Numbness/Weakness

Question 1

55yo M 20 min of arm and face numbness. Now back to normal. Hx of HTN, migraine, DM, smoking.

Answer 1

TIA
Stroke
Migraine with aura
Hypoglygemia
Todd paralysis

Question 2

68 yo M slurred speech, right facial droop and numbness, right hand weakness. Brisk reflexes and + babinski on the right.

Answer 2

Stroke
TIA
Seizure with Todd paresis

Question 3

33 yo F with ascending loss of strength and numbness in lower legs. Recent URI. Diminished reflexes.

Answer 3

Guillian Barre
MS
Transverse myelitis
Peripheral neuropathy

Question 4

30 yo F with weakness, loss of sensation, and tingling in left leg. Right eye pain 3 mo ago. Electric shocks down spine. Left lower limb weakness and ataxia

Answer 4

MS
Stroke
CNS vasculitis
Conversion disorder
CNS tumor

Question 5

55yo with tingling and numbness in his hands and feed for 2 mo. Hx of DM, HTN , and alcoholism. Decreased soft touch, vibratory and position sense in feet.

Answer 5

Diabetic neuropathy
Alcoholic neuropathy
B12 deficiency
Uremic nephropathy

Question 6

40 yo F w/ double vision and drooping eyelids at night. PMH s/f hypothyroidism

Answer 6

Myasthenia gravis
MS
Intracranial neoplasm
Horner syndrome
Botulism

Question 7

25 yo M with hemiparesis after tonic clonic seizure

Answer 7

Todd paresis
TIA
Stroke
Neoplasm

Question 8

56 yo obese F with tingling and numbness of her thumb, index finger, and middle finger for past 5 mo. Symptoms are constant and worsening. History of fatigue and 20lb weight gain as well.

Answer 8

Carpal tunnel 2/2 hypothyroidism
Overuse injury of median nerve
Cervical disc disease
Medial epicondylitis