Neurologia en

NEUROLOGY
(START OF CASE, 3)
1.- MAN OF 45 YEARS, WORKER IN A MINE IS ATTENDED IN GENERAL CONSULTATION FOR
PRESENTING CHRONIC INTOXICATION BY LEAD.
THE FOLLOWING ARE THE DEMONSTRATIONS THAT THIS CONDITION IS CAUSING HIM: [MY-11-
I](2-III]
A PERIPHERAL NEUROPATHIES , LINE OF LEAD IN GUMS, ANAEMIA, CEPHALEA, LOSS OF THE
MEMORY, ABDOMINAL PAIN.
B. ENCEPHALOPATHY, MENTAL DETERIORATION, ANAEMIA, ABDOMINAL PAIN, LINE OF LEAD IN
GUMS, RADIOOPAQUE DEPOSITS IN EPIPHYSIS.
C. ENCEPHALOPATHY, MENTAL DETERIORATION, DEMIELINIZATION PERIPHERAL, CONFUSSION,
CONSTIPATION, NAUSEAS, VOMITS.
D. RENAL INJURY, ENCEPHALOPATHY, RADIO OPAQUE DEPOSITS IN EPIPHYSIS , ANAEMIA,
CONSTIPATION, NAUSEAS, LINE OF LEAD IN GUMS.
KUMAR, ABBAS, ASTER; ROBINS PATOLOGIA HUMAN; ELSEVIER; 274. 2014 9TH EDITION
2.- THE PERCENTAGES OF DISTRIBUTION OF THE LEAD IN A CHRONIC INTOXICATION ARE OF:
[MY-10-I](3-II]
A 80-85% BONE, 5-10% BLOOD, REST IN SOFT TISSUES
B. 80-85% IN BLOOD, 5-10% IN BONE, REST IN SOFT TISSUES
C. 80-85% IN SOFT FABRICS, REST IN BONE
D. 50% IN BONE, 25% IN BLOOD, REST IN SOFT TISSUES
3.- THE FOLLOWING IS THE HAEMATOLOGICAL ALTERATION CHARACTERISTIC OF THIS

INTOXICATESCIÓN: [MY-10-I](2-III]
A MICROCITIC HIPOCHROMIC ANAEMIA
B. MACROCITIC NORMOCHROMIC ANAEMIA
C. NORMOCITIC NORMOCHROMIC ANAEMIA
D. MEGALOBLASTIC ANAEMIA
END OF CASE
4.- MAN OF 40 YEARS, IS CARRIED To EMERGENCY ROOM FOR PRESENTING NAUSEA And
VOMIT, URINARY And FAECAL INCONTINENCE, AGITATION, BLURRED VISION, MYOSIS And
TREMOR. IT DENIES CHRONIC ILLNESSES,RELATIVE MENTIONS THAT HE WORKS WITH
INSECTICIDES IN THE FIELD.
ACCORDING TO THE CLINICAL DATA THE DIAGNOSIS IS: [MY-10-D](1-III]
A INTOXICATION BY ORGANOPHOSPHORATES
B. INTOXICATION BY OPIATES
C. INTOXICATION BY ACETAMINOPHEN
D. INTOXICATION BY ANTICOLINERGIC AGENTS
GOODMAN And GILMAN, THE BASES FARMACLÓGICAS OF THE TERAPEÚTICA, 12ª EDICION.
CHAPTER 9 AGONISTAS And ANTAGONISTIC OF THE RECEPTORS MUSCARÍNICOS
5.- WOMAN OF 25 YEARS IS CARRIED To EMERGENCY ROOM FOR PRESENTING HYPERTHERMIA,

ANHYDROSIS, RUBOR, DRYNESS OF SKIN, DIPLOPIA, CONFUSSION, CONVULSIONS, MYDRIASIS
And URINARY RETENTION,THE MOTHER MENTIONS THAT SHE TOOK A WHOLE CONTAINER OF
TRICYCLIC ANTIDEPRESSANTS WITH ANTI CHOLINERGIC EFFECT .
THE ANTIDOTE FOR THIS ENTITY IS: [MY-10-C](2-IV]
A FISOSTIGMINE
B. FLUMACEMIL
C. PRALIDOXINE
D. NALOXONE
GOODMAN And GILMAN, THE BASES FARMACLÓGICAS OF THE TERAPEÚTICA, 12ª EDICION.
CHAPTER 9 AGONISTAS And ANTAGONISTIC OF THE RECEPTORS MUSCARÍNICOS
(START OF CASE, 3)
6.- MAN OF 50 YEARS ATTENDS To THE EMERGENCY ROOM BY HEMIPARESIS OF UPPER LEFT
LIMB . ANTECEDENTS: DIABETES MELLITUS And ARTERIAL HYPERTENSION OF RECENT
DIAGNOSIS. THE PATIENT REFERS to PRESENT INTENSE CEPHALEA . PHYSICAL EXPLORATION:
TA: 140/90, HR:95 LPM, MUSCULAR STRENGTH 2/5 IN UPPER LEFT LIMB , REST NORMAL . IT
REQUEST A STUDY OF IMAGE And OBSERVE MASS IN RIGHT FRONTAL LOBULE WITH
CAPTATION OF CONTRAST IN RING SHAPE.
THE DIAGNOSIS IS: [MY-10-B](2-III]
A GLIOBLASTOMA
B. MENINGIOMA
C. PRIMARY CEREBRAL LYMPHOMA
D. HEMANGIOBLASTOMA
HARRISON´S, PRINCIPLES OF INTERNAL MEDICINE, JEMESON, JL, McGRAW HILL, 20TH EDITION,
2018, PAG: 645-646
7. ALTHOUGH IT HAVE TO CONSIDER THAT OF THE CEREBRAL TUMORS IN THE ADULT, THE
MOST FREQUENT IS: [MY-10-B](2-V]
A CEREBRAL METASTASES
B. GLIOMAS
C. MENINGIOMA
D. EPENDIMOMA
2018, PAG: 645-646
8. OF THE CEREBRAL TUMORS IN THE ADULT, THE MAJORITY ARE LOCATE IN: [MY-10-B](3-III]
A SUPRATENTORIAL REGION
B. INFRATENTORIAL REGION
C. CORTICAL REGION
D. SUBCORTICAL REGION .
2018, PAG: 643-644
END OF CASE
9.- MAN OF 65 YEARS ATTENDS To SERVICE OF EMERGENCY ROOM BY CASE OF HEMIATAXIA.

ANTECEDENTS: DIABETES MELLITUS And ARTERIAL HYPERTENSION OF 20 YEARS OF
EVOLUTION IN TREATMENT. They REFER THAT HE PRESENTS INTENSE CEPHALEA OF FEW
WEEKS OF EVOLUTION. YOU REQUEST MAGNETIC RESONANCE IN RIGHT CEREBELLAR
HEMISPHERE THAT ATTRACTS CONTRAST IN RING And DISPLACES THE VENTRICULAR CHAMBER
.
A CEREBRAL METASTASIS
B. MULTIFORM GLIOBLASTOMA
C. PRIMARY CEREBRAL LYMPHOMA
D. PILOCITIC ASTROCITOMA
2018, PAG: 649-650
10.- 3 YEAR-OLD-TODDLER GOES TO THE EMERGENCY ROOM BECAUSE OF HYPOACTIVITY. NO

HISTORY OF IMPORTANCE. THE MOTHER REPORTS POSTPRANDIAL VOMITING, HYPOREXIA AND
WEIGHT LOSS 2 MONTHS OF EVOLUTION. PHYSICAL EXAMINATION: 3RD PERCENTILE WEIGHT,
EMACIATION AND PALLOR OF SKIN AND MUCOUS MEMBRANES, INAPPROPRIATE VERBAL
RESPONSE, UNABLE TO STAND AND VISUAL IMPAIRMENT, ISOCHORIC PUPILS, GLASGOW: 9.
IMAGING STUDY IS PERFORMED AND IMAGE IS OBSERVED WITH CALCIFICATIONS AND CYSTIC-
LIKELY LESIONS IN SELLA TURCICA.
A CRANIOPHARYNGIOMA
B. PITUITARY ADENOMA
C. MENINGIOMA
D. HEMANGIOBLASTOMA
2018, PAG: 648-649
(START OF CASE, 2)
11.- MAN OF 55 YEARS WHICH IS BROUGHT To EMERGENCY ROOM FOR PRESENTING 45
MINUTES ago ALL OUT OF A SUDDEN LEFT HEMIPARESIS. YOU REQUEST CRANEAL CT (SEE
IMAGE).
THE MOST LIKELY CAUSE IS: [MY-10-B](2-I]
A INTRAPARENCHIMATOUS BLEEDING CAUSED BY HYPERTENSION

B. LOBAR BLEEDING SECONDARY To ANGIOPATHY CAUSED BY AMYLOIDOSIS
C. CEREBRAL ABSCESS POSSIBLY SECONDARY To TOXOPLASMOSIS
D. ISCHAEMICN ICTUS IN THE DEEP TERRITORY OF THE LEFT MIDDLE CEREBRAL ARTERY
2018, PAG: 3068-3078
12.- THE RECOMMENDED TREATMENT IS: [MY-10-B](2-IV]

A CONTROL OF THE ARTERIAL HYPERTENSION, OF THE GLYCEMIA And OF THE FEVER
B. ANTIFIBRINOLYTIC TREATMENT SINCE THE CLINIC HAS ONLY 3 HOURS OF EVOLUTION
C. EVACUATION SURGERY (CRANEAL DECOMPRESSION) IN ADDITION TO MEASURES OF
SUPPORT LIKE STEROID And ANTIPYRETHIC DRUGS
D. TREATMENT WITH ANTIEPILEPTIC DRUGS FOR THE PROPHYLAXIS OF CONVULSIVE CRISES
2018, PAG: 3068-3078
END OF CASE
13.- MAN OF 58 YEARS WITHOUT ANTECEDENTS OF INTEREST, ATTENDS To EMERGENCY ROOM

WITH A RIGHT HEMIPARESIS And MOTOR APHASIA OF NINETY MINUTES OF EVOLUTION,
GLYCEMIA OF 132 MG/DL, NORMAL COAGULATION And A CRANIAL CT WITHOUT FINDINGS
THIS INDICATES: [MY-10-And](3-IV]
A FIBRINOLYSIS WITH RT-PA
B. ANTICOAGULATION WITH HEPARIN
C. ANTIAGGREGATION WITH ASPIRIN
D. ANTIAGGREGATION WITH CLOPIDOGREL
2018, PAG: 3068-3078
14.- MAN OF 76 YEARS ATTENDS To CONSULTATION FOR PRESENTING SUDDEN DISARTHRIA

And RIGHT HEMIPARESIS THAT DISAPPEARS IN TWELVE HOURS, HAS ANTECEDENTS OF
ARTERIAL HYPERTENSION IN TREATMENT WITH ENALAPRIL. DOPPLER US OF SUPRA AORTIC
VESSELS SHOW: BILATERAL CAROTID ATEROMATOSIS WITH STENOSIS OF 55% IN THE LEFT
CAROTID ARTERY And OF 30% IN THE RIGHT CAROTID ARTERY. EKG: AURICULAR FIBRILLATION
WITH VENTRICULAR RESPONSE OF 90 BPM. CRANIAL CT : NORMAL.
FOR THE PREVENTION OF NEW EPISODES THE INITIAL TREATMENT IS: [MY-10-And](3-SAW]
A ACENOCUMARINE, To THE DOSE-RESPONSE THAT ACHIEVES An INR OF 2.5
B. ACETYL SALLICILIC ACID, 300 MG PER DAY
C. PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY OF THE LEFT CAROTID ARTERY
D. LEFT CAROTID ENDARTERECTOMY
2018, PAG: 3079-3091
15.- MAN OF 85 YEARS IS ADMITTED To EMERGENCY ROOM BY ACUTE CASE OF RIGHT

