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Neurology Q

Kaplan Test Prep and Admissions (Kaptest.com)

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17 Posts

Kamsi
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09/18/07 - 02:55 AM

Pls explain ur ans

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dermatology
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09/18/07 - 08:14 AM

patient with uncontrolled HT ... with acute headache and loss of consciousness .... ct scan is hyperdense mass in basal ganglia ...

if hypeintense means white in color then it is definately related to blood ( hge)

i wud go with J .. dont know if it rite or wrong

Kamsi
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09/18/07 - 08:21 AM

What about the 2nd Q

dermatology
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09/18/07 - 08:36 AM

E ????? patient has attacks only during shaving ....

dermatology
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09/18/07 - 08:38 AM

do u have answers kamsi ????

elitoki
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09/18/07 - 08:52 AM

I think first one is Intracraneal hemorrhage (J) but... what about I GBM ??? confused

2. B. this is severe aortic stenosis with neurologic manifestation. This pte needs to be on valve replacement therapy.

that is the answer kamsi?

kpmle2
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09/18/07 - 11:54 AM

P) subarch hemo

Kamsi
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09/18/07 - 01:19 PM

I J

2 C. Can someone eplain the 2nd,I thought it was neuroglycopenic syncope

starcraftbw
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09/18/07 - 01:44 PM

can be either J or P. J is better pick cuz patient has long term HTN. PMH doesn't give us any hints for aneurysm. CT-scan mass size also proved this is intracerebral hemorrhage.

starcraftbw
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09/18/07 - 01:52 PM

#10

Question 2: pt is shaving grin

.........

sprint123
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11/06/07 - 04:38 PM

#11

Can urinary incontinence occur in syncopal attacks?

neuroblastoma
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11/06/07 - 04:52 PM

#12

1. J HYPERTENSE--- Hemmorhage

2 E vasovagal attack becuse patient was otherwise normal. stimulation of syncope by shaving(pain)

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neuroblastoma
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11/06/07 - 04:54 PM

#13

sprint123 wrote:
Can urinary incontinence occur in syncopal attacks?

Regardless of the trigger, the mechanism of syncope is similar in the various vasovagal syncope syndromes. In it, the nucleus tractus solitarius of the brainstem is activated directly or indirectly by the triggering stimulus, resulting in simultaneous enhancement of parasympathetic nervous system (vagal) tone and withdrawal of sympathetic nervous system tone.

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sprint123
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11/06/07 - 04:58 PM

#14

Thank u neuroblastoma..That makes sense! 2 new concepts cleared today.

neuroblastoma
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11/06/07 - 05:49 PM

#15

YOU ARE WELCOME BUDDY

loss of voluntary control (SYMPATHETIC)over the urinary sphincters resulting in the involuntary passage of urine

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sherry39
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05/06/08 - 07:18 AM

#16

2 nd one is carotid sinus hypersensitivity as the tilt table test is negative...so vasovagal syncopy is ruled out

liliaeliz
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05/06/08 - 10:23 AM

#17

1 J
2 I agree with you sherry C old age, men after shaving ,tilt test negative , eco ekg normal etc

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