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Kaplan Qbank USMLE



Author6 Posts
  #1

For each patient with papilledema, select the most likely diagnosis.
A
) Bacterial meningitis
B
) Cerebral infarction
C
) Cryptococcal meningitis
D
) Glioblastoma multiforme
E
) Herpes simplex encephalitis
F
) Hypertensive encephalopathy
G
Idiopathic Intracranial HT

H
) Intracerebral hemorrhage
I
) St. Louis encephalitis
19. A 25-year-old man with a history of intravenous drug use comes to the emergency department
because of a progressive diffuse headache, generalized malaise, and low-grade fever for 2 months.
During this period, he has had a poor appetite resulting in a 6.8-kg (15-lb) weight loss. His
temperature is 38 C (100.4 F). Examination shows ¬¬neck stiffness. Mental status examination
shows no abnormalities. Cranial nerve examination shows weakness of the lateral rectus muscle on
the right and bilateral papilledema. A CT scan of the head with and without contrast shows
moderate ventricular enlargement. Examination of cerebrospinal fluid shows:
Opening pressure 220 mm H2O
Glucose 35 mg/dL
Protein 150 mg/dL
WBC 100/mm3
Lymphocytes 100%
RBC 1/mm






___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #2

I feel it is Cryptococcal.Any opinions?


___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #3

NBME form 1 sec 3 qs 20

20. An asymptomatic 32-year-old woman comes for a routine health maintenance examination. Her
mother and sister have a history of low back pain and disc herniation. The patient is a postal worker.
She weighs 86 kg (190 lb) and is 165 cm (65 in) tall. Her blood pressure is 130/78 mm Hg, pulse is
74/min, and respirations are 16/min. Range of motion of the spine is normal and without pain.
There is no scoliosis or excessive kyphosis of the back. Which of the following is the most effective
strategy to decrease this patient's risk for developing low back pain?
A
) Change in job
B
) Limit physical activity
C
) Stretching exercises
D
) Weight-loss program
E
) Nonsteroidal anti-inflammatory drug therapy
F
)Prophylactic brace


___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #4

Is the answer D Wight loss program?


___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research

  #5

agree with both

  #6

thanks Hero


___________________
99/99/cs passed/2007 grad/need visa/no USCE/no USLOR/no research







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