A 75-Year-Old Man Is Brought to the Emergency Department Due

question 73

Multiple Choice

A 75-year-old man is brought to the emergency department due to problems with vision and right-sided hemisensory loss that started an hour ago.  While in the emergency department, his symptoms gradually worsen and he develops a headache.  Head CT reveals multiple, small lobar hemorrhages of varying ages in the occipital and parietal areas with a medium-size acute bleed in the left parietooccipital lobe.  Two years ago, the patient developed sudden right arm weakness; neuroimaging at that time demonstrated a small left frontal lobe hemorrhage.  He has no head trauma and does not use anticoagulants.  This patient most likely suffers from which of the following?

• A)Arteriovenous malformation
• B)Cardiac embolism
• C)Carotid artery atherosclerosis
• D)Cerebral amyloid angiopathy
• E)Charcot-Bouchard aneurysm
• F)Hypertensive encephalopathy
• G)Hypoxic encephalopathy
• H)Saccular aneurysm

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Definitions:

Adaptation-Level Phenomenon

The inclination of people to evaluate different stimuli and scenarios in comparison to their past experiences.

Luxury Car

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Emotional Excitement

A heightened state of emotion that often leads to increased physical activity, enthusiasm, or agitation.

Adaptation-Level Phenomenon

The tendency of people to judge new stimuli and experiences relative to their past experiences.