A patient has tremors, bradykinesia, and abnormal gait. The patient is taking anticholinergics; however, the symptoms are aggravated. A neurologist treats the patient with deep brain stimulation. Which condition is being described?

Cerebral aneurysm

Multiple sclerosis

Amyotrophic lateral sclerosis

Parkinson disease

Answer and Explanation

The Correct Answer is D

A. Cerebral aneurysm:

A cerebral aneurysm involves a bulging blood vessel in the brain, which could lead to rupture and bleeding. It is not associated with tremors or bradykinesia.

B. Multiple sclerosis:

MS involves demyelination causing muscle weakness and visual disturbances, but not primarily tremors and bradykinesia.

C. Amyotrophic lateral sclerosis (ALS):

ALS affects motor neurons, leading to muscle weakness and atrophy, but does not typically present with tremors or benefit from deep brain stimulation.

D. Parkinson disease:

Parkinson disease features tremors, bradykinesia (slow movements), and abnormal gait. Deep brain stimulation is an advanced therapy for symptom management in Parkinson’s.

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Correct Answer is C

Explanation

A. Bladder cancer:

Bladder cancer is treated through surgery, chemotherapy, or radiation, but not by "chemical castration."

B. Testicular cancer:

While testicular cancer may involve treatments that affect hormones, chemical castration is typically not a treatment for testicular cancer.

C. Prostatic cancer:

Prostatic cancer (prostate cancer) is often treated with chemical castration (using medications such as LHRH agonists or anti-androgens) to reduce testosterone levels and slow tumor growth.

D. Urethral cancer:

Urethral cancer is rare and treated with surgery or chemotherapy, not chemical castration.

A. GERD B. Crohn disease C. Peptic ulcers D. Pancreatitis

Correct Answer is B

Explanation

A. GERD (Gastroesophageal Reflux Disease):

GERD causes heartburn and regurgitation, not RLQ pain or diarrhea.

B. Crohn disease:

Crohn's disease (regional enteritis) causes chronic inflammation that can affect any part of the GI tract, often terminal ileum (RLQ pain), with diarrhea and weight loss.

C. Peptic ulcers:

Peptic ulcers cause epigastric pain, typically related to meals, not chronic RLQ pain or diarrhea.

D. Pancreatitis:

Pancreatitis causes epigastric pain radiating to the back, not right lower quadrant pain or chronic diarrhea.

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A patient has tremors, bradykinesia, and abnormal gait. The patient is taking anticholinergics; however, the symptoms are aggravated. A neurologist treats the patient with deep brain stimulation. Which condition is being described?

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Naxlex Comprehensive Predictor Exams

Which type of cancer may be treated with what is commonly referred to as "chemical castration"?

Correct Answer is C

Explanation

A patient has a chronic digestive disease characterized by intermittent abdominal pain in the right lower quadrant, diarrhea, and loss of appetite. This condition is sometimes referred to as regional enteritis. Which condition does this patient have?

Correct Answer is B

Explanation

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