New week, new #USMLE-style questions! Answer this weeks four (4) questions correctly to win a free month of Firecracker! Answers MUST include your reasoning and be submitted before we reveal correct answers the following mornings. Monday - Diagnosis A 36-year-old man presents to his primary care physician with recent onset of tremor. His wife states that he has experienced periods of muscle stiffness and pain and that his skin has progressively acquired a yellow hue. The patient admits to having dark urine and light-colored stool. Review of systems is otherwise unremarkable. On physical exam, he is visibly jaundiced with Parkinsonian features, including cogwheel rigidity, akinesia, and postural instability. On fundoscopic examination, a golden crescent is noted on the superior aspect of the cornea. Which of the following lab results would be expected for this patient? A) ↑ urinary copper, ↓ serum ceruloplasmin, ↓ copper on liver biopsy B) ↑ urinary copper, ↓ serum ceruloplasmin, ↑ copper on liver biopsy C) ↑ urinary copper, ↑ serum ceruloplasmin, ↓ copper on liver biopsy D) ↑ urinary copper, ↑ serum ceruloplasmin, ↑ copper on liver biopsy E) ↓ urinary copper, ↓ serum ceruloplasmin, ↑ copper on liver biopsy firecracker.me
Posted on: Mon, 28 Jul 2014 17:39:32 +0000