bronco
Forum Junior
Topics: 16
Posts: 48
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A 77 YEAR OLD WOMAN IS BROUGTH BY HER SON. SHE SAYS SHE FEELS WELL. HER SON REPORTS THAT 1M. AGO SHE GOT LOS WHILE DRIVING HOME AND 2WK AGO SHE FORGOT TURN OFF THE STOVE. SHE HAS BILATERAL FREQUENCY HEARING LOSS. NEUROLOGIC EXAM SHOWS MILD FINE TREMORS OF THE HANDS WHEN THE ARM ARE OUTSTRECHED, BUT NOT PRESENT AT REST. MUSCULAR STRENGHT5/5. DTR ARE DECREASED AT ANKLES AND 2+ELSEWHERE. NORMAL GAIT. DECREASED SENSATION TO VIBRATION MILDLY AT TOES..
MENTAL EXAMINATION IS AWAKE ALERT CONVERSANT. LANGUAGE IS OK. RECALLS 1 OF 3 OBJECTS AFTER 10 MINUTES. WHICH OF THE FOLLOWING REQ FURTHER EVALUATION???
A) DECREASE DTR
B)DECREASE SENS TO VIBRATION OVER TOES
C)DECREASE HIGH FREQ HEARING LOSS
D) MEMORY LOSS
E) TREMOR OF THE OUTSTRECHE HAND
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| bronco
Forum Junior
Topics: 16
Posts: 48
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KNOW THAT A, C, AND E ARE NORMAL TO THE AGE. BUT DON'T KNOW IF DECREASED VIBRATION SENS IS normal?????
no one?????
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| webjeee
Forum Guru
Topics: 99
Posts: 350
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D. memory loss
a,b,c,e could be normal aging
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| vanshita
Forum Guru
Topics: 25
Posts: 862
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B
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| usmle12
Forum Senior
Topics: 19
Posts: 194
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B my humble answer but i dont have proof
any one with solid proof
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| webjeee
Forum Guru
Topics: 99
Posts: 350
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anyone?
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| damngood
Forum Newbie
Topics: 0
Posts: 79
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a c d e
are normal
shud be b
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