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MMLU-Pro / 6665 / A 77-year-old man is brought to the physician because of a 12-hour history of…

Problem

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question

A 77-year-old man is brought to the physician because of a 12-hour history of word-finding difficulty and weakness and sensory loss of the right arm and leg. He has no history of similar symptoms. He has type 2 diabetes mellitus, hypertension, and atrial fibrillation. Current medications include metformin, lisinopril, and aspirin. He is alert. His pulse is 80/min and irregular, respirations are 16/min, and blood pressure is 170/90 mm Hg. He follows commands but has nonfluent aphasia. There is moderate weakness and decreased sensation of the right upper and lower extremities. Deep tendon reflexes are 2+ bilaterally. Babinski sign is present on the right. His serum glucose concentration is 162 mg/dL. Which of the following is the most appropriate next step in diagnosis?

category

health

options

  1. Echocardiogram
  2. Serum electrolyte test
  3. CT scan of the head
  4. Blood culture
  5. Lumbar puncture
  6. Carotid duplex ultrasonography
  7. MRI of the spine
  8. Chest X-ray
  9. Thyroid function test
  10. EEG

src

ori_mmlu-professional_medicine

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Source and history

upstream_id / Original problem ID
6665
task_id
769b543f-887b-5bc9-8157-0f59b5fdcae0
task_key
default--test--6665
task_revision_id
1
config / split
default / test

Official source

initial import