HEMIPARESIS And SOMNOLENCE. IT HAS ANTECEDENTS OF CEREBRAL BLEEDING 2 YEARS ago.
IN THE CT YOU OBSERVE A BIG INTRACRANIAL LOBAR HEMATOMA IN THE LEFT
FRONTOPARIETAL REGION. THE PATIENT IS not HYPERTENSE.
THE ETIOLOGY OF THIS CONDITION IS: [MY-10-And](2-I]
A ANGIOPATHY AMYLOID
B. METASTASIS
C. ANEURISM
D. TOXICITY BY MEDICATION
2018, PAG: 3091-3095
(START OF CASE, 3)
12.- A 69 YEAR OLD WOMAN, WHOSE CLINICAL HISTORY IS REMARKABLE BECAUSE OF
HYPERTENSION, DIABETES, CHOLECYSTECTOMY AND CATARACT SURGERY IS ADMITTED TO THE
EMERGENCY DEPARTMENT FOR EVALUATION OF To SUDDEN-ONSET APHASIA, VISUAL
DISTURBANCE AND WEAKNESS IN HER RIGHT EXTREMITIES.
THE DIAGNOSIS IS: [MY-10-And](2-III]
A BRAIN INFARCTION
B. BRAIN ABSCESS
C. SUBARACHNOID HEMORRHAGE
D. SEIZURES
2018, PAG: 3079-3091
13.- AFTER INITIAL WORK-UP, THE DIAGNOSIS TEST MANDATORY IN THE FIRST PLACE IS: [MY-
10-And](1-III]
A CRANIAL CT SCAN
B. SUPRA-AORTIC TRUNKS DOPPLER ULTRASOUND
C. ELECTROENCEPHALOGRAM
D. ECHOCARDIOGRAM
2018, PAG: 3079-3091
14.- IMAGING SHOWS THE RESULT OF THE CT SCAN THAT CORRESPONDS TO: [MY-10-And](2-III]
A ISCHEMIC INFARCTION OF THAVE LEFT MIDDLE CEREBRAL ARTERY

B. ISCHEMIC INFARCTION OF THE RIGHT MIDDLE CEREBRAL ARTERY
C. ISCHEMIC INFARCTION IN THE PONS
D. SUPERFICIAL INTRAPARENCHYMATOUS HEMATOMA
2018, PAG: 3079-3091
END OF CASE
15.- MAN OF 68 YEARS, HOSPITALIZED BY MOTOR DISORDERS, SENSITIVE AFFECTION And

APHASIA. IT IS DIABETIC IN TREATMENT WITH GOOD CONTROL. IT IS RIGHT-HANDED.
INDICATE THE AFFECTED ARTERY : [MY-10-And](1-III]
A LEFT MIDDLE CEREBRAL ARTERY

B. RIGHT MIDDLE CEREBRAL ARTERY
C. LEFT ANTERIOR CEREBRAL ARTERY
D. RIGHT ANTERIOR CEREBRAL ARTERY
2018, PAG: 3079-3091
16.- MAN OF 73 YEARS ATTENDS To EMERGENCY ROOM BY A CASE OF 6 HOURS OF EVOLUTION

WITH VERTIGO, DIPLOPIA, PTOSIS And MYOSIS OF THE LEFT EYE, DISARTHRIA, DISPHAGIA,
SNORING, NUMBNESS OF LEFT HALF OF THE FACE And OF THE RIGHT EXTREMITIES. THE
CRANIAL CT SHOWED MARKED LEUCOARAIOSIS. THE X-ray OF THORAX WITHOUT DATA OF
INTEREST, THE ECG IN SINUS RHYTHM WITH SIGNS OF LEFT VENTRICULAR HYPERTROPHY .
ASSUMING THAT THE PATIENT HAS An ICTUS THE ONLY POSSIBLE CAUSE IS: [MY-10-And](3-I]
A THROMBOSIS OF THE LEFT VERTEBRAL ARTERY
B. THROMBOSIS OF THE LEFT ANTEROINFERIOR CEREBELLAR ARTERY
C. THROMBOSIS OF THE LEFT POSTEROINFERIOR CEREBELLAR ARTERY
D. THROMBOSIS OF THE LEFT MIDDLE CEREBRAL ARTERY
2018, PAG: 3079-3091
17.- To 45-YEAR OLD MAN, WITH PAST HISTORY OF MIGRAINE, COMES TO THE PHYSICIAN WITH
SUDDEN ONSET OF HEADACHE WHILE HE WAS PLAYING SOCCER. IT STARTED VOMITING RIGHT
AWAY. ON PHYSICAL EXAMINATION, HAS PRESENTED DROWSINESS, NUCHAL RIGIDITY AND
SEVERE HEADACHE. NO NEUROLOGICAL DEFICITS ARE EVIDENT.
THE MOST APPROPRIATE TEST TO PERFORM IN THE FIRST PLACE IN ORDER TO CONFIRM THE
DIAGNOSIS IS: [MY-10-I](1-III]
A SIMPLE CT SCAN
B. CONTRART-ENHANCED CT SCAN
C. EEG
D. BRAIN ARTEROGRAPHY
2018, PAG: 3079-3091
(INICIO OF CASE, 3)
18.- WOMAN OF 58 YEARS IS BROUGHT To EMERGENCY ROOM BY PARALYSIS OF RIGHT
INFERIOR EXTREMITY And PARESIA OF UPPER RIGHT LIMB And APRAXIA OF THE GAIT. FROM
APPROXIMATELY 4 HOURS. IT WAS DIAGNOSED WITH MITHRAL STENOSIS RECENTLY, SHE
TAKES 80 MILLIGRAMMES OF ASPIRIN A DAY. BP: 130/80, T: 37°C. THE ECG SHOWS WAVES “F”
To 350x', And THE QRS To 104 ´BPM.
THE CAUSE OF HER CONDITION IS: [MY-10-And](1-I]
A. EMBOLIA
B. DEEP VENOUS THROMBOSIS
C. ARTERIOVENOUS MALFORMATION
D. ANEURISM
2018, PAG: 3079-3091
19.- THE ARTERY AFFECTED IS: [MY-10-And](1-III]

A ANTERIOR LEFT CEREBRAL ARTERY
B. POSTERIOR RIGHT CEREBRAL ARTERY
C. POSTERIOR LEFT CEREBRAL ARTERY
D. POSTERIOR RIGHT CEREBRAL ARTERY
2018, PAG: 3079-3091
20.- To THE 2 HOURS, THE PATIENT PRESENTS CLINICAL IMPROVEMENT, YOU ORDER HIM A CT
WHICH REPORTS NORMAL. THE DIAGNOSIS IS: [MY-10-And](1-III]
A TRANSIENT CEREBRAL ISCHAEMIC ATTACK
B. HEMORRHAGIC STROKE
C. ISCHAEMIC STROKE
D. SUBDURAL HAEMATOMA
2018, PAG: 3079-3091
END OF CASE
(START OF CASE, 2)
21.- MAN OF 48 YEARS THAT ATTENDS To CONSULTATION BY VERTICAL DIPLOPIA THAT
INCREASES When LOOKING DOWNWARDS And TO THE RIGHT SIDE, YOU OBSERVE THAT THE
PATIENT TURNS HIS HEAD TO THE RIGHT SIDE.
IN THAT CRANIAL NERVE THAT IS INJURED IS: [MY-10-B](3-II]
A IV
B. I
C. III
D. V
2018, PAG: 3166-3172
2.- ON WHICH SIDE IS THE INJURY LOCATED AT: [MY-10-B](2-II]

A LEFT
B. RIGHT
C. BILATERAL
D. THERE DOES not EXIST ANY INJURY
2018, PAG: 3166-3172
END OF CASE
22.- A PATIENT OF 62 YEARS PRESENTS ALL OF SUDDEN FORM TERMO-ALGESIC HYPOESTHESIA

OF THE RIGHT HALF OF BODY, ALSO PRESENTS HYPOESTHESIA OF THE LEFT HALVE OF FACE,
LEFT HEMIATAXIA And WEAKNESS OF THE MUSCLES OF THE MASTICATION.
THE INJURY IS LOCATES AT: [MY-10-B](3-II]
A LATERAL LEFT PROTUBERANCE
B.MEDIAL LEFT MESENCEPHALON
C. LATERAL RIGHT MESENCEPHALON
D. RIGHT MEDIAL PROTUBERANCE
2018, PAG: 3154-3158
23.- WOMAN OF 38 YEARS OF AGE, REVIEWED IN CONSULTATION, IS HYPERTENSE And SMOKES
5 CIGARETTES/DAY SINCE 10 YEARS AGO, To WHICH YOU DETECT AN ANEURISM OF THE
INTERNAL CAROTID AT THE LEVEL OF THE CAVERNOUS SINUS.
WHICH CRANIAL NERVES ARE AFFECTED: [MY-10-And](2-II]
A III, IV, VI
B. V
C. I, III, V
D. VIII And VII
2018, PAG: 3166-3172
24.- MAN OF 36 YEARS OF AGE WHICH CURDA WITH MYDRIASISNO REACTIVE , ToYES LIKE
PTOSIS OF THE RIGHT SIDE.
THAT PAR CRANIAL FINDS AFFECTED: [MY-10-And] (2-III)
A III
B. IV
C. V
D. I AND VI
2018, PAG: 3166-3172
(START OF CASE, 3)
25.- WOMAN OF 25 YEARS THAT ATTENDS To EMERGENCY ROOM FOR PRESENTING
UNILATERAL PULSATILE CEPHALEA, And PHOTOFOBIA OF 22 HOURS OF EVOLUTION THAT DOES
not IMPROVE TO TREATMENT WITH NAPROXEN, NEITHER WITH IBUPROFEN. THIS THERE HAS
HAPPENED TO HIM IN PREVIOUS OCCASIONS, ROUGHLY 2 TIMES PER MONTH SINCE 1 YEAR ago
And HALF, BUT IMPROVED WITH THE ABOVE-MENTIONED MEDICINES. YOU DIAGNOSE HIM
WITH MIGRAINE And INITIATES HIM PARENTERAL TREATMENT, HOWEVER, THE PAIN DOES not
IMPROVE AT 60 MINUTES OF ADMINISTRATERING TREATMENT:
THE STEP To be followed IS: [MY-10-I](1-IV]
A INCREASE INITIAL DOSAGE
B. GIVE A NEW DOSE OF THE SAME MEDICINE
C. MODIFY MEDICINE USED
D. We CAN EXPECT UNTIL 120 MINUTES TO HAVE AN EFFECT.
2018, PAG: 3096-3107
26.- TO VALUE THE MAGNITUDE OF THE ATTACK And THE DEGREE OF DYSFUNCTION OF THE
MIGRAINE, YOU USE: [MY-10-I](1-III]
A QUESTIONNAIRE MEASURE
B. SCALE OF KATZ
C. SCALE OF HUNT And HESS
D. QUESTIONNAIRE OF ZARIT
2018, PAG: 3096-3107
27.- THE ALARMING SYMPTOMS OF CEPHALEA THAT SUGGEST A SEVERE PRIMARY AFFECTION
ARE: [MY-10-I](1-III]
A. INTENSE CEPHALEA, SUBACUTE CEPHALEA THAT WORSENS IN WEEKS Or DAYS,
ABNORMALITIES IN THE NEUROLOGICAL EXAMINATION, VOMIT.
B. FIRST INTENSE CEPHALEA, IDENTIFIED GENERALISED ILLNESS, BEGINNING BEFORE THE 55
YEARS.
C. SUBACUTE CEPHALEA THAT WORSENS IN WEEKS Or DAYS, BEGINNING BEFORE THE 55
YEARS, ABNORMALITIES IN THE NEUROLOGICAL EXAMINATION
D. FIRST CEPHALEA INTENSE, FEVER OF UNKNOWN ORIGIN, PAIN DURING THE WAKE
CIRCADIAN CYCLE
2018, PAG: 3096-3107
END OF CASE
(INICO OF CASE,2)
28.- WOMAN OF 45 YEARS, WITH ANTECEDENT OF ANXIETY And FIBROMYALGIA, ATTENDS To
EXERNAL CONSULTATION FOR PRESENTING BILATERAL OPPRESSIVE CEPHALEA , THAT
MODIFIES OF INTENSITY DURING THE DAY, BUT PERSISTS 2-3 DAYS. THIS HAS HAPPENED HER 3
TIMES THE LAST FEW MONTHS
THE DIAGNOSIS IS: [MY-10-I](1-III]
A.TENSIONAL CEPHALEA
B. ATYPICAL MIGRAINE
C. HISTAMINIC CEPHALEA
D.TRIGEMINAL AUTONOMIC CEPHALEA
2018, PAG: 3096-3107
29.- WHICH OF THE FOLLOWING ARE CAUSES OF SECONDARY CEPHALEA?: [MY-10-I](2-I]

