USMLE Forum Archives - USMLE Step 1 - mdp1
mdp1
babbu5508 - 05-31-11 23:55
A 47-year-old man presents to a psychiatrist with signs and symptoms of depression. His son, who brought him in, said that he has become absent-minded, and has difficulty concentrating or remembering things. During the session, the patient makes sudden jerky movements with his hands and grimaces frequently. The psychiatrist also notes that the patient has problems with coordination and balance, and observes stuttering and slightly slurred speech during the interview. The man's mother is a healthy, 75-year-old retired saleswoman; his father committed suicide at the age of 60.
What are the major characteristics of this patient's disease?
/ A. Anterograde amnesia, ataxia, ophthalmoplegia
/ B. Autosomal dominant, choreiform movements, and behavioral changes
/ C. Autosomal recessive, progressive dementia, hyperoral behavior
/ D. Progressive memory loss, progressive aphasia, impaired executive function
/ E. Tremor, rigidity, bradykinesia
babbu5508 - 05-31-11 23:55
A 47-year-old man presents to a psychiatrist with signs and symptoms of depression. His son, who brought him in, said that he has become absent-minded, and has difficulty concentrating or remembering things. During the session, the patient makes sudden jerky movements with his hands and grimaces frequently. The psychiatrist also notes that the patient has problems with coordination and balance, and observes stuttering and slightly slurred speech during the interview. The man's mother is a healthy, 75-year-old retired saleswoman; his father committed suicide at the age of 60.
What are the major characteristics of this patient's disease?
/ A. Anterograde amnesia, ataxia, ophthalmoplegia
/ B. Autosomal dominant, choreiform movements, and behavioral changes
/ C. Autosomal recessive, progressive dementia, hyperoral behavior
/ D. Progressive memory loss, progressive aphasia, impaired executive function
/ E. Tremor, rigidity, bradykinesia
The correct answer and explanation will be available after you answer.
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#1
Re: mdp1
dinmenace - 06-01-11 19:51 My answer is: b.
Huntington's disease, chorea, or disorder (HD), is a neurodegenerative genetic disorder that affects muscle coordination and leads to cognitive decline and dementia. It typically becomes noticeable in middle age.
#5
Re: mdp1
babbu5508 - 06-16-11 01:30 The correct answer is B. This patient suffers from Huntington disease (chorea). Huntington disease (HD) is a progressive neurodegenerative disease primarily affecting neurons in the basal ganglia
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