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53547 Anatomy

All except one are true regarding medial longitudinal fasciculus

AMLF connects cranial nerve nuclei of oculomotor, trochlear, and abducens nerve.
BIt integrates movements directed by gaze centers and information about head movement
CMLF is found on each side of brainstem near midline ,dorsal to periaqueductal grey matter
DAscending MLF arises from superior and medial vestibular nucleus- vestibulo-ocular reflex
Anatomy
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53549 Surgery

A 90-year-old male complains of hip and back pain. He has also developed headaches, hearing loss, and tinnitus. On physical exam the skull appears enlarged, with prominent superficial veins. There is marked kyphosis, and the bones of the leg appear deformed. Plasma alkaline phosphatase is elevated. A skull x-ray shows sharply demarcated lucencies in the frontal, parietal, and occipital bones. X-rays of the hip show thickening of the pelvic brim. The most likely diagnosis is

AMultiple myeloma
BPaget's disease
CHypercalcemia
DMetastatic bone disease
Surgery
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