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Her only medication is a low-dose estrogen oral contraceptive.


Bilateral papilledema is noted. The Valsalva maneuver increases the headache pain. All other general and neurologic examination findings are unremarkable.

Books by American College of Physicians

An MRI of the brain without contrast is normal. A year-old man is seen for a new-patient evaluation. He reports a recent diagnosis of Parkinson disease made after a 2-year history of stiffness in his right arm, a tendency to posture when mksap 15 neurology, an awkward and stiffly inverted step when using the mksap 15 neurology leg, but no tremor.

During this period, his voice became softer and slightly high pitched.

The patient mksap 15 neurology his sense of smell 10 years ago and has a 2-year history mksap 15 neurology diplopia when reading, a 9-month history of urinary urgency and impotence, and no history of dementia, depression, or psychosis.

He has been taking high-dose levodopa replacement therapy since diagnosis without improvement in symptoms. Which of the following is the most appropriate next diagnostic test? A B C D Cerebral angiography Lumbar puncture Magnetic resonance venography Measurement of serum lupus anticoagulant level Item 2 A year-old man is evaluated in the intensive care unit 11 days after undergoing surgery to relieve a bowel obstruction.

MKSAP 15 Neurology by ACP MINT | eBay

His postoperative course has been complicated by septic shock and multiorgan failure, for which he has received intravenous fluids, broad-spectrum antibiotics, vasopressors, corticosteroids, and mksap 15 neurology.

He has been on mechanical ventilation for 10 days. For the past 72 hours, he has been hemodynamically stable, but attempts at weaning him from the ventilator have been mksap 15 neurology.

The patient previously was given muscle relaxants and neuromuscular junction—blocking agents, but these have been withheld for the past 4 days.

Books by American College of Physicians (Author of MKSAP for students 5)

On physical examination, the patient is alert, follows commands, and cooperates with the examiner. Vital signs are stable.

Cranial nerves are intact. Flaccid quadriparesis of the upper and lower extremities is noted that is greater proximally than distally. Results of electromyography show absent sensory responses in the legs and low amplitudes in the hands.

Mksap 15 neurology duration, low-amplitude motor units consistent with myopathy are noted.

MKSAP Neurology | Online Learning Center | ACP

Which of the following is the most likely diagnosis? A B C D E Absence of a tremor Diplopia Impotence Loss of olfaction Poor response to levodopa Item 4 A year-old man is evaluated in the emergency department for recent onset of vomiting mksap 15 neurology a 2-week history of headache that has mksap 15 neurology progressively worse.

On physical examination, temperature is

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