Neurodegenerative Diseases USMLE Step 1 Practice Question
A 31 year old woman presents with blurry vision in her right eye and pain with eye movement for 2 days. Six months ago she had transient numbness of the left leg that resolved spontaneously. Examination shows decreased visual acuity in the right eye and an afferent pupillary defect. MRI of the brain shows multiple periventricular plaques. Which of the following is the most likely diagnosis?
Answer choices
- AMultiple sclerosisCorrect answer
- BAcute inflammatory demyelinating polyradiculoneuropathy
- CNeuromyelitis optica due to peripheral nerve demyelination
- DSubacute combined degeneration
- EProgressive supranuclear palsy
- FMyasthenia gravis
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