Monday, September 3, 2018
Repeated USMLE Questions Step 2 CK- 264
A 32 year old woman who is recently divorced visits her physician for visual disturbances. The patient complains of trouble vision for 3 days. On examination, tunnel vision is detected along with marked weakness of planter flexion although the patient can walk on her tiptoes without any complaint. All laboratory tests and imaging studies are normal.
What is the most likely diagnosis of this patient?
A- Conversion disorder
C- Multiple sclerosis
D- Transient ischemic attack
This patient’s history is significant for a recent stressful event and sudden progressive visual disturbance. Conversion disorder is diagnosed when thorough physical examination and tests are normal and don’t match with the patient’s symptoms. Other options show physical signs along with abnormal lab tests and/or imaging.
The correct answer is A