Multiple choice questions: general practice
Test yourself with these questions from OnExamination
A 35 year old woman presents with three episodes of visual loss. She has recently developed an ataxic gait and often drops objects from her grip. On examination, her speech is slurred and there is evidence of dysdiadochokinesia.
Fundoscopy was performed and the view is pictured below (fig 1).
A 19 year old woman presents with a four month history of secondary amenorrhoea. She has lost about 8 kg over this time and has a body mass index of 17.4 kg/m2.
Which of the following is the most likely diagnosis?
C is the correct answer. The fundal image shows a pale, clearly delineated disc. This is typical of optic atrophy.
The three leading causes of optic atrophy are multiple sclerosis, compression of the optic nerve, and glaucoma.
Given the history of what may be recurrent optic neuritis and cerebellar signs in a young patient, the most likely diagnosis is multiple