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Old 11-23-2012
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Default Medicine Q ?

.) A 32-year-old woman comes to the physician because of weakness of the lower extremities for 2 days. Three years ago, she had pain and partial loss of vision of the right eye; the vision returned to normal after 6 weeks. There is mild pallor of the right optic disc. She has impaired tandem gait. Babinski's sign is present bilaterally. There is mild spasticity of the lower extremities and mild weakness of the iliopsoas and hamstring muscles. Serum creatine kinase activity is 50 U/L.Which of the following is the most likely diagnosis?

A) Amyotrophic lateral sclerosis

B) Becker's muscular dystrophy

C) Diffuse sensorimotor peripheral neuropathy

D) Duchenne's muscular dystrophy

E) Hyperkalemic periodic paralysis

F) Hypokalemic periodic paralysis

G) Multiple sclerosis

H) Myasthenia gravis

I) Myasthenic (Lambert-Eaton) syndrome

J) Myotonic muscular dystrophy

K) Polymyositis

L) Pontine astrocytoma

M) Pontine infarction

N) Spinal cord tumor

O) Transverse myelitis

Please explain ?
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Old 11-23-2012
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G) Multiple sclerosis

Multiple neurological s/s not fitting into anything else associated with Optic neuritis in a young female.
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
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The above post was thanked by:
aknz (11-23-2012), fadi551 (03-18-2013)


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