Congenital central hypoventilation syndrome

Congenital central hypoventilation syndrome
A 32-year-old female presents with episodes of high blood pressure, sud-
den fevers, and vomiting without an infectious etiology. She also states
her eyes are dry, and she has decreased ability to form tears. She is very
anxious and occasionally irritable. She states there may be someone in
the family with similar complaints but is not sure. What is the most likely
diagnosis?
A. A variant of Guillain-Barré syndrome
B. Charcot-Marie-Tooth disease type Va
C. Riley-Day syndrome
D. Korsakoff’s syndrome
E. None of the above
50. Congenital central hypoventilation syndrome (CCHS) is sometimes asso-
ciated with what abnormality?
A. Shoulder dystocia
B. Absence of parasympathetic ganglion cells in the colon
C. Diabetes insipidus
D. Horner’s syndrome
51. A 72-year-old male presents with weakness and decreased sensation in his
left leg up to his hip as well as hyperreflexia. What is the most likely cause?
A. Right anterior cerebral artery occlusion
B. Left MCA occlusion
C. Left posterior cerebral artery occlusion
D. Right superior cerebellar artery occlusion
E. None of the above
52. A 64-year-old female presents with bilateral upper and lower extremity
muscle atrophy, fasciculations, and hyperreflexia. What is the most likely
etiology?
A. Guillain-Barré syndrome
B. ALS
C. Tertiary syphilis
D. Brown- Séquard syndrome
E. Syringomyelia
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