1. A 38-year-old accountant experiences a headache on the right temporal region, accompanied by
nausea and sensitivity to light. She usually takes an over-the-counter analgesic to relieve the pain. What
type of headache is she likely experiencing?
Answer: She is likely experiencing a migraine.
2. A 29-year-old computer programmer reports a headache that feels like a tightening sensation all over
his head, which has lasted for 5 days. He doesn't experience photophobia or nausea, but his headaches
have been relieved by over-the-counter medication. What is the most likely diagnosis?
Answer: He is likely experiencing tension headaches.
3. Which of the following symptoms involves the eye?
Answer: Scotomas involve the eye.
4. A 49-year-old administrative assistant experiences sudden episodes of dizziness that feel like a
spinning sensation, accompanied by nausea and vomiting. She also experiences nystagmus during a
physical examination. What is the most likely diagnosis?
Answer: She is likely experiencing benign positional vertigo.
5. A 55-year-old bank teller reports persistent episodes of dizziness that last several hours, accompanied
by nausea and vomiting. He also experiences tinnitus and has had five episodes in the past 1½ weeks.
What is the most likely diagnosis?
Answer: He is likely experiencing Ménière's disease.
Here are the rewritten questions in a different order and structure:
, What type of headache is the accountant likely experiencing based on her symptoms?
+ Answer: Migraine
Which symptom involves the eye?
+ Answer: Scotomas
What type of headache is the computer programmer likely experiencing?
+ Answer: Tension headaches
What is the most likely diagnosis for the administrative assistant's symptoms?
+ Answer: Benign positional vertigo
What is the most likely diagnosis for the bank teller's symptoms?
+ Answer: Ménière's disease
A 73-year-old nurse comes to your office for evaluation of new onset of tremors. She is not on any
medications and does not take herbs or supplements. She has no chronic medical conditions. She does
not smoke or drink alcohol. She walks into the examination room with slow movements and shuffling
steps. She has decreased facial mobility and a blunt expression, without any changes in hair distribution
on her face. Based on this description, what is the most likely reason for the patient's symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
C) Myxedema
D) Parkinson's disease ✅D
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right
eyeball appears to be protruding forward. Based on this description, what is the most likely diagnosis?
A) Ptosis
B) Exophthalmos
C) Ectropion
D) Epicanthus ✅B
A 12-year-old presents to the clinic with his father for evaluation of a painful lump in the left eye. It
started this morning. He denies any trauma or injury. There is no visual disturbance. Upon physical
examination, there is a red raised area at the margin of the eyelid that is tender to palpation; no tearing
occurs with palpation of the lesion. Based on this description, what is the most likely diagnosis?