A MENINGITIS, INTRACRANEAL BLEEDING , CEREBRAL TUMOR.
B. MENINGITIS, GLAUCOMA, ARTERITIS OF THE TEMPORAL ARTERY, WEGENER'S
GRANULOMATOSIS
C. MENINGITIS,SUBARACNOID BLEEDING , ISCHAEMIC STROKE
D. MENINGITIS,EXTRACRANEAL BLEEDING , CEREBRAL TUMOR.
2018, PAG: 3096-3107
END OF CASE
30.- 90-YEAR-OLD MAN WITH ALZHEIMER´S DISEASE IS IN THE INTERNAL MEDICINE WARD FOR
PNEUMONIA,YOU SUSPECT NORMAL PRESSURE HYDROCEPHALUS (NPH).
THE CLASSIC NPH TRIAD IS: [MY-10-To](3-III]
A ABNORMAL GAIT, DEMENTIA AND URINARY URGENCY/INCONTINENCE
B. ABNORMAL GAIT, DEMENTIA, DIMINISHED GLASGOW
C. DIMINISHED GLASGOW, DEMENTIA AND URINARY URGENCY/INCONTINENCE
D. URINARY URGENCY/INCONTINENCE, ABNORMAL WALK AND DIMINISHED GLASGOW.
2018, PAG: 3112
31.- MAN OF 34 YEARS THAT IS CARRIED To EMERGENCY ROOM AFTER RECEIVING A HIT IN THE
HEAD, WITH ALTERATION OF THE STATE OF CONSCIOUSNESS. IT PRESENTS OCULAR OPENING
When TALKING TO HIM, HIS PUPILS ARE ISOCHORIC, REACTIVE To THE LIGHT, WITH
PHOTOMOTOR And CONSENSUAL REFLEX PRESENT. KEEPS A DISORIENTED CONVERSATION
And IN HIS MOTOR RESPONSE SHE DOES not OBEY ORDERS, BUT LOCATES PAIN.
HER GLASGOW CORRESPONDS To A SCORE OF: [MY-10-And](2-III]
A 12 POINTS
B. 10 POINTS
C. 13 POINTS
D. 11 POINTS
ADAMS AND VICTOR'S (2014) PRINCIPLES OF NEUROLOGY. CRANIOCEREBRAL TRAUMA 10TH
EDITION. MC GRAW HILL. PP 893
32.- MAN OF 72 YEARS THAT IS CARRIED To EMERGENCY ROOM STUPOROUS. They REFER IT
SUFFERED A FALL FROM HIS OWN HEIGHT HITTING ITSELF IN THE HEAD 20 HOURS BEFORE,
WITHOUT PRESENTING SYMPTOMS UNTIL An HOUR AGO WHERE THE DETERIORATION OF THE
STATE OF CONSCIOUSNESS STARTED. To THE EXPLORATION YOU FINDS THAT AFTER THE FALL
HE INITIATED WITH DETERIORATION OF THE LEVEL OF CONSCIOUSNESS, PRESENTS MYDRIASIS
IN RIGHT EYE, WITH WEAKNESS OF LEFT EXTREMITIES.YOU ORDER A TOMOGRAPHY (SEE
IMAGE).
THE PATHOLOGY THAT THE PATIENT PRESENTS IS: [MY-10-And](1-III]
A SUBDURAL HAEMATOMA
B.EPIDURAL HEMATOMA
C.INTRACRANIAL HEMORRHAGE
D.SUBARACHNOID HEMORRHAGE
EDITION. MC GRAW HILL. PP 897.
33.- BOY OF 10 YEARS THAT IS TAKEN To EMERGENCY ROOM BY ALTERATION OF THE STATE OF
CONSCIOUSNESS, THE MOTHER COMMENTS THAT IT SUFFERED A FALL FROM HIS BICYCLE
SUSTAINING A HIT ON THE HEAD FROM SOME HOURS AGO, PRESENTING MOMENTARY LOSS
OF THE STATE OF CONSCIOUSNESS WITH IMMEDIATE RECOVERY. LATER THE PATIENT
PRESENTS CEPHALEA And VOMIT. To THE MOMENT OF THE EXPLORATION GLASGOW OF 10
POINTS, YOU REQUESTED A TOMOGRAPHY (SEE IMAGE).
THE INJURY OF THE PATIENT CORRESPONDS To: [MY-10-And](2-III]
A.RIGHT EPIDURAL HEMATOMA

B. RIGHT SUBDURAL HEMATOMA
C. LEFT SUBDURAL HEMATOMA
D. LEFT EPIDURAL HEMATOMA
(START OF CASE, 2)
34.- MAN OF 25 YEARS, THAT IS ATTENDED IN EMERGENCY ROOM BY ALTERATION OF THE
STATE OF CONSCIOUSNESS, HAD An ACCIDENT OF MOTORCYCLE STRIKING HIS HEAD 5 HOURS
ago.TO THE EXPLORATION HE ISSUES INCOMPREHENSIBLE SOUNDS, WITH LEFT PARESIA And
MYDRIASIS IN RIGHT PUPIL.YOU REQUEST A TOMOGRAPHY FINDING THE FOLLOWING IMAGE.
THE VESSEL THAT IS AFFECTED IN THIS TYPE OF BLEEDING IS: [MY-10-And](2-III]

A. MIDDLE MENINGEAL ARTERY
B. MIDDLE CEREBRAL ARTERY
C. LENTICULAR ARTERY
D. POSTERIOR CEREBRAL ARTERY
35.- THE ORIGIN OF THE MYDRIASIS THAT THE PATIENT PRESENTS HAS BEEN DUE TO: [MY-10-
And](2-I]
To- PRESENCE OF STEM HERNIATION
B- INJURY OF THE III CRANIAL NERVE
C- OCCIPITAL LOBE COMPROMISE
D- INJURY OF THE II CRANIAL NERVE
END OF CASE
36.- WOMAN OF 60 YEARS ATTENDS To CONSULTATION FOR PRESENTING ASTHENIA,

ADYNAMIA, VESPERTINE FEBRICULA , GLOBAL CEPHALEA, CONFUSSION And SOMNOLENCE OF
3 WEEKS OF EVOLUTION. To THE PHYSICAL EXPLORATION YOU OBSERVE FEVER OF 38° C,
SOMNOLENCE And DOUBTFUL RIGIDITY OF NAPE And PARESIA OF THE 6TH CRANIAL RIGHT
NERVE. YOU ORDER AN X-RAY OF THORAX WHERE YOU OBSERVE THICKENING OF THE PLEURA
ON THE RIGHT APICAL SIDE. BLOOD TESTS ARE REPORTED AS A NORMAL BIOCHEMICAL
PROFILE.YOU SUSPECT OF MENINGITIS SO YOU DECIDE TO TAKE A LUMBAR PUNCTURE WHICH
IS REPORTED WITH THE FOLLOWING RESULTS: 170 MMHG, PROTEINS 140 MG/DL, GLUCOSE 42
MG/DL, 270 CELLS (70% LYMPHOCYTES), TINCTION OF GRAM NEGATIVE.
THE DIAGNOSIS IS: [MY-10-G](3-III]
A.TUBERCULOUS MENINGITIS
B. VIRAL MENINGITIS
C.BACTERIAL MENINGITIS
D. ENCEPHALITIS CAUSED BY HERPEXVIRUS
2018, PAG: 998-1007
37.- MAN OF 20 YEARS OF AGE, WITHOUT ANTECEDENTS OF IMPORTANCE, IS CARRIED To

EMERGENCY ROOM BY INTENSE CEPHALEA , SOMNOLENCE, NAUSEA And VOMIT OF 24 HOURS
OF EVOLUTION. YOU PERFORM A PHYSICAL EXPLORATION WHERE IT STANDS OUT
SOMNOLENCE, RIGIDITY OF NAPE, LATERAL DEVIATION OF THE LEFT EYE And TEMPERATURE OF
39°C. EYE FUNDUS NOT ABLE TO EVALUATE BY NON-COOPERATING PATIENT. They TAKE 2
SAMPLES FOR BLOOD CULTURE
THES FOLLOWING STEP To DO IS: [MY-10-G](3-IV]
A ADMINISTER ANTIBIOTICS IV
B. SECURE AERIAL PATHWAY
C. PERFORM A CRANIAL C-T.
D. MAKE LUMBAR PUNCTURE
2018, PAG: 998-1007
(START OF CASE, 2)
38.- MAN OF 60 YEARS OF AGE, WITH ANTECEDENTS OF ALCOHOLISM And CHRONIC
BRONCHITIS IN TREATMENT WITH ORAL CORTICOIDS IS CARRIED To EMERGENCY ROOM BY A
CASE OF 3 DAYS OF EVOLUTION OF CEPHALEA, NAUSEA, VOMITS And FEBRICULA. IN THE
PHYSICAL EXPLORATION STANDS OUT FEVER OF 39°C, SOMNOLENCE And RIGIDITY OF NAPE.
IN FRONT OF THE CLINICAL SUSPICION And AFTER THE ANTECEDENTS, THE EMPIRICAL INITIAL
TREATMENT IS: [MY-10-G](3-IV]
A CEFTRIAXONE, VANCOMICIN And AMPICILLIN
B. CEFTRIAXONE
C. CEFTRIAXONE And VANCOMICIN
D. AMPICILLIN And VANCOMICIN
2018, PAG: 998-1007
39.- THE CLINICAL DIAGNOSIS IS: [MY-10-G](1-III]

A BACTERIAL MENINGITIS
B. BRAIN ABSCESS
C. EXACERBED COPD
D. VIRAL ENCEPHALITIS
2018, PAG: 998-1007
END OF CASE
(START OF CASE, 3)
40.- MAN OF 45 YEARS OF AGE, WITH ANTECEDENT OF SPLENECTOMY 2 YEARS ago BY
ABDOMINAL CLOSED TRAUMA, IS CARRIED To EMERGENCY ROOM BY PRESENCE OF NAUSEA,
VOMITING, INTENSE CEPHALEA And FEVER OF 2 DAYS OF EVOLUTION. To THE PHYSICAL
EXPLORATION HE PRESENTS FEVER OF 39° C, ARTERIAL PRESSURE OF 160/110 MMHG, CARDIAC
FREQUENCY OF 55 BEATS BY MINUTE, STUPOROUS, WITH ANISOCHORIC PUPILS , PARALYSIS OF
THE 6TH CRANIAL NERVE, SIGN OF KERNING POSITIVE. IN FRONT OF THE CLINICAL SUSPICION,
THE FOLLOWING STEP IN THE PROTOCOL OF HANDLE OF THIS PATIENT IS: [MY-10-G](3-IV]
A TAKING OF 2 SAMPLES FOR BLOOD CULTURE FROM 2 DIFFERENT PLACES
B. ADMINISTRATION OF IV ANTIBIOTICS OF WIDE SPECTRUM
C. TAKE A CRANIAL CT TO VALUE THE POSSIBILITY OF PERFORMING A LUMBAR PUNCTURE
D. MAKE LUMBAR PUNCTURE TO CONFIRM ETHIOLOGICAL DIAGNOSIS
2018, PAG: 998-1007
41.- BY THE CHARACTERISTIC CLINICS OF THE PATIENT, THE MOST FREQUENT ETHIOLOGICAL
AGENT IS: [MY-10-G](3-I]
A S. PNEUMONIAE
B. VIRUS SIMPLE HERPES
C. And. COLI
D. N. MENINGITIDIS
2018, PAG: 998-1007
42.- TO TREAT OF ACUTE VIRAL MENINGITIS, THE RESULTS OF THE STUDY OF CEREBROSPINAL
FLUID would CORRESPOND To: [MY-10-G](3-II]
A PLEOCITOSIS LINFOCITARIA + NORMAL PROTEINS + GLUCOSE NORMTo THE + PRESSURE OF
NORMAL EXIT
B. PLEOCITOSIS LINFOCITARIA + NORMAL PROTEINS + GLUCOSE DIMINISHED + PRESSURE OF
EXIT SLIGHTLY HIGH
C. PLEOCITOSIS WITH PREDOMINANCE OF NEUTROPHILE + HIGH PROTEINS + GLUCOSE
DIMINISHED + PRESSURE OF HIGH EXIT
D. PLEOCITOSIS WITH PREDOMINANCE OF NEUTROPHILE + NORMAL PROTEINS + HIGH
GLUCOSE + PRESSURE OF NORMAL EXIT.
2018, PAG: 998-1007
END OF CASE
43.- WOMAN OF 37 YEARS OF AGE, WHICH IS CARRIED To THE SERVICE OF EMERGENCY ROOM
AFTER PRESENTING ACCIDENT AUTOMOVILISTICO. THE VITAL SIGNS FIND STABLE, BUT IN THE
EXPLORATION EVIDENCÍA INABILITY TO WAKE UP BY MEANS OF EXTERNAL STIMULI, ABSENCE
OF CORNEAL REFLECTIONS, PUPILLARY, FARÍNGEOS, TENDINOSOS NEITHER PLANTED, WITH
DECREASE OF THE TONE OF THE MUSCLES OF THE EXTREMIDADES.
THE PATIENT PRESENTS: [MY-10-C](1-III]
A STATE OF COMMA
B. STATE ESTUPOROSO
C. VEGETATIVE STATE
D. MUTISMO ACINÉTICO
ADAMS And VITOR PRINCIPLES OF NEUROLOGY. ALLAN H. ROPPER, MARTIN A SAMUELS. 2011.
9ª EDITION. I CAPITULATE 17 COMA And DISORDERS OF THE CONSCIOUSNESS
44.- MAN OF 31 YEARS OF AGE, WHICH FINDS IN FLAT OF INTERNAL MEDICINE BY LOSS OF
SECONDARY CONSCIOUSNESS To TRAUMATIC BRAIN INJURY. THE PATIENT SHOWS WITH DEEP
APATHY, ABULIA, ONLY IN FRONT OF INTENSE STIMULATION CAN SPEAK WITH NORMALITY And
RELATE EVENTS OBSERVED IN THE RECENT And DISTANT PAST. THE COMPUTERIZED
TOMOGRAPHY OF SKULL SHOWS BILATERAL INJURY IN PREVIOUS ZONES OF FRONTAL LOBULES,
WITH PRESERVATION OF ROADS MOTORAS.
A MUTISMO ACINÉTICO
B. CATATONIA
C. ESTUPOR
D. SYNDROME OF ENCLAUSTRAMIENTO
45.- WOMAN OF 66 YEARS OF AGE, WITH ANTECEDENT OF ARTERIAL HYPERTENSION,

