A 15-Year-Old Girl Is Evaluated for Recurrent Episodes of Focal

question 2

Multiple Choice

A 15-year-old girl is evaluated for recurrent episodes of focal onset seizures evolving to bilateral tonic-clonic seizures over the past several months.  She has also had headaches that are severe enough to keep her home from school.  The patient has no prior medical conditions.  MRI of the brain is shown in the exhibit. 

Which of the following histopathological findings are most likely present in the abnormal lesion?

• A)Dense perivascular aggregates of atypical lymphoid cells
• B)Infiltrating macrophages containing degraded myelin debris
• C)Intense inflammatory infiltrate around Toxoplasma tachyzoites
• D)Necrosis with surrounding pseudopalisading malignant cells
• E)Tangle of large blood vessels with thickened walls

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Domestic Support

Financial or material assistance provided within a household, often involving alimony or child support following a divorce.

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Vehicles including cars, motorcycles, trucks, buses, and others, powered by engines for transportation on public roads.

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A legal proceeding involving a person or business that is unable to repay their outstanding debts, which allows for the liquidation or reorganization of assets.