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Questions and Answers
A 35-year-old woman presents with a 6-month history of progressive numbness and weakness in her left arm and leg. She has a past medical history of thyroid cancer and has had recent radiation therapy. What is the most likely diagnosis?
A 35-year-old woman presents with a 6-month history of progressive numbness and weakness in her left arm and leg. She has a past medical history of thyroid cancer and has had recent radiation therapy. What is the most likely diagnosis?
A 40-year-old man presents with a history of headaches, seizures, and right hemiparesis. Imaging reveals a left frontal lobe tumor. What is the most likely diagnosis?
A 40-year-old man presents with a history of headaches, seizures, and right hemiparesis. Imaging reveals a left frontal lobe tumor. What is the most likely diagnosis?
A 25-year-old woman presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 5-mm aneurysm of the anterior communicating artery. What is the most appropriate management?
A 25-year-old woman presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 5-mm aneurysm of the anterior communicating artery. What is the most appropriate management?
A 50-year-old man presents with a 6-month history of progressive gait disturbance, urinary incontinence, and lower back pain. Imaging reveals a compressive lesion at L1. What is the most likely diagnosis?
A 50-year-old man presents with a 6-month history of progressive gait disturbance, urinary incontinence, and lower back pain. Imaging reveals a compressive lesion at L1. What is the most likely diagnosis?
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A 30-year-old woman presents with a 3-day history of severe headache, fever, and stiff neck. Imaging reveals meningitis. What is the most appropriate management?
A 30-year-old woman presents with a 3-day history of severe headache, fever, and stiff neck. Imaging reveals meningitis. What is the most appropriate management?
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A 60-year-old man presents with a 3-month history of cognitive decline, memory loss, and gait disturbance. Imaging reveals a non-enhancing, low-density lesion in the frontal lobe. What is the most likely diagnosis?
A 60-year-old man presents with a 3-month history of cognitive decline, memory loss, and gait disturbance. Imaging reveals a non-enhancing, low-density lesion in the frontal lobe. What is the most likely diagnosis?
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A 25-year-old woman presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 5-mm aneurysm of the anterior communicating artery. What is the most appropriate initial management?
A 25-year-old woman presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 5-mm aneurysm of the anterior communicating artery. What is the most appropriate initial management?
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A 45-year-old man presents with a 3-month history of progressive numbness and weakness in his left arm and leg. Imaging reveals a C5-C6 herniated disk. What is the most likely diagnosis?
A 45-year-old man presents with a 3-month history of progressive numbness and weakness in his left arm and leg. Imaging reveals a C5-C6 herniated disk. What is the most likely diagnosis?
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A 20-year-old woman presents with a 1-day history of sudden onset of severe headache, confusion, and seizures. Imaging reveals a subarachnoid hemorrhage. What is the most likely underlying diagnosis?
A 20-year-old woman presents with a 1-day history of sudden onset of severe headache, confusion, and seizures. Imaging reveals a subarachnoid hemorrhage. What is the most likely underlying diagnosis?
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A 70-year-old man presents with a 2-month history of progressive weakness in his right arm and leg. Imaging reveals a compressive lesion at C3-C4. What is the most likely diagnosis?
A 70-year-old man presents with a 2-month history of progressive weakness in his right arm and leg. Imaging reveals a compressive lesion at C3-C4. What is the most likely diagnosis?
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A 40-year-old man presents with a 2-week history of progressive weakness in his right arm and leg. He has a past medical history of HIV infection. Imaging reveals a space-occupying lesion in the spinal cord at T10. What is the most likely diagnosis?
A 40-year-old man presents with a 2-week history of progressive weakness in his right arm and leg. He has a past medical history of HIV infection. Imaging reveals a space-occupying lesion in the spinal cord at T10. What is the most likely diagnosis?
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A 60-year-old woman presents with a 3-month history of progressive cognitive decline, memory loss, and gait disturbance. Imaging reveals a non-enhancing, low-density lesion in the frontal lobe. What is the most likely diagnosis?
A 60-year-old woman presents with a 3-month history of progressive cognitive decline, memory loss, and gait disturbance. Imaging reveals a non-enhancing, low-density lesion in the frontal lobe. What is the most likely diagnosis?
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A 35-year-old man presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 7-mm aneurysm of the posterior communicating artery. What is the most appropriate initial management?
A 35-year-old man presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 7-mm aneurysm of the posterior communicating artery. What is the most appropriate initial management?
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A 50-year-old woman presents with a 6-month history of progressive numbness and weakness in her left arm. Imaging reveals a C6-C7 herniated disk. What is the most likely diagnosis?
A 50-year-old woman presents with a 6-month history of progressive numbness and weakness in her left arm. Imaging reveals a C6-C7 herniated disk. What is the most likely diagnosis?
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A 30-year-old man presents with a 2-day history of severe headache, fever, and stiff neck. Imaging reveals meningitis. What is the most appropriate empirical antibiotic regimen?
A 30-year-old man presents with a 2-day history of severe headache, fever, and stiff neck. Imaging reveals meningitis. What is the most appropriate empirical antibiotic regimen?
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