HIPERCOLESTEROLEMIA And TABAQUISMO OF 30 YEARS OF EVOLUTION, IS BROUGHT To THE
SERVICE OF EMERGENCY ROOM, HIS DAUGHTER REFERS THAT SINCE IT WOKE UP IN THE
MORNING THE PATIENT DOES not PRESENT CORPORAL MOVEMENTS NEITHER ARTICULATES
WORDS. To THE EXPLORATION NEUROLOGÍCA THE PATIENT SHOWS OPENING PALPEBRAL
SPONTANEOUS, BUT DOES not COMMUNICATE And DOES not HAVE CAPACITY TO REACT
SOMEHOW, SAVE WITH THE VERTICAL LOOK And AndL BLINK.
THE DIAGNÓTICO IS: [MY-10-C](2-III]
A STATE OF DESEFERENTACIÓN
B. VEGETATIVE STATE
C. MUTISMO ACINÉTICO
D. STATE OF MINIMUM CONSCIOUSNESS
(START OF CASE, 2)
46.- MASCULINE PATIENT OF 67 YEARS OF AGE, WITH ANTECEDENT OF DIABETES MELLITUS 2
And ARTERIAL HYPERTENSION DIAGNOSED 15 YEARS ago. IT IS BROUGHT To THE SERVICE OF
EMERGENCY ROOM BY SON, WHICH REFERS to FIND IT IN THE FLOOR And WITHOUT ANSWER
To VERBAL STIMULI NEITHER PAINFUL, MENTIONS THAT 8 MONTHS ago IT PRESENTED An
EPISODE OF ISQUEMIA CEREBRAL TRANSITORY. IN THE TOMOGRAFIA COMPUTERIZED OF SKULL
APPRECIATE COMPATIBLE DATA WITH VASCULAR ILLNESS ISQUÉMICA, ADEMAS OF
OCCLUSION OF TRUNK BASILAR.
THE STRUCTURE LESIONADA THAT BETTER EXPLAINS THE STATE OF CONCIENCIA CURRENT OF
THE PATIENT IS: [MY-10-And](3-II]
A RETICULAR SYSTEM ACTIVATOR
B. THALAMUS
C. DOMINANT HEMISPHERE
D. MESENSÉFALO
47.- THE OCCLUSION OF THE TRUNK OF THE ARTRIA BASILAR RELATES WITH: [MY-10-And](3-III]
A SYNDROME OF ENCLAUSTRAMIENTO
B. VEGETATIVE STATE
C. COMMA
D. MUTISMO ACINÉTICO
END OF CASE
48.- WOMAN OF 52 YEARS OF AGE, FINDS IN THE AREA OF INTENSIVE THERAPY BY

ASTROCITOMA THAT DID not ANSWER To TREATMENT. To THE EXPLORATION NEUROLÓGICA
SHOWS BREATH APNEUSTICA, CORNEAL REFLECTION ABOLISHED, BOBBING OCULAR And
PUPILS PUNTIFORMES MILDLY REACTIVE.
THE ANATOMICAL AREA WHERE SAnd FINDS THE TUMORACIÓN IS: [MY-10-B](2-II]
A PROTUBRANCIA
B. BULB RAQUÍDEO
C. MESENCEPHALON
D. CEREBRAL HEMISPHERE
2018, PAG: 645-646
49.- BOY OF 10 YEARS OF AGE IS CARRIED To SERVICE OF EMERGENCY ROOM FOR PRESENTING
CASE OF BEGINNING 3 DAYS ago WITH ALTERATION OF THE BEHAVIOUR, To THE CUAL ADD
VISUAL HALLUCINATIONS, CONFUSSION And FEVER, To THE PHYSICAL EXPLORATION FINDS
RIGIDITY OF NAPE.
THE DIAGNOSE IS: [MY-10-G](2-III]
A MENINGOENCEFALITIS
B. MENINGITIS
C. ENCEFALITIS
D. DISORDER ESQUIZOFRENIFORME
2018, PAG: 998-1007
(START OF CASE, 3)
50.- MAN OF 45 YEARS IS CARRIED To SERVICE OF EMERGENCY ROOM FOR PRESENTING CASE
OF BEGINNING 2 DAYS ago OF EVOLUTION WITH FIEBRE, ALTERATION OF THE BEHAVIOUR, AS
WELL AS VISUAL HALLUCINATIONS And CONFUSSION.
THE AGENT INVOLVED WITH MAYOR FRECUENCIA IN THIS PATHOLOGY IS: [MY-10-G](1-I]
A VIRUS OF SIMPLE HERPES
B. VIRUS OF HERPES ZOSTER
C. NEISSERIA MENINGITIDIS
D. ACANTAMOEBA
2018, PAG: 991-998
51.- THE FINDING OF THE LIQUID CEFALORRAQUÍDEO EXPECTED IS: [MY-10-G](2-II]

A PLEOCITOSIS LINFOCÍTICA, LIGHT ELEVATION OF THE CONCENTRATION OF PROTEÍNAS And
NORMAL FIGURE OF GLUCOSE
B. LEUCOCITOSIS WITH NEUTROFIIA, HIPERPROTEINORRAQUIA, HIGH FIGURE OF GLUCOSE
C. PLEOCITOSIS LINFOCTITICA, NORMAL PROTEINS, LOW GLUCOSE
D. LINFOCITOSIS, HIOERPROTEINORRAQUIA, LOW FIGURE OF GLUCOSE
2018, PAG: 991-998
52.- THE METHOD DIAGNOSE PRIMARY OF THIS PATHOLOGY IS: [MY-10-G](2-III]

A PCR OF LCR
B. BIOPSY OF ENCEPHALON
C. CROP OF LCR
D. DETECTION OF ANTIBODIES IN PERIPHERAL BLOOD
2018, PAG: 991-998
END OF CASE
53.- 12 YEAR OLD BOY IS BROUGHT TO CONSULTATION OF PAEDIATRICS TO PRESENT PRIATE 3

WEEKS WITH LETHARGY, AND HEADACHE, THE PHYSICAL EXAMINATION IS FEVER AND STIFF
NECK.
THE DIAGNOSIS IS: [MY-10-G](2-III]
A SUBACUTE MENINGITIS
B. CRONIC MENINGITIS
C. ENCEPHALITIS
D, MENINGOENCEPHALITIS
2018, PAG: 998-1007
54.- WOMAN OF 45 YEARS IS CARRIED To THE SERVICE OF EMERGENCY ROOM FOR

PRESENTING CONVULSIONS TONICO CLONICAS GENERALISED, NORMAL PHYSICAL
EXPLORATION To HIS ENTRY, DECIDES MAKE TOMOGRAFIA COMPUTERIZED IN WHICH they
FIND MULTIPLE INJURIES HIPERDENSAS IN PARENQUIMA OF APROXIMADAMENE 5 MM OF
DIAMETRO, COMPATIBLES WITH CYSTS OF CISTICERCOS. THE FOLLOWING IS SOME ACERCA OF
THE NEUROCISTICERCOSIS: [MY-10-G](3-II]
A To THE DEGENERARSE THE CYST OF THE CISTICERCO UNCHAINS An ANSWER INFLAMATORIA
THAT AT THE BEGINNING CAN TRANSLATE CLÍNICAMBODY IN A CONVULSION.
B. THE CYSTS OF CISTICERCOS ARE SINTOMÁTICOS FROM HIS IMPLANTATION IN PARENQUIMA
CEREBRAL
C. THE CYSTS OCASIONAN An ANSWER INFLAMATORIA EXTENSIVE THAT ELEVATES THE
PRESION INTRACRANEAL
D. THE CYSTS IN SYSTEM VENTRICULAR ARE SIEMPR ASINTOMATICOS
2018, PAG: 1009
55.- WOMAN OF 69 YEARS, IS CARRIED To CONSULTATION BY HIS DAUGHTER DUE TO THE FACT
THAT IT HAS PRESENTED ALTERATIONS IN THE MEMORY IN THE LAST 6 MONTHS, RELATIVE
REFERS THAT HIS MOTHER NO LONGER CAN CARRY HIS FINANCES, THAT When GOING OUT To
THE STREET IN OCCASIONS DOES not KNOW HOW RETURN To HIS HOUSE And THAT SPEAKS OF
WAY ENTRECORTADA “SINCE IT FORGETS THE WORDS THAT WENT To SAY”. To THE
EXPLORATION OF MENTAL FUNCTIONS FINDS THE SKILL OF THE CALCULATION ALTERED,
DIFFICULTY TO COPY DIAGRAM OF PENTAGONS INTERSECTADOS And CAN not REPEAT THE LIST
OF WORDS THAT SAID HIM PREVIOUSLY.
THE ANATOMICAL ALTERATION THAT will FIND IN THIS PATIENT IS: [MY-10-To](3-II]
A ATROPHY CORTICAL DIFFUSE And OF MEDIAL TEMPORARY LOBULES
B. ATROPHY CORTICAL DIFFUSE OF LOBULOS FRONTAL And CORE CAUDADO
C. ATROPHY CORTICAL DIFFUSE OF TEMPORARY LOBULES And BASAL GANGLIONS
D. ATROPHY CORTICAL DIFFUSE OF LOBULOS FRONTAL, TEMPORARY And GROOVED CORE
ROPPER A, BROWN R. PRINCIPLES OF NEUROLOGY OF ADAMS And VICTOR. MCGRAWHILL. 10ª
EDITION. 2014. CHAPTER 39: ILLNESSES DEGENERATIVAS OF THE SN
56.- To 68-YEAR-OLD MAN PRESENTS WITH To 2-YEAR HISTORY OF TREMORS OF THE RIGHT
HAND THAT DISAPPEAR WITH VOLUNTARY MOVEMENT. I HAVE IT HAVE NO PAST MEDICAL
HISTORY AND TAKES NO MEDICATIONS. ON PHYSICAL EXAMINATION, THE PATIENT IS ALERT
AND ORIENTED. I HAVE IT HAVE To RESTING TREMOR OF HIS HANDS THAT HAVE To PILL-
ROLLING QUALITY. HIS FACE IS EXPRESSIONLESS, AND HIS MOVEMENTS PLOUGH SLOW. I HAVE
IT HAVE DIFFICULTY GETTING OUT OF To CHAIR. THERE IS To DECREASE IN TONE AND
STRENGTH OF THE EXTREMITIES. DEEP TENDON REFLEXES PLOUGH DIMINISHED. THERE IS NO
BABINSKI RESPONSE.
THE TREATMENT FOR THIS PACIENT IS: [MY-10-To](3-IV]
A CARBIDOPA - L-DOPES
B. DONEZEPIL
C. AMANTADINE
D. MEMANTINE
EDITION. 2014. CHAPTER 39: ILLNESSES DEGENERATIVAS OF THE SN
(START OF CASE, 3)
57.- WOMAN OF 42 YEARS, ATTENDS To CONSULTATION FOR BEGINNING 5 DAYS ago WITH
PROGRESSIVE CASE OF WEAKNESS IN HEMICUERPO RIGHT, ACCOMPANIED OF FEELING OF
HORMIGUEO, IN ADDITION TO DISMINUCION OF THE VISUAL SHARPNESS OF THE EYE LEFT And
PAIN To THE MOVEMENT OF THIS EYE. IT TAKES HIM RM IN T2 FINDING INJURIES
HIPERTINTENSAS PERIVENTRICULARES And IN MARROW.
THE TREATMENT FOR An ACUTE SHOOT OF MULTIPLE SCLEROSIS IS: [MY-10-F](2-IV]
A METILPREDINISOLONA
B. AZIATROPINA
C. COPOLYMER
D. CICLOFOSFAMIDA
EDITION. 2014. CHAPTER 36 MULTIPLE SCLEROSES And OTHER ILLNESSES DESMIELINZANTES
58.- THE CLINICAL PRESENTATION MORE COMMON OF THIS ILLNESS IS: [MY-10-F](2-II]
A RECURRENT-REMITENTE
B. PRIMARY PROGRESSIVE
C. SECONDARY PROGRESSIVE
D.PROGRESSIVE RECURRENT
59.- IN CASE TO MAKE A PUNCIÓN LUMBAR WHAT FINDS IS: [MY-10-F](2-II]

