A 65-Year-Old Man Is Brought to the Emergency Department Due

question 122

Multiple Choice

A 65-year-old man is brought to the emergency department due to acute-onset, right-sided weakness and slurred speech.  He also has a severe headache and nausea.  Medical history is significant for poorly controlled hypertension and chronic tobacco use.  Blood pressure is 240/120 mm Hg and pulse is 104/min.  On physical examination, the patient is lethargic with right hemiparesis and lower facial weakness, right hemisensory loss, and dysarthria.  Noncontrast CT scan of the head is shown in the image below. Which of the following cerebral blood vessels is most likely affected in this patient?

• A)Cortical branches
• B)Inferior division of middle cerebral artery
• C)Lenticulostriate arteries
• D)Pontine arteries
• E)Posterior cerebral artery
• F)Superior division of middle cerebral artery

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