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Janet is a 30 year old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency
room with suspician of cauda equna compression. Which of the following
is a sign or symptom of cauda equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
,d. paresthesia of the perineum and buttocks - ANSWER ✔✔d.
paresthesia of the perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic criteria from
Ranson's Criteria. In order to plan care, the clinician understands that
this criteria score has which of the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - ANSWER ✔✔a. a high mortality rate
Reuben, age 24, has HIV and just had a routine viral load test done. The
results show a falling viral load What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's medications
d. the eradication of the HIV - ANSWER ✔✔a. a favorable diagnostic
trend
,Which is the differentiating symptom mbetween labyrinthitis and
vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset, whereas
with labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but not with
labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with
vesticular neuritis the onset is more gradual
d. hearing loss may be associated with labyrinthitis ,but not with
vestibular neuritis. - ANSWER ✔✔d. hearing loss may be associated
with labyrinthitis ,but not with vestibular neuritis.
A 27 year old female presents with a chief complaint of burning and pain
on urination. She has no previous history of urinary tract infection. what
are some additional symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
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, c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - ANSWER ✔✔c. blood in
urine and frequency
The differential diagnosis for vertigo can be classified into which of the
following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - ANSWER ✔✔d. all of the above
Sam is a 25-year-old man who has been diagnosed with low back strain
based on his history of localized low back pain and muscle spasm along
with a normal neurological examination. As the clinician, you explain to
Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding
of a herniated nucleus pulposus or ruptured disc?
a. morning stiffness and limited mobility of the lumbar spine