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USMLE Step 3 Neurology Übungsfragen

Der USMLE Step 3 testet Ihre Fähigkeiten, medizinisches Wissen anzuwenden und Ihr Wissen in Biomedizin und klinischer Forschung. Der Fokus der Fragen liegt auf dem Umgang mit Patienten in ambulanter Behandlung.

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Question

A previously healthy 40-year-old man comes to the clinic because of dizziness. The patient states that 1 week ago at 5 am he started to get out of bed to the left and had the acute onset of “feeling the room move”. He denies any tinnitus, hearing loss, double vision, dysphagia, or dysarthria. He got up and went to the couch feeling somewhat unsteady and his legs felt weak. He returned to normal within 1 hour. Similar episodes have occurred 3-4 times since then. He denies any alcohol or drug use, but does take vitamin B complex, ginseng, and ginkgo biloba. During your evaluation particular attention should be given to

A. Cardiac examination

B. Cranial nerve examination

C. Joint position sense

D. Mental status testing

E. Romberg sign


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