AKT-5439
You are evaluating a 32-year-old woman who is presenting with migraine-like headaches but no accompanying aura. What is the estimated percentage of individuals with migraine who experience aura?
Archives: MRCGP AKT
AKT-5438
A 50-year-old man has been diagnosed with motor neuron disease. Is there any drug that has been proven to increase survival rates in such cases?
AKT-5441
You assess a 64-year-old man who has recently been released from the hospital after being admitted for acute coronary syndrome. He has a medical history of myasthenia gravis and has been taking prednisolone for a long time. However, since his admission, his myasthenia symptoms have significantly worsened, and you observe bilateral ptosis and slurred speech. Which of the newly prescribed medications is most likely responsible for this?
AKT-5423
A 26-year-old woman presents to a neurology clinic after experiencing a sudden episode of falling to the ground and becoming unresponsive. She describes becoming stiff and blue before shaking for approximately two minutes, followed by drowsiness for 30 minutes. She has no significant medical history and both an MRI and EEG were normal. What recommendations should be made regarding her ability to drive?
AKT-5436
A 35-year-old truck driver has recently been diagnosed with epilepsy and started on sodium valproate. What guidance should be given regarding his group 2 license?
AKT-5440
A 68-year-old woman comes to see her GP complaining of increased clumsiness. She reports difficulty gripping objects and has spilled her tea on herself multiple times. The woman also mentions feeling extremely fatigued and describes her legs as feeling heavy. She has experienced a few falls, including one where she hit her head. After a neurological exam, the GP suspects motor neurone disease but is considering other diagnoses based on which of the following symptoms or signs?
AKT-5435
A 54-year-old woman presents with a 3-day history of rapidly progressive paraesthesia and weakness in both of her arms. She denies any fever or any difficulties with her bladder or bowel function. She has been in good health except for a recent bout of the flu.
During the examination, you notice symmetrical, global weakness in her upper limbs with hypotonia. You are unable to elicit any reflexes in her upper limbs. There is no sensory level demarcation. Her cranial nerve examination and lower limbs examination are unremarkable.
What is the most probable diagnosis?
AKT-5433
A 22-year-old medical student comes to the clinic complaining of bilateral leg weakness and paraesthesia. She reports that the symptoms started in her feet and have been gradually moving up over the past few days. She also mentions that she had a bout of diarrhoea while on an elective in Zimbabwe about a week ago. Upon examination, her GCS is 15/15, her lower limb sensation is intact, but her strength is 2/5 throughout with reduced tone and reflexes. Her plantars are downgoing. Based on her symptoms and examination findings, what is the most likely diagnosis?
AKT-5437
A 30-year-old female with a past medical history of depression visits her primary care physician complaining of numbness in her right arm affecting the C6 distribution for the past two days. She denies any neck pain or injury. Upon neurological examination, there is a confirmed decrease in sensation in that dermatome, but otherwise, the exam is unremarkable. The patient reports no previous similar episodes, but she does recall an incident three months ago where she experienced reduced vision and painful movements in her right eye, which resolved on its own, and she did not seek medical attention. What is the most probable diagnosis?
AKT-5432
A 30-year-old female presents with a one-sided throbbing headache, along with photophobia and nausea. She has been experiencing these attacks several times a month for the past half-year. The patient has no comorbidities, is not taking any other medications, and has no known drug allergies.
What is the best course of action for managing this patient’s symptoms?