Mathematic Quiz
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A 32-year-old woman visits her doctor complaining of intermittent tingling and numbness in her legs that started a few months ago. She also mentions experiencing occasional blurry vision, extreme fatigue, and difficulty maintaining balance while walking. A neurological exam reveals weakness in her lower limbs and hyperreflexia. An MRI of her brain shows multiple white matter lesions, and a lumbar puncture reveals oligoclonal bands in the cerebrospinal fluid.
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The patient's symptoms of intermittent tingling, numbness, blurry vision, fatigue, and balance difficulties are classic signs of multiple sclerosis (MS), a chronic autoimmune disease that affects the central nervous system. The presence of white matter lesions on MRI and oligoclonal bands in the cerebrospinal fluid further supports this diagnosis.
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10+20
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5*40
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150/3
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