Directions:
Try the USMLE Step 3 questions below, pick one best answer from the choices below, then check your answer by clicking on the “get answer” button to see how you did.
Question:
A 68-year-old woman comes to the clinic because of a history of severe headaches for the last few months. She has also been having progressive trouble writing and speaking and occasional urinary incontinence. Over the past 2 days she has been having problems with balance and has been “walking like a drunk”. She has a history of chronic low back pain, heart palpitations, gallbladder surgery, a hysterectomy 20 years ago for uterine cancer, and polio and rheumatic fever as a child. The most appropriate management of this patient is toA. Administer erythromycin, intravenously
A. Order a brain MRI next month if symptoms persist
B. Order a head CT today
C. Prescribe oxybutynin and reexamine her in 1 week
D. Send her for electromyography and nerve conduction studies tomorrow
E. Send her to a urologist
