If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 BOF 8

 

   

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

 

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

 

 

 

Google
Web ydr.org.uk
acesforpaces.com medicalrevision.org

BOF: 8

A 40-year-old male presents with a history of rapidly progressive weakness of his legs of 4 days duration. He gives a history of gastroenteritis about 3 weeks prior to this. He has been otherwise fit and healthy. He does not smoke or drink and does not take any medication.

On examination he has a flaccid weakness of his lower limbs with absent reflexes. There is impairment of sensation upto his thighs.

Investigations reveal normal haematology and biochemistry. Lumbar puncture is performed and this shows:

Pressure 16 mm CSF

CSF protein 3.4 g/dL

CSF glucose 4 mmol /L

Leucocytes 5/mL

Gram stain no organisms

Plasma glucose 4.5 mmol/L

In this patient which one of the following would give the patient the most benefit:

a)      High dose steroids

b)      Intravenous immunoglobulin

c)      Intravenous acyclovir

d)      Pyridostigmine

e)      Beta interferon

 

Back
Up
Next

Up ] Answer BOF 8 ]