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Kaplan Qbank USMLE



Author5 Posts
  #1

A 63 year old male is admitted with acute onset unsteadiness of gait, dizziness and dysphagia. Examination revealed a right-sided Horner's syndrome, nystagmus, loss of pain and temperature sensation on the left side of the trunk and in the left arm and leg, and gait ataxia

What is the most likely diagnosis?

1) Leaking posterior communicating artery aneurysm.

2) Left sided acoustic neuroma.

3) Posterior inferior cerebellar artery occlusion.

4) Right sided pontine infarct.

5) Spontaneous left sided cerebellar haemorrhage.


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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

HAaaaaa! 2. sorry not possible we are talking about the wrong side then it's probably
PICA. and since sudden probably an ooclusion.

Edited by mytime on 04/05/07 - 06:38 PM

  #3

3) Posterior inferior cerebellar artery occlusion.--->Wallenbergs syndrome

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"Obstacles are those frightful things you see when you take your EYES off your goal."

  #4

nodnod

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #5

This is Wallenberg's syndrome/ lateral medullary syndrome and is due to occlusion of the posterior inferior cerebellar artery.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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