Skip to main content

USMLE/PLAB/AMC Clinical Case Quiz - 16

USMLE PLAB Clinical Cases Questions 15]A sixty-eight-year-old female presents in the outpatient department of your hospital with complaints of severe lower backache. Then the pain started when she tried to pick a heavy rock. The pain exaggerates with activity and relieves when the patient lays down. Pain increases in severity over time. There was no complain of numbness or tingling of legs and thighs. Her menses stopped at the age of 46 years and she didn’t receive any hormone replacement therapy.
On examination the motor and sensory functions of lower limbs were normal. There was no weakness or sensory loss. The height of the women was 4 ft 10 inches. Although, her 2 and half year old medical records show 5 ft 1-inch height. Her weight was forty-six kilograms.
Spine examination revealed tenderness at L2 and L3 level. Straight leg raises sign was negative. The patient walks slowly and her activity is limited due to pain.
Kindly answer the following questions.

Review quiz at the end to see which answers are correct. Click on “Feedback” button to find out the reasons of corrects answers.
Note: Install latest flash player if you don’t have already done that.
Like us on Facebook/Twitter or follow by email for future updates
Labels:

Popular posts from this blog

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the...
Post a Comment
Read more.>>

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you...
Post a Comment
Read more.>>