Chiari Malformations 03

Topic: Adult

Created on Friday, May 30 2008 by jdmiles

Last modified on Friday, May 30 2008.

 
        A) Being eaten by a bear
 
        B) Aphasia
 
        C) Clumsiness
 
        D) Diplopia
 
        E) Headaches, predominantly unilateral, frontotemporal, and throbbing
 

 

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This question was created on May 30, 2008 by jdmiles.
This question was last modified on May 30, 2008.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS

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A) Being eaten by a bear

This answer is incorrect.

This MRI shows a Chiari malformation. Being eaten by a bear is not a common presenting symptom of a Chiari malformation.  (See References)

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B) Aphasia

This answer is incorrect.

This MRI shows a Chiari malformation. Aphasia is not a common presenting symptom for a Chiari.  (See References)

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C) Clumsiness

This answer is correct.

This MRI shows a Chiari malformation. Clumsiness is a common presenting complaint.  (See References)

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D) Diplopia

This answer is incorrect.

This MRI shows a Chiari malformation. Diplopia is not a common presenting symptom of a Chiari malformation.  (See References)

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E) Headaches, predominantly unilateral, frontotemporal, and throbbing

This answer is incorrect.

This MRI shows a Chiari malformation. Suboccipital headaches are a common presenting complaint. Unilateral frontotemporal headaches would be more suggestive of migraine than of a Chiari malformation.  (See References)

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References:

1. Sklar, E.M.L., Ruiz, A., Quencer, R.M., and Falcone, S.F. (2004). Structural neuroimaging. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 521-597 (ISBN:0750674695).	Advertising:
2. Sarnat, H.B., and Flores-Sarnat, L. (2004). Developmental disorders of the nervous system. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 1763-1789 (ISBN:0750674695).	Advertising:
3. Rosenbaum, R.B., and Ciaverella, D.P. (2004). Disorders of bones, joints, ligaments, and meninges. In Bradley, W.G., Daroff, R.B., Fenichel, G.M., and Jankovic, J. (Eds.). Neurology in Clinical Practice, Fourth Edition. Butterworth Heinemann, Philadelphia, pp. 2189-2222 (ISBN:0750674695).	Advertising:
4. Robert I. Grossman, David M. Yousem. Neuroradiology: the requisites. Philadelphia, Pa. : Mosby, c2003. (ISBN:032300508X)	Advertising:
5. Floyd, T. (1999). "Bear-inflicted human injury and fatality." Wilderness Environ Med, 10(2) 75-87. (PMID:10442155)

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adult
Chiari Malformations 03
Question ID: 053008023
Question written by J. Douglas Miles, (C) 2006-2009, all rights reserved.
Created: 05/30/2008
Modified: 05/30/2008
Estimated Permutations: 943800