A 62-Year-Old Man with a History of Poor Medical Follow-Up

question 428

Multiple Choice

A 62-year-old man with a history of poor medical follow-up comes to the office due to difficulty seeing.  He has had blurry vision for the last 2 weeks.  A day ago, he noticed a shadow develop suddenly across the visual field of his right eye.  The patient has had no recent headaches, double vision, vertigo, light sensitivity, or nausea.  On examination, pupils are equal and reactive to light.  Visual field testing by confrontation reveals patchy loss of vision.  A flame-shaped retinal hemorrhage in the right eye is noted on funduscopic examination, as shown in the image below. Which of the following is the most likely cause of his visual disturbance?

• A)Central retinal artery occlusion
• B)Cigarette smoking
• C)Closed-angle glaucoma
• D)Giant cell arteritis
• E)Hyperlipidemia
• F)Hypertension
• G)Migraine
• H)Thyroid eye disease

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Definitions:

Short-term Creditors

refers to entities or individuals that lend money or extend credit for short periods, typically less than a year, including suppliers and banks.

Liquidity

A measure of how easily assets can be converted into cash without significant loss of value, indicating the ability of an entity to meet its short-term obligations.

Price-Earnings Ratio

A measurement that contrasts a firm's stock price with its earnings per share to determine if its shares are valued appropriately.

Dividends

Distributions of earnings to stockholders; an account representing the distribution of a corporation’s earnings to stockholders.