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submitted by lpp06(30),

I have no idea what the diagnosis is (HD is tough to rule in since they're indicating a disease with maternal anticipation, which I think is rare for HD?)

However - he has extrapyramidal movement disorders with no signs of damage to sensory columns (intact sensation), cerebellar (no intention tremor/dysmetria), and frontal lobe (normal mental status exam). I can't explain why the increase in DTR, but EPS + nothing else that can definitively rule in another area means this is most likely basal ganglia

ootscoot  I agree with you - I was thinking HD when they alluded to anticipation, but was thrown off by the maternal part. Does anyone know what they're alluding to when they said "unable to fix his gaze on one point or protrude his tongue for more than 30 seconds?" Is that describing EPS? Oculogyric crisis is involuntary prolonged upward gazing (not an inability to fix his gaze) & orofacial chorea is involuntary repetitive movements (not inability to protrude the tongue). Am I missing something? It's entirely possible at this point of dedicated. My brain is gobblygook +3  
koko  Isn’t it all part of the choreiform movements the eyes and tounge.... +  
doublethinker  Trick is, I think, that HD is Autosomal Dominant. Though it may be rare to get anticipation through the mom (I forget the exact reason why but it's something with genetics) I think they just wanted to emphasize it is possible. +  


submitted by sympathetikey(1350),
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ls3076  how can we actually be expected to know vaccination schedules... there must be some other reason the answer is correct +4  
cbreland  I don't think we need to know that the vaccination schedules, but that the only other answer with a vaccine was adenovirus. I figured that there would have more symptoms if she had adenovirus (plus didn't fit the typical military recruit/swimmer demographic) +  
koko  Why does it have to be something with a vaccine? RSV Is extremely common in babies,shouldn’t screen for that? +  


submitted by azibird(177),

What is the educational objective of this question? To see if we know that radiation doesn't stick? Not that cool.

koko  That you may face such questions as a doctor..so ,you need to update your knowledge on such things maybe +  
koko  That you may face such questions as a doctor..so ,you need to update your knowledge on such things maybe +  


submitted by azibird(177),

What is the educational objective of this question? To see if we know that radiation doesn't stick? Not that cool.

koko  That you may face such questions as a doctor..so ,you need to update your knowledge on such things maybe +  
koko  That you may face such questions as a doctor..so ,you need to update your knowledge on such things maybe +