A 68-Year-Old Man Is Evaluated for Visual Loss in the Left

question 121

Multiple Choice

A 68-year-old man is evaluated for visual loss in the left eye that resolved spontaneously within several hours.  The patient has a history of hypertension, type 2 diabetes mellitus, coronary artery disease, and ischemic cardiomyopathy.  He has smoked a pack of cigarettes daily for the past 40 years.  Physical examination reveals a left carotid bruit but no neurologic deficits.  A carotid duplex ultrasound shows 85% stenosis of the left internal carotid artery, and carotid angiography with stenting is performed.  During the procedure, atherosclerotic debris embolize to the artery shown (red arrow) on the cerebral magnetic resonance angiograph below. Which of the following actions is most likely to be impaired in this patient?

• A)Climbing stairs
• B)Gripping
• C)Speaking
• D)Swallowing food
• E)Whistling

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Definitions:

Human Values

Fundamental beliefs and principles that guide behavior and judgment, reflecting what is important to individuals and societies.

Core Job Dimension

Key characteristics of a job that affect an employee's attitude and motivation, including skill variety, task identity, task significance, autonomy, and feedback.

Task Identity

The degree to which a job requires completion of a whole and identifiable piece of work, allowing an employee to see the outcome of their efforts.

Critical Psychological State

A significant mental condition impacting an individual's perception, behavior, and well-being, often influencing their engagement and satisfaction in various aspects of life.