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Neurology MOC Sample Question 1

The most common yet treatable cause of embolic stroke in older patients is?

  • AValvular heart disease
  • BCongestive heart failure
  • CCardiomyopathy
  • DAtrial fibrillation
  • ECardiac arrest
Neurology MOC Sample Question 2

A young woman who was recently diagnosed with Wilson’s disease, an autosomal recessive condition, in which copper accumulates in the brain, liver, and cornea. She recently found that she is pregnant and would like to know whether during pregnancy she should be treated. You counsel the patient and suggest the following

  • ATreatment is not recommended during pregnancy as risks of treatment by far outweigh the benefit, given that the disease has no impact on fetal health.
  • BTreatment of Wilson’s disease is recommended during pregnancy, as untreated patients may develop fatal liver failure or hemolytic anemia, while the fetus may develop liver damage and copper accumulation. D-penicillamine is the treatment of choice.
  • CTreatment of Wilson’s disease is recommended during pregnancy, as untreated patients may develop fatal liver failure or hemolytic anemia, while the fetus may develop liver damage and copper accumulation. Trientene is the treatment of choice.
  • DAlthough treatment is generally not recommended during pregnancy, D-Penicillamine is harmless to the fetus and could be used safely.
  • ETreatment of Wilson’s disease is recommended during pregnancy, as untreated patients may develop fatal liver failure or hemolytic anemia, while the fetus may develop liver damage and copper accumulation. Zinc acetate is the treatment of choice.

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