usmle262005
Forum Junior
Topics: 7
Posts: 18
|
A previously healthy 27-year-old woman is brought to the emergency dept. because of a 2-day history of weakness of her arms and legs and numbness of her hands and feet and a 4-hour history of mild shortness of breath while supine. The weakness begain in her feet and has progressed to involve the hands. She describes a sensation of "electrical shocks" extending from the buttocks to the feet. Today, she tripped and fell several times and was unable to button clothes or hold utensils. Three weeks ago, she had a mild upper gastrointerstinal illness that resolved within 5 days. Her respirations are 20/min and shallow. There is mild facial weakness; cranial nerves are otherwise intact. Muscle strength in the upper and lower extremeties is 4/5 proximally and 2/5 distally. There is areflexia. Babinski's sign is absent bilaterally. Sensation to vibration is slightly decreased at the fingers and toes.
What is the most appropriate test to establish the cause of condition?
A) Brian stem auditory evoked potentials
B) Carotid ultrasonography
C) Chromosomal analysis for trinucleotide repeat
D) Electroencephalography
E) Electromyography and nerve conduction studies
F) MRI of the spine
G) Muscle biopsy
H) Repetitive nerve stimulation
I) Somatosensory evoked potentials
J) SPECT scan
K) Termporal artery biopsy
L) Visual evoked potentials
|
| mazinger
Forum Guru
Topics: 46
Posts: 920
|
E
___________________
original mazinger z
|
| MAZI
Forum Elite
Topics: 8
Posts: 245
|
E
POLYNUROPATHY
|
| veens
Forum Junior
Topics: 4
Posts: 64
|
e ... looks like a case of gbs
|
| som
Forum Guru
Topics: 59
Posts: 308
|
agree with E
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
e
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,509
|
E...GBS
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
|
| |
| | | | | | | |
Similar forum topics