A ELEVATION OF TOTAL PROTEINS And PLEIOCITOSIS OF PREDOMINANCE MONONUCLEAR
B. DISMINUCION OF TOTAL PROTEINS And PLEICITOSIS OF PREDOMINANCE MONONUCLEAR
C. ELEVATION OF GLUCOSE And PLEIOCITOSIS OF PREDOMINANCE MONONUCLEAR
D. ELEVATION GLUCOSE And PLEIOCITOSIS OF PREDOMINANCE POLIMORFONUCLEAR
END OF CASE
60.- MAN OF 39 YEARS, ATTENDS To CONSULTATION FOR NOTICING PROGRESSIVE MUSCULAR

WEAKNESS OF HIS 4 EXTREMITIES FROM DOES SOME MONTHS, MENTIONS THAT IT HAMPERS
HIM MAKE ACTIVITIES LIKE ABOTONAR HIS SHIRT And CLUMSINESS To THE MOMENT TO
WALK. To THE EXPLORATION NEUROLÓGICA: MUSCULAR STRENGTH OF EXTREMITIES
DIMINISHED, HIPERREFLEXITo, BABINSKI RIGHT, IN ADDITION TO ATROPHY And
FASCICULACIONES IN INFERIOR LIMB. THE SENSITIVITY And CRANIAL PAIRS DO not FIND
ALTERED.
THE DIAGNOSIS IS: [MY-10-F](3-III]
A ESCLEROSIS LATERAL AMIOTROFICA
B. MULTIPLE SCLEROSIS
C. NEUROPATHY MOTORA SUBAGUDA
D. PARALYSIS SUPRANUCLEAR PROGRESSIVE
61.- WOMAN OF 18 YEARS, WITH HISTORY OF ABSENCES BETWEEN THE 6 And 9 YEARS, TONIC
CRISIS-CLÓNICAS GENERALISED OF RECENT BEGINNING And VIOLENT JUMPS OF UPPER LIMB To
THE DESAYUNAR. THE CLINIC WORSENS WITH NOCTURNAL EXITS OF WEEKENDS. An
ELECTROENCEFALOGRAMA SHOWS DOWNLOADS OF POLIPUNTAS ACUTE To 6
CYCLES/SEGUNDO.
THE MOST LIKELY DIAGNOSIS IS: [MY-10-C](2-III]
A EPILEPSY MIOCLÓNICA JUVENILE
B. SYNDROME OF LENNOX GASTAULT
C. SMALL ATYPICAL EVIL
D. EPILEPSY FOCALIZADA HEAD OFFICE
TEST MEDICINE AMIR, 1ª EDITION, MARBÁN BOOKS, SPAIN, 2013, P.653
62.- MAN OF 18 YEARS THAT IS BROUGHT To EMERGENCY ROOM BY RELATIVE FOR

PRESENTING, WHILE IT WAS EATING, OCULAR And CEPHALIC DEVIATION To the right,
FOLLOWED OF LOSS OF SUDDEN KNOWLEDGE, DURING WHICH EVIDENCIARON TONIC
MOVEMENTS CLÓNICOS OF THE FOUR LIMB, OF SOME 4 MINUTES OF LENGTH, REMAINING
LATER IN DEEP DREAM DURING 2 HOURS.
THE DIAGNOSIS IS: [MY-10-C](3-III]
A CRISIS PARCITo THE SECUNDARIAMENTE GENERALISED
B. TONIC CRISIS CLÓNICA GENERALISED
C. SÍNCOPE VASOVAGAL + CRISIS MIOCLÓNICA
D. CRISIS PARTIALLY COMPLEX
TEST MEDICINE AMIR, 1ª EDITION, MARBÁN BOOKS, SPAIN, 2013, P.654
63.- MAN OF 40 YEARS, WITHOUT NOTABLE ANTECEDENTS, IS BROUGHT To EMERGENCY

ROOM FOR HAVING PRESENTED DEVIATION And THE HEAD LEFTWARDS, CONVULSIONS THAT
INITIATED IN LEFT LIMB And GENERALISED IMMEDIATELY To THE FOUR LIMB, WITH LOSS OF
CONSCIOUSNESS, VESICAL INCONTINENCE And STATE CONFUSSIONAL OF A HALF HOUR OF
LENGTH.
AS IT PREVAILRA MEASURE will HAVE TO MAKE: [MY-10-C](1-IV]
A CTCEREBRAL
B. ELECTROENCEFALOGRAMA
C. PUNCIÓN LUMBAR
D. DETERMINATION OF ALCOHOLEMIA
TEST MEDICINE AMIR, 1ª EDITION, MARBÁN BOOKS, SPAIN, 2013, P. 657
64.- WOMAN OF 30 YEARS OF AGE CURSANDO PREGNANCY OF 5 WEEKS OF GESTATION, WITH

ANTECEDENT OF EPILEPSY MIOCLÓNICA JUVENILE AT PRESENT IN TREATMENT WITH
FENITOÍNA. THE FUTURE MOTHER ASKS HIM IF THE TREATMENT DOES not HAVE ANY EFFECT
ON THE DRINKS.
THE EFFECT THAT will PRODUCE THE FENITOÍNA IN THE DRINKS IS: [MY-10-C](3-II]
A DEFICIENCIA OF FACTORS OF COAGULATION
B. HIPODESARROLLO And HIPOMOTILIDAD
C. EARLY SPONTANEOUS ABORTION
D. DEFICIENCY OF OSSIFICATION CONDRAL
TEST MEDICINE AMIR, 1ª EDITION, MARBÁN BOOKS, SPAIN, 2013, P. 657
65.- BOY OF 2 YEARS WHICH FINDS CONFINED IN THE FLAT OF PEDIATRICS BY A

GASTROENTERITIS, CALL HIM THE RELATIVE BY THAT THE BOY WAS “SHIVERING”. When
OBSERVING IT THE BOY HAS TONIC MOVEMENTS CLÓNICOS. IT FINDS AGITATED, RESPIRATORY
FREQUENCY 32, CARDIAC FREQUENCY 120 And TEMPERATURE OF 40 C, THIS HARD EPISODE
ROUGHLY 3 MINUTES. THE MOTHER CONSTERNADA ASKS HIM THE CAUSE OF THE
CONVULSION, IF HIS SON NUNCA HAD PRESENTED THIS CASE.
THE CAUSE OF THE CONVULSIÓN IS: [MY-10-C](1-I]
A FEVERISH CONVULSION
B. MENINGITIS BY TRANSLOCATION BACTERIANA
C. ACIDOSIS RESPIRATORY
D. MALFORMATION ARTERIOVENOSA CEREBRAL
2018, PAG: 3050-3068
66.- MAN OF 18 YEARS WHICH IS ADMITTED To EMERGENCY ROOM FOR PRESENTING BACK
CONVULSION To RECEIVE A PELOTAZO When PLAYING BEISBOL. To THE PHYSICAL
EXPLORATION OBSERVES FRACTURE And SINKING OFL To TEMPORARY PORTION OF THE SKULL.
THE PROBABILITY SO THAT THIS PATIENT PRESENTAnd EPILEPSY IN A FUTURE IS: [MY-10-C](2-V]
A 40-50%
B. 20-30%
C. 60-70%
D. 80-90%
2018, PAG: 3050-3068
67.- MAN OF 31 YEARS OF AGE, CONSULTATION BY DECREASE OF VISION OF RIGHT EYE,

ESTABLISHED IN 24 HOURS, And PAIN IN THIS EYE, THAT WORSENS WITH THE OCULAR
MOVEMENTS. IN THE EXPLORATION, ASCERTAINS OF THE STRAY OF VISUAL SHARPNESS, WITH
NORMALITY OF THE FONDOr OF EYE.
THE DIAGNOSIS IS: [MY-11-J](2-III]
A NEURITIS OrPTICA RETROBULBAR
B. MULTIPLE SCLEROSIS
C. DETACHMENT OF RETINA
D. ILLNESS OF DEVIC
HARRISON´S, PRINCIPLES OF INTERNAL MEDICINE, JEMESON, JL, KASPER, DL, LONGO, DL,
FAUCI, ACE, HAUSER, SL, LOSCALZO S, MCGRAW HILL, 20TH EDITION, 2018, PAG: 178
68.- MAN OF 48 YEARS OF AGE IS HOSPITALIZED AFTER An EPISODE OF SÍNCOPE, DOES A WEEK
HAD INFECTION VIRAL OF THE UPPER RESPIRATORY TRACTS, WITH NASAL CONGESTION, PAIN
OF THROAT And DRY COUGH. THE COUGH HAS PROGRESSED UNTIL CAUSING PÉRDIDAD THE
KNOWLEDGE TRANSITORIAMENTE.
THE CAUSE FISIOPATOLÓGICA OF THIS ATTACK OFBE WITH GREATER PROBABILITY To: [MY-11-
C](2-II]
A INCREASE OF PRESSURE INTRATORACICA, And DECREASE OF THE CHALLENGERNO VENOUS
VENTRICULAR RIGHT
B. PERIPHERAL VASODILATION BY CITOCINAS And CONSEQUENT ARTERIAL HYPOTENSION
C. INCREASE OF NICE TONE WITH TAQUICARDIA And DECREASE OF THE FILLED VENTRICULAR
D. HYPERTENSION INTRACRANEAL DURING THE COUGH BY VENOUS CONGESTION
FAUCI, ACE, HAUSER, SL, LOSCALZO S, MCGRAW HILL, 20TH EDITION, 2018, PAG: 123-124
(START OF CASE, 3)
69.- WOMAN OF 59 YEARS OF AGE CON CHANGES OF THE PERSONALITY, CEPHALEA
HOLOCRANEAL, HEMIPARESIS And HEMIHIPOESTESIA PROGRESSIVE SIDEWAYS LEFT OF MORE
THAN 1 MONTH OF EVOLUTION, IS CARRIED To HIS CONSULTORIO FOR PRESENTING FEBRÍCULA
And VOMIT NO PRECEDED OF NAUSEAS. DURING HIS EXPLORACIÓN NEUROLÓGICA will
CORROBORATE DEFICIT NEUROLÓGICO.
To THEF ONDO OF EYE will OBSERVE PROBABLY: [MY-11-B](1-II]
A PAPILEDEMA
B. ATROPHY OF THE OPTICAL NERVE
C. EXUDATES ALGODONOSOS
D. DEGENERATION MACULAR
70.- When MAKING HIM STUDIES OF NEUROIMAGEN, THE BUT LIKELY IS THAT THE DIAGNOSIS
WAS: [MY-11-B](3-III]
A ASTROCITOMA OF HIGH DEGREE
B. MENINGIOMA
C. PRIMARY LYMPHOMA OF THE SNC
D. ToBSCESO CEREBRAL
71.- THE TREATMENT IS WITH: [MY-11-B](3-IV]

