WBR1045: Difference between revisions
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|Prompt=A 65 year old man comes to the clinic with a weakness and not feeling well. He has been in bad mood since he lost his best friend, that died of cancer. Since then, he has been worried alot about his health. He noticed that he has difficulty raising his right eyelid for the last 6 weeks. His medical history is significant for an ischemic brain stroke 5 years ago, with no residual motor or sensory deficits. He drinks a two glass of red wine every night with dinner with his wife. He has been smoking 1 PPD for the last 30 years. He is treated for COPD by Formeterol and Tiotropium. The physical examination shows a ptosis of right eye lid, however the extraocular muscles movement are intact. The full neurological examination does not reveal any abnormality. What would be the best next step in management? | |Prompt=A 65 year old man comes to the clinic with a weakness and not feeling well. He has been in bad mood since he lost his best friend, that died of cancer. Since then, he has been worried alot about his health. He noticed that he has difficulty raising his right eyelid for the last 6 weeks. His medical history is significant for an ischemic brain stroke 5 years ago, with no residual motor or sensory deficits. He drinks a two glass of red wine every night with dinner with his wife. He has been smoking 1 PPD for the last 30 years. He is treated for COPD by Formeterol and Tiotropium. The physical examination shows a ptosis of right eye lid, however the extraocular muscles movement are intact. The full neurological examination does not reveal any abnormality. What would be the best next step in management? | ||
|Explanation='''Educational Objective:''' | |Explanation='''Educational Objective:''' | ||
|AnswerA=Order a | |AnswerA=Order a I<sup>131</sup> thyroid scan | ||
|AnswerAExp='''Incorrect'''-[[]] | |AnswerAExp='''Incorrect'''-[[]] | ||
|AnswerB=order a chest X-ray | |AnswerB=order a chest X-ray | ||
Revision as of 03:37, 27 January 2014
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Internal medicine |
| Sub Category | SubCategory::Head and Neck, SubCategory::Neurology, SubCategory::Respiratory |
| Prompt | [[Prompt::A 65 year old man comes to the clinic with a weakness and not feeling well. He has been in bad mood since he lost his best friend, that died of cancer. Since then, he has been worried alot about his health. He noticed that he has difficulty raising his right eyelid for the last 6 weeks. His medical history is significant for an ischemic brain stroke 5 years ago, with no residual motor or sensory deficits. He drinks a two glass of red wine every night with dinner with his wife. He has been smoking 1 PPD for the last 30 years. He is treated for COPD by Formeterol and Tiotropium. The physical examination shows a ptosis of right eye lid, however the extraocular muscles movement are intact. The full neurological examination does not reveal any abnormality. What would be the best next step in management?]] |
| Answer A | [[AnswerA::Order a I131 thyroid scan]] |
| Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
| Answer B | AnswerB::order a chest X-ray |
| Answer B Explanation | [[AnswerBExp::Correct-[[]]]] |
| Answer C | AnswerC::order a chest CT |
| Answer C Explanation | [[AnswerCExp::Incorrect-[[]].]] |
| Answer D | AnswerD::oder a MRI for brain and orbit |
| Answer D Explanation | [[AnswerDExp::Incorrect-[[]].]] |
| Answer E | AnswerE::order a fasting blood sugar |
| Answer E Explanation | [[AnswerEExp::Incorrect-[[]]]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Educational Objective: Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |