Neurological and Musculoskeletal Disorders (Vignette Questions and Answers) Vignette Student Response Questions and Answers Vignette 22: Traumatic Brain Injuries (TBIs) A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. EMS on the scene noted a stellate […]
Vignette Student Response Questions and Answers Vignette 21: Spinal Cord Injury (SCI) A 22-year-old male was an unrestrained front seat passenger of a car traveling at 50 miles per hour. The driver swerved to avoid hitting a deer that darted in front of the car and hit a tree. The patient was ejected from the vehicle. He was awake and alert at the scene when the paramedics arrived, and his pupils were equal […]
Neurological and Musculoskeletal Disorders (Vignette Questions and Answers) Vignette 20: Alzheimer’s Disease (AD) A 67-year-old male presents to the clinic along with his family with a chief complaint of having problems with his short-term memory. His family had dismissed these problems and attributed them to the aging process. Over time they have noticed changes in his behavior, along with increased confusion and difficulty completing basic tasks. He got lost driving home from the […]
Vignette Student Response Questions and Answers Vignette 19: Myasthenia Gravis (MG) 61-year-old male complains of intermittent weakness and muscle fatigue that has progressively worsened over the past month. He was an internationally known extreme mountain climber but now he says he has difficulty in getting his morning paper. Initially he thought his symptoms of profound leg weakness and fatigue were due to […]
Vignette 18: Multiple Sclerosis (MS) A 32-year-old while female presents to the Urgent Care with complaints of blurry vision and “fuzzy thinking” which has been present for the last several weeks or so. She works as an executive for an insurance company and put her symptoms down to the stress of preparing the quarterly report. Today, she noticed that […]
Neurological and Musculoskeletal Disorders (Vignette Questions and Answers) Vignette Student Response Questions and Answers Vignette 17: Status Epilepticus A 24-year-old Caucasian male was brought to the Emergency Room (ER) by Emergency Medical System (EMS) after suffering a “convulsion” episode at work that didn’t stop. Upon arrival to the ER, the patient was noted to be […]
Neurological and Musculoskeletal Disorders (Vignette Questions and Answers) Vignette Student Response Questions and Answers Vignette 16: Lateral Epicondylitis A 17-year-old male presents to the clinic with a chief complaint of pain in his right elbow. He says the pain is sharp, especially with pronation and supination. He noticed the pain several weeks ago after his tennis team went to a regional competition. When he rests, […]
Vignette Student Response Questions and Answers Vignette 15: Ankylosing Spondylitis (AS) A 32-year-old Caucasian male presents to the office with complaints of back pain, stiffness, especially in the morning, interrupted sleep due to pain, and difficulty in leaning over to tie his shoes. The patient first noticed these symptoms about 6 months ago but attributed them to his weekend basketball team’s games. He said […]
Vignette Student Response Questions and Answers Vignette 14: Rheumatoid Arthritis A 42-year-old woman presents to the clinic with a four-month history of generalized joint pain, stiffness, and swelling, especially in her hands. She states that these symptoms have made it difficult to grasp objects and has made caring for her 6 and 4-year-old children problematic. She admits to increased fatigue, but she thought it was due to her stressful job as well as being a single mother. No […]
Neurological and Musculoskeletal Disorders (Vignette Questions and Answers) Vignette Student Response Questions and Answers Vignette 13: Osteoporosis A 72-year-old female was walking her dog when the dog suddenly tried to chase a squirrel and pulled the woman down. She tried to break her fall by putting her hand out and she landed on her outstretched hand. She immediately felt severe pain in […]
