ABSTRACT

For each of the following scenarios, select the most likely underlying physical cause. Each option may be used once, more than once or not at all.

1. A 58-year-old woman presents to the emergency department hearing voices. Her partner has noticed increased irritability, restlessness, change in behaviour and loss of libido over the past 2 months. On examination, she has a fine tremor, is underweight and has an irregular pulse.