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Kaplan Qbank USMLE



Author12 Posts
  #1

A 35-year-old man comes to your office with a complaint of recent development of headaches that are generalized in nature. He is accompanied by his wife who recently returned from a trip. She tells you that her husband has been somewhat confused at times and clumsy. He does not confirm this, but he does report that he has been short of breath at times. On examination, he is mildly tachycardia and there is a reddish appearance to his mucous membranes, which is subtle. The only recent new medical problem identified is that the patient was in a motor vehicle accident in which he was struck in the rear end, and it left him with a sore neck. Which of the following is the most likely diagnosis?



A. Acquired spinal stenosis (cervical)
B. Normal pressure hydrocephalus
C. Carbon monoxide poisoning
D. Cocaine toxicity
E. Muscle tension

  #2

C ?

___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.

  #3

B?

  #4

Lets get them all...I go with C.

  #5

C..

  #6

i think it's c ( reddish appearance of his mucous membrane)

  #7

co poisoning . it causes necrosis of brain nucli and headaches.

  #8

I d say B

  #9

would CO poisoning present as an off n on phenomenon? I dont think so

  #10

Chronic low level exposure would. This is pretty classic presentation for someone who has not been exposed to enough CO to cause acute toxicity, but since chronic CO exposure causes necrosis of the globus pallidus, we could certainly expect to see symptoms like this.

  #11

C. Carbon monoxide poisoning

  #12

C...

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