Author: Anonymous

A 67-year-old right-handed male is brought to the ED by his wife after she noticed he suddenly began struggling to speak during breakfast. She reports that when she asked him if he was okay, he appeared frustrated and replied, “I… want… the… thing…” while gesturing toward his coffee cup. He was able to follow her instructions to stand up, walk to the car, and buckle his seatbelt without difficulty. On exam, the patient is alert and appears to understand all questions and commands. When asked to describe what happened this morning, he speaks in short, effortful phrases with long pauses. He correctly points to objects in the room when asked and follows multi-step commands. However, when asked to name a pen, he says, “I write… the… it’s for…” and becomes visibly frustrated. Which of the following best characterizes this patient’s language deficit?

A 72-year-old male nursing home resident is brought to the ED by staff after being found increasingly confused over the past 18 hours. PMH: type 2 DM, CKD stage III, and a splenectomy about 20 years ago. His medications include metformin, lisinopril, and a daily aspirin. Vital signs – temp: 100.6°F, BP:102/58 mmHg, HR:108 bpm, and RR: 22 BPM.On exam, he is lethargic and oriented only to self. He has nuchal rigidity, but Kernig and Brudzinski signs are equivocal. There is no rash. LP performed with the following CSF analysis:Opening pressure: elevated Appearance: cloudy WBC: 2,200 cells/μL (92% neutrophils) Glucose: low Protein: elevated Gram stain: Gram-positive diplococci. Given this patient’s presentation, risk factors, and CSF findings, which of the following is the most likely diagnosis?

A 33-year-old woman presents with strange dance-like movements of her hands that she has noticed over the past year. She also reports some mild changes in memory and increasing irritability during this time. Her father died in his early 50s from a MVC but had experienced similar symptoms. What is the most likely diagnosis in this patient?

Which of the following is a risk factor for developing multiple sclerosis?

A 16-year-old male was playing soccer when he fell and hit his head. He lost consciousness for 2 minutes but then awoke and seemed fine to his mother other than complaints of headache, nausea, and vomiting. His mom brings him in because he has since become lethargic, and the headache won’t let up. You notice on exam that his pupils are unequal and sluggish, he also has weakness on his left side. He has a large area of swelling to the right side of his head and CT reveals a skull fracture on the right temporal area. Which of the following is most likely to accompany his skull fracture and cause his symptoms?

Which statement correctly describes the properties of acids and bases?

Lymphatic vessels serve to absorb fat molecules from the

The purpose of informed consent is

 Why type of junctions must there be between cells to form a barrier?

How many different amino acids are commonly found in proteins?