Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  Q pathogenesis 




 



Author5 Posts
  #1

2. A 31 year old female has noted recent difficulty with writing. She has difficulty controlling her hand movements, and the writing is nearly illegible. A neurological examination reveals decreased strength in the right upper extremity and decreased sensation over the left lower extremity. She has no decrease in mentation, and there is no reported seizure activity.
A lumbar puncture is performed, and the CSF contains elevated levels of IgG, some mononuclear cells, and oligoclonal bands on gel electrophoresis. Which of the following pathologic findings in the CNS best accounts for these findings:
A Loss of pigmented neurons in the substantia nigra
B Perivascular lymphocytes with demyelinated axons in white matter
C Increased neurofibrillary tangles and neuritic plaques in the cortex
D Periventricular lymphoid aggregates with cells marking with CD19
E Foci of multnucleated cells and macrophages in grey and white matter


___________________
"Do not worry if you have built your castles in the air. They are where they should be. Now put the foundations under them." - Henry David Thoreau

  #2

b

___________________
You become what you think you are!

  #3

Multiple sclerosis

___________________
You become what you think you are!

  #4

what are d and e by the way

___________________
You become what you think you are!

  #5

The correct answer is B.







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.