To) EXTIRPATION QUIRUGICA+ RADIOTHERAPY + TEMOZOLOMIDA
B) ANTIBIÓTICOTERAPIA And DRAINAGE
C) RADIOTHERAPY, METOTREXATE And TITUXIMAB
D) RESECCIÓN SURGICAL ONLY
END OF CASE
72.- A MAN OF 43 YEARS OF AGE ATTENDS To THE SERVICE OF EMERGENCY ROOM WITH
FEVER, CEPHALEA, RIGIDITY OF NAPE And FOTOFOBIA. IN THE PHYSICAL EXAMINATION FOUND
HIM PAPILEDEMA And WEAKNESS IN HIS ARM And LEG IZQUIERDA.
THE FOLLOWING STEP IS: [MY-11-G](2-IV]
A ADMINISTER CEFTRIAXONA, VANCOMICINA And DEXAMETASONA
B. TC OF SKULL
C. ADMINISTER DEXAMETASONA
D. MAKE A PUNCIÓN LUMBAR
73.- MAN OF 85 YEARS OF AGE, IS BEING EVALUATED IN CONSULTATION FOR PRESENTING

DIFFICULTY IN THE COURSE. IT SAYS THAT WITH FREQUENCY GOES UP STAIRS Or WALKS IN
IRREGULAR SURFACES. IN THE EXPLORATION, FINDS THAT THE PROPIOCEPCIÓN ARTICULAR OF
THE FINGERS OF HIS FEET IS ABSENT.
THE PEOPLE WITH SENSE OF THE PROPIOCEPCIÓN ALTERED GENERALLY FALL IF they STOP AT
THE SAME TIME WITH THE TOGETHER FEET And To THE REALIZAR THE FOLLOWING
MANOEUVRE: [MY-11-B](2-II]
A CLOSE HIS EYES
B. EXTEND HIS ARMS IN FRONT OF HIS BODY
C. FLEXIONAR THE KNEES
D. FLEXIONAR THE NECK
74.- WOMAN OF 42 YEARS OF AGE, IS BEING EVALUATED FOR PRESENTING DIFFICULTIES OF

THE COURSE. IN THE EXPLORATION, FINDS THAT HIS CAPACITY TO WALK Along A STRAIGHT
LINE PLANTING THE HEEL OF A FOOT IN FRONT OF THE FINGERS OF THE ANOTHER FOOT SEES
AFFECTED.
THIS FINDING OBSERVES IN: [MY-11-B](2-II]
A DYSFUNCTION CEREBELOSA
B. DAMAGE IN THE PARIETAL LOBULE
C. DAMAGE IN THE TEMPORARY LOBULE
D. DISESTESIAS IN THE FEET
75.- RIGHT-HANDED WOMAN OF 56 YEARS PRESENTS To THE ROOM OF EMERGENCY ROOM

WITH A SUDDEN START OF CEPHALEA INTENSE UNILATERAL OF THE SIDE LEFT. THE PAIN
BEGAN WHEN SHE RAISED OF HIS ARMCHAIR WHILE IT SAW TELEVISION. THE TC OF SKULL IS
NORMAL.
THE FOLLOWING IS THE MOST APPROPRIATE STEP IN THE HANDLE OF THIS PATIENT: [MY-11-G]
(2-IV]
A MAKE A PUNCIÓN LUMBAR
B. ADMINISTER INTRAVENOUS HEPARIN
C. OBTAIN A MAGNETIC RESONANCE
D. OBTAIN An ANGIOGRAFÍA CEREBRAL
(START OF CASOr, 3)
76.- IT TREATS WOMAN OF 75 YEARS OF AGE WHICH HAS DEVELOPED A SERIES OF DISTINCTIVE
SYMPTOMS OF SLIGHT COGNITIVE DISORDER, BUT HAS RELATIVE ANTECEDENTS OF ILLNESS OF
ALZHEIMER, FOR WHICH IS BEING ATTENDED BY NEUROLOGIST. IT ATTENDS BECAUSE OF CASE
GRIPAL RECENT, WHICH WAS TREATED WITH SINTOMÁTICOS. IT BRINGS A TOMOGRAPHY BY
BROADCAST OF POSITRONES.
OF THE DIAGNOSIS OF SLIGHT COGNITIVE DISORDER, CONSIDERS THAT, To THE 4 YEARS, will
EVOLVE To THE ALZHEIMER IN A: [MY-11-To](3-II]
A 50%
B. 30%
C. 10%
D. 70%
HARRISONS, PRINCIPLES OF INTERNAL MEDICINE, CAP 448, PAG: 2598-2608. 19TH EDITION,
2015. WILLIAM W SEELEY. ALZHEIMER´S DISEASE
77.- When MAKING THE PUNCIÓN OF LIQUID CEFALORRAQUÍDEO THE BUT LIKELY IS THAT IT
FIND A COMBINATION OF: [MY-11-To](3-III]
A To-BETA42 DROP And TAU SLIGHTLY HIGH
B. To-BETA42 HIGH And TAU SLIGHTLY LOW
C. To-BETA44 HIGH And TAU NORMAL
D. To-BETA44 DROP And TAU SLIGHTLY LOW
78.- THE SYNDROME OF CAPGRAS THAT ACCOMPANIES To THE ILLNESS UNTIL IN 10%, IS USED
TO to DO IT DURING THE EVOLUTION To THE: [MY-11-To] (3-V)
A 10 MONTHS
B. 6 MONTHS
C. 2 YEARS
D. 3 YEARS
END OF CASE
(START OF CASE, 3)
79.- IT IS TRAIDA To EMERGENCY ROOM GIRL OF 9 YEARS DUE TO THE FACT THAT IT
PRESENTED FOR THE FIRST TIME PARTIAL CONVULSIONS, INDICATED HIM STUDIES THAT THE
PARENTS REFUSED OF START. 3 DAYS DESPUES ATTEND AGAIN DESPUES OF THE THIRD CRISIS
And THIS TIME LEAVE IT CONFINEA IT DOES not HAVE ANTECEDENTS OF IMPORTANCIA. To THE
PHYSICAL EXPLORATION DID not FIND DATA OF DEFICIT, NEITHER OTHER ABNORMALITIES. IT
MADE HIM CTOF SKULL.
OF AGREEMENT To CUDARO And STUDY THE FIRST POSIBUILIDAD DIAGNÓSTICA IS: [MY-11-G]
(2-III]
A CISTICERCOSIS
B. ASPERGILOSIS
C. CENUROSIS
D. TOXOPLASMOSIS
HARRISON, PRINCUIPLES OF INTERNAL OF MEDICINE, CAP 164, PAG: 902-903, KAREN L ROOS,
19TH EDITION, 2015. NEUROCYSTICERCOSIS
80.- THE FORM OF AFFECTATION OF THIS ILLNESS FINDS IN HIS PHASE: [MY-11-G](2-II]
A RACEMOSA
B. PARENCHYMATOUS
C. IMMUNE
D. SISTÉMICA
81.- To THE INCIAR THE TREATMENT OF THIS PATHOLOGY, THE FACT THAT they AGGRAVATE
THE SYMPTOMS INDICATES: [MY-11-G](2-IV]
A MEJORÍA BACK
B. INDEFINITE ANSWER
C. BAD ANSWER
D. COMPLICATIONS PORTERIORES
END OF CASE
(START OF CASE, 3)
82- ATTIENDE IN EMERGENCY ROOM MAN OF 48 YEARS OF AGE BROUGHT FOR PRESENTING
WEAKNESS OF LIMB THAT HAS EVOLVED QUICKLY IN 4 DAYS, PREDOMINANCE OF INFERIOR
LIMB, WITH DISESTESIAS And DIPARESIA FACIAL, And VERY RECENTLY DIFFICULTY FOR
DESALOJAR SECRETIONS. To THE PHYSICAL EXPLORATION DESCARTA THE PRESENCE OF
HYPERTHERMIA, WITH ABSENCE OF DEEP REFLECTIONS And LOSS ALMOST TOTAL OF
SENSITIVITY To THEFR ÍO And THE PAIN IN SEVERAL AREAS.
THIS CONDITION REACHES HIS MAXIMUM BEAK OF IMPAIRMENT IN THE WEEK: [MY-11-G](2-II]
A 4ª
B. 3ª
C. 5ª
D. 6ª
HARRISON´S PRINCIPLES OF INTERNAL MEDICINE, CAP 460, PAG 2694-2697, STEPHEN L
HAUSER, 2015. GUILLIAN-SWEEP SYNDROME
83.- THE FLUCTUATIONS OF THE ARTERIAL PRESSURE WITH HYPOTENSION POSTURAL And THE
POSSIBILITY OF ARRHYTHMIAS EXPLAINS BY: [MY-11-G](2-II]
A AUTONOMIC AFFECTATION
B. PARTICIPATION MIOCÁRDICA DIRECT
C. DAMAGE OF INFERIOR CRANIAL PAIRS
D. INJURY OF BULB RAQUÍDEO
84.- THE PATOGÉNESIS THAT MORE PROBABLY EXPLAINS THESE ALTERATIONS IS: [MY-11-G](2-
II]
A AUTOINMUNIDAD
B. INFLAMMATION CAUSED BY BACTERIA
C. EFFECT VIRAL
D. DEGENERATION BY PRIONS.
END OF CASE
85.- BROUGHT BY HIS RELATIVE To EMERGENCY ROOM, REVIEWS WOMAN OF 43 YEARS To

WHICH DETECTS HIM ALTERATIONS IN THE SPEECH, MENTIONING THAT HAS CARDIAC
ARRHYTHMIA FOR WHICH GIVE HIM CLOPIDOGREL And NEBIVOLOL. To THE EXPLORATION
FINDS WITH ALTERATIONS IN THE UNDERSTANDING, REPETITION OF THE LANGUAGE SPOKEN
And When APPOINTING THINGS Or PEOPLE, BUT WITH PRESERVATION OF HIS FLUIDITY When
SPEAKING, DIAGNOSES HIM APHASIA OF WERNIKE.
BY THE ANTECEDENTS And HAVING MADE TAC, THE DIAGNOSIS IS EMBOLISMO To THE ARTERY:
[MY-11-And](2-III]
A INFERIOR DIVISION OF THE CEREBRAL AVERAGE
B. BACK DIVISION OF THE CEREBRAL PREVIOUS
C. PREVIOUS DIVISION OF THE CEREBRAL AVERAGE
D. UPPER DIVISION OF THE CEREBRAL BACK
HARRISON'S PRINCIPLES OF INTERNAL MEDICINE, KASPER, FAUCI, HAUSER, LONGO, JAMESON
And LOSCALZO, VOL 1, 19TH EDITION, 2015, PAG: 178
86.- WOMAN OF 26 YEARS WITH ANTECEDENT OF A CASE OF ALTERATION SENSITIVA OF THE

