A 60-Year-Old Professor Is Brought to the Emergency Department After

question 93

Multiple Choice

A 60-year-old professor is brought to the emergency department after developing right-sided weakness and numbness during a lecture an hour ago.  He also has nausea and confusion.  The patient smoked a pack of cigarettes daily for 20 years but quit 10 years ago.  He does not drink alcohol.  His father died of myocardial infarction at age 70.  Blood pressure is 190/100 mm Hg, and pulse is 60 /min.  On physical examination, there are no signs of head trauma.  There is diminished right-sided strength (1/5) and an upgoing plantar reflex.  Brain CT without contrast is obtained immediately.  The image is shown below. Which of the following is the most likely cause of this patient's condition?

• 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)Large vessel arteritis
• I)Saccular aneurysm

---

Definitions:

Incremental Cost Approach

A method of analyzing the financial information by only considering the expenses and revenues that will change as a result of a decision.

Total Cost Approach

A method in logistics and supply chain management focusing on minimizing the total costs associated with the distribution and storage of products, rather than focusing on individual elements.

Discount Rate

This rate is employed in the process of discounted cash flow analysis to ascertain the present worth of forthcoming cash flows.

Useful Life

The estimated period over which a fixed asset is expected to be usable by an organization.