You are an emergency room clinician that assisted with CPR on a 20-year-old trauma patient. The CPR was unsuccessful, the patient expired, and you need to explain this to the family in the waiting room.
Upon telling the mother about the death of her son, she becomes dizzy and faints. What is the most likely cause for the woman fainting?
A. Cardiogenic shock
B. Vasovagal response
C. Syncope due to hypoxia
D. Dizziness and vertigo
Question 2In dementia, which of the following cognitive functions is most commonly lost first?
A. Recognizing persons
B. Knowing the place
C. Estimating the time
D. Long-term memory
Question 3A 65-year-old woman is accompanied by her daughter for a physical examination. She has mild heart failure and takes digitalis and an ACE inhibitor. As you examine the patient, you note flat affect, hand tremor, and slowed movements.
The tremor is worsened at rest. There are no neurologic deficits. Hand grip, sensation of face and extremities, and lower extremity muscle strength are within normal limits and bilaterally equal. DTRs are equal bilaterally. CN II to XII are intact. The mental status exam is normal. These are key signs of:
A. Chiari malformation
B. Normal pressure hydrocephalus
C. Parkinson's disease
D. Drug toxicity
Question 4A 65-year-old male complains of a headache that feels like a knife is cutting into his head. He also reports feeling right-sided scalp and facial pain and seeing double at times. He has a history of hypertension and hyperlipidemia.
His medications include beta blocker, statin drug, and an ACE inhibitor. On physical examination, you note palpable tenderness over the right side of the forehead. There are no neurological deficits. Vision is 20/20 with lenses. No weakness of extremities. CN II to XII are intact. The history corresponds to which of the following disorders?
A. Drug toxicity
B. Giant cell arteritis
C. Cluster headache
D. Migraine headache
Question 5A 56-year-old woman brings her 78-year-old father to the emergency room. The patient complains that sometimes he can't think straight.
His daughter reports that her father has been tripping over his own feet and has become incontinent of urine in the last few days. The patient's medications include an ACE inhibitor and beta blocker. On physical examination, vital signs are within normal limits, heart and lungs show no abnormalities, cranial nerves are intact, and sensation and muscle strength are normal. A mental status exam is normal. Imbalanced gait and a positive Romberg test are apparent. Which of the following are possible disorders?
A. Cerebellar dysfunction
B. Normal pressure hydrocephalus
C. Early dementia
D. A & B
Quick Reply
