playing football - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-03-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 258
Threads: 118
Thanked 294 Times in 115 Posts
Reputation: 304
Default playing football

A 42-year-old man notices that his right pupil is smaller than the left. His wife has also commented that the right eye is "droopy looking." The only remarkable recent history is that he was tackled a little hard while playing football the day before. Magnetic resonance imaging of the head and neck in this patient would be expected to show which of the following?
a. Increased T2 signal in a periventricular distribution
b. Contrast enhancement along the tentorial margin
c. Increased T1 signal in the wall of the left carotid artery
d. Enlarged optic nerve in the orbit
e. Thrombosed cavernous sinus aneurysm
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (08-03-2011)



  #2  
Old 08-03-2011
examtaker's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 131
Threads: 20
Thanked 90 Times in 33 Posts
Reputation: 100
Default

Quote:
Originally Posted by usmleman2020 View Post
A 42-year-old man notices that his right pupil is smaller than the left. His wife has also commented that the right eye is "droopy looking." The only remarkable recent history is that he was tackled a little hard while playing football the day before. Magnetic resonance imaging of the head and neck in this patient would be expected to show which of the following?
a. Increased T2 signal in a periventricular distribution
b. Contrast enhancement along the tentorial margin
c. Increased T1 signal in the wall of the left carotid artery
d. Enlarged optic nerve in the orbit
e. Thrombosed cavernous sinus aneurysm
...ok....so he has miosis and droopy eyes, soo 3rd CN gone...i am guessing here...is it...b.contrast enhancement along the tentorial margin ( thinking of uncal herniation through the tentorial margin)
Reply With Quote Quick reply to this message
  #3  
Old 08-03-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 417
Threads: 74
Thanked 131 Times in 94 Posts
Reputation: 141
Default

yes it is uncal herniation
Reply With Quote Quick reply to this message
 
  #4  
Old 08-03-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,268 Times in 881 Posts
Reputation: 3278
Default

Quote:
Originally Posted by salz View Post
yes it is uncal herniation
uncal herniation????...he would be unconscious

"recent history is that he was tackled a little hard "
c. Increased T1 signal in the wall of the left carotid artery
Reply With Quote Quick reply to this message
The above post was thanked by:
examtaker (08-03-2011)
  #5  
Old 08-03-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,175
Threads: 38
Thanked 854 Times in 478 Posts
Reputation: 864
Default

Quote:
Originally Posted by bebix View Post
uncal herniation????...he would be unconscious

"recent history is that he was tackled a little hard "
c. Increased T1 signal in the wall of the left carotid artery
Yup, Horners!

They should have put in the anihydrosis, woulda made it a tad easier.
__________________
PGY-3
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Playing Dr House laxitjn USMLE Step 1 Forum 2 02-21-2011 10:37 AM
Shoulder Injuried Football Player Hohepa USMLE Step 2 CK Forum 6 03-16-2010 11:32 AM
Football Player Arm X ray GNND85 USMLE Step 2 CK Forum 5 12-03-2009 05:34 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)