A 38-year-old woman presents with rapidly progressive ascending flaccid paralysis following a respiratory infection, which. Reflexes are absent. She is alert and cranial nerves are intact. She was subsequently diagnosed with Guillain-Barré syndrome. Which of the following is most consistent with her diagnosis?

A man with a history of infertility undergoes ultrastructural examination of his sperm, revealing normal heads but absence of flagella. Which specific step of spermiogenesis is likely impaired?

A 58-year-old woman presents with left-sided facial paralysis, hearing loss, and ataxia. On exam, she has decreased pain and temperature sensation on the right side of the body and left side of the face. Where is the lesion most likely located?

A lesion affecting the hypoglossal canal results in tongue deviation toward the side of the lesion. Which cranial nerve is involved, and what is its type?

A 62-year-old patient with a traumatic brain injury becomes progressively obtunded. Neurologic exam reveals a dilated right pupil unresponsive to light and left-sided hemiparesis. What type of herniation is most likely?

9. What is Wheatley’s main message in this poem?

A 34-year-old couple presents for infertility evaluation. The male partner has normal sperm count and motility, but in vitro studies show the sperm are unable to penetrate the zona pellucida. Which of the following steps in fertilization is most likely impaired?

3. Which Enlightenment ideals are most reflected in Franklin’s autobiography?

7. How does The Legend of Sleepy Hollow reflect American themes?

5. How does Las Casas use vivid imagery and emotion to persuade his audience?