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Kaplan Qbank USMLE



Author9 Posts
  #1

A 65-year-old woman has a one month history of malaise, weight loss, right sided pain around the eye and headaches. She has also noticed intermittent diplopia.

Five years previously she had a mastectomy for carcinoma of the breast. On examination, temperature was 37.5°C; there was tenderness of the scalp on the right forehead and temple, and some minor weakness of abduction of the right eye. ESR =55mm/hour.

What is the most likely diagnosis?

1) Thyroid eye disease

2) Frontal sinusitis

3) Giant cell arteritis

4) Meningeal metastatic disease

5) Posterior communicating artery aneurysm


___________________
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

3-giant cell arteritis?

  #3

3) ?

  #4

hard?...its GCA sure!

Edited by keepgoing on 04/09/07 - 12:51 PM

  #5

4

___________________
Never underestimate the power of prayer.

  #6

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."

  #7

is the answer 4 NNL ? just making sure(now i am wondering why i did not think of this because they gave a pointer in the quesiton by giving past history of breast cancer)

  #8

its GCA buddy

___________________
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."

  #9

smiling face so the old adage holds true...dont change your first answer unless yu are absolutely certain the second time.
thanks for the confirmation NNL.







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