Q3. In the condition in the previous slide (horner syndrome), which muscle shown below is responsible for the ptosis?
a. Orbicularis oculi
b. Muller’s muscle
c. Levator palpebrae
d. Inferior rectus
Sunday, December 19, 2021
Clinical Case MCQs
Q2. While you are examining the patient (see Q1 for history), you are thinking of the differential diagnosis. Which of the following may be helpful in his investigations?
A. Chest x-ray
B. Ophthalmology consult
C. Fundoscopy exam
D. CT brain
E. Arterial blood gas
F. Liver function tests
G. Testing for syphilis
Saturday, December 18, 2021
Clinical Case MCQs
Q1. A 64 yo heavy smoker presents with malaise, fatigue, neck, arm and shoulder discomfort of 3 months duration. Other than a remote appendectomy, his medical history is unremarkable. He has no allergies, no recent travel history and only uses bronchodilators on a PRN basis. As you start to examine him, you note his face. You suspect he has developed?
A. Jaundice
B. Opiate overdose
C. Carotid artery dissection
D. Third nerve palsy
E. Adie pupil
F. Oculosympathetic paresis
Wednesday, December 15, 2021
Clinical case mcqs
Q2. A 20 year old was not wearing a seat belt and was rear ended. He hit his face forcefully with the dashboard and suffered a fracture of the structure shown (see arrow). If there is a leak of clear fluids from his nose, what test will you perform next?
a. Glucose content of the fluids
b. Levels of bence Jones protein
c. Levels of beta2 transferrin
d. Number of WBCs and RBCs
e. Level of albumin
f. pH and microscopic analysis
Clinical Case MCQs
Q1. A 20 year old was not wearing a seat belt and was rear ended. He hit his face forcefully with the dashboard and suffered a fracture of the structure shown (see arrow). In the ED he is found to have leakage of a clear fluid from his nose. What is the structure that has been damaged?
a. Cribriform plate
b. Pterygoid plate
c. Sella turcica
d. Frontal sinus
e. Nasolacrimal duct
f. Pituitary fossa
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