USMLE Forum Archives - USMLE Step 2 CK - Medical question #98
Medical question #98
revision - 01-08-09 12:23
A previously healthy, 35-year-old woman comes to medical attention because of an unsteady gait. Her temperature is 37 C (98.6 F), blood pressure is 130/70 Hg, pulse is 80/min, and respirations are 20/min. Neurologic examination reveals spasticity and decreased vibratory sensation in her right lower extremity, and decreased strength in her left arm. MRI studies show well-demarcated periventricular areas of T2 hyperintensity. A lumbar puncture shows mildly increased protein concentration with oligoclonal IgG bands. Which of the following is the most likely diagnosis?
A. Cytomegalovirus encephalitis
B. Multiple sclerosis
C. Oligodendroglioma
D. Progressive multifocal leukoencephalopathy
E. Lymphoma
revision - 01-08-09 12:23
A previously healthy, 35-year-old woman comes to medical attention because of an unsteady gait. Her temperature is 37 C (98.6 F), blood pressure is 130/70 Hg, pulse is 80/min, and respirations are 20/min. Neurologic examination reveals spasticity and decreased vibratory sensation in her right lower extremity, and decreased strength in her left arm. MRI studies show well-demarcated periventricular areas of T2 hyperintensity. A lumbar puncture shows mildly increased protein concentration with oligoclonal IgG bands. Which of the following is the most likely diagnosis?
A. Cytomegalovirus encephalitis
B. Multiple sclerosis
C. Oligodendroglioma
D. Progressive multifocal leukoencephalopathy
E. Lymphoma
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#6
Re: Medical question #98 babbu5508 - 08-29-10 01:41 B. Multiple sclerosis..well-demarcated periventricular areas of T2 hyperintensity. A lumbar puncture shows mildly increased protein concentration with oligoclonal IgG bands...
#10
Re: Medical question #98 babbu5508 - 10-24-10 06:49 A lumbar puncture shows mildly increased protein concentration with oligoclonal IgG bands. Which of the following is the most likely diagnosis?
B. Multiple sclerosis
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