LEFT LEG 6 MONTHS ago, ATTENDS To EMERGENCY ROOM BY A CASE OF OCULAR PAIN To THE
MOBILISATION OF THE RIGHT EYE And DECREASE OF THE VISUAL SHARPNESS OF 5 DAYS OF
LENGTH.
THE DIAGNOSIS IS: [MY-11-F] (3-III)
A MULTIPLE SCLEROSIS
B. LUPUS SISTÉMICO WITH CONDITION NEUROLÓGICA
C. VASCULAR PATHOLOGY TROMBOTICA
D. MIGRAINE WITH VISUAL AURA And CONDITION MOTORA
LONGO DAN L., FAUCI ANTHONY S., KASPER DENNIS L., HARRISON PRINCIPLES OF INTERNAL
MEDICINE, VOLUME 1, 18° EDITION, NEW YORK USES, 2010, PAGE 3400.
87.- MAN OF 32 YEARS THAT 2 YEARS ago WAS DIAGNOSED WITH MULTIPLE SCLEROSIS,
ATTENDS To EMERGENCY ROOM FOR PRESENTING PARAPARESIA SEVERE And PROGRESSIVE
THAT HAMPERS HIM THE WALK, THE CORRECT THERAPEUTIC ATTITUDE FOR THIS SITUATION IS:
[MY-11-F] (2-IV)
A PULSES OF METILPREDNISOLONA
B. REHABILITATION MOTORA INTENSE
C. IMMUNOGLOBULIN
D. PLASMAFERESIS DAILY UNTIL REFERENCE OF THE SHOOT
88.- WOMAN OF 62 YEARS PRESENTS IN THE AREA OF EMERGENCY ROOM REFERRING THAT 1
HOUR ago OF SUDDEN FORM AROSE A HEADACHE THAT SHE CATALOGUE LIKE THE WORST
HEADACHE OF HIS LIFE IS CONTEMPLATING THE POSSIBILITY THAT HIS DIAGNOSIS WAS A
BLEEDING SUBARACNOIDEA, THE STUDY INITIAL DIAGNOSIS MORE APPROPRIATE IS: [MY-11-
And] (2-III)
A TOMOGRAPHY OF SIMPLE SKULL
B. ANGIOGRAFÍA CEREBRAL
C. TOMOGRAPHY OF SKULL WITH CONTRAST
D. PUNCIÓN LUMBAR
89.- A WOMAN OF 27 YEARS OF AGE, DIAGNOSES HIM THE SYNDROME OF GUILLAIN-BARRÉ

AFTER PRESENTING A FLACCID PARALYSIS And SENSORY PERTURBATION OF SEVERAL WEEKS
AFTER An ILLNESS DIARREICA. THE MOST INVOLVED AGENT WITH THIS CASE IS: [MY-11-G] (3-
III)
A CAMPYLOBACTER JEJUNI
B. BARTONELLA HENSELAE
C. ESCHERICHIA COLI
D. PROTEUS MIRABILIS
90.- To 21-YEAR-OLD COLLEGE STUDENT IS ADMITTED TO THE HOSPITAL WITH MENINGITIS.

CEREBROSPINAL FLOW CULTURES REVEAL N. MENINGITIDIS TYPE B. THE PATIENT LIVES IN To
DORMITORY SUITE WITH FIVE OTHER STUDENTS. THE RECOMMENDED TREATMENT FOR THE
CLOSE HOUSEHOLD CONTACTS IS: [MY-11-G] (2-SAW)
A IMMEDIATE ADMINISTRATION OF CEFTRIAXONE TO ALL CLOSE CONTACTS
B. CULTURE ALL CLOSE CONTACTS AND OFFER PROPHYLAXIS TO THOSE WITH POSITIVE
CULTURE RESULTS
C. ADMINISTRATION OF RIFAMPIN TO ALL CLOSE CONTACTS
D. NO THERAPY NECESSARY
MEDICINE, VOLUME 1, 18° EDITION, NEW YORK USES, 2010, PAGE 1219
91.- MAN OF 50 YEARS OF AGE, WITHOUT ANTECEDENTS OF IMPORTANCE, THAT PRESENTS

COMPATIBLE CLINICAL CASE WITH MENINGITIS, To THE ONE WHO MAKES HIM PUNCIÓN
LUMBAR WHICH REPORTS CITOQUÍMICO And CYTOLOGICAL COMPATIBLE WITH INFECTION
BACTERIANA.
THE TREATMENT will HAVE TO BE WITH: [MY-11-G](1-IV]
To) CEFTRIAXONA And VANCOMICINA.
B) CEFUROXIMA And TAZOBACTAM.
C) AMPICILLIN And GENTAMICINA.
D) CLORANFENICOL And DICLOXACILINA.
BIBLIOGRAPHY: PRINCIPLES OF INTERNAL MEDICINE. HARRISON. MCGRAW HILL. EDITION 18A
2012. PÁG. 3416.
92.- IT REVIEWS WOMAN OF 39 YEARS BECAUSE IT REFERS PAIN To THE CONTACT OF THE SKIN
OF THE ARMS And FOREARMS FROM 3 DAYS ago, OF LIGHT INTENSITY, And To THE PHYSICAL
EXPLORATION FINDS THAT IT CAN DETECTR FACILMENTE THE LIGHT CONTACT. CAN CONCLUDE
THAT THE TYPE OF FIBRE THAT TRANSMITS THIS SENSACIÓN IS OF TYPE: [MY-11-J](2-II]
A To-BETA
B. To-DELTA
C. TYPE C
D. To-ALPHA
THE FIBRES To-ALPHA ARE THOSE THAT TRANSMIT THE FEELING OF CONTACTIO LIGHT,
WITHOUT TRANSMITTING FEELING OF PAIN, ONLY IN PATHOLOGICAL CASES. THE FIBRES To-
DELTA And OF TYPE C, INERVAN STRUCTURES SOMÁTICAS And VISCERAL And ANSWER To
STIMULI OF BIG INTENSITY.
93.- IT REVIEWS WOMAN OF 24 YEARS, WHICH ATTENDS BY PAIN IN BACK And CALF, WHICH
APPEARED BACK To EXHIBITION IN THE SUNLIGHT BY 3 HOURS, In spITe of HAVING USED
PROTECTIVE SOLAR. WITH A SIMPLE And LIGHT PALPATION CAUSES INTENSE PAIN And IN A
VERY LOCATED POINT.
To THIS FORM OF DISTORCIÓN OF THE SENSACIÓN PAINFUL CALLS HIM : [MY-11-J](3-II]
A To THEODINIA
B. HIPERALGESIA
C. DISALGESIA
D. HIPERBARALGESIA
AFTER SOME TYPE OF DAMAGE NEURÍTICO, THE RESULTANT SENSITISATION PRODUCES IN
FRONT OF STIMULI USUALLY INNOCUOUS, To WHICH DESIGNATES ALODINIA, WHICH
CONTRIBUTES To THE HIPERALGESIA, THIS LAST TERM APPLIES FOR THE EXAGGERATION OF A
PAINFUL STIMULUS OF IN CASE.
(START OF CASE, 2)
94.- To THE CONSULTORIO TOOK MAN OF 63 YEARS OF AGE BECAUSE OF PRESENTING PAIN OF
ARM And RIGHT LEGS, WITHOUT THAT DETECT IN APPEARANCE THE POSSIBLE CAUSE. IT IS
HIPERTENSO IN REGULAR CONTROL, BUT MENTIONS to HAVE HAD CEREBRAL INFARCT And IN
NOTE OF NEUROLOGY OF MENTIONS THAT I PRESENT INJURY TALÁMICA. THE PAIN HAS BEEN
VERY RESISTANT To THE TREATMENT.
THIS TYPE OF PAIN IS DESIGNATED: [MY-11-J](3-III]
A NEUROPÁTICO
B. NEURÍTICO
C. REFERRED
D. NEUROGÉNICO
THIS TYPE OF PAIN CALLED NEUROPÁTICO, HAS HIS ORIGIN To CENTRAL LEVEL, ALTHOUGH
SELF-EVIDENT IN REGIONS OF THE BODY MOVED AWAY, HAVING A CHARACTER URENTE And
PRODUCES OF WAY ESPONTANEA Or To THE MINIMUM CONTACT, DATA THAT ARE MIUY
PARTICULAR To THIS TYPE OF PAIN.
95.- IN THIS TYPE OF PATIENTS, THE MINIMUM REPETITIVE STIMULATION OF THE BESIEGED
REFERRED OF THE PAIN KNOWS HIM EAT: [MY-11-J](3-III]
A HIPERPATÍTo
B. DISESTESIA OF REDUCTION
C. HIPERESTESIA
D. DISESTESIA MULTIPLIED
THIS TYPE OF PAIN IS USED TO to ACCOMPANY OF DEFICITS OF SENSITIVITY AT THE SAME TIME
IN PLACES OF PAIN. THE HIPERPATÍA IS An ANSWER EXAGGERATED To MINIMUM Or
INNOCUOUS STIMULI, ESPECIALLY CUASNDO APPLY IN SHAPE REPETITIVE.
END OF CASE
96.- IT REVIEWS IN CONSULTATION WOMAN OF 81 YEARS THAT REFERS PAIN OF THE TYPE OF
THE NEURALGIA POSHERPÉTICA FROM 4 MONTHS ago. IT MENTIONS WORRY BY THE
POSSIBILITY TO PRESENT SECONDARY EFFECTS SINCE THE ONLY TREATMENT THAT HAS BEEN
EFFECTIVE And HAS TAKEN DURING THIS TIME IS An ANALGESIC OPIOIDE.
BETWEEN THE EFFECTS OF THE CHRONIC USE OF THIS TYPE OF MEDICINE OF BUT WORRY,
DEBERÁ MENCIONARSELE: [MY-11-J](3-IV]
A HIPERALGESIA INDUCED BY OPIOIDE
B. ADDICTION
C. INDUCTION OF CIERO TYPE OF MALIGNANCY
D. SEVERE TOLERANCE
THE USE OF OPIOIDES THIS VERY INDICATED On a long-term basis IN DOLORES RELATED WITH
MALINIDAD, ALTHOUGH SOME CONDITIONS LIKE THE CHRONIC NEURALGIAS CAN JUSTIFY IT.
THE ADDICTION IS RARE IN THESE CASES And ONE OF THE EFFECTS BUT FEARED IS THE
HIPERALGESIA CAUSED BY THE MEDICINE EMPERORANDO THE ORIGINAL PAIN.
(START OF CASE, 3)
97.- EVALUA IN CONSULTATION WOMAN OF 27 YEARS OF AGE WHICH REFERS CEPHALEAS
OCCASIONAL, 2-3 EPISODES To THE MONTH, OF MODERATE INTENSITY And LENGTH OF 40
MINUTES, WITH GOOD ANSWER To THE ACID ACETIL SALICÍLICO, HAS not DETECTED POSSIBLE
TRIGGERS, ALTHOUGH they TEND To BE OF PREDOMINANCE VESPERTINO.
INSIDE THE PRIMARY FORMS OF CEPHALEA THE CAUSE BUT FREQUENT IS: [MY-11-I] (2-III)
A TENSIONAL
B. MIGRAINE
C. IDIOPÁTICA
D. VASCULAR
INSIDE THE CEPHALEAS PRIMARY, THE ONE OF TENSIONAL TYPE IS THE CAUSE OF 69% OF THE
CASES, FOLLOWED OF THE ONES OF ORIGIN MIGRAÑOSA And IDIOPATICA. THE ONE OF
VASCULAR ORIGIN CONSIDERS SECONDARY.
98.- IN THE CASE THAT THE CEPHALEA HAD An ORIGIN NEUROLÓGICO ORGANIC, ONE OF THE
FOLLOWING STRUCTURES SERÍA THE CAUSANTE: [MY-11-I] (3-I)
A SICKLE OF THE CERECHO
B. PLEXORA COROIDEOS
C. VEINS PIALES
D. CEREBRAL PARENCHYMA
THE FOLLOWING STRUCTURES HAVE CONSIDERED GENERADORAS OF CEPHALEA: they ARE THE
SICKLE OF THE BRAIN, ARTERIES MENINGEAS, SCALP, BREASTS DURALES And PROXIMAL
SEGMENTS OF THE ARTERIAL PIALES. INSTEAD, THE EPÉNDIMO VENTRICULAR, THE PLEXUS
COROIDEO, VEINS PIALES And THE CEREBRAL PARENCHYMA, DO not PRODUCE PAIN.
99.- OF THE FOLLOWING CLINICAL DATA, THE FOLLOWING would BE THE ONE WHO HABLARIÁ
OF THE WORST PROGNOSIS: [MY-11-I] (2-V)
A VOMIT THAT PRECEDES To THE CEPHALEA
B. CEPHALEA SEVERE
C. AGE OF JUVENILE START
D. EXPLORATION NEUROLÓGICA NORMAL
THE FOLLOWING DATA would BE OF BAD PROGNOSIS IN FRONT OF THE APPARITION OF A
CEPHALEA: SUDDEN START And SEVERO, FIRST CEPHALEA OF BIG INTENSITY, VOMIT THAT
PRECEDES To THE CEPHALEA, EMPEORMIENTO PROGRESSIVE IN DAYS Or WEEKS, CEPHALEA
INDUCED BY THE COUGH Or When BENDING , AGE OF START AFTER THE 55
END OF CASE
100.- IT ATTENDS To CONSULTATION WOMAN OF 29 YEARS BECAUSE OF CEPHALEA THAT

