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Chapter: 5 / Q: 130
A 68 year old man awoke to find that he is unable to close his left eye and dribbling saliva from the left angle of his mouth. What is the single most appropriate option?
Chapter: 5 / Q: 131
A 63 year old male presents after having had a seizure. Examination: alert and oriented, inattention on the left side and hyperreflexia of the arm. What is the most probable diagnosis?
Chapter: 5 / Q: 132
A 67 year old female presents with balance problems. Examination: nystagmus on left lateral gaze, a loss of the left corneal reflex and reduced hearing in the left ear. What is the most likely diagnosis?
Chapter: 5 / Q: 133
A 72 year old male presents with acute confusion. He has been in the hospital for 2 weeks having been treated for a DVT. The nurses have noticed that he became increasingly drowsy. Examination: small scalp laceration, a GCS of 8 and bilateral up-going plantar response. What is the likely diagnosis?
Chapter: 11 / Q: 1
A 29 year old lady who is a bank manager is referred by the GP to the medical OPC due to a long history of tiredness and pain in the joints. An autoimmune screen result showed smooth muscle antibodies positive. What is the most appropriate next investigation?
Chapter: 5 / Q: 134
A 69 year old woman presents with a sudden onset of weakness of her right arm and leg. She is known to be hypertensive. There has been no headache, LOC (loss of consciousness), are normal. There is a right extensor plantar response. What is the most likely cause of this pt’s symptoms?
Chapter: 5 / Q: 135
A 74 year old man has been admitted unconscious with no history. He has a GCS of 6 and a dilated left puil which becomes insensitive to light. What is the single most likely diagnosis?
Chapter: 5 / Q: 136
A 27 year old man presents to the emergency department with 2 days history of severe headache and pyrexia (38.9C). CT: petechial hemorrhage in the temporal and inferior frontal lobes. What is the most likely diagnosis?
Chapter: 5 / Q: 137
A 44 year old woman with memory loss, poor concentration and inability to recognize household projects. She has right-handed involuntary writhing movement. There is strong family history of similar complain. What is the single most likely diagnosis?
Chapter: 5 / Q: 138
A 54 year old man has collapsed suddenly following a headache. He has hypertension and takes warfarin for prosthetic heart valve. GCS=4 and dilated left pupil. What is the single most likely diagnosis?
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