Question

The neurologic examination finding of Argyll Robertson pupils occurs in a majority of patients with which one of the following conditions:

A. Lyme disease
B. Multiple sclerosis
C. Tabes dorsalis
D. Bubonic plague
E. Intracerebral aneurysm

Answer 1

Argyll Robertson pupils are commonly associated with tabes dorsalis, a symptom of neurosyphilis, and are not a typical finding in Lyme disease, multiple sclerosis, bubonic plague, or intracerebral aneurysm.

Step-by-step explanation:

The neurologic examination finding of Argyll Robertson pupils is primarily associated with tabes dorsalis, which is a late manifestation of neurosyphilis. Argyll Robertson pupils are characterized by pupils that constrict when focusing on a near object (accommodation) but do not constrict when exposed to bright light (they accommodate but do not react). Other conditions such as Lyme disease, multiple sclerosis (MS), bubonic plague, and intracerebral aneurysm are not typically associated with this specific pupil anomaly.