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Chapter: 5 / Q: 50
A 40 year old chronic alcoholic who lives alone, brought in the emergency department having been found confused at home after a fall. He complains of a headache and gradually worsening confusion. What is the most likely diagnosis?
Chapter: 5 / Q: 51
A 64 year old man presents with a history of left sided hemiparesis and slurred speech. He was absolutely fine 6h after the episode. What is the most appropriate prophylactic regimen?
Chapter: 5 / Q: 52
A patient had TIA (transient ishchemic attack) which he recovered from. He has a history of stroke and exam shows HR (heart rate) in sinus rhythm. He is already on aspirin 75mg and anti- ypertensive drugs. What other action should be taken?
Chapter: 5 / Q: 53
A 44 year old man comes with history of early morning headaches and vomiting. CT brain shows ring enhancing lesions. What is the single most appropriate option?
Chapter: 5 / Q: 54
A 65 year old man with difficulty in swallowing presents with an aspiration pneumonia. He has a bovine cough and fasciculating tongue. Sometimes as he swallows food it comes back through his nose. Choose the single most likely cause of dysphagia from the given option?
Chapter: 5 / Q: 55
A 38 year old female presents with sudden loss of vision but fundoscopy is normal. She had a similar episode about 1 year ago which resolved completely within 3 months. Examination: mild weakness of right upper limb and exaggerated reflexes. What is the single most appropriate treatment?
Chapter: 5 / Q: 56
A 64 year old woman has difficulty moving her right shoulder on recovering from surgery of the posterior triangle of her neck. What is the single most appropriate option?
Chapter: 5 / Q: 57
A 50 year old woman presents following a fall. She reports pain and weakness in her hands for several months, stiff legs, swallowing difficulties, and has bilateral wasting of the small muscles and temp sensation are impaired in the upper limbs. What is the most likely diagnosis?
Chapter: 5 / Q: 58
A 56 year old man has symptoms of sleep apnea and daytime headaches and somnolence. Spirometry shows a decreased tidal volume and vital capacity. What is the single most appropriate diagnosis?
Chapter: 5 / Q: 59
A young adult presents to the emergency department after a motorcycle crash. The patient has bruises around the left orbital area. GCS 13, examination notes alcoholic breath. Shortly afterwards, his GCS drops to 7. What is the single most important initial assessment test?
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