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Kaplan Qbank USMLE



Author6 Posts
  #1

A 35-year-old woman presents with complaints of weakness and spasticity in her right leg. She also admits to difficulties with balance and malaise. The patient states that about 6 months ago, while taking a shower one morning, she noticed that she could not discriminate between hot and cold water on her right leg. She began to feel very tired, and had some difficulties passing urine. Several months ago she had noticed that the vision deteriorated in her right eye, although it recovered over a period of two months. On examination, abnormalities of the left eye and optic disc are presentNeurologic examination is significant for weakness, Iack of coordination, abnormally brisk reflexes in both legs, and difficulty walking were registered.
Which of the following interferon (IFN) classes would most likely be used in this patient?



/ A. IFN alpha-2a

/ B. IFN alpha-2b

/ C. IFN alpha-n3

/ D. IFN beta

/ E. IFN gamma


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

  #2

Which of the major histocompatibility antigens is associated with an increased risk of this disease?

/ A. A3

/ B. B27

/ C. DR2

/ D. DR3

/ E. DR4


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

  #3

this is MS

I go with IFN beta and DR2

___________________
The Key to Succeed is Patience.

  #4

I agree with Robin

  #5

just wanted to add, please correect me if i'm wrong on this....

a/c exacerbations of ms are treated with corticosteroids

disease modifying agents are interferon beta, and glatimramer acetate..delaying onset of disability as well as decrease number of exacerbations

also, mitoxantrone is a drug used in ms...adverse effect of dose related cardiotoxicity


  #6

right on target smiling face

luabe, i have to find out abt mitoxantrone for sure though..

gotta run ..


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







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