PANCE

heme pance | from pance prep pearls book| Questions| With Complete Solutions

D. ALS - A 58 year-old male presents complaining of weakness of his grip. Your examination reveals that the problem is bilateral. During the next few office visits, you note the development of hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient's sensory system remains normal and he denies any urinary symptomatology. Which of the following is the most likely diagnosis? A. multiple sclerosis B. Alzheimer's disease C. Huntington's chorea D. ALS E. myasthenia...

A 27-year-old woman complains of years of menstrual irregularity and increasing facial and chest hair. PMH: significant for ovarian cyst and left cytectomy. She is a non-smoker and non-drinker. Labs include a negative uCG, elevated LH, and low FSH. She desires fertility and she has not responded to three cycles of clomiphene. What would be the next choice of medication that may return ovulation? A. Insulin B. Metformin C. Dexamethasone D. Spironalactone E. Finasteride - The answer is B. ...

which type of hypersentitivy rxn is the most severe? requiring emergency tx? - type 1 Type IV< III< II < I in an alcoholic pt with global confusion, ataxia (gait imbalance), nystagmus + ocular msl paralysis - wernicke's encephalopathy Tx: IV thiamine which type of hypersensitivity rxn is characterized by antigen -antibody rxns mediated by IgE -- that results in hypotension, shock, urticaria, or angioedema? - type I best diagnostic test for carpal tunnel syndrome ? - electromyogr...