A 34-Year-Old Woman Comes to the Physician with Complaints of Periodic

question 898

Multiple Choice

A 34-year-old woman comes to the physician with complaints of periodic visual obscurations.  She has episodes during which she goes blind for several seconds when standing up or stooping forward abruptly.  She also describes frequent morning headaches over the last 2 months for which she takes ibuprofen or aspirin almost every morning.  The patient takes no other medications.  Her past medical history is insignificant except for an uncomplicated vaginal delivery.  She does not use tobacco, alcohol, or illicit drugs.  Her temperature is 36.4 C (97.6 F) , blood pressure is 138/88 mm Hg, and pulse is 93/min.  Her body mass index is 35 kg/m².  Visual field testing shows enlarged blind spots.  Which of the following ocular features is most commonly associated with this patient's condition?

• A)Amaurosis fugax
• B)Cataract
• C)Glaucoma
• D)Optic neuritis
• E)Papilledema
• F)Uveitis

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Definitions:

Cognitive Dissonance

The mental discomfort or psychological stress experienced by a person who holds two or more contradictory beliefs, ideas, or values at the same time.

Balance Theory

A psychological theory suggesting that individuals strive for mental consistency among their beliefs, attitudes, and sentiments, and will change or eliminate beliefs to achieve balance.

Environmental Activist

An individual who actively promotes the protection and preservation of the environment through various actions and campaigns.

Cognitive Dissonance

The mental discomfort experienced by an individual who holds two or more contradictory beliefs, ideas, or values at the same time, often leading to an alteration in one's beliefs to reduce the discomfort.