START 10 DAYS ago, OF MODERATE INTENSITY THAT HAS INCREASED IN THE LAST 3 DAYS,
PRCATICAMENTE CONTINUOUS, WITH NAUSEAS And VOMITS, NO LOCATED BY WHAT
REQUESTS CTIN WHICH IT REPORTS INJURY PROBABLY TUMORAL IN REGION
FRONTOPARIETAL RIGHT. IT DOES not HAVE NINGUN DATA OF DEFICIT NEUROLÓGICO. I MAKE
HIM TAKING OF BIOPSY ESTEREOTÁXICA, REPORTANDOSE ASTROCITOMA DEGREE I.
THE PRESENCE OF CEPHALEA IN THIS TYPE OF TUMORS IS OF A: [MY-11-B] (2-II)
A 30%
B. 50%
C. 70%
D. 90%
ROUGHLY 30% OF THE PATIENTS WITH CEREBRAL TUMORS REFER CEPHALEA LIKE HIS MAIN
COMPLAINT. USUALLY IT IS OF LOCALIZAIÓN DEEP, WORSENS WITH THE EFFORT And IN SOME
POSITIONS And ACOMPAÑAÑA OF NAUSEAS And VOMITS.
101.- IT REVIEWS MAN OF 74 YEARS OF AGE, WITH ANTECEDENTS OF DIABETES And

HYPERTENSION WITH REGULAR CONTROL, WHICH HAS HAD CEPHALEA CHRONIC IN PENDANTS,
BUT IN THE LAST 3 WEEKS HAS NOTICED An INCREASE IN THE SEVERITY OF THE PAIN, And THE
FACT THAT When RAISING HEAVY OBJECTS Or When BENDING Or BEND EXECERBA IN SHAPE
IMPORTANT THE INTENSITY OF THE PAIN. IT DOES not PRESENT DATA To THE EXPLORATION
NEUROLÓGICA, BUT OBSERVES DOUBTFUL EDEMA OF PAPILLA, BY WHAT REQUESTS
TOMOGRAFIA, When SUSPECTING THE POSSIBILITY OF TUMORACIÓN CEREBRAL, THE
LOCATION BUT LIKELY IS: [MY-11-I] (3-III)
A BACK PIT
B. FRONTAL
C. STORM
D. PARIETAL
THE INTENSIFICATION OF THE CEPHALEA WITH THE POSITION, To THE INCLINATION, COUGH Or
EFFORT, SUGGESTS LOCATION IN THE BACK PIT, ALTHOUGH they HAVE TO DESCARTARSE
MALFORMATIONS OF THE NETWORK OF CHIARI And LOW VOLUME OF LIQUID
CEFALORRAQUIDEO LIKE OTHER CAUSES OF SAID EXACERBACIONES.
102.- IT ATTENDS To CONSULTATION WOMAN OF 54 YEARS OF AGE REFERRING HAVE BEEN

MULTITRATADA WITH ANALGESICS BECAUSE OF CEPHALEA IN HEMICRANEA LEFT OF SEVERAL
YEARS OF EVOLUTION, WHICH PRESENTS DAILY, AT LEAST 3 WEEKS To THE MONTH, WITH
LENGTH AVERAGE OF 3 HOURS And THAT ACCOMPANIES OF INJECTION CONUNTIVAL And
LAGRIMEO. IT DO not HAVE ANTECEDENTS OF IMPORTANCE And DO not FIND ABNORMAL
DATA To THE EXPLORATION.
OF AGREEMENT To THESE DATA THEIT PO OF CEPHALEA IS: [MY-11-I] (3-III)
A CEPHALEA NEURALGIFORME OF SHORT DAILY CHRONIC LENGTH
B. CEPHALEA HÍPNICA
C. CHRONIC MIGRAINE
D. ARTERITIS OF CÉLUKLAS GIANT
IN THE CLASSIFICATION OF THE CEPHALEAS CHRONIC DAILY Or ALMOST DAILY, DIVIDE OF
AGREEMENT To IF they LAST BUT Or LESS THAN 4 HOURS To THE DAY And IF they ARE
SECONDARY. OF AGREEMENT To THE CHARACTERISTICS MENTIONED IN THIS CASE, TREATS OF
A CEPHALEA NEURALGIFORME OF SHORT CHRONIC LENGTH THAT ACCOMPANIES OF
LAGRIMEO And CONJUNCTIVAL INJECTION, IS OF PRIMARY TYPE. THE FORM HÍPNICA DOES not
ACCOMPANY OF LAGRIMEO And THE HARD MIGRAINE BUT OF 4 HOURS, CONSIDERANDOSE
THE ARTERITIS OF SECONDARY TYPE And ACCOMPANIED OF OTHER CLINICAL DATA.
103.- IT REVIEWS IN CONSULTATION MAN OF 68 YEARS, WITH ANTECEDENT OF

HIPERCOLESTEROLEMIA And CEPHALEA CHRONIC OF TYPE MIGRAÑOSO, WITH REGULAR
ANSWER To ORAL MEDICINES And OCCASIONALLY REQUIRING ANALGESIC PARENTERALES.
RECIENTMENTE THE CONTRO, HAS BEEN BUT DEFICIENT, BY LOQ EU HAS TO CONSIDER THE
USE OF TREATMENT BUT EFFECTIVE.
THIS TREATMENTHAS TO BE WITH: [MY-11-1] (3-IV)
A ANTIBODIES MONOCLONALES AGAINST THE PÉPTICO RELATED To THE GENE OF
CALCITONINA.
B. ANTINFLAMATORIOS NO ESTEROIDEOS
C. ANTODEPRESIVOS TRICÍCLICOS
D. OPIOIDES Or BARBITÚRICOS
IT HAS RECOMMENDED THE USE DAnd ANTIBODIES MONOCLONALES AGAINST THE PEPTIDE
RELATED To THE GENE OF CALCITONINA Or HIS RECEPTOR, LIKE An EFFECTIVE MEDICINE And
SURE IN THE CHRONIC MIGRAINE. THE OTHERS MEDICINES HAVE RECOMMENDED IN OTHER
TYPES OF CEPHALEAS And ACCOMPANY OF BUT SECONDARY EFFECTS Or ARE INEFECTIVOS IN
THE MIGRAINE.
104.-

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NEUROLOGY

3.- THE FOLLOWING IS THE HAEMATOLOGICAL ALTERATION CHARACTERISTIC OF THIS

5.- WOMAN OF 25 YEARS IS CARRIED To EMERGENCY ROOM FOR PRESENTING HYPERTHERMIA,

9.- MAN OF 65 YEARS ATTENDS To SERVICE OF EMERGENCY ROOM BY CASE OF HEMIATAXIA.

10.- 3 YEAR-OLD-TODDLER GOES TO THE EMERGENCY ROOM BECAUSE OF HYPOACTIVITY. NO

A INTRAPARENCHIMATOUS BLEEDING CAUSED BY HYPERTENSION

12.- THE RECOMMENDED TREATMENT IS: [MY-10-B](2-IV]

13.- MAN OF 58 YEARS WITHOUT ANTECEDENTS OF INTEREST, ATTENDS To EMERGENCY ROOM

14.- MAN OF 76 YEARS ATTENDS To CONSULTATION FOR PRESENTING SUDDEN DISARTHRIA

15.- MAN OF 85 YEARS IS ADMITTED To EMERGENCY ROOM BY ACUTE CASE OF RIGHT

A ISCHEMIC INFARCTION OF THAVE LEFT MIDDLE CEREBRAL ARTERY

15.- MAN OF 68 YEARS, HOSPITALIZED BY MOTOR DISORDERS, SENSITIVE AFFECTION And

A LEFT MIDDLE CEREBRAL ARTERY

16.- MAN OF 73 YEARS ATTENDS To EMERGENCY ROOM BY A CASE OF 6 HOURS OF EVOLUTION

19.- THE ARTERY AFFECTED IS: [MY-10-And](1-III]

2.- ON WHICH SIDE IS THE INJURY LOCATED AT: [MY-10-B](2-II]

22.- A PATIENT OF 62 YEARS PRESENTS ALL OF SUDDEN FORM TERMO-ALGESIC HYPOESTHESIA

29.- WHICH OF THE FOLLOWING ARE CAUSES OF SECONDARY CEPHALEA?: [MY-10-I](2-I]

A.RIGHT EPIDURAL HEMATOMA

THE VESSEL THAT IS AFFECTED IN THIS TYPE OF BLEEDING IS: [MY-10-And](2-III]

36.- WOMAN OF 60 YEARS ATTENDS To CONSULTATION FOR PRESENTING ASTHENIA,

37.- MAN OF 20 YEARS OF AGE, WITHOUT ANTECEDENTS OF IMPORTANCE, IS CARRIED To

39.- THE CLINICAL DIAGNOSIS IS: [MY-10-G](1-III]

45.- WOMAN OF 66 YEARS OF AGE, WITH ANTECEDENT OF ARTERIAL HYPERTENSION,

48.- WOMAN OF 52 YEARS OF AGE, FINDS IN THE AREA OF INTENSIVE THERAPY BY

51.- THE FINDING OF THE LIQUID CEFALORRAQUÍDEO EXPECTED IS: [MY-10-G](2-II]

52.- THE METHOD DIAGNOSE PRIMARY OF THIS PATHOLOGY IS: [MY-10-G](2-III]

53.- 12 YEAR OLD BOY IS BROUGHT TO CONSULTATION OF PAEDIATRICS TO PRESENT PRIATE 3

54.- WOMAN OF 45 YEARS IS CARRIED To THE SERVICE OF EMERGENCY ROOM FOR

59.- IN CASE TO MAKE A PUNCIÓN LUMBAR WHAT FINDS IS: [MY-10-F](2-II]

60.- MAN OF 39 YEARS, ATTENDS To CONSULTATION FOR NOTICING PROGRESSIVE MUSCULAR

62.- MAN OF 18 YEARS THAT IS BROUGHT To EMERGENCY ROOM BY RELATIVE FOR

63.- MAN OF 40 YEARS, WITHOUT NOTABLE ANTECEDENTS, IS BROUGHT To EMERGENCY

64.- WOMAN OF 30 YEARS OF AGE CURSANDO PREGNANCY OF 5 WEEKS OF GESTATION, WITH

65.- BOY OF 2 YEARS WHICH FINDS CONFINED IN THE FLAT OF PEDIATRICS BY A

67.- MAN OF 31 YEARS OF AGE, CONSULTATION BY DECREASE OF VISION OF RIGHT EYE,

71.- THE TREATMENT IS WITH: [MY-11-B](3-IV]

73.- MAN OF 85 YEARS OF AGE, IS BEING EVALUATED IN CONSULTATION FOR PRESENTING

74.- WOMAN OF 42 YEARS OF AGE, IS BEING EVALUATED FOR PRESENTING DIFFICULTIES OF

75.- RIGHT-HANDED WOMAN OF 56 YEARS PRESENTS To THE ROOM OF EMERGENCY ROOM

85.- BROUGHT BY HIS RELATIVE To EMERGENCY ROOM, REVIEWS WOMAN OF 43 YEARS To

86.- WOMAN OF 26 YEARS WITH ANTECEDENT OF A CASE OF ALTERATION SENSITIVA OF THE

89.- A WOMAN OF 27 YEARS OF AGE, DIAGNOSES HIM THE SYNDROME OF GUILLAIN-BARRÉ

90.- To 21-YEAR-OLD COLLEGE STUDENT IS ADMITTED TO THE HOSPITAL WITH MENINGITIS.

91.- MAN OF 50 YEARS OF AGE, WITHOUT ANTECEDENTS OF IMPORTANCE, THAT PRESENTS

100.- IT ATTENDS To CONSULTATION WOMAN OF 29 YEARS BECAUSE OF CEPHALEA THAT

101.- IT REVIEWS MAN OF 74 YEARS OF AGE, WITH ANTECEDENTS OF DIABETES And

102.- IT ATTENDS To CONSULTATION WOMAN OF 54 YEARS OF AGE REFERRING HAVE BEEN

103.- IT REVIEWS IN CONSULTATION MAN OF 68 YEARS, WITH ANTECEDENT OF

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