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:

Allies

Countries or entities that join forces or cooperate for a common purpose, often referring to the allied countries against the Axis Powers during World War II.

Norman Rockwell

An iconic 20th-century American painter and illustrator known for his depictions of everyday life in the United States, capturing the spirit and culture of the nation.

Saturday Evening Post

An American magazine that historically featured literature, journalism, and illustrations, known for its broad appeal and contributions to American culture and its iconic covers.

Essential Human Freedoms

Fundamental rights considered to be the inherent entitlements of all human beings, such as freedom of speech, religion, and equality before the law.