The FrontalCortex question bank can help you study for the neurology boards.

Myelin 04

Topic: Pathology

Created on Sunday, February 15 2009 by gliageek

Last modified on Sunday, February 15 2009.


Courtesy of Dr. Mark Cohen
This 42 year old male experienced sudden onset of fever, neck stiffness, and seizures. He became comatose and died 3 days later. The best diagnosis is:

 
        A) Acute hemorrhagic leukoencephalitis
 
        B) Balo variant of MS
 
        C) Acute disseminated encephalomyelitis
 
        D) Schilder disease
 
        E) Acute (Marburg) multiple sclerosis
 

 


Back to the question = Go back to the top of the page.
See another question like this one = Reload a different version of this question ().
Click here for a random question = Load a random question from the database.
Clone this question = Use this question as a template to create a totally NEW question.
Rate this question = Enter detailed rating for this question!
Average user rating for this question = 5 = How users like you have rated this question.
This question was created on February 15, 2009 by gliageek.
This question was last modified on February 15, 2009.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANSWERS AND EXPLANATIONS




A) Acute hemorrhagic leukoencephalitis

This answer is correct.


Hyperacute form of ADEM with fulminant course and high mortality rate. 75% are markedly asymmetric.  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this questionAverage user rating for this question = 5
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




B) Balo variant of MS

This answer is incorrect.


Concentric plaques  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this questionAverage user rating for this question = 5
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




C) Acute disseminated encephalomyelitis

This answer is incorrect.


Less fulminant course. Symmetric. Non-hemorrhagic.  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this questionAverage user rating for this question = 5
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




D) Schilder disease

This answer is incorrect.


Bilateral demyelination affecting children  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this questionAverage user rating for this question = 5
Please log in if you want to rate questions.

 

 

 

 

 

 

 

 

 




E) Acute (Marburg) multiple sclerosis

This answer is incorrect.


Lesions more discrete. Not as fulminant  (See References)

Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this questionAverage user rating for this question = 5
Please log in if you want to rate questions.

 

 

 

 

References:

1. Love, S., Louis, D.N., and Ellison, D.W. (2008). Greenfield's Neuropathology, 8th Edition. Oxford University Press, USA (ISBN:0340906820)Advertising:
Back to the questionSee another question like this oneClick here for a random questionClone this question Rate this questionAverage user rating for this question = 5
Please log in if you want to rate questions.

 

FrontalCortex.com -- Neurology Review Questions -- Neurology Boards -- Board Review -- Residency Inservice Training Exam -- RITE Exam Review
pathology
Myelin 04
Question ID: 021509084
Question written by gliageek. (C) FrontalCortex.com 2006-2009, all rights reserved. Created: 02/15/2009
Modified: 02/15/2009
Estimated Permutations: 120

User Comments About This Question:

0 user entries
Please log in if you'd like to add a comment.