Solved

A 56-Year-Old Man with a Past Medical History of Hypertension

question 121

Multiple Choice

A 56-year-old man with a past medical history of hypertension and diabetes mellitus is hospitalized after sustaining a mild concussion following a motor vehicle accident. His daily medications include aspirin, metformin, and lisinopril. He has smoked one pack of cigarettes daily for 20 years. He does not drink alcohol. He is married and works as an accountant. His family history is significant for coronary artery disease and diabetes mellitus.
His blood pressure is 143/95 mm Hg and pulse is 90/min with regular rhythm. His general physical and neurological examinations are unremarkable.
An MRI of the brain without contrast reveals a chronic infarct in the right basal ganglia without any evidence of intracranial bleeding.
This patient is at the highest risk for which of the following?

Definitions:

Biological Contributions

Factors related to genetics, physiology, and biological processes that influence an individual's behavior and aspects of their health.

Personality Development

The gradual and enduring changes in a person's behavior and thought patterns over the course of their life.

Oedipus Complex

A Freudian theory proposing that a child feels a subconscious sexual attraction to the opposite-sex parent and hostility toward the same-sex parent.

Defense Mechanisms

Psychological strategies employed unconsciously to protect oneself from anxiety arising from unacceptable thoughts or feelings.