1) 66 year old man with hypertension, DM type 2 brought into ER with sudden onset of left eye dropping, double vision, and mild weakness of hand and legs. BP 155/99 mg hg. Exam shows droopy left eye and in primary gaze, the left eye is exotropic and somewhat lower than the right. Also slowed finger movement on right, pronator drift, and mild hyperreflexia (all on right side).
lesion and diganosis?
a)angular gyrus (gerstman syn)
b)dorsal lateral thalmus (dejerine-roussy syn)
c)Lower meddula (wallengburg)
d)lower midbrain (weber)
e) upper spinal cord (horners)
is it e?
2) 6 year old boy with fever and sever paroxysmal barking coughs. Has not been immmunized. leuckocyte count 30,000 (75%). Neutrophil chemotaxis and oxidative metabolism are defective due to increased activity of?
a) adenyl cyclase
b) myelporoxidase
c) NADPh oxidase
d) phospholipase C
e) proteri kinase c
thanks!!!