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A 68-Year-Old Woman Is Brought to the Emergency Department Due

question 11

Multiple Choice

A 68-year-old woman is brought to the emergency department due to right-sided weakness and double vision.  The patient was well when she went to bed last night, but on waking, she had difficulty getting out of bed.  She has a 20-year history of hypertension and type 2 diabetes mellitus.  Blood pressure is 162/90 mm Hg and pulse is 84/min.  On physical examination, the left eyelid is drooping, and the patient is unable to raise it.  The left eye is deviated laterally, and the pupil does not constrict with either direct or consensual light stimulation.  Extraocular movement in the right eye is normal, with brisk pupillary response.  The right corner of the mouth droops slightly.  Muscle weakness in the right arm and leg is present; muscle strength and reflexes in the left arm and leg are normal.  Sensation to light touch and pain is intact bilaterally.  Which of the following is the most likely diagnosis in this patient?


Definitions:

Revenue Variance

This is the difference between actual revenue earned and the expected or budgeted revenue.

Wells Serviced

The number of wells maintenance, repair, or service operations have been performed on, typically in the oil and gas industry.

Fixed Costs

Fixed costs are business expenses that remain constant regardless of changes in production level or sales volume, such as rent, salaries, or insurance.

Budgeting

The process of creating a plan to spend money, outlining an organization's financial and operational goals.

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