Gyrus Daily Questions; Pediatrics #9 - 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 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


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 09-06-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 720
Threads: 217
Thanked 551 Times in 308 Posts
Reputation: 561
Arrow Gyrus Daily Questions; Pediatrics #9

A 10-year-old boy has been having episodes of repetitive and semipurposeful movements of the face and shoulders. The parents believe these movements are worse when the child is under emotional stress. They also volunteer that they have never noted the movements while the patient is asleep. The movements have been present for more than 6 months. The parents are now especially concerned because the child has developed repetitive episodes of throat clearing and snorting. Physical and neurologic examinations are entirely normal. During the examination you note that the child has some blinking of the right eye, twitching of the right face, and grimacing. You ask him to stop these movements, and he is temporarily successful in doing so, but the movements recur. The home situation, social history, and child’s development and social adjustment appear normal. A head CT scan is normal. Of the following, which would be the most appropriate next step?

(A) order an electroencephalogram
(B) prescribe carbamazepine
(C) prescribe corticosteroids
(D) prescribe haloperidol
(E) refer the child to a psychiatrist
Reply With Quote Quick reply to this message



  #2  
Old 09-06-2012
XpaezX's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,216
Threads: 41
Thanked 1,316 Times in 706 Posts
Reputation: 1331
Default

This little fella has Tourette's syndrome, drugs of choice include atypical antipsychotics....
Referral is never right

Seeing that risperidone is not in the options then Haloperidol would be the next logical answer because it also blocks D2 receptors
Reply With Quote Quick reply to this message
The above post was thanked by:
Arezou (09-10-2012), cingulate.gyrus (09-06-2012), Novobiocin (09-06-2012), stepdoc1 (09-08-2012)
  #3  
Old 09-06-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 720
Threads: 217
Thanked 551 Times in 308 Posts
Reputation: 561
Default

Yes its Tics -- Tourette syndrome - Rx is Haloperidol.
Reply With Quote Quick reply to this message
The above post was thanked by:
Dr_Laura (09-06-2012), stepdoc1 (09-08-2012)



Reply

Tags
Pediatrics-, Step-2-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
Gyrus Daily Questions; Pediatrics #7 cingulate.gyrus USMLE Step 2 CK Forum 6 09-06-2012 08:00 AM
Gyrus Daily Questions; Pediatrics #4 cingulate.gyrus USMLE Step 2 CK Forum 6 09-05-2012 12:27 AM
Gyrus Daily Questions; Pediatrics #3 cingulate.gyrus USMLE Step 2 CK Forum 5 09-05-2012 12:23 AM
Gyrus Daily Questions; Pediatrics #2 cingulate.gyrus USMLE Step 2 CK Forum 6 09-04-2012 06:14 AM
Gyrus Daily Questions; Pediatrics #1 cingulate.gyrus USMLE Step 2 CK Forum 5 09-04-2012 06:11 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)