Eplipetic Young Female - 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 03-05-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 97
Threads: 52
Thanked 135 Times in 49 Posts
Reputation: 135
Neuro Eplipetic Young Female

A 20 year female who has been diagnosed with idiopathic generalized epilepsy has recently started to have difficulty in walking. She was brought to the emergency because she fell on the ground and broke her arm while doing sports in college.
Which of the following could have caused this problem?
A- Osteoporosis
B- Phenytoin
C- B12 deficiency
D- Prolonged QT syndrome
E- Iron deficiency anemia
Reply With Quote Quick reply to this message
The above post was thanked by:
wahaha007 (03-07-2010)



  #2  
Old 03-06-2010
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 3
Threads: 0
Thanked 5 Times in 2 Posts
Reputation: 15
Default Possible Answer

I think that the answer is A-Osteoporosis. The osteoporosis could be caused because of the anti-epileptic medication that she is probably taking, such as Phenytoin.

Osteoporosis is backed up by the fact that she fell and broke her arm. Also because she has difficulty walking (Decreased bone density).
Reply With Quote Quick reply to this message
The above post was thanked by:
wahaha007 (03-07-2010)
  #3  
Old 03-06-2010
USMLE Forums Scout
 
Steps History: Not yet
Posts: 22
Threads: 6
Thanked 43 Times in 14 Posts
Reputation: 63
Default B

the answer is B... mostly probably she is on phenytoin which causes osteomalacia not porosis.. the answer is B.. this is how many students like us despite knowing the ans make mistakes.. we know phenytoin is the answer but we fail to read all the options hence in haste make mistakes n plug in other answers<like in this case we said osteoporosis>
Reply With Quote Quick reply to this message
The above post was thanked by:
Kruno (04-21-2016), wahaha007 (03-07-2010)
 
  #4  
Old 03-06-2010
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 82
Threads: 4
Thanked 80 Times in 30 Posts
Reputation: 90
Smile Answer is Phenytoin

I think Phenytoin is the answer. It causes ataxia which is the main reason she has difficulty in walking and the reason behind her fall.
Reply With Quote Quick reply to this message
The above post was thanked by:
wahaha007 (03-07-2010)
  #5  
Old 03-07-2010
USMLE Forums Scout
 
Steps History: ---
Posts: 17
Threads: 0
Thanked 16 Times in 7 Posts
Reputation: 36
Default Prolonged QT

I think D is correct
most of the patient having transient loss of consiousness due to prolong QT syndrome are often mistaken by epilepsy who never respond to anticulvalsant drugs...
Reply With Quote Quick reply to this message
The above post was thanked by:
wahaha007 (03-07-2010)
  #6  
Old 03-10-2010
Seetal's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 919
Threads: 134
Thanked 1,310 Times in 364 Posts
Reputation: 1333
Send a message via MSN to Seetal
Default

Yup the answer is definitely B.

See, phenytoin causes osteomalacia and this patient was DIAGNOSED with epilepsy so she would be taking dilantin on a regular basis no doubt. I don't think its a missdiagnose because in the usmle if its misdx they'll say, she was originally dx for epilepsy but its not and the original dx would be ____ and so her condition is caused by ____. then u say long qt syndrome (which is highly unlikely i think even so).

phenytoin also causes anemia but in this case its iron deficiency so not the answer.

more questions pleaseeeeeee...
Reply With Quote Quick reply to this message
  #7  
Old 03-10-2010
Seetal's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 919
Threads: 134
Thanked 1,310 Times in 364 Posts
Reputation: 1333
Send a message via MSN to Seetal
Default

Quote:
Originally Posted by Seetal View Post
Yup the answer is definitely B.

See, phenytoin causes osteomalacia and this patient was DIAGNOSED with epilepsy so she would be taking dilantin on a regular basis no doubt. I don't think its a missdiagnose because in the usmle if its misdx they'll say, she was originally dx for epilepsy but its not and the original dx would be ____ and so her condition is caused by ____. then u say long qt syndrome (which is highly unlikely i think even so).

phenytoin also causes anemia but in this case its iron deficiency so not the answer.

more questions pleaseeeeeee...

also she's way too young to have osteoporosis. thats what happens to old hags. and thats the biggest hint we can remember. old ppl and osteoporosis but if the person is young then other non-degenerating pathological condition.
Reply With Quote Quick reply to this message
  #8  
Old 03-11-2010
USMLE Forums Scout
 
Steps History: ---
Posts: 17
Threads: 0
Thanked 16 Times in 7 Posts
Reputation: 36
Default True

Quote:
Originally Posted by GNND85 View Post
I think Phenytoin is the answer. It causes ataxia which is the main reason she has difficulty in walking and the reason behind her fall.

I think ataxia caused by phenytoin is more reasonable, u r right...
Reply With Quote Quick reply to this message



Reply

Tags
Nervous-System-, Pathology-, Pharmacology-, Step-1-Questions

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
18-year-old female athlete Seetal USMLE Step 1 Forum 10 04-21-2016 04:57 AM
Female with breast lump Ahmed-USMLE USMLE Step 1 Classic Clues 3 05-13-2015 08:06 PM
Young Women with dull chest pain? Hohepa USMLE Step 2 CK Forum 5 04-10-2010 02:09 PM
One year old musculine Female! MLE-Love USMLE Step 1 Forum 1 03-13-2010 05:53 PM
Young female with anemia MLE-Love USMLE Step 2 CK Forum 1 03-03-2010 09:24 AM

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)