NB F1: teenager witrh tonic clonic seizure

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 1 Forum » Pathology Forum

NB F1: teenager witrh tonic clonic seizure

Author

10 Posts

Musuq
Forum Guru
avatar

Topics: 103
Posts: 425

11/01/06 - 08:43 AM

The 17-year-old boy shown in the photograph is brought to the physician after having a tonic-clonic seizure. Which of the following additional findings is most likely to be disclosed on detailed history-taking?

A) Episodes of hypomania

B) Episodes of severe depression

C) Family history of alcoholism

D) Special education beginning in first grade

E) Special education beginning in tenth grade

Allison
Forum Senior
avatar

Topics: 20
Posts: 117

11/01/06 - 09:09 PM

D) Special education beginning in first grade

proctalgia
Forum Senior
avatar

Topics: 2
Posts: 209

11/02/06 - 10:15 AM

DDDD

Diego Casali
Forum Elite
avatar

Topics: 7
Posts: 234

11/02/06 - 12:08 PM

I think the correct answer is D.
The most likely diagnosis is neurofibromatosis type 1.

drfax
Forum Elite
avatar

Topics: 21
Posts: 233

11/02/06 - 01:10 PM

Why D. ?

___________________
My best friends are these Gentlemen :Why & How.

Diego Casali
Forum Elite
avatar

Topics: 7
Posts: 234

11/03/06 - 01:11 AM

I think D is the correct answer because diagnosis often is made earlier in children born to an NF1-affected parent.
Furthermore, if an at-risk individual reaches the age of 10 years without meeting the diagnostic criteria for NF1, he or she is unlikely to be affected.

spjokes
Forum Senior
avatar

Topics: 3
Posts: 88

11/03/06 - 03:32 AM

is it not adenoma sebaceum in tuberous sclerosis

Diego Casali
Forum Elite
avatar

Topics: 7
Posts: 234

11/04/06 - 04:10 AM

spjokes, you'are right.
The lesions depicted in the image are adenoma sebaceum and the most likely diagnosis is tuberous sclerosis.
Thank you a lot for your correction.

linaorvos
Forum Elite

Topics: 47
Posts: 258

11/05/06 - 03:54 PM

tuberous sclerosis !!!!

fox
Forum Guru
avatar

Topics: 70
Posts: 727

11/08/06 - 02:34 PM

#10

It is tuberous sclerosis!!! But then whatz the answer? Is it still D?

___________________
Aim High

You don't have permission to post.