Maxemo EMREE 26-27
A 50 y/o M presents with severe left otalgia, facial droop, and vertigo. Physical exam reveals vesicular eruptions in the external auditory canal. What is the most likely diagnosis?
💡 EXPLANATION:
Ramsay Hunt syndrome (Herpes Zoster Oticus) involves VZV reactivation in the geniculate ganglion. It presents with ipsilateral facial paralysis, otalgia, and vesicles in the ear canal. CN VIII involvement causes vertigo and hearing loss.
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🔬 Today's Test: ENDOCRINOLOGY
👉 https://app.maxemo.app/s/dft-emree
Yesterday's Ranks🏆
OBSTETRICS AND GYNAECOLOGY
1. Piyush Patel
2. Samyak99
3. Rahul_md
4. anjali
5. Aisha
6. Aditya
7. Shruti p
8. zayed
9. Reyansh Malhotra
10. Rizwan H
⏳ Test Ends at 07:00 PM
Join channel 👇
https://t.me/studywithmaxemoemree
A patient is evaluated post-seizure and is found to have left-sided hemispatial neglect, consistently ignoring stimuli on the left side. Which anatomical region is the most likely site of the lesion?
Anonymous Quiz
73%
Right parietal lobe
5%
Left parietal lobe
23%
Right temporal lobe
0%
Left frontal lobe
Maxemo EMREE 26-27
A patient is evaluated post-seizure and is found to have left-sided hemispatial neglect, consistently ignoring stimuli on the left side. Which anatomical region is the most likely site of the lesion?
💡 EXPLANATION:
Left hemispatial neglect is a hallmark sign of a lesion in the non-dominant parietal lobe (usually the right). The right parietal lobe processes spatial awareness. Left-sided parietal lesions typically result in aphasia, apraxia, or Gerstmann syndrome.
A 60 y/o M with HTN presents with sudden left hemiplegia. MRI reveals a lacunar infarct in the right internal capsule. Which vessels are most likely occluded?
Anonymous Quiz
13%
Anterior cerebral artery
75%
Lenticulostriate arteries
13%
Posterior cerebral artery
0%
Vertebral arteries
Maxemo EMREE 26-27
A 60 y/o M with HTN presents with sudden left hemiplegia. MRI reveals a lacunar infarct in the right internal capsule. Which vessels are most likely occluded?
💡 EXPLANATION:
Internal capsule lacunar infarcts result from occlusion of lenticulostriate arteries (MCA branches). These small perforating vessels are prone to lipohyalinosis due to chronic HTN, causing pure motor hemiparesis.
A 17 y/o M presents with episodes of sudden bilateral leg weakness triggered by intense laughter. He reports preserved consciousness during these events. Physical exam is normal. What is the most likely diagnosis?
Anonymous Quiz
14%
Atonic seizure
18%
Vasovagal syncope
29%
Narcolepsy
39%
Hypokalemic periodic paralysis
Maxemo EMREE 26-27
A 17 y/o M presents with episodes of sudden bilateral leg weakness triggered by intense laughter. He reports preserved consciousness during these events. Physical exam is normal. What is the most likely diagnosis?
💡 EXPLANATION:
The patient exhibits cataplexy (sudden loss of muscle tone triggered by strong emotion like laughter) with preserved consciousness. This is pathognomonic for Narcolepsy. Seizures and syncope typically involve loss of consciousness.
A 25 y/o patient spends hours checking a perceived nose defect in the mirror. During intense anxiety, they report feeling detached from their body. Reality testing remains intact. What is the most likely diagnosis?
Anonymous Quiz
64%
Body dysmorphic disorder
4%
Delusional disorder
7%
Obsessive-compulsive disorder
25%
Depersonalization disorder
Maxemo EMREE 26-27
A 25 y/o patient spends hours checking a perceived nose defect in the mirror. During intense anxiety, they report feeling detached from their body. Reality testing remains intact. What is the most likely diagnosis?
💡 EXPLANATION:
Body Dysmorphic Disorder is characterized by preoccupation with perceived physical defects and compulsive behaviors (mirror checking). Dissociative symptoms may occur secondarily to anxiety. Reality testing distinguishes it from somatic delusions.
A 29 y/o F, 2 weeks postpartum, presents with 4 days of severe insomnia, agitation, and delusions that her baby is evil. She exhibits manic behavior and confusion. What is the most likely diagnosis?
Anonymous Quiz
10%
Postpartum blues
17%
Postpartum depression
73%
Postpartum psychosis
0%
Obsessive-compulsive disorder
Maxemo EMREE 26-27
A 29 y/o F, 2 weeks postpartum, presents with 4 days of severe insomnia, agitation, and delusions that her baby is evil. She exhibits manic behavior and confusion. What is the most likely diagnosis?
💡 EXPLANATION:
Postpartum psychosis is a psychiatric emergency typically presenting 2-4 weeks post-delivery with rapid onset of mania, delusions, and hallucinations. 'Blues' are transient/mild; depression involves low mood without manic features or frank psychosis.
❤1
A 23y/o M presents with recurrent, unexpected episodes of palpitations and intense fear. He reports constant worry about future attacks and avoids crowded places. Vital signs and labs are normal. What is the most likely diagnosis?
Anonymous Quiz
41%
Generalized anxiety disorder
17%
Social anxiety disorder
3%
Acute stress disorder
38%
Panic disorder
Maxemo EMREE 26-27
A 23y/o M presents with recurrent, unexpected episodes of palpitations and intense fear. He reports constant worry about future attacks and avoids crowded places. Vital signs and labs are normal. What is the most likely diagnosis?
💡 EXPLANATION:
Panic disorder is characterized by recurrent unexpected panic attacks followed by ≥1 month of persistent concern about additional attacks or maladaptive behavioral changes (avoidance). Normal medical workup rules out organic causes.
A 24 y/o F presents to the ER with palpitations, sweating, and a sense of impending doom starting 20 mins ago. Vitals: HR 115, BP 135/85, RR 22. ECG is normal. Which medication is indicated for immediate symptom relief?
Anonymous Quiz
16%
Fluoxetine
13%
Buspirone
42%
Lorazepam
29%
Propranolol
Maxemo EMREE 26-27
A 24 y/o F presents to the ER with palpitations, sweating, and a sense of impending doom starting 20 mins ago. Vitals: HR 115, BP 135/85, RR 22. ECG is normal. Which medication is indicated for immediate symptom relief?
💡 EXPLANATION:
Benzodiazepines (e.g., Lorazepam) provide rapid anxiolysis via GABAergic inhibition, making them the treatment of choice for acute termination of panic attacks. SSRIs take weeks to work; Beta-blockers treat somatic symptoms but not the acute panic.
A 32 y/o patient presents with excessive worry and tension, confirmed as Generalized Anxiety Disorder (GAD). Long-term pharmacotherapy is indicated. Which medication is the most appropriate first-line agent?
Anonymous Quiz
21%
Alprazolam
50%
Sertraline
14%
Amitriptyline
14%
Quetiapine
Maxemo EMREE 26-27
A 32 y/o patient presents with excessive worry and tension, confirmed as Generalized Anxiety Disorder (GAD). Long-term pharmacotherapy is indicated. Which medication is the most appropriate first-line agent?
💡 EXPLANATION:
SSRIs (e.g., Sertraline) are the first-line treatment for GAD due to their efficacy and safety profile. Benzodiazepines carry risks of dependence and are not for long-term monotherapy. TCAs and antipsychotics are second-line or adjunctive options.
A 20 y/o student presents with a 2-year history of avoiding university lectures and parties. He reports an intense, persistent fear of being scrutinized or negatively judged by others. What is the most likely diagnosis?
Anonymous Quiz
9%
Generalized anxiety disorder
0%
Panic disorder
4%
Agoraphobia
87%
Social anxiety disorder