaks in a low voice and is very slow to give answers. What is the most probable diagnosis?
Chapter: 5 / Q: 29
A 70 year old man presents with balance difficulties, vomiting and nausea. Which of the following is the best investigation?
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