A 65-Year-Old, Right-Handed Man Comes to the Emergency Department Due

question 65

Multiple Choice

A 65-year-old, right-handed man comes to the emergency department due to sudden-onset, right-sided weakness.  The patient was watching television an hour ago, when his family noted that his face appeared "twisted."  He also experienced weakness of his right arm and leg but no headache, nausea, vomiting, or loss of consciousness.  The patient has a history of hypertension and is nonadherent with medications.  He is a former smoker with a 20-pack-year history.  Temperature is 36.7 C (98.1 F) , blood pressure is 164/72 mm Hg, pulse is 65/min, and respirations are 14/min.  Physical examination shows weakness of the right lower face and right upper and lower extremities.  Pupillary reflexes, ocular movements, and visual field testing are normal bilaterally.  Speech is without aphasia, and the patient correctly names his left and right arms.  Sensory examination is normal throughout.  Noncontrast CT scan of the head reveals no intracranial bleeding.  Which of the following is the most likely site of a lesion in this patient?

• A)Left frontoparietal cortex
• B)Left internal capsule
• C)Left lateral pons
• D)Right frontoparietal cortex
• E)Right internal capsule
• F)Right lateral pons

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Definitions:

Limited Partnership

A partnership arrangement where at least one partner has limited liability to the extent of their investment in the business, while at least one other has unlimited liability.

General Partner

A partner in a partnership who has unlimited liability for the debts of the partnership and takes part in the management of the business.

Management

The process of planning, organizing, leading, and controlling resources to achieve organizational goals efficiently and effectively.

Winding-Up Process

The formal procedure for disbanding a corporation or partnership, involving liquidating assets to pay creditors and distributing any remaining assets to the owners or shareholders.