#june2020mccqe1
A 33-year-old woman is evaluated in the emergency department for paresthesia that began in the left face and spread over 30 minutes to the left arm and leg, clumsiness of the left hand that began 30 minutes ago, and a subsequent right-sided throbbing headache and nausea. This is the first time she has ever had such symptoms. She is otherwise healthy but has a family history of migraine. Her only medication is a daily oral contraceptive pill. On physical examination, temperature is normal, blood pressure is 140/82 mm Hg, pulse rate is 110/min, and respiration rate is 20/min. All other examination findings are normal.
Results of laboratory studies and a CT scan of the head are also normal. Which of the following is the most likely diagnosis?
(A) Migraine with aura
(B) Multiple sclerosis
(C) Partial complex seizure
(D) Transient ischemic attack
(E) Trigeminal neuralgia
A 33-year-old woman is evaluated in the emergency department for paresthesia that began in the left face and spread over 30 minutes to the left arm and leg, clumsiness of the left hand that began 30 minutes ago, and a subsequent right-sided throbbing headache and nausea. This is the first time she has ever had such symptoms. She is otherwise healthy but has a family history of migraine. Her only medication is a daily oral contraceptive pill. On physical examination, temperature is normal, blood pressure is 140/82 mm Hg, pulse rate is 110/min, and respiration rate is 20/min. All other examination findings are normal.
Results of laboratory studies and a CT scan of the head are also normal. Which of the following is the most likely diagnosis?
(A) Migraine with aura
(B) Multiple sclerosis
(C) Partial complex seizure
(D) Transient ischemic attack
(E) Trigeminal neuralgia
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