A 58-Year-Old Man Comes to the Emergency Department Due to Sudden

question 520

Multiple Choice

A 58-year-old man comes to the emergency department due to sudden right-sided weakness.  He has no sensory loss, problems speaking/swallowing, or difficulty with balance.  The patient was previously told that he has elevated blood pressure, but he does not routinely follow up with his physician.  He takes no medications.  Examination shows intact cranial nerves and sensory function.  The patient has 3/5 muscle strength on the right side.  Initial CT scan without contrast reveals no abnormalities.  Four weeks later, repeat brain imaging shows a 9-mm, fluid-filled cavitary lesion in the left internal capsule.  This patient's condition is most likely caused by which of the following?

• A)Cardiac embolism
• B)Carotid artery atherosclerosis
• C)Hypertensive arteriolar sclerosis
• D)Hypertensive encephalopathy
• E)Hypoxic encephalopathy
• F)Saccular aneurysm

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Definitions:

Relationships

Connections or associations between people, groups, or objects, characterized by a certain level of involvement or interaction.

Subalternate

In Aristotelian logic, a term that refers to the relationship between particular and universal propositions where the truth of the universal necessitates the truth of the particular.

Quality

A measure of how good something is in relation to similar types of things; its level of excellence.

Quantity

The property that describes the amount or number of material or immaterial things.