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MODULE 14 EMQs
Match each clinical vignette to the appropriate diagnosis.
Right subthalamic bleed
Sydenham’s chorea
Progressive Supranuclear Palsy
Non dominant parietal lobe stroke
Parkinson’s disease
Left subthalamic bleed
Dominant partietal lobe stroke
Alzheimer’s dementia
Right subthalamic bleed
Sydenham’s chorea
Progressive Supranuclear Palsy
Non dominant parietal lobe stroke
Parkinson’s disease
Left subthalamic bleed
Dominant partietal lobe stroke
Alzheimer’s dementia
EMQ 1.
A 66 year old man presents with difficulty walking. He describes rigid legs, falling backwards and difficulty standing. He also describes choking on his words and difficulty reading. He denies the presence of trauma
EMQ 2.
A 45 year old man comes in complaining of uncontrollable flailing of his left arm and leg. He has a history of hypertension, and describes the onset of a severe headache prior to the motor symptoms.
EMQ 3.
A 15 year old indigenous man presents with his parents. They describe severe unco-ordinated rapid jerky movements of both his feet, and both his arms. He has a history of rheumatic fever from the age of 5.
EMQ 4.
A 64 year old man with a history of atrial fibrillation presents complaining of difficulty concentrating. When he is closely questioned he has difficulty naming his fingers, and is unable to count backwards from 100 in units of 7. He also cannot write his own name
EMQ 5.
A 72 year old man is brought in by his wife, who states that he is increasingly confused. She also describes a festinating gait, and says that he has a fine tremor in both hands when he is not moving. On examination he has cog wheel rigidity of all four limbs and diminished facial expressions.
A 66 year old man presents with difficulty walking. He describes rigid legs, falling backwards and difficulty standing. He also describes choking on his words and difficulty reading. He denies the presence of trauma
EMQ 2.
A 45 year old man comes in complaining of uncontrollable flailing of his left arm and leg. He has a history of hypertension, and describes the onset of a severe headache prior to the motor symptoms.
EMQ 3.
A 15 year old indigenous man presents with his parents. They describe severe unco-ordinated rapid jerky movements of both his feet, and both his arms. He has a history of rheumatic fever from the age of 5.
EMQ 4.
A 64 year old man with a history of atrial fibrillation presents complaining of difficulty concentrating. When he is closely questioned he has difficulty naming his fingers, and is unable to count backwards from 100 in units of 7. He also cannot write his own name
EMQ 5.
A 72 year old man is brought in by his wife, who states that he is increasingly confused. She also describes a festinating gait, and says that he has a fine tremor in both hands when he is not moving. On examination he has cog wheel rigidity of all four limbs and diminished facial expressions.