A question of neurology in USMLE 2 - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam

Thread Tools Search this Thread Display Modes
Old 03-24-2015
USMLE Forums Master
Steps History: 1+CK+CS+3
Posts: 623
Threads: 572
Thanked 129 Times in 112 Posts
Reputation: 139
Default A question of neurology in USMLE 2

A 37 year-old Congress candidate comes to your clinic for a follow-up visit. She had a seizure last week witnessed by her campaign manager. She had stiffness of her whole body followed by jerking movements by her arms, trunk and legs for 30 seconds and then she fell in a deep sleep. Her campaign manager called 911 and she was taken to the hospital. Her electroencephalogram ( EEG ) was normal and magnetic resonance imaging ( MRI ) of the brain was normal. She was sent home with a prescription of phenytoin and was advised to have a follow-up visit with her family physician as soon as she could. She told you that in the last four days prior to her seizure didn't sleep more than 6 hours. She didn't feel any warning before she lost her consciousness and she had no personal or family history of seizures. Her general and neurologic exams are normal.

What is the most appropriate next step of management?

A- Continue phenytoin for one month until her next visit.

B- Discontinue phenytoin and contact her physician if she has another seizure.

C- Discontinue phenytoin and begin valproic acid

D- Discontinue phenytoin and begin gabapentin

E- Discontinue phenytion and begin fluoxetine

Reply With Quote Quick reply to this message


Quick Reply

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:
Please enter a password for your user account. Note that passwords are case-sensitive.
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.
Where you live. Leave blank if you don't want to tell.


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
Neurology Question step_enhancer USMLE Step 2 CK Forum 9 3 Weeks Ago 01:25 PM
A Question of neurology in USMLE sohag100 USMLE Step 1 Forum 2 07-14-2015 06:34 PM
Neurology Question aawe004 USMLE Step 2 CK Forum 8 05-29-2014 09:05 AM
Neurology Question step_enhancer USMLE Step 2 CK Forum 12 09-06-2012 09:26 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2016 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)