Vascular neurology questions and answers - part 9

Trưởng chấn thương, một khoảng thời gian sáng suốt tiếp theo mất ý thức, và bằng chứng vỡ động mạch màng não giữa. B. khởi phát đột ngột của liệt nửa người bên phải và mất ngôn ngữ, sau 2 ngày sau đó sững sờ và bằng chứng của thoát vị uncal. C. nhỏ chấn thương đầu 2 tháng trước đó và hemiparesis phải tiến bộ và đau đầu. | CLINICAL PATHOLOGY QUESTIONS 257 476. The following picture most likely represents See color sectionfollowing page 282. A. Remote cerebral infarction. B. Acute cerebral infarction. C. Intraparenchymal hemorrhage due to disseminated intravascular coagulation. D. Epidural hemorrhage. E. None of the above. 477. The following picture most likely represents the following clinical scenario See color section following page 282. A. Head trauma a lucid interval followed by loss of consciousness and evidence of rupture of the middle meningeal artery. B. Sudden onset of right hemiplegia and aphasia followed 2 days later by stupor and evidence of uncal herniation. C. Minor head trauma 2 months previously and progressive right hemiparesis and headaches. D. Sudden onset of severe headache and a stiff neck without focal neurologic deficit. E. Subacute onset headache fever stiff neck and lethargy. 258 CLINICAL PATHOLOGY QUESTIONS 478. Fibromuscular dysplasia FMD is an abnormality of fibrous tissue proliferation. Which type of FMD characterized by the dominant arterial wall involved is the most common A. Intimal fibroplasia. B. Medial dysplasia. C. Adventitial fibroplasia. D. Endothelial dysplasia. 479. The following picture most likely represents which of the following See color sectionfollowing page 282. A. Hypertrophy of the midbrain substantia nigra. B. Metastatic carcinoma in the midbrain. C. Normal appearance of the midbrain. D. Midbrain damage due to global anoxia. E. Duret hemorrhage in the midbrain due to herniation. 480. Which microbiologic agent exhibits tissue tropism to vascular endothelium resulting in vascular damage A. Staphylococcus. B. Loa loa. C. Aspergillus. D. Streptococcus. E. All of the above. CLINICAL PATHOLOGY QUESTIONS 259 481. The following picture most likely represents the following clinical scenario See color sectionfollowing page 282. A. A patient with a brain tumor with hemorrhage. B. A patient with diffuse anoxic damage after cardiac arrest. C. A .