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Kaplan Qbank USMLE



Author6 Posts
  #1

A 10 yr child repeatedly suffer with rt side headache and left side hemiparesis and recovers completely.which of the following is diagonosis

a-migraine

b-hysteria

c- vertebra basiler insufficiency

d-carotid artery thrombosis

e- cerebral tumour


  #2

d? does thta occur in chi?

  #3

Tough Q. A, B and E are not typical presentations of these diseases, so I ruled them out. Vertebral basilar insufficiency causes:

- nystagmus

- Limb ataxia

- Truncal ataxia (falling to the side of the lesion)

- Contralateral perception of pain and temperature perception

- Ipsilateral limb and trunk numbness, and loss of taste

- Visual field deficits.

About carotid thrombosis I dont´know much, except that it presents as TIA´s and rare in children, but since C doesn´t quite fit I chose D.




  #4

i'd vote for a. neuro deficits, though rare may occur with migraines

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #5

is headache a component of vertebrobasilar insufficiency? just curious

___________________
If you yourself are at peace, then there is at least some peace in the world.

  #6

if say it's a migraine isn't the hemiparesis to occur